HIS Checklist - interdisciplinary breast team breast cancer
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documentation standard - breast cancer - gynecology, with friendly permission (Dr. Tio) - kooperatives Brustzentrum Münster, Bereich Senologie an der Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe - Leitung: Dr. med. Joke Tio

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2013-08-07 by Rainer Krumm

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    Medical History Anamnese


    Lokalbefund des Tumors Lokalbefund des Tumors
















    There are 2 more items that can be looked at in the detailed view















    Mammography Mammografie

































    There are 4 more items that can be looked at in the detailed view

    Sonography Sonografie














    MRI MRT





















    There are 2 more items that can be looked at in the detailed view

    Checklist - interdisciplinary breast team

    HIS

    Patienteninformation Patienteninformation

    Name: Patienteninformation
    Description: PatienteninformationPatienteninformation

    Name Name Name
    Question Patienten-Nachname Patient surname
    Datatype string
    Aliases:  
    UMLS CUI-1 C0421448
    SNOMED CT-1 184096005
    Name Vorname Vorname
    Question Patienten-Vorname Patient forename
    Datatype string
    Aliases:  
    UMLS CUI-1 C0421447
    SNOMED CT-1 184095009
    Name Geburtsdatum Geburtsdatum
    Question Patienten-Geburtsdatum Patient date of birth
    Datatype date
    Aliases:  
    UMLS CUI-1 C0421451
    SNOMED CT-1 184099003
    Name Pat-Nr. Pat-Nr.
    Question Patientenidentifikationsnummer Patient Identification Number
    Datatype integer
    Aliases:  
    Code-1 Patients
    UMLS CUI-1 C0030705
    SNOMED CT-1 116154003
    Code-2 Identification number
    UMLS CUI-2 C1300638
      ...
      There are 1 more alias. Click to show them.
    SNOMED CT-2 396278008
    Name Überweiser Überweiser
    Question Zuweisender Arzt Referring Physician
    Datatype string
    Aliases:  
    Code-1 Referring Physician
    UMLS CUI-1 C1709880

