HIS

1 forms

StudyEvent: HIS
1. HIS

Name

Type

Description | Question | Decode (Coded Value)

Data type

Alias

Admininstrative Daten

Item Group

Admininstrative Daten

Name

Item

Patienten-Nachname

string

C0421448 (UMLS CUI-1)
184096005 (SNOMED CT-1)

Vorname

Item

Patienten-Vorname

string

C0421447 (UMLS CUI-1)
184095009 (SNOMED CT-1)

Titel

Item

Patienten-Titel

string

Patient title (observable entity) (Code-1)
C0421450 (UMLS CUI-1)
184098006 (SNOMED CT-1)

früherer Name

Item

früherer Name

string

Previous (Code-1)
C0205156 (UMLS CUI-1)
9130008 (SNOMED CT-1)
Patient name (observable entity) (Code-2)
C1299487 (UMLS CUI-2)
371484003 (SNOMED CT-2)

Geburtsdatum

Item

Patienten-Geburtsdatum

date

C0421451 (UMLS CUI-1)
184099003 (SNOMED CT-1)

Alter

Item

Alter des Patienten

integer

patient age (Code-1)
CL386174 (UMLS CUI-1)

Nationalität

Item

Nationalität/Staatsangehörigkeit

string

C0438960 (UMLS CUI-1)
186034007 (SNOMED CT-1)
Patients (Code-2)
C0030705 (UMLS CUI-2)
116154003 (SNOMED CT-2)

Adresse

Item

Straße

string

C1301826 (UMLS CUI-1)
398099009 (SNOMED CT-1)
Patient address (Code-2)
C0421449 (UMLS CUI-2)
184097001 (SNOMED CT-2)

PLZ

Item

Postleitzahl Patient

integer

C0421454 (UMLS CUI-1)
184102003 (SNOMED CT-1)
Patient address (Code-2)
C0421449 (UMLS CUI-2)
184097001 (SNOMED CT-2)

Stadt

Item

Wohnort

string

C2316883 (UMLS CUI-1)
433178008 (SNOMED CT-1)
Patient address (Code-2)
C0421449 (UMLS CUI-2)
184097001 (SNOMED CT-2)

Fallnummer

Item

Fallnummer

integer

Case - situation (qualifier value) (Code-1)
C0868928 (UMLS CUI-1)
398241000 (SNOMED CT-1)
Identifier (Code-2)
C0600091 (UMLS CUI-2)
118522005 (SNOMED CT-2)

Abteilung

Item

Abteilung

string

C1704729 (UMLS CUI-1)

Nachsorgepassnummer

Item

Nachsorgenummer

integer

Numbers (Code-1)
C0237753 (UMLS CUI-1)
410680006 (SNOMED CT-1)
MTHU024869 (LOINC-1)
Aftercare (Code-2)
C0001758 (UMLS CUI-2)
413467001 (SNOMED CT-2)

Über Meldung Krebsregister informiert, kein Widerspruch

Item

Einverständniserklärung Krebsregister

boolean

must_have (Item-Info)
Informed consent obtained (Code-1)
C0514044 (UMLS CUI-1)
Cancer Registry (Code-2)
C0805443 (UMLS CUI-2)
MTHU010262 (LOINC-2)

Studiendaten

Item Group

Studiendaten

Teilnahme an klinischer Studie

Item

klinische Studie

integer

C0008976 (UMLS CUI-1)
110465008 (SNOMED CT-1)

Teilnahme an klinischer Studie

Code List

klinische Studie

CL Item

Ja (ja)

Yes (Code-1)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)

CL Item

Nein (nein)

No (Code-1)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)

CL Item

unsicher (noch unklar)

Uncertain (Code-1)
C0087130 (UMLS CUI-1)
64957009 (SNOMED CT-1)

Name der Studie

Item

Name der Studie

string

Trial name (Code-1)
C1629065 (UMLS CUI-1)
MTHU019350 (LOINC-1)

Status (Ein- / Ausschluss)

Item

Ein- und Ausschluss

integer

inclusion and exclusion (Code-1)
C0680252 (UMLS CUI-1)

Status (Ein- / Ausschluss)

Code List

Ein- und Ausschluss

CL Item

Einschluss (Einschluss)

Inclusion Criteria (Code-1)
C1512693 (UMLS CUI-1)

