Name
Item
Patient surname
string
C0421448 (UMLS CUI-1)
184096005 (SNOMED CT-1)
Vorname
Item
Patient forename
string
C0421447 (UMLS CUI-1)
184095009 (SNOMED CT-1)
Titel
Item
Patient title
string
Patient title (observable entity) (Code-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)
Geburtsdatum
Item
Patient date of birth
date
C0421451 (UMLS CUI-1)
184099003 (SNOMED CT-1)
Alter
Item
patient age
integer
patient age (Code-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)
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)
PLZ
Item
Patient postal code
integer
C0421454 (UMLS CUI-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)
Fallnummer
Item
Case Identifier
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)
Tumordiagnose (ICD-10)
Item
Cancer Diagnosis
string
Tumor finding (finding) (Code-1)
C1274082 (UMLS CUI-1)
395557000 (SNOMED CT-1)
Diagnosis ICD code (Code-2)
C2598420 (UMLS CUI-2)
Diagnose-Datum
Item
Date of diagnosis
date
C2316983 (UMLS CUI-1)
432213005 (SNOMED CT-1)
Tumor finding (finding) (Code-2)
C1274082 (UMLS CUI-2)
395557000 (SNOMED CT-2)
Datum
Item
Date of surgery
date
Date surgery (Code-1)
C1628561 (UMLS CUI-1)
MTHU019327 (LOINC-1)
Wird die Therapie nach Leitlinien durchgeführt
Item
Guideline Adherence
boolean
must_have (Item-Info)
C0525059 (UMLS CUI-1)
Grund
Item
Reason for Guidelines Adherence
string
Indication of (contextual qualifier) (Code-1)
C0392360 (UMLS CUI-1)
410666004 (SNOMED CT-1)
MTHU008862 (LOINC-1)
Guideline Adherence (Code-2)
C0525059 (UMLS CUI-2)
Item
ASA physical status
integer
Finding of American Society of Anesthesiologists physical status classification (finding) (Code-1)
C1531480 (UMLS CUI-1)
413347006 (SNOMED CT-1)
Code List
ASA physical status
CL Item
ASA physical status 1 (ASA I: Normaler, gesunder Patient)
American Society of Anesthesiologists physical status class 1 (finding) (Code-1)
C1531504 (UMLS CUI-1)
413495001 (SNOMED CT-1)
CL Item
ASA physical status 2 (ASA II: Patient mit leichter Allgemeinerkrankung)
American Society of Anesthesiologists physical status class 2 (finding) (Code-1)
C1531505 (UMLS CUI-1)
413496000 (SNOMED CT-1)
CL Item
ASA physical status 3 (ASA III: Patient mit schwerer Allgemeinerkrankung)
American Society of Anesthesiologists physical status class 3 (finding) (Code-1)
C1531506 (UMLS CUI-1)
413497009 (SNOMED CT-1)
CL Item
ASA physical status 4 (ASA IV: Patient mit lebensbedrohlicher Allgemeinerkrankung)
American Society of Anesthesiologists physical status class 4 (finding) (Code-1)
C1531507 (UMLS CUI-1)
413498004 (SNOMED CT-1)
OPS-2010
Item
Surgical and medical procedures
string
must_have (Item-Info)
Surgical and medical procedures (Code-1)
C1948041 (UMLS CUI-1)
71388002 (SNOMED CT-1)
MTHU006237 (LOINC-1)
Item
Side
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)
CL Item
Unilateral (einiseitg)
Unilateral (Code-1)
C0205092 (UMLS CUI-1)
66459002 (SNOMED CT-1)
CL Item
Bilateral (zweiseitig)
Bilateral (Code-1)
C0238767 (UMLS CUI-1)
51440002 (SNOMED CT-1)
Item
Intent
integer
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
CL Item
Curative - procedure intent (K = kurativ)
Curative - procedure intent (qualifier value) (Code-1)