    Medical History Anamnese

    Name: Anamnese
    Description: AnamneseMedical History

    Name Alter Patientin Alter Patientin
    Question Alter Patientin patient age
    Datatype integer
    Aliases:  
    Item-Info Jahre
    Code-1 patient age
    UMLS CUI-1 CL386174
    Name Gewicht Gewicht
    Question Gewicht Body Weight
    Datatype integer
    Aliases:  
    Item-Info kg
    Code-1 Body Weight
    UMLS CUI-1 C0005910
    SNOMED CT-1 27113001
    LOINC-1 MTHU001885
    Name Größe Größe
    Question Größe Length of body
    Datatype integer
    Aliases:  
    Item-Info cm
    Code-1 Length of body (observable entity)
    UMLS CUI-1 C0221097
    SNOMED CT-1 248334005
    Name Alter Menarche Alter Menarche
    Question Alter Menarche Age at menarche
    Datatype integer
    Aliases:  
    Code-1 Age at menarche
    UMLS CUI-1 C1314691
    SNOMED CT-1 364314008
    LOINC-1 MTHU018825
    Name Klimakterium Klimakterium
    Question Menopausenstatus Menopause Status
    Datatype integer
    Aliases:  
    Code-1 Menopause finding (finding)
    UMLS CUI-1 C0455962
    SNOMED CT-1 276477006
    Codelistitems  
      NeinNo(nein)
      PostmenopausePostmenopause(Postmenopause)
      PrämenopausePremenopause(Prämenopause)
      SeniumSenescence (Senium)
    Name Alter Menopause Alter Menopause
    Question Alter Menopause Age at menopause
    Datatype integer
    Aliases:  
    Code-1 Age at menopause
    UMLS CUI-1 C1629609
    Name Einnahme Hormonpräparat Einnahme Hormonpräparat
    Question Hormonpräparat Hormone preparation
    Datatype integer
    Aliases:  
    Code-1 Hormone preparation (product)
    UMLS CUI-1 C0019928
    SNOMED CT-1 22091006
    Codelistitems  
      JaYes(ja)
      NeinNo(nein)
    Name HET HET
    Question Hormonersatztherapie Hormone replacement therapy
    Datatype boolean
    Aliases:  
    Code-Info changed_datatype
    Code-1 Hormone replacement therapy
    UMLS CUI-1 C0282402
    SNOMED CT-1 266717002
    MedDRA-1 10020388
    Name HAK HAK
    Question nicht_kodiert not_coded
    Datatype boolean
    Aliases:  
    Code-Info changed_datatype
    Name Einnahmezeitraum Einnahmezeitraum
    Question Dauer der Therapie Duration of therapy
    Datatype integer
    Aliases:  
    Code-1 Duration of therapy (qualifier value)
    UMLS CUI-1 C0444917
    SNOMED CT-1 261773006
    Name Parität Parität
    Question Parität Parity
    Datatype integer
    Aliases:  
    Code-1 Parity
    UMLS CUI-1 C0030563
    SNOMED CT-1 118212000
    MedDRA-1 10033997
    LOINC-1 MTHU001904
    Codelistitems  
      JaYes(ja)
      NeinNo(nein)
    Name Anzahl Parität Anzahl Parität
    Question Schwangerschaften quantity of pregnancy
    Datatype integer
    Aliases:  
    Code-1 Finding of quantity of pregnancy (finding)
    UMLS CUI-1 C0566634
    SNOMED CT-1 289204008
    Name Alter bei Erstparität Alter bei Erstparität
    Question Alter bei Erstparität Age Primiparity
    Datatype integer
    Aliases:  
    Code-1 Primiparity
    UMLS CUI-1 C0033150
    SNOMED CT-1 14209008
    MedDRA-1 10036758
    Code-2 patient age
      ...
      There are 1 more alias. Click to show them.
    UMLS CUI-2 CL386174
    Name Laktation Laktation
    Question Laktation Breast Feeding
    Datatype integer
    Aliases:  
    Code-1 Breast Feeding
    UMLS CUI-1 C0006147
    SNOMED CT-1 169741004
    MedDRA-1 10006247
    Codelistitems  
      JaYes(ja)
      NeinNo(nein)
    Name Gesamtdauer Gesamtdauer
    Question Stillzeit (Monate) Months of breast feeding
    Datatype integer
    Aliases:  
    Item-Info Monate
    Code-1 Months of breast feeding