CL Item

Ausschluss (Ausschluss)

Exclusion Criteria (Code-1)
C0680251 (UMLS CUI-1)

Einschlussdatum

Item

Einschlussdatum

date

Date in time (Code-1)
C0011008 (UMLS CUI-1)
410671006 (SNOMED CT-1)
MTHU021546 (LOINC-1)
Inclusion Criteria (Code-2)
C1512693 (UMLS CUI-2)

Anamnese

Item Group

Anamnese

Patient ist:

Item

Status Patient

integer

Patient status (attribute) (Code-1)
C0449437 (UMLS CUI-1)
246097001 (SNOMED CT-1)

Patient ist:

Code List

Status Patient

CL Item

Primärfall (Primärpatient)

Primary (Code-1)
CL414904 (UMLS CUI-1)
Case - situation (qualifier value) (Code-2)
C0868928 (UMLS CUI-2)
398241000 (SNOMED CT-2)

CL Item

nicht_kodiert (Wiederkehrer)

CL Item

Sonstiges (sonstiges)

C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)

Geschlecht

Item

Patienten-Geschlecht

string

C0150831 (UMLS CUI-1)
184100006 (SNOMED CT-1)

Mehrling

Item

Nachkomme einer Mehrlingsschwangerschaft

integer

C0026753 (UMLS CUI-1)

Mehrling

Code List

Nachkomme einer Mehrlingsschwangerschaft

CL Item

Ja (Ja)

C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)

CL Item

Nein (Nein)

C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)

CL Item

unbekannt (unbekannt)

C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)

Zuletzt ausgeübter Beruf

Item

letzte Beschäftigung

string

Occupations (Code-1)
C0028811 (UMLS CUI-1)
14679004 (SNOMED CT-1)
Recent (Code-2)
C0332185 (UMLS CUI-2)
6493001 (SNOMED CT-2)

Dauer

Item

Dauer der letzten Beschäftigung

integer

Years (Item-Info)
Duration (temporal concept) (Code-1)
C0449238 (UMLS CUI-1)
103335007 (SNOMED CT-1)
MTHU001938 (LOINC-1)
Occupations (Code-2)
C0028811 (UMLS CUI-2)
14679004 (SNOMED CT-2)
Recent (Code-3)
C0332185 (UMLS CUI-3)
6493001 (SNOMED CT-3)

Längster ausgeübter Beruf

Item

Längste Beschäftigung

string

Occupations (Code-1)
C0028811 (UMLS CUI-1)
14679004 (SNOMED CT-1)
Longest (Code-2)
C1522425 (UMLS CUI-2)

Dauer

Item

Dauer der längsten Beschäftigung

integer

Psychoonkologisches Konsil

Item

Psychoonkologie

integer

Psychotherapy/sociotherapy (regime/therapy) (Code-1)
C0204577 (UMLS CUI-1)
266744007 (SNOMED CT-1)
Oncologic (qualifier value) (Code-2)
C0205478 (UMLS CUI-2)
3428006 (SNOMED CT-2)

Psychoonkologisches Konsil

Code List

Psychoonkologie

CL Item

Ja (Ja)

C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)

CL Item

Nein (Nein)

C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)

CL Item

unbekannt (unbekannt)

C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)

Sozialdienst Konsil

Item

Sozialdienst

integer

Social Work (discipline) (Code-1)
C0037441 (UMLS CUI-1)

Sozialdienst Konsil

Code List

Sozialdienst

CL Item

Ja (Ja)

C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)

CL Item

Nein (Nein)

C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)

CL Item

unbekannt (unbekannt)

C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)

Tumorerkrankungen

Item Group

Tumorerkrankungen

Frühere Tumorerkrankungen

Item

Tumorvorgeschichte

integer

C1512706 (UMLS CUI-1)

Frühere Tumorerkrankungen

Code List

Tumorvorgeschichte

CL Item

Ja (Ja)

C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)

CL Item

Nein (Nein)

C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)

CL Item

unbekannt (unbekannt)

C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)

Frühere Tumorerkrankung

Item

Tumor-Vorerkrankung

string

ICD-10 Code (Item-Info)
Pre-existing Condition (Code-1)
C0521987 (UMLS CUI-1)
102478008 (SNOMED CT-1)
Malignant Neoplasms (Code-2)
C0006826 (UMLS CUI-2)
363346000 (SNOMED CT-2)
10007050 (MedDRA-2)
MTHU010328 (LOINC-2)
C80 (ICD-10-CM-2)
199 (ICD-9-CM-2)
Free Text Format (Code-3)
C2348713 (UMLS CUI-3)

