Informazione:
Errore:
ID
4077
Descrizione
HIS form from Soarian. "Frauenklinik Erlangen" with friendly permission of the gynecology Erlangen (Prof. Beckmann) and the medical informatics department Erlangen (PD Dr. Bürkle)
Keywords
versioni (1)
- 07/08/13 07/08/13 -
Caricato su
7 agosto 2013
DOI
Per favore, per richiedere un accesso.
Licenza
Creative Commons BY-NC 3.0 Legacy
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HIS short medical history - cancer conference breast cancer
Similar models
HIS
- StudyEvent: HIS
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Name
Item
Patient surname
string
C0421448 (UMLS CUI-1)
184096005 (SNOMED CT-1)
184096005 (SNOMED CT-1)
Vorname
Item
Patient forename
string
C0421447 (UMLS CUI-1)
184095009 (SNOMED CT-1)
184095009 (SNOMED CT-1)
Titel
Item
Patient title
string
Patient title (observable entity) (Code-1)
C0421450 (UMLS CUI-1)
184098006 (SNOMED CT-1)
C0421450 (UMLS CUI-1)
184098006 (SNOMED CT-1)
früherer Name
Item
former Patient 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)
C0205156 (UMLS CUI-1)
9130008 (SNOMED CT-1)
Patient name (observable entity) (Code-2)
C1299487 (UMLS CUI-2)
371484003 (SNOMED CT-2)
Geburtsdatum
Item
Patient date of birth
date
C0421451 (UMLS CUI-1)
184099003 (SNOMED CT-1)
184099003 (SNOMED CT-1)
Alter
Item
patient age
integer
patient age (Code-1)
CL386174 (UMLS CUI-1)
CL386174 (UMLS CUI-1)
Nationalität
Item
Ethnicity / related nationality data
string
C0438960 (UMLS CUI-1)
186034007 (SNOMED CT-1)
Patients (Code-2)
C0030705 (UMLS CUI-2)
116154003 (SNOMED CT-2)
186034007 (SNOMED CT-1)
Patients (Code-2)
C0030705 (UMLS CUI-2)
116154003 (SNOMED CT-2)
Adresse
Item
Street Address
string
C1301826 (UMLS CUI-1)
398099009 (SNOMED CT-1)
Patient address (Code-2)
C0421449 (UMLS CUI-2)
184097001 (SNOMED CT-2)
398099009 (SNOMED CT-1)
Patient address (Code-2)
C0421449 (UMLS CUI-2)
184097001 (SNOMED CT-2)
PLZ
Item
Patient postal code
integer
C0421454 (UMLS CUI-1)
184102003 (SNOMED CT-1)
184102003 (SNOMED CT-1)
Stadt
Item
City of residence
string
C2316883 (UMLS CUI-1)
433178008 (SNOMED CT-1)
Patient address (Code-2)
C0421449 (UMLS CUI-2)
184097001 (SNOMED CT-2)
433178008 (SNOMED CT-1)
Patient address (Code-2)
C0421449 (UMLS CUI-2)
184097001 (SNOMED CT-2)
Journalnummer
Item
Journal Number
string
Journal (Code-1)
C0162443 (UMLS CUI-1)
184099003 (SNOMED CT-1)
Numbers (Code-2)
C0237753 (UMLS CUI-2)
260299005 (SNOMED CT-2)
MTHU024869 (LOINC-2)
C0162443 (UMLS CUI-1)
184099003 (SNOMED CT-1)
Numbers (Code-2)
C0237753 (UMLS CUI-2)
260299005 (SNOMED CT-2)
MTHU024869 (LOINC-2)
Item
Initial diagnosis
integer
Initial (qualifier value) (Code-1)
C0205265 (UMLS CUI-1)
884001 (SNOMED CT-1)
Diagnosis (Code-2)
C0011900 (UMLS CUI-2)
439401001 (SNOMED CT-2)
MTHU008876 (LOINC-2)
C0205265 (UMLS CUI-1)
884001 (SNOMED CT-1)
Diagnosis (Code-2)
C0011900 (UMLS CUI-2)
439401001 (SNOMED CT-2)
MTHU008876 (LOINC-2)
CL Item
Yes (Ja)
Yes (Code-1)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
CL Item
No (Nein)
No (Code-1)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