    UMLS CUI-1 C3172259
    Name Mammakarzinom in der Familie Mammakarzinom in der Familie
    Question Mammakarzinom in der Familie Family history of neoplasm of breast
    Datatype integer
    Aliases:  
    Code-1 Family history of neoplasm of breast (situation)
    UMLS CUI-1 C0455356
    SNOMED CT-1 313102001
    Codelistitems  
      JaYes(ja, andere)
      ja, Großmutter (mütterlicherseits)maternal Grandmother(ja, Großmutter (mütterlicherseits))
      ja, MutterMother(ja, Mutter)
      ja, SchwesterSister(ja, Schwester)
      NeinNo(nein)
    Name Alter bei Erkrankungsbeginn Alter bei Erkrankungsbeginn
    Question Alter bei Erkrankungsbeginn Age at onset of illness
    Datatype integer
    Aliases:  
    Code-1 Onset of illness
    UMLS CUI-1 C0277793
    SNOMED CT-1 217315002
    Code-2 Age
    UMLS CUI-2 C0001779
      ...
      There are 5 more alias. Click to show them.
    SNOMED CT-2 424144002
    LOINC-2 MTHU010047
    Code-3 Family history of neoplasm of breast (situation)
    UMLS CUI-3 C0455356
    SNOMED CT-3 313102001
    Name Frühere andere maligne Tumore Frühere andere maligne Tumore
    Question Frühere andere maligne Tumore pre-existing malignant neoplasm
    Datatype integer
    Aliases:  
    Code-1 Pre-existing Condition
    UMLS CUI-1 C0521987
    SNOMED CT-1 102478008
    Code-2 Malignant Neoplasms
    UMLS CUI-2 C0006826
      ...
      There are 5 more alias. Click to show them.
    SNOMED CT-2 363346000
    MedDRA-2 10007050
    LOINC-2 MTHU010328
    ICD-10-CM-2 C80
    ICD-9-CM-2 199
    Codelistitems  
      ja, in anderen Organenother organs(ja, in anderen Organen)
      ja, Mamma, gegenseitigbreast of other side(ja, Mamma, gegenseitig)
      ja, Mamma, gleichseitigbreast same side(ja, Mamma, gleichseitig)
      NeinNo(keine)
    Name Untersuchendes Institut Untersuchendes Institut
    Question Pathologisches Institut General pathology department
    Datatype string
    Aliases:  
    UMLS CUI-1 C0587490
    SNOMED CT-1 309953001
    Code-2 Pre-existing Condition
    UMLS CUI-2 C0521987
    SNOMED CT-2 102478008
    Name E-Nr. E-Nr.
    Question Histologie-Identifikationsnummer Histopathology-number
    Datatype integer
    Aliases:  
    Code-1 Histopathology
    UMLS CUI-1 C0677043
    SNOMED CT-1 394597005
    Code-2 Identifier
    UMLS CUI-2 C0600091
      ...
      There are 5 more alias. Click to show them.
    SNOMED CT-2 118522005
    LOINC-2 MTHU003116
    Code-3 Pre-existing Condition
    UMLS CUI-3 C0521987
    SNOMED CT-3 102478008
    Name Synchrone andere maligne Tumoren Synchrone andere maligne Tumoren
    Question Synchrone andere maligne Tumoren Multiple Neoplasm
    Datatype integer
    Aliases:  
    Code-1 Neoplasms, Multiple Primary
    UMLS CUI-1 C0027663
    Codelistitems  
      ja, in anderen Organenother organs(ja, in anderen Organen)
      ja, Mamma der Gegenseitebreast of other side(ja, Mamma der Gegenseite)
      ja, Mamma Gegenseite und andere Organebreast of other side and other organs(ja, Mamma Gegenseite und andere Organe)
      NeinNo(keine)
    Name Untersuchendes Institut Untersuchendes Institut
    Question Pathologisches Institut General pathology department
    Datatype string
    Aliases:  
    UMLS CUI-1 C0587490
    SNOMED CT-1 309953001
    Name E-Nr. E-Nr.
    Question Histologie-Identifikationsnummer Histopathology-number
    Datatype integer
    Aliases:  
    Code-1 Histopathology
    UMLS CUI-1 C0677043
    SNOMED CT-1 394597005
    Code-2 Identifier
    UMLS CUI-2 C0600091
      ...
      There are 2 more alias. Click to show them.
    SNOMED CT-2 118522005
    LOINC-2 MTHU003116