ICD10

Item

Tumor-Vorerkrankung

string

Jahr

Item

Diagnosedatum

date

Date of diagnosis (Code-1)
C2316983 (UMLS CUI-1)
432213005 (SNOMED CT-1)
Pre-existing Condition (Code-2)
C0521987 (UMLS CUI-2)
102478008 (SNOMED CT-2)

Tumordaten

Item Group

Tumordaten

Erst-Diagnose-Datum

Item

Datum der ersten Diagnose

date

must_have (Item-Info)
Date of diagnosis (Code-1)
C2316983 (UMLS CUI-1)
432213005 (SNOMED CT-1)
Tumor finding (finding) (Code-2)
C1274082 (UMLS CUI-2)
395557000 (SNOMED CT-2)
MTHU021546 (LOINC-2)

Tumordiagnose (ICD-10)

Item

Tumordiagnose

string

must_have (Item-Info)
Tumor finding (finding) (Code-1)
C1274082 (UMLS CUI-1)
395557000 (SNOMED CT-1)
Diagnosis ICD code (Code-2)
C2598420 (UMLS CUI-2)

Diagnosesicherheit

Item

Diagnosesicherheit

integer

C0598285 (UMLS CUI-1)

Diagnosesicherheit

Code List

Diagnosesicherheit

CL Item

klinische Diagnose (k = klinisch)

C0332140 (UMLS CUI-1)
39154008 (SNOMED CT-1)

CL Item

Zytologischer Befund (z = zytologisch)

C1265900 (UMLS CUI-1)
107674006 (SNOMED CT-1)

CL Item

Histologischer Befund (h = histologisch/Stanze)

C0449575 (UMLS CUI-1)
263540008 (SNOMED CT-1)

CL Item

Postmortem-Diagnose (a = autoptisch)

C0332145 (UMLS CUI-1)
5605004 (SNOMED CT-1)

CL Item

Sonstiges (s = sonstiges)

C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
diagnostic procedure (Code-2)
C0430022 (UMLS CUI-2)
103693007 (SNOMED CT-2)
10061816 (MedDRA-2)

CL Item

unbekannt (x = unbekannt)

C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
diagnostic procedure (Code-2)
C0430022 (UMLS CUI-2)
103693007 (SNOMED CT-2)
10061816 (MedDRA-2)

Datum der Diagnosesicherung

Item

Datum der Diagnose

date

C2316983 (UMLS CUI-1)
432213005 (SNOMED CT-1)

Diagnose erfolgte in

Item

Ort der Diagnose

string

Diagnosis (Code-1)
C0011900 (UMLS CUI-1)
439401001 (SNOMED CT-1)
MTHU008876 (LOINC-1)
Place (Code-2)
C0442504 (UMLS CUI-2)
257557008 (SNOMED CT-2)
PLC (HL7 V3-2)

Diagnoseanlass

Item

Grund des Arztbesuches

integer

Reason for patient visit (Code-1)
C1704447 (UMLS CUI-1)
103324002 (SNOMED CT-1)
MTHU013910 (LOINC-1)

Diagnoseanlass

Code List

Grund des Arztbesuches

CL Item

Tumorsymptome (T = Tumorsymptome)

C1457887 (UMLS CUI-1)
MTHU021540 (LOINC-1)
780-789,99 (ICD-9-CM-1)
C0006826 (CTCAE-1)
363346000 (HL7 V3-1)

CL Item

Krebs-Screeninguntersuchung (F = Krebsfrüherkennung)

C0199230 (UMLS CUI-1)
15886004 (SNOMED CT-1)

CL Item

Selbstuntersuchung (S = Selbstuntersuchung)

C0080142 (UMLS CUI-1)
409978001 (SNOMED CT-1)

CL Item

Screening (C = Screening)

C0220908 (UMLS CUI-1)
275926002 (SNOMED CT-1)

CL Item

Nachsorge (L = Langzeitbetreuung/Nachsorge)

C0001758 (UMLS CUI-1)
413467001 (SNOMED CT-1)