CL Item
Unknown (Unbekannt)
Unknown (Code-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Erstdiagnosedatum
Item
Date of diagnosis
date
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)
C2316983 (UMLS CUI-1)
432213005 (SNOMED CT-1)
Tumor finding (finding) (Code-2)
C1274082 (UMLS CUI-2)
395557000 (SNOMED CT-2)
Item
therapy Intent
integer
Intent (Code-1)
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Therapeutic procedure (Code-2)
C0087111 (UMLS CUI-2)
277132007 (SNOMED CT-2)
10053757 (MedDRA-2)
MTHU008880 (LOINC-2)
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Therapeutic procedure (Code-2)
C0087111 (UMLS CUI-2)
277132007 (SNOMED CT-2)
10053757 (MedDRA-2)
MTHU008880 (LOINC-2)
CL Item
Neo-adjuvant (neoadjuvant)
Neo-adjuvant - intent (qualifier value) (Code-1)
C1298676 (UMLS CUI-1)
373847000 (SNOMED CT-1)
C1298676 (UMLS CUI-1)
373847000 (SNOMED CT-1)
CL Item
Adjuvant (adjuvant)
Adjuvant - intent (qualifier value) (Code-1)
C1298675 (UMLS CUI-1)
373846009 (SNOMED CT-1)
C1298675 (UMLS CUI-1)
373846009 (SNOMED CT-1)
Item
Stage
integer
normalized_coding (Code-Info)
Stage (Code-1)
C1300072 (UMLS CUI-1)
371508000 (SNOMED CT-1)
Stage (Code-1)
C1300072 (UMLS CUI-1)
371508000 (SNOMED CT-1)
CL Item
local recurrence ((Lokal-)Rezidiv)
Neoplasm Recurrence, Local (Code-1)
C0027643 (UMLS CUI-1)
C0027643 (UMLS CUI-1)
CL Item
Metastatic Neoplasm (metastasiert)
Metastatic Neoplasm (Code-1)
C2939420 (UMLS CUI-1)
10062194 (MedDRA-1)
C79.9 (ICD-10-CM-1)
C2939420 (UMLS CUI-1)
10062194 (MedDRA-1)
C79.9 (ICD-10-CM-1)
CL Item
other stage (sonstiges)
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Stage (Code-2)
C1300072 (UMLS CUI-2)
371508000 (SNOMED CT-2)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Stage (Code-2)
C1300072 (UMLS CUI-2)
371508000 (SNOMED CT-2)
sonstiges
Item
other stage
string
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Stage (Code-2)
C1300072 (UMLS CUI-2)
371508000 (SNOMED CT-2)
Free Text Format (Code-3)
C2348713 (UMLS CUI-3)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Stage (Code-2)
C1300072 (UMLS CUI-2)
371508000 (SNOMED CT-2)
Free Text Format (Code-3)
C2348713 (UMLS CUI-3)
Item
affected Organ
integer
Organ (Code-1)
C0178784 (UMLS CUI-1)
MTHU020170 (LOINC-1)
Affected (Code-2)
C0392760 (UMLS CUI-2)
247591002 (SNOMED CT-2)
C0178784 (UMLS CUI-1)
MTHU020170 (LOINC-1)
Affected (Code-2)
C0392760 (UMLS CUI-2)
247591002 (SNOMED CT-2)
CL Item
Breast (Mamma)
CL Item
Ovary (Ovar)
CL Item
Cervix Uteri (Zervix)
CL Item
Body of uterus (Corpus)
Body of uterus (Code-1)
C0227813 (UMLS CUI-1)
23952005 (SNOMED CT-1)
C0227813 (UMLS CUI-1)
23952005 (SNOMED CT-1)
CL Item
Vulva (Vulva)
Vulva (Code-1)
C0042993 (UMLS CUI-1)
45292006 (SNOMED CT-1)
C0042993 (UMLS CUI-1)
45292006 (SNOMED CT-1)
CL Item
Trophoblastic Tumor (Throphoblasttumore)
Trophoblastic Tumor (Code-1)
C0041182 (UMLS CUI-1)
115234004 (SNOMED CT-1)
C0041182 (UMLS CUI-1)
115234004 (SNOMED CT-1)
CL Item
other organ (sonstiges)
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Organ (Code-2)
C0178784 (UMLS CUI-2)