    Lokalbefund des Tumors Lokalbefund des Tumors

    Name: Lokalbefund des Tumors
    Description: Lokalbefund des TumorsLokalbefund des Tumors

    Name betroffene Brust betroffene Brust
    Question Seite finding Site of finding
    Datatype integer
    Aliases:  
    Code-1 Side
    UMLS CUI-1 C0441987
    SNOMED CT-1 182353008
    LOINC-1 MTHU014973
    Codelistitems  
      linksleft(links)
      rechtsright(rechts)
    Name Anzahl der Tumoren Anzahl der Tumoren
    Question Anzahl der Tumoren Count of entities - Tumor
    Datatype integer
    Aliases:  
    Code-1 Tumor Mass
    UMLS CUI-1 CL432397
    Code-2 Count of entities (property) (qualifier value)
    UMLS CUI-2 C0449788
    SNOMED CT-2 410681005
    Codelistitems  
      multipleMultiple(multiple)
      solitärSingle (solitär)
    Name Anzahl der Tumoren Anzahl der Tumoren
    Question Anzahl Count of entities
    Datatype integer
    Aliases:  
    Code-1 Count of entities (property) (qualifier value)
    UMLS CUI-1 C0449788
    SNOMED CT-1 410681005
    Code-2 Tumor Mass
    UMLS CUI-2 CL432397
    Name Tastbefund Tastbefund
    Question Tastbefund Palpatory diagnosis
    Datatype integer
    Aliases:  
    Code-1 Palpatory diagnosis (qualifier value)
    UMLS CUI-1 C1562881
    SNOMED CT-1 416400009
    Code-2 Breast
    UMLS CUI-2 C0006141
      ...
      There are 1 more alias. Click to show them.
    SNOMED CT-2 76752008
    Codelistitems  
      JaYes(ja)
      NeinNo(kein)
      klinisch unauffälligclinical normal(klinisch nicht suspekt)
      klinisch suspektclinical suspected(klinisch suspekt)
    Name Topografie des Tastbefundes Topografie des Tastbefundes
    Question Topografie des Tastbefundes Topography palpatory finding
    Datatype integer
    Aliases:  
    Code-1 Topography, Medical
    UMLS CUI-1 C0376559
    Code-2 Palpatory diagnosis (qualifier value)
    UMLS CUI-2 C1562881
    SNOMED CT-2 416400009
    Codelistitems  
      äußerer oberer QuadrantUpper-Outer Quadrant of the Breast(äußerer oberer Quadrant)
      äußerer unterer QuadrantLower-Outer Quadrant of the Breast(äußerer unterer Quadrant)
      axillärer AnteilAxilla(axillärer Anteil)
      innerer oberer QuadrantUpper-Inner Quadrant of the Breast (innerer oberer Quadrant)
      innerer unterer QuadrantLower-Inner Quadrant of the Breast (innerer unterer Quadrant)
      ...
      There are 2 more items on this list. Click to show them.
      Nipples(Mamille)
      Central (zentraler Anteil)
    Name Brustgröße Brustgröße
    Question Körbchengröße Breast size
    Datatype integer
    Aliases:  
    Code-1 Breast size (observable entity)
    UMLS CUI-1 C0425782
    SNOMED CT-1 248808008
    Codelistitems  
      nicht_kodiertnot_coded(A)
      nicht_kodiertnot_coded(B)
      nicht_kodiertnot_coded(C)
      nicht_kodiertnot_coded(D)
    Name Ausdehnung auf Brustwand oder Haut Ausdehnung auf Brustwand oder Haut
    Question Ausdehnung auf Brustwand oder Haut extension to chest wall or skin
    Datatype integer
    Aliases:  
    Code-1 Breast Cancer pT4 TNM Finding
    UMLS CUI-1 C1707033
    Code-2 Tumor-node-metastasis (TNM) classification of malignant tumor before any treatment (observable entity)
    UMLS CUI-2 C0332369
    SNOMED CT-2 106248000
    Codelistitems  