CL Item

nicht näher bezeichnete Untersuchung (A = andere Untersuchungen)

C0260880 (UMLS CUI-1)
V72.9 (ICD-9-CM-1)

CL Item

unbekannt (x = unbekannt)

C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)

Hauptlokalisation (ICD-O-3)

Item

Lokalisation Primärtumor

string

must_have (Item-Info)
ICDO3 Topography Axis (Code-1)
CL364363 (UMLS CUI-1)

Seitenlokalisation

Item

Körperseite

integer

C0441987 (UMLS CUI-1)
182353008 (SNOMED CT-1)
MTHU014973 (LOINC-1)
Tumor site (Code-2)
C0475445 (UMLS CUI-2)
263591006 (SNOMED CT-2)
MTHU015562 (LOINC-2)

Seitenlokalisation

Code List

Körperseite

CL Item

rechts (R = rechts)

C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)

CL Item

links (L = links)

C0205091 (UMLS CUI-1)
7771000 (SNOMED CT-1)

CL Item

beidseits (S = beidseits)

C0238767 (UMLS CUI-1)
51440002 (SNOMED CT-1)

CL Item

Mittellinie (M = Mittellinienzone)

C0549183 (UMLS CUI-1)
399488007 (SNOMED CT-1)

CL Item

Systemerkrankung (S = Systemerkrankung)

C0442893 (UMLS CUI-1)
56019007 (SNOMED CT-1)

CL Item

trifft nicht zu (t = trifft nicht zu)

None or Not Applicable (Code-1)
CL413952 (UMLS CUI-1)

CL Item

unbekannt (x = unbekannt)

C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)

Allgemeiner Leistungszustand (nach ECOG)

Item

ECOG Leistungszustand

integer

C1632812 (UMLS CUI-1)

Allgemeiner Leistungszustand (nach ECOG)

Code List

ECOG Leistungszustand

CL Item

0 (0)

Eastern Cooperative Oncology Group performance status - grade 0 (finding) (Code-1)
C1828078 (UMLS CUI-1)
25389002 (SNOMED CT-1)

CL Item

1 (1)

Eastern Cooperative Oncology Group performance status - grade 1 (finding) (Code-1)
C1827388 (UMLS CUI-1)
422512005 (SNOMED CT-1)

CL Item

2 (2)

Eastern Cooperative Oncology Group performance status - grade 2 (finding) (Code-1)
C1828242 (UMLS CUI-1)
422894000 (SNOMED CT-1)

CL Item

3 (3)

Eastern Cooperative Oncology Group performance status - grade 3 (finding) (Code-1)
C1827126 (UMLS CUI-1)
423053003 (SNOMED CT-1)

CL Item

4 (4)

Eastern Cooperative Oncology Group performance status - grade 4 (finding) (Code-1)
C1827528 (UMLS CUI-1)
423237006 (SNOMED CT-1)

CL Item

X (X)

Eastern Cooperative Oncology Group performance status finding (finding) (Code-1)
C1828127 (UMLS CUI-1)
424122007 (SNOMED CT-1)
Unknown (Code-2)
C0439673 (UMLS CUI-2)
261665006 (SNOMED CT-2)

klinischer TNM

Item Group

klinisches TNM-Staging

klinischer TNM

Item

klinisches TNM-Staging

boolean

for_compare (Code-Info)
Tumor-node-metastasis (TNM) classification of malignant tumor before any treatment (observable entity) (Code-1)
C0332369 (UMLS CUI-1)
106248000 (SNOMED CT-1)

(y/r)

Item

Tumorstaging-Symbole

integer

Generic tumor staging descriptor (tumor staging) (Code-1)
C0475266 (UMLS CUI-1)
258233007 (SNOMED CT-1)

(y/r)

Code List

Tumorstaging-Symbole

CL Item

Tumorstaging Symbol y (y)

Tumor staging descriptor y (tumor staging) (Code-1)
C0439147 (UMLS CUI-1)
421755005 (SNOMED CT-1)

CL Item

Tumorstaging Symbol r (r)

Tumor staging descriptor r (tumor staging) (Code-1)
C1704239 (UMLS CUI-1)
421188008 (SNOMED CT-1)

Item

T-Stadium

integer

cT category (observable entity) (Code-1)
C1275863 (UMLS CUI-1)
399504009 (SNOMED CT-1)