MTHU020170 (LOINC-2)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Organ (Code-2)
C0178784 (UMLS CUI-2)
MTHU020170 (LOINC-2)
Sonstiges
Item
other organ - free text
string
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Organ (Code-2)
C0178784 (UMLS CUI-2)
MTHU020170 (LOINC-2)
Free Text Format (Code-3)
C2348713 (UMLS CUI-3)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Organ (Code-2)
C0178784 (UMLS CUI-2)
MTHU020170 (LOINC-2)
Free Text Format (Code-3)
C2348713 (UMLS CUI-3)
ECOG-Score
Item
ECOG performance status grade
integer
C1632812 (UMLS CUI-1)
FIGO-Stadium
Item
FIGO-Stage
integer
International Federation of Gynecology and Obstetrics (FIGO) stage for gynecological malignancy (observable entity) (Code-1)
C0474956 (UMLS CUI-1)
385361009 (SNOMED CT-1)
C0474956 (UMLS CUI-1)
385361009 (SNOMED CT-1)
klin. TNM-Stadium
Item
Clinical TNM stage
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)
Tumor-node-metastasis (TNM) classification of malignant tumor before any treatment (observable entity) (Code-1)
C0332369 (UMLS CUI-1)
106248000 (SNOMED CT-1)
cT
Item
T Stage
string
cT category (observable entity) (Code-1)
C1275863 (UMLS CUI-1)
399504009 (SNOMED CT-1)
C1275863 (UMLS CUI-1)
399504009 (SNOMED CT-1)
cN
Item
N - Regional lymph node stage
string
cN category (observable entity) (Code-1)
C1275865 (UMLS CUI-1)
399534004 (SNOMED CT-1)
C1275865 (UMLS CUI-1)
399534004 (SNOMED CT-1)
cM
Item
M Stage
string
cM category (observable entity) (Code-1)
C1275856 (UMLS CUI-1)
399387003 (SNOMED CT-1)
C1275856 (UMLS CUI-1)
399387003 (SNOMED CT-1)
vorhandenes path. TNM-Stadium
Item
Pathologic TNM
boolean
for_compare (Code-Info)
Tumor-node-metastasis (TNM) classification of malignant tumor after operation (observable entity) (Code-1)
C1264753 (UMLS CUI-1)
106249008 (SNOMED CT-1)
Pre-existing (Code-2)
C2347662 (UMLS CUI-2)
Tumor-node-metastasis (TNM) classification of malignant tumor after operation (observable entity) (Code-1)
C1264753 (UMLS CUI-1)
106249008 (SNOMED CT-1)
Pre-existing (Code-2)
C2347662 (UMLS CUI-2)
pT
Item
pT Stage
string
pT category finding (finding) (Code-1)
C1272834 (UMLS CUI-1)
385385001 (SNOMED CT-1)
C1272834 (UMLS CUI-1)
385385001 (SNOMED CT-1)
pN
Item
N Stage given by pathologic examination
string
pN category finding (finding) (Code-1)
C1272833 (UMLS CUI-1)
385381005 (SNOMED CT-1)
C1272833 (UMLS CUI-1)
385381005 (SNOMED CT-1)
pM
Item
M Stage given by pathologic examination
string
pM category (observable entity) (Code-1)
C1269798 (UMLS CUI-1)
371497001 (SNOMED CT-1)
C1269798 (UMLS CUI-1)
371497001 (SNOMED CT-1)
Anamnese
Item
Medical History - free text
string
Medical History (Code-1)
C0262926 (UMLS CUI-1)
417662000 (SNOMED CT-1)
MTHU027722 (LOINC-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
C0262926 (UMLS CUI-1)
417662000 (SNOMED CT-1)
MTHU027722 (LOINC-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
Item
Menopause Status
integer
Menopause finding (finding) (Code-1)
C0455962 (UMLS CUI-1)
276477006 (SNOMED CT-1)
C0455962 (UMLS CUI-1)
276477006 (SNOMED CT-1)
CL Item