      Brustwandextension to the chest wall(Brustwand)
      Brustwand, Hautödem, Ulzeration, Hautsatellitenextension to the chest wall, not including the pectoralis muscle, and with edema (including peau d'orange) or ulceration of the skin of the breast or satellite skin nodules(Brustwand, Hautödem, Ulzeration, Hautsatelliten)
      entzündlich (inflammatorisches) KarzinomInflammatory Breast Carcinoma(entzündlich (inflammatorisches) Karzinom)
      Hautödem / Ulzeration / Hautsatellitenulceration and/or ipsilateral satellite nodules and/or edema (including peau d'orange) of the skin(Hautödem / Ulzeration / Hautsatelliten)
      NeinNo(keine (im Sinne der TNM))
    Name Haut Haut
    Question Haut Skin structure of breast
    Datatype integer
    Aliases:  
    Code-Info for_compare
    Code-1 Skin structure of breast
    UMLS CUI-1 C0149538
    SNOMED CT-1 82038008
    Codelistitems  
      Brustödembreast edema(Hautödem)
      HautmetastasenSecondary malignant neoplasm of skin(Hautsatelliten)
      Ulzeration der BrustUlceration of breast (Ulzeration)
    Name entzündlich (inflammatorisches) Karzinom entzündlich (inflammatorisches) Karzinom
    Question entzündlich (inflammatorisches) Karzinom Inflammatory Breast Carcinoma
    Datatype boolean
    Aliases:  
    Code-Info changed_datatype
    Code-1 Inflammatory Breast Carcinoma
    UMLS CUI-1 C0278601
    SNOMED CT-1 254840009
    MedDRA-1 10021980
    Name Axilläre Lymphknotenmetastasen Axilläre Lymphknotenmetastasen
    Question Axilläre Lymphknotenmetastasen Secondary malignant neoplasm of axillary lymph nodes
    Datatype integer
    Aliases:  
    Code-1 Secondary malignant neoplasm of axillary lymph nodes (disorder)
    UMLS CUI-1 C0686665
    SNOMED CT-1 94181007
    Codelistitems  
      fixiertfixed(klinisch ja, fixiiert)
      verschiebbarsliding(klinisch ja, verschieblich)
      keineNone(klinisch keine)
    Name Fernmetastasen Fernmetastasen
    Question Fernmetastasen Distant Metastasis
    Datatype integer
    Aliases:  
    Code-1 Distant Metastasis
    UMLS CUI-1 CL278860
    Codelistitems  
      JaYes(ja)
      NeinNo(keine)
      präoperativ keine Angabepreoperative no information(präoperativ keine Angabe)
    Name Lokalisation Fernmetastasen Lokalisation Fernmetastasen
    Question Lokalisation Fernmetastasen Site of distant metastasis
    Datatype string
    Aliases:  
    Code-1 Site of distant metastasis (observable entity)
    UMLS CUI-1 C0807944
    SNOMED CT-1 385421009
    LOINC-1 MTHU010380
    Name Methode der Diagnostik Methode der Diagnostik
    Question Untersuchung Fernmetastasen Medical Examination Distant Mestasis
    Datatype string
    Aliases:  
    Code-1 Medical Examination
    UMLS CUI-1 C0582103
    SNOMED CT-1 225886003
    Code-2 Distant Metastasis
    UMLS CUI-2 CL278860
    Name E-Nr. der histologischen Untersuchung E-Nr. der histologischen Untersuchung
    Question Histologie-Identifikationsnummer Histopathology-number
    Datatype integer
    Aliases:  
    Code-1 Histopathology
    UMLS CUI-1 C0677043
    SNOMED CT-1 394597005
    Code-2 Identifier
    UMLS CUI-2 C0600091
      ...
      There are 4 more alias. Click to show them.
    SNOMED CT-2 118522005
    LOINC-2 MTHU003116
    Code-3 Distant Metastasis
    UMLS CUI-3 CL278860