Code List

T-Stadium

CL Item

T0 Stadium (T0)

T0 Stage Finding (Code-1)
C0475371 (UMLS CUI-1)
58790005 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)

CL Item

Ta Stadium (Ta)

Tumor stage Ta (tumor staging) (Code-1)
C0475399 (UMLS CUI-1)
261663004 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)

CL Item

Tis Stadium (Tis)

Tis Stage Finding (Code-1)
C0475413 (UMLS CUI-1)
44401000 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)

CL Item

T1 Stadium (T1)

T1 Stage Finding (Code-1)
C0475372 (UMLS CUI-1)
23351008 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)

CL Item

T1a Stadium (T1a)

normalized_coding (Code-Info)
T1a Stage Finding (Code-1)
C0475383 (UMLS CUI-1)
261646003 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)

CL Item

T1b Stadium (T1b)

normalized_coding (Code-Info)
T1b Stage Finding (Code-1)
C0475385 (UMLS CUI-1)
261649005 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)

CL Item

T1c Stadium (T1c)

normalized_coding (Code-Info)
T1c Stage Finding (Code-1)
C0475386 (UMLS CUI-1)
261650005 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)

CL Item

T2 Stadium (T2)

T2 Stage Finding (Code-1)
C0475373 (UMLS CUI-1)
67673008 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)

CL Item

T2a Stadium (T2a)

normalized_coding (Code-Info)
T2a Stage Finding (Code-1)
C0475387 (UMLS CUI-1)
261651009 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)

CL Item

T2b Stadium (T2b)

normalized_coding (Code-Info)
T2b Stage Finding (Code-1)
C0475388 (UMLS CUI-1)
261652002 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)

CL Item

T2c Stadium (T2c)

normalized_coding (Code-Info)
T2c Stage Finding (Code-1)
C0475389 (UMLS CUI-1)
261653007 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)

CL Item

T3 Stadium (T3)

T3 Stage Finding (Code-1)
C0475374 (UMLS CUI-1)
14410001 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)

CL Item

T3a Stadium (T3a)

normalized_coding (Code-Info)
T3a Stage Finding (Code-1)
C0475390 (UMLS CUI-1)
261654001 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)

CL Item

T3b Stadium (T3b)

normalized_coding (Code-Info)
T3b Stage Finding (Code-1)
C0475391 (UMLS CUI-1)
261655000 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)

CL Item

T4 Stadium (T4)

T4 Stage Finding (Code-1)
C0475751 (UMLS CUI-1)
65565005 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)

CL Item

TX Stadium (TX)

TX Stage Finding (Code-1)
C0332377 (UMLS CUI-1)
67101007 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)

Certainty

Item

C-Faktor - Befundsicherung

integer

Degree of certainty of TNM classification (observable entity) (Code-1)
C0456878 (UMLS CUI-1)
106251007 (SNOMED CT-1)
T Stage (Code-2)
C0475455 (UMLS CUI-2)
260878002 (SNOMED CT-2)

Certainty

Code List

C-Faktor - Befundsicherung

CL Item

C-Faktor C1 (C1 = diagnostische Standardmethoden)

C1 certainty (qualifier value) (Code-1)
C0456879 (UMLS CUI-1)
84068000 (SNOMED CT-1)
T Stage (Code-2)
C0475455 (UMLS CUI-2)
260878002 (SNOMED CT-2)

CL Item

C-Faktor C2 (C2 = bildgebende Verfahren)

C2 certainty (qualifier value) (Code-1)
C0456880 (UMLS CUI-1)
76321005 (SNOMED CT-1)
T Stage (Code-2)
C0475455 (UMLS CUI-2)
260878002 (SNOMED CT-2)

CL Item

C-Faktor C3 (C3 = chirurgische Exploration einschließlich Biopsie und zytologischer Untersuchung)

C3 certainty (qualifier value) (Code-1)
C0456881 (UMLS CUI-1)
44756004 (SNOMED CT-1)
T Stage (Code-2)
C0475455 (UMLS CUI-2)
260878002 (SNOMED CT-2)

Item

N - Stadium der regionalen Lymphknoten

integer

cN category (observable entity) (Code-1)
C1275865 (UMLS CUI-1)
399534004 (SNOMED CT-1)