Premenopause (prämenopausal)
Premenopausal state (finding) (Code-1)
C0232969 (UMLS CUI-1)
22636003 (SNOMED CT-1)
C0232969 (UMLS CUI-1)
22636003 (SNOMED CT-1)
CL Item
Perimenopause (perimenopausal)
C0993589 (UMLS CUI-1)
198435007 (SNOMED CT-1)
10062974 (MedDRA-1)
198435007 (SNOMED CT-1)
10062974 (MedDRA-1)
CL Item
Postmenopause (postmenopausal)
Postmenopausal (Code-1)
C0232970 (UMLS CUI-1)
76498008 (SNOMED CT-1)
C0232970 (UMLS CUI-1)
76498008 (SNOMED CT-1)
CL Item
Yes (Ja)
Yes (Code-1)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
CL Item
No (Nein)
No (Code-1)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
CL Item
Unknown (unbekannt)
Unknown (Code-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Item
Cardiac function
integer
Cardiac function (observable entity) (Code-1)
C0232164 (UMLS CUI-1)
86185002 (SNOMED CT-1)
C0232164 (UMLS CUI-1)
86185002 (SNOMED CT-1)
CL Item
Unknown (unbekannt)
Unknown (Code-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
CL Item
Normal (unauffällig)
Normal (Code-1)
C0205307 (UMLS CUI-1)
17621005 (SNOMED CT-1)
C0205307 (UMLS CUI-1)
17621005 (SNOMED CT-1)
CL Item
Abnormal (auffällig)
Abnormal (Code-1)
C0205161 (UMLS CUI-1)
263654008 (SNOMED CT-1)
C0205161 (UMLS CUI-1)
263654008 (SNOMED CT-1)
Herzanamnese
Item
Cardiac function - free text
string
Cardiac function (observable entity) (Code-1)
C0232164 (UMLS CUI-1)
86185002 (SNOMED CT-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
C0232164 (UMLS CUI-1)
86185002 (SNOMED CT-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
Item
Neuropathy
integer
Neuropathy (Code-1)
C0442874 (UMLS CUI-1)
386033004 (SNOMED CT-1)
10029328 (MedDRA-1)
G62.9 (ICD-10-CM-1)
C0442874 (UMLS CUI-1)
386033004 (SNOMED CT-1)
10029328 (MedDRA-1)
G62.9 (ICD-10-CM-1)
CL Item
Unknown (unbekannt)
Unknown (Code-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
CL Item
Normal (unauffällig)
Normal (Code-1)
C0205307 (UMLS CUI-1)
17621005 (SNOMED CT-1)
C0205307 (UMLS CUI-1)
17621005 (SNOMED CT-1)
CL Item
Abnormal (auffällig)
Abnormal (Code-1)
C0205161 (UMLS CUI-1)
263654008 (SNOMED CT-1)
C0205161 (UMLS CUI-1)
263654008 (SNOMED CT-1)
Neuropathien
Item
Neuropathy - free text
string
Neuropathy (Code-1)
C0442874 (UMLS CUI-1)
386033004 (SNOMED CT-1)
10029328 (MedDRA-1)
G62.9 (ICD-10-CM-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
C0442874 (UMLS CUI-1)
386033004 (SNOMED CT-1)
10029328 (MedDRA-1)
G62.9 (ICD-10-CM-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
Item
other Neoplasm
integer
Malignant Neoplasms (Code-1)
C0006826 (UMLS CUI-1)
363346000 (SNOMED CT-1)
10007050 (MedDRA-1)
MTHU010328 (LOINC-1)
C80 (ICD-10-CM-1)
199 (ICD-9-CM-1)
Other (Code-2)
C0205394 (UMLS CUI-2)
74964007 (SNOMED CT-2)
C0006826 (UMLS CUI-1)
363346000 (SNOMED CT-1)
10007050 (MedDRA-1)
MTHU010328 (LOINC-1)
C80 (ICD-10-CM-1)
199 (ICD-9-CM-1)
Other (Code-2)
C0205394 (UMLS CUI-2)
74964007 (SNOMED CT-2)
CL Item
Unknown (unbekannt)
Unknown (Code-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
CL Item
Normal (unauffällig)
Normal (Code-1)
C0205307 (UMLS CUI-1)