    Medical Imaging Bildgebende Diagnostik

    Mammography Mammografie

    Name: Mammografie
    Description: MammografieMammography

    Name Mammografie Mammografie
    Question Mammografie Mammography
    Datatype boolean
    Aliases:  
    Code-Info for_compare
    Code-1 Mammography
    UMLS CUI-1 C0024671
    SNOMED CT-1 71651007
    MedDRA-1 10026735
    Name Herd Herd
    Question Herd Lesion
    Datatype integer
    Aliases:  
    Code-1 Lesion
    UMLS CUI-1 C0221198
    Code-2 Mammography
    UMLS CUI-2 C0024671
    SNOMED CT-2 71651007
      ...
      There are 1 more alias. Click to show them.
    MedDRA-2 10026735
    Codelistitems  
      JaYes(ja)
      NeinNo(nein)
      nicht beurteilbarCannot Be Assessed(nicht beurteilbar, (Überlagerung))
      seitendifferente VerdichtungConsolidation Side dissimilar(seitendifferente Verdichtung bzw. Gefügestörung)
    Name Größe Herd Größe Herd
    Question Größe Läsion Lesion size
    Datatype integer
    Aliases:  
    Item-Info mm
    Code-1 Lesion size (observable entity)
    UMLS CUI-1 C0449453
    SNOMED CT-1 246116008
    Code-2 Mammography
      ...
      There are 3 more alias. Click to show them.
    UMLS CUI-2 C0024671
    SNOMED CT-2 71651007
    MedDRA-2 10026735
    Name Begrenzung Begrenzung
    Question Begrenzung Margin
    Datatype integer
    Aliases:  
    Code-1 Margin
    UMLS CUI-1 C0205284
    SNOMED CT-1 112233002
    Code-2 Mammography
    UMLS CUI-2 C0024671
      ...
      There are 2 more alias. Click to show them.
    SNOMED CT-2 71651007
    MedDRA-2 10026735
    Codelistitems  
      glattSmooth (glatt)
      nicht_kodiertnot_coded(lobuliert)
      nicht beurteilbarCannot Be Assessed(nicht beurteilbar, (Überlagerung))
      sternförmige Gefügestörungstellate structure disturbance(sternförmige Gefügestörung)
      strahlige Ausläuferradial extension(strahlige Ausläufer)
      unregelmäßigirregular(unregelmäßig)
      ...
      There are 1 more items on this list. Click to show them.
    Name Mikrokalk Mikrokalk
    Question Mikrokalk Microcalcification
    Datatype integer
    Aliases:  
    Code-1 Microcalcification
    UMLS CUI-1 C0521174
    SNOMED CT-1 12747003
    LOINC-1 MTHU020083
    Codelistitems  
      JaYes(ja)
      NeinNo(nein)
    Name Areal Areal
    Question Durchmesser Mikrokalk Diameter Microcalcification
    Datatype integer
    Aliases:  
    Item-Info mm
    Code-1 Microcalcification
    UMLS CUI-1 C0521174
    SNOMED CT-1 12747003
    LOINC-1 MTHU020083
      ...
      There are 4 more alias. Click to show them.
    Code-2 Diameter (qualifier value)
    UMLS CUI-2 C1301886
    SNOMED CT-2 81827009
    LOINC-2 MTHU002654
    Name Form Form
    Question Form des Mikrokalk Form of Microcalcification
    Datatype integer
    Aliases:  
    Code-1 Form (attribute)
    UMLS CUI-1 C0348078
    SNOMED CT-1 246176004
    Code-2 Microcalcification
    UMLS CUI-2 C0521174
      ...
      There are 2 more alias. Click to show them.
    SNOMED CT-2 12747003
    LOINC-2 MTHU020083
    Codelistitems  
      komplexComplex(polymorph)
      rundRound(rundlich)
      linearlinear(strichförmig)
      ovalOval(überwiegend rundlich)
    Name Anordnung Anordnung
    Question Anordnung Arrangement
    Datatype integer
    Aliases:  
    Code-1 Arrangement
    UMLS CUI-1 C0449830
    SNOMED CT-1 103377007
    Codelistitems  
      diffusDiffuse (diffus)
      gruppiertgrouped(gruppiert)
      segmentalsegmental(segmental)
      nicht_kodiertnot_coded(straßenförmig)
    Name Größe der Verkalkungen Größe der Verkalkungen
    Question Größe der Verkalkungen Size Microcalcification
    Datatype integer
    Aliases:  
    Code-1 Microcalcification
    UMLS CUI-1 C0521174
    SNOMED CT-1 12747003
    LOINC-1 MTHU020083
    Code-2 size
      ...
      There are 3 more alias. Click to show them.
    UMLS CUI-2 C0456389
    SNOMED CT-2 277049003
    LOINC-2 MTHU010347
    Codelistitems  
      feinFine (fein)
      fein und grobfine and coarse(fein und grob)
      grobCoarse(grob)
    Name Verlauf Verlauf
    Question Verlauf Course
    Datatype integer
    Aliases:  
    Code-1 Course
    UMLS CUI-1 C0750729
    SNOMED CT-1 288524001
    Codelistitems  
      keine Voruntersuchungenno preliminary examination(keine Voruntersuchungen)
      neunew(neu aufgetreten)
      progredientProgressive(progredient)
      unverändertAbout The Same(unverändert zu Voruntersuchung)
    Name Mammographischer Dignitätsscore Mammographischer Dignitätsscore
    Question BI-RADS Mammographie BI-RADS mammo terms
    Datatype integer
    Aliases:  
    Code-1 set of BI-RADS mammo terms
    UMLS CUI-1 CL426926
    Codelistitems  
      BI-RADS 0 = unauffälligMammography assessment (Category 0) - Need additional imaging evaluation(BI-RADS 0 = unauffällig)
      BI-RADS 1 = unauffälligMammography assessment (Category 1) - Negative(BI-RADS 1 = unauffällig)
      BI-RADS 2 = benigneMammography assessment (Category 2) - Benign finding(BI-RADS 2 = benigne)
      BI-RADS 3 = wahrscheinlich benigneMammography assessment (Category 3) - Probably benign finding, short interval follow-up(BI-RADS 3 = wahrscheinlich benigne)
      BI-RADS 4 = verdächtigMammography assessment (Category 4) - Suspicious abnormality, biopsy should be considered(BI-RADS 4 = verdächtig)
      ...
      There are 4 more items on this list. Click to show them.
      not_coded(BI-RADS 4A)
      not_coded(BI-RADS 4B)
      not_coded(BI-RADS 4C)
      Mammography assessment (Category 5) - Highly suggestive of malignancy(BI-RADS 5 = maligne)