Code List

N - Stadium der regionalen Lymphknoten

CL Item

N0 Stadium (N0)

N0 Stage Finding (Code-1)
C0441959 (UMLS CUI-1)
62455006 (SNOMED CT-1)
cN category (observable entity) (Code-2)
C1275865 (UMLS CUI-2)
399534004 (SNOMED CT-2)

CL Item

N1 Stadium (N1)

N1 Stage Finding (Code-1)
C0441962 (UMLS CUI-1)
53623008 (SNOMED CT-1)
cN category (observable entity) (Code-2)
C1275865 (UMLS CUI-2)
399534004 (SNOMED CT-2)

CL Item

N2 Stadium (N2)

N2 Stage Finding (Code-1)
C0441960 (UMLS CUI-1)
46059003 (SNOMED CT-1)
cN category (observable entity) (Code-2)
C1275865 (UMLS CUI-2)
399534004 (SNOMED CT-2)

CL Item

N3 Stadium (N3)

N3 Stage Finding (Code-1)
C0441961 (UMLS CUI-1)
5856006 (SNOMED CT-1)
cN category (observable entity) (Code-2)
C1275865 (UMLS CUI-2)
399534004 (SNOMED CT-2)

CL Item

NX Stadium (NX)

NX Stage Finding (Code-1)
C0445085 (UMLS CUI-1)
79420006 (SNOMED CT-1)

Certainty

Item

C-Faktor - Befundsicherung

integer

Degree of certainty of TNM classification (observable entity) (Code-1)
C0456878 (UMLS CUI-1)
106251007 (SNOMED CT-1)
N category (observable entity) (Code-2)
C0456532 (UMLS CUI-2)
277206009 (SNOMED CT-2)

Certainty

Code List

C-Faktor - Befundsicherung

CL Item

C-Faktor C1 (C1 = diagnostische Standardmethoden)

C1 certainty (qualifier value) (Code-1)
C0456879 (UMLS CUI-1)
84068000 (SNOMED CT-1)
N category (observable entity) (Code-2)
C0456532 (UMLS CUI-2)
277206009 (SNOMED CT-2)

CL Item

C-Faktor C2 (C2 = bildgebende Verfahren)

C2 certainty (qualifier value) (Code-1)
C0456880 (UMLS CUI-1)
76321005 (SNOMED CT-1)
N category (observable entity) (Code-2)
C0456532 (UMLS CUI-2)
277206009 (SNOMED CT-2)

CL Item

C-Faktor C3 (C3 = chirurgische Exploration einschließlich Biopsie und zytologischer Untersuchung)

C3 certainty (qualifier value) (Code-1)
C0456881 (UMLS CUI-1)
44756004 (SNOMED CT-1)
N category (observable entity) (Code-2)
C0456532 (UMLS CUI-2)
277206009 (SNOMED CT-2)

Item

M- Stadium

integer

cM category (observable entity) (Code-1)
C1275856 (UMLS CUI-1)
399387003 (SNOMED CT-1)

Code List

M- Stadium

CL Item

M0 Stadium (M0)

M0 Stage Finding (Code-1)
C0445034 (UMLS CUI-1)
30893008 (SNOMED CT-1)
cM category (observable entity) (Code-2)
C1275856 (UMLS CUI-2)
399387003 (SNOMED CT-2)

CL Item

M1 Stadium (M1)

M1 Stage Finding (Code-1)
C0441971 (UMLS CUI-1)
55440008 (SNOMED CT-1)
cM category (observable entity) (Code-2)
C1275856 (UMLS CUI-2)
399387003 (SNOMED CT-2)

CL Item

M1a (M1a)

normalized_coding (Code-Info)
M1a Stage Finding (Code-1)
C0445036 (UMLS CUI-1)
261927002 (SNOMED CT-1)
cM category (observable entity) (Code-2)
C1275856 (UMLS CUI-2)
399387003 (SNOMED CT-2)

CL Item

M1b (M1b)

normalized_coding (Code-Info)
M1b Stage Finding (Code-1)
C0445064 (UMLS CUI-1)
261928007 (SNOMED CT-1)
cM category (observable entity) (Code-2)
C1275856 (UMLS CUI-2)
399387003 (SNOMED CT-2)