C1276305 (UMLS CUI-1)
373808002 (SNOMED CT-1)
CL Item
Palliative - procedure intent (P = palliativ)
Palliative - procedure intent (qualifier value) (Code-1)
C1285530 (UMLS CUI-1)
363676003 (SNOMED CT-1)
CL Item
Diagnostic intent (D = diagnostisch)
Intent For Diagnosis (Code-1)
C0348026 (UMLS CUI-1)
261004008 (SNOMED CT-1)
CL Item
unknown (unbekannt)
Unknown (Code-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
welche
Item
Which Operative Surgical Procedures
string
Operative Surgical Procedures (Code-1)
C0543467 (UMLS CUI-1)
387713003 (SNOMED CT-1)
10042609 (MedDRA-1)
MTHU007597 (LOINC-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
Nerverhalt
Item
Nerve-Sparing
boolean
Nerve-Sparing Prostatectomy (Code-1)
C1514120 (UMLS CUI-1)
Item
Side
integer
C0441987 (UMLS CUI-1)
182353008 (SNOMED CT-1)
MTHU014973 (LOINC-1)
Nerve-Sparing Prostatectomy (Code-2)
C1514120 (UMLS CUI-2)
CL Item
Right (rechts)
C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)
CL Item
Left (links)
C0205091 (UMLS CUI-1)
7771000 (SNOMED CT-1)
CL Item
Bilateral (beidseits)
C0238767 (UMLS CUI-1)
51440002 (SNOMED CT-1)
Name des Operateurs
Item
primary surgeon
string
must_have (Item-Info)
C0808118 (UMLS CUI-1)
MTHU010488 (LOINC-1)
PRISURG (HL7 V3-1)
Lehrassistenz
Item
first assistant surgeon
string
C1550491 (UMLS CUI-1)
FASST (HL7 V3-1)
Weitere OP
Item
additional surgery
string
Additional (Code-1)
C1524062 (UMLS CUI-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
OPS-2010 (weitere OP)
Item
Surgical and medical procedures
string
Surgical and medical procedures (Code-1)
C1948041 (UMLS CUI-1)
71388002 (SNOMED CT-1)
MTHU006237 (LOINC-1)
Item
Side
integer
C0441987 (UMLS CUI-1)
182353008 (SNOMED CT-1)
MTHU014973 (LOINC-1)
Additional (Code-2)
C1524062 (UMLS CUI-2)
Operative Surgical Procedures (Code-3)
C0543467 (UMLS CUI-3)
387713003 (SNOMED CT-3)
10042609 (MedDRA-3)
MTHU007597 (LOINC-3)
CL Item
Unilateral (einiseitg)
Unilateral (Code-1)
C0205092 (UMLS CUI-1)
66459002 (SNOMED CT-1)
CL Item
Bilateral (zweiseitig)
Bilateral (Code-1)
C0238767 (UMLS CUI-1)
51440002 (SNOMED CT-1)
Item
Intent
integer
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Additional (Code-2)
C1524062 (UMLS CUI-2)
Operative Surgical Procedures (Code-3)
C0543467 (UMLS CUI-3)
387713003 (SNOMED CT-3)
10042609 (MedDRA-3)
MTHU007597 (LOINC-3)
CL Item
Curative - procedure intent (K = kurativ)
Curative - procedure intent (qualifier value) (Code-1)
C1276305 (UMLS CUI-1)
373808002 (SNOMED CT-1)
CL Item
Palliative - procedure intent (P = palliativ)
Palliative - procedure intent (qualifier value) (Code-1)
C1285530 (UMLS CUI-1)
363676003 (SNOMED CT-1)
CL Item
Diagnostic intent (D = diagnostisch)
Intent For Diagnosis (Code-1)
C0348026 (UMLS CUI-1)
261004008 (SNOMED CT-1)
CL Item
unknown (unbekannt)
Unknown (Code-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
intraoperative Komplikationen
Item
Intraoperative Complication
boolean
must_have (Item-Info)
C0021890 (UMLS CUI-1)
10052620 (MedDRA-1)
falls ja, welche
Item
Which Intraoperative Complication
string
C0021890 (UMLS CUI-1)
10052620 (MedDRA-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)