    Sonography Sonografie

    Name: Sonografie
    Description: SonografieSonography

    Name Sonografie Sonografie
    Question Sonografie Sonography
    Datatype boolean
    Aliases:  
    Code-Info for_compare
    Code-1 Ultrasonography, Mammary
    UMLS CUI-1 C0080264
    SNOMED CT-1 47079000
    HL7 V3-1 12
    Name Herd Herd
    Question Läsion Lesion
    Datatype integer
    Aliases:  
    Code-1 Lesion
    UMLS CUI-1 C0221198
    Code-2 Ultrasonography, Mammary
    UMLS CUI-2 C0080264
    SNOMED CT-2 47079000
      ...
      There are 1 more alias. Click to show them.
    HL7 V3-2 12
    Codelistitems  
      nicht_kodiertnot_coded(Areal mit Schallauslöschung)
      fraglichequivocal(fraglich)
      JaYes(ja)
      NeinNo(nein)
    Name Größe Herd Größe Herd
    Question Größe Läsion Lesion size
    Datatype integer
    Aliases:  
    Code-1 Lesion size (observable entity)
    UMLS CUI-1 C0449453
    SNOMED CT-1 246116008
    Code-2 Ultrasonography, Mammary
    UMLS CUI-2 C0080264
      ...
      There are 2 more alias. Click to show them.
    SNOMED CT-2 47079000
    HL7 V3-2 12
    Name Abgrenzung Abgrenzung
    Question Begrenzung Margin
    Datatype integer
    Aliases:  
    Code-1 Margin
    UMLS CUI-1 C0205284
    SNOMED CT-1 112233002
    Code-2 Ultrasonography, Mammary
    UMLS CUI-2 C0080264
      ...
      There are 2 more alias. Click to show them.
    SNOMED CT-2 47079000
    HL7 V3-2 12
    Codelistitems  
      scharfcircumscribed (scharf begrenzt)
      unscharfDiffuse(unscharf begrenzt)
    Name Sono-Dignität Sono-Dignität
    Question BI-RADS Sonographie BI-RADS ultrasound terms
    Datatype integer
    Aliases:  
    Code-1 set of BI-RADS ultrasound terms
    UMLS CUI-1 CL426924
    Codelistitems  
      nicht_kodiertnot_coded(BI-RADS 0)
      nicht_kodiertnot_coded(BI-RADS I = unauffällig)
      nicht_kodiertnot_coded(BI-RADS II = benigne)
      nicht_kodiertnot_coded(BI-RADS III = wahrscheinlich benigne)
      nicht_kodiertnot_coded(BI-RADS IV = verdächtig)
      nicht_kodiertnot_coded(BI-RADS V = maligne)
      ...
      There are 1 more items on this list. Click to show them.

    MRI MRT

    Name: MRT
    Description: MRTMRI

    Name MRT MRT
    Question Kernspintomographie Brust Magnetic resonance imaging of breast
    Datatype boolean
    Aliases:  
    Code-Info for_compare
    Code-1 Magnetic resonance imaging of breast (procedure)
    UMLS CUI-1 C0344104
    SNOMED CT-1 241615005
    Name MRT MRT
    Question BI-RADS MRT BI-RADS MRI terms
    Datatype integer
    Aliases:  
    Code-1 set of BI-RADS MRI terms
    UMLS CUI-1 CL426925
    Codelistitems  
      nicht_kodiertnot_coded(BI-RADS 0)
      nicht_kodiertnot_coded(BI-RADS I = unauffällig)
      nicht_kodiertnot_coded(BI-RADS II = benigne)
      nicht_kodiertnot_coded(BI-RADS III = wahrscheinlich benigne)
      nicht_kodiertnot_coded(BI-RADS IV = verdächtig)
      nicht_kodiertnot_coded(BI-RADS V = maligne)
      ...
      There are 1 more items on this list. Click to show them.
    Name Gesamt-radiologischer Dignitätsscore: Handlungskategorien Gesamt-radiologischer Dignitätsscore: Handlungskategorien
    Question BI-RADS Klassifikation BI-RADS term
    Datatype integer
    Aliases:  
    Code-1 set of BI-RADS terms
    UMLS CUI-1 CL426923
    Codelistitems  
      nicht_kodiertnot_coded(AK I - retromamillär ohne Befund)
      nicht_kodiertnot_coded(AK II - benigne)
      nicht_kodiertnot_coded(AK III - wahrscheinlich benigne)
      nicht_kodiertnot_coded(AK IV - verdächtig)
      nicht_kodiertnot_coded(AK V - maligne (invasiv/DCIS))
    Name radiologische Verdachtsdiagnose radiologische Verdachtsdiagnose
    Question radiologische Verdachtsdiagnose radiologic suspected disease
    Datatype string
    Aliases:  
    Code-1 Disease suspected (situation)
    UMLS CUI-1 C0277540
    SNOMED CT-1 41769001
    Code-2 Clinical/Radiologic
    UMLS CUI-2 C1516626
    Name Skizze zur Lokalisation Skizze zur Lokalisation
    Question Zeichnung drawing
    Datatype string
    Aliases:  
    Code-1 Drawings (art)
    UMLS CUI-1 C0013113
    Name Lokalisation Lokalisation
    Question Seite Side
    