CL Item

M1c (M1c)

normalized_coding (Code-Info)
M1c Stage Finding (Code-1)
C0445037 (UMLS CUI-1)
261929004 (SNOMED CT-1)
cM category (observable entity) (Code-2)
C1275856 (UMLS CUI-2)
399387003 (SNOMED CT-2)

CL Item

MX Stadium (MX)

MX Stage Finding (Code-1)
C0445039 (UMLS CUI-1)
27167007 (SNOMED CT-1)
cM category (observable entity) (Code-2)
C1275856 (UMLS CUI-2)
399387003 (SNOMED CT-2)

Certainty

Item

C-Faktor - Befundsicherung

integer

C0456878 (UMLS CUI-1)
106251007 (SNOMED CT-1)
M Stage (Code-2)
C0456533 (UMLS CUI-2)
77208005 (SNOMED CT-2)

Certainty

Code List

C-Faktor - Befundsicherung

CL Item

C-Faktor C1 (C1 = diagnostische Standardmethoden)

C1 certainty (qualifier value) (Code-1)
C0456879 (UMLS CUI-1)
84068000 (SNOMED CT-1)
M Stage (Code-2)
C0456534 (UMLS CUI-2)
77208006 (SNOMED CT-2)

CL Item

C-Faktor C2 (C2 = bildgebende Verfahren)

C2 certainty (qualifier value) (Code-1)
C0456880 (UMLS CUI-1)
76321005 (SNOMED CT-1)
M Stage (Code-2)
C0456535 (UMLS CUI-2)
77208007 (SNOMED CT-2)

CL Item

C-Faktor C3 (C3 = chirurgische Exploration einschließlich Biopsie und zytologischer Untersuchung)

C3 certainty (qualifier value) (Code-1)
C0456881 (UMLS CUI-1)
44756004 (SNOMED CT-1)
M Stage (Code-2)
C0456536 (UMLS CUI-2)
77208008 (SNOMED CT-2)

Hilfe zum TNM

Item

Freitext TNM

string

TNM Staging System (Code-1)
C1515169 (UMLS CUI-1)
399566009 (SNOMED CT-1)
MTHU010377 (LOINC-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)

Lokalisation von Fernmetastasen

Item Group

Lokalisation Fernmetastase

Lokalisation 1

Item

Lokalisation Fernmetastase

boolean

changed_datatype (Code-Info)
Site of distant metastasis (observable entity) (Code-1)
C0807944 (UMLS CUI-1)
385421009 (SNOMED CT-1)
MTHU010380 (LOINC-1)

SKI = Haut

Item

Metastase in der Haut

boolean

changed_datatype (Code-Info)
C0153687 (UMLS CUI-1)
94579000 (SNOMED CT-1)
10027465 (MedDRA-1)
C79.2 (ICD-10-CM-1)
198.2 (ICD-9-CM-1)

BRA = Hirn

Item

Metastase im Gehirn

boolean

changed_datatype (Code-Info)
C0220650 (UMLS CUI-1)
94225005 (SNOMED CT-1)
10027453 (MedDRA-1)
C79.31 (ICD-10-CM-1)

OSS = Knochen

Item

Metastase in den Knochen

boolean

changed_datatype (Code-Info)
C0153690 (UMLS CUI-1)
94222008 (SNOMED CT-1)
10027452 (MedDRA-1)
C79.5 (ICD-10-CM-1)
198.5 (ICD-9-CM-1)

MAR = Knochenmark

Item

Metastase im Knochenmark

boolean

changed_datatype (Code-Info)
C0346979 (UMLS CUI-1)
94217008 (SNOMED CT-1)
10051662 (MedDRA-1)
C79.52 (ICD-10-CM-1)

HEP = Leber

Item

Metastase in der Leber

boolean

changed_datatype (Code-Info)
C0494165 (UMLS CUI-1)
94381002 (SNOMED CT-1)
10027457 (MedDRA-1)
197.7 (ICD-9-CM-1)

PUL = Lunge

Item

Metastase in der Lunge

boolean

changed_datatype (Code-Info)
C0153676 (UMLS CUI-1)
94391008 (SNOMED CT-1)
10027473 (MedDRA-1)
C78.0 (ICD-10-CM-1)
197 (ICD-9-CM-1)