17621005 (SNOMED CT-1)
C0205307 (UMLS CUI-1)
17621005 (SNOMED CT-1)
CL Item
Abnormal (auffällig)
Abnormal (Code-1)
C0205161 (UMLS CUI-1)
263654008 (SNOMED CT-1)
C0205161 (UMLS CUI-1)
263654008 (SNOMED CT-1)
anderes Malignom
Item
other Neoplasm - free text
string
Malignant Neoplasms (Code-1)
C0006826 (UMLS CUI-1)
363346000 (SNOMED CT-1)
10007050 (MedDRA-1)
MTHU010328 (LOINC-1)
C80 (ICD-10-CM-1)
199 (ICD-9-CM-1)
Other (Code-2)
C0205394 (UMLS CUI-2)
74964007 (SNOMED CT-2)
Free Text Format (Code-3)
C2348713 (UMLS CUI-3)
C0006826 (UMLS CUI-1)
363346000 (SNOMED CT-1)
10007050 (MedDRA-1)
MTHU010328 (LOINC-1)
C80 (ICD-10-CM-1)
199 (ICD-9-CM-1)
Other (Code-2)
C0205394 (UMLS CUI-2)
74964007 (SNOMED CT-2)
Free Text Format (Code-3)
C2348713 (UMLS CUI-3)
Item
other comorbidity
integer
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Comorbidity (Code-2)
C0009488 (UMLS CUI-2)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Comorbidity (Code-2)
C0009488 (UMLS CUI-2)
CL Item
Unknown (unbekannt)
Unknown (Code-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
CL Item
Normal (unauffällig)
Normal (Code-1)
C0205307 (UMLS CUI-1)
17621005 (SNOMED CT-1)
C0205307 (UMLS CUI-1)
17621005 (SNOMED CT-1)
CL Item
Abnormal (auffällig)
Abnormal (Code-1)
C0205161 (UMLS CUI-1)
263654008 (SNOMED CT-1)
C0205161 (UMLS CUI-1)
263654008 (SNOMED CT-1)
Sonstiges
Item
other comorbidity - free text
string
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Comorbidity (Code-2)
C0009488 (UMLS CUI-2)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Comorbidity (Code-2)
C0009488 (UMLS CUI-2)
Größe (cm)
Item
Length of body
integer
cm (Item-Info)
Length of body (observable entity) (Code-1)
C0221097 (UMLS CUI-1)
248334005 (SNOMED CT-1)
Length of body (observable entity) (Code-1)
C0221097 (UMLS CUI-1)
248334005 (SNOMED CT-1)
Gewicht (kg)
Item
Body Weight
integer
kg (Item-Info)
Body Weight (Code-1)
C0005910 (UMLS CUI-1)
27113001 (SNOMED CT-1)
MTHU001885 (LOINC-1)
Body Weight (Code-1)
C0005910 (UMLS CUI-1)
27113001 (SNOMED CT-1)
MTHU001885 (LOINC-1)
BH-Größe
Item
Breast size
string
Breast size (observable entity) (Code-1)
C0425782 (UMLS CUI-1)
248808008 (SNOMED CT-1)
C0425782 (UMLS CUI-1)
248808008 (SNOMED CT-1)
Item
Family Cancer History
integer
Family Cancer History (Code-1)
C0260515 (UMLS CUI-1)
275937001 (SNOMED CT-1)
C0260515 (UMLS CUI-1)
275937001 (SNOMED CT-1)
CL Item
negative (negativ)
Negative Finding (Code-1)
C0205160 (UMLS CUI-1)
260385009 (SNOMED CT-1)
C0205160 (UMLS CUI-1)
260385009 (SNOMED CT-1)
CL Item
unknown (unbekannt)
Unknown (Code-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
CL Item
positive (positiv)
Positive Finding (Code-1)
C1446409 (UMLS CUI-1)
10828004 (SNOMED CT-1)
C1446409 (UMLS CUI-1)
10828004 (SNOMED CT-1)
Familienanamnese
Item
Family Cancer History - free text
string
Free Text Format (Code-1)
C2348713 (UMLS CUI-1)
Family Cancer History (Code-2)
C0260515 (UMLS CUI-2)
275937001 (SNOMED CT-2)
C2348713 (UMLS CUI-1)
Family Cancer History (Code-2)
C0260515 (UMLS CUI-2)
275937001 (SNOMED CT-2)