LYM = Lymphknoten

Item

Metastase im Lymphknoten

boolean

changed_datatype (Code-Info)
C0686619 (UMLS CUI-1)
94392001 (SNOMED CT-1)
10027459 (MedDRA-1)
C77.9 (ICD-10-CM-1)
196.9 (ICD-9-CM-1)

ADR = Nebenniere

Item

Metastase in der Nebenniere

boolean

changed_datatype (Code-Info)
secondary malignant neoplasm of adrenal gland (disorder) (Code-1)
C0153691 (UMLS CUI-1)
94161006 (SNOMED CT-1)
10039870 (MedDRA-1)
C79.7 (ICD-10-CM-1)
198.7 (ICD-9-CM-1)

PER = Peritoneum

Item

Metastase im Peritoneum

boolean

changed_datatype (Code-Info)
C0346989 (UMLS CUI-1)
94627008 (SNOMED CT-1)
10051676 (MedDRA-1)

PLE = Pleura

Item

Metastase in der Pleura

boolean

changed_datatype (Code-Info)
C0153678 (UMLS CUI-1)
94493005 (SNOMED CT-1)
10035608 (MedDRA-1)
C78.2 (ICD-10-CM-1)
197.2 (ICD-9-CM-1)

GEN = Generalisiere Metastasierung

Item

Generalisiere Metastasierung

boolean

changed_datatype (Code-Info)
Generalized cancer, unspecified site (primary) (secondary) (Code-1)
C2845986 (UMLS CUI-1)

OTH = andere Organe

Item

Fernmestastase (andere Organe)

boolean

changed_datatype (Code-Info)
Distant Metastasis (Code-1)
CL278860 (UMLS CUI-1)

Datum

Item

Datum

date

C0011008 (UMLS CUI-1)
410671006 (SNOMED CT-1)
MTHU021546 (LOINC-1)
Site of distant metastasis (observable entity) (Code-2)
C0807944 (UMLS CUI-2)
385421009 (SNOMED CT-2)
MTHU010380 (MedDRA-2)

Weitere Informationen

Item

Freitext Lokalisation von Fernmetastasen

string

Site of distant metastasis (observable entity) (Code-1)
C0807944 (UMLS CUI-1)
385421009 (SNOMED CT-1)
MTHU010380 (LOINC-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)

Nebenlokalisationen

Item

Nebenlokalisation

string

C1710234 (UMLS CUI-1)

Anamnese Historie

Item Group

Anamnese Historie

Medikamentöse Tumortherapie in der Anamnese

Item

Chemotherapie in der Anamnese

integer

Chemotherapy Regimen (Code-1)
C0392920 (UMLS CUI-1)
69960004 (SNOMED CT-1)
10061758 (MedDRA-1)
Previous (Code-2)
C0205156 (UMLS CUI-2)
9130008 (SNOMED CT-2)

Medikamentöse Tumortherapie in der Anamnese

Code List

Chemotherapie in der Anamnese

CL Item

Ja (Ja)

C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)

CL Item

Nein (Nein)

C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)

CL Item

unbekannt (unbekannt)

C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)

Strahlentherapie in der Anamnese

Item

Strahlentherapie in der Anamnese

integer

C1522449 (UMLS CUI-1)
108290001 (SNOMED CT-1)
10037770 (MedDRA-1)
Previous (Code-2)
C0205156 (UMLS CUI-2)
9130008 (SNOMED CT-2)

Strahlentherapie in der Anamnese

Code List

Strahlentherapie in der Anamnese

CL Item

Ja (Ja)

C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)

CL Item

Nein (Nein)

C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)

CL Item

unbekannt (unbekannt)

C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)

Wichtige Begleiterkrankungen

Item

Komorbidität

string

C0009488 (UMLS CUI-1)

Zweitmalignom

Item

Zweitmalignom

integer

Secondary Neoplasm (Code-1)
C2939419 (UMLS CUI-1)
128462008 (SNOMED CT-1)
10061289 (MedDRA-1)

Zweitmalignom

Code List

Zweitmalignom

CL Item

Ja (Ja)

C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)

CL Item

Nein (Nein)

C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)

CL Item

Unbekannt (unbekannt)

Unknown (Code-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)

Ergänzung Zweitmalignom

Item

Zweitmalignom

string

Secondary Neoplasm (Code-1)
C2939419 (UMLS CUI-1)
128462008 (SNOMED CT-1)
10061289 (MedDRA-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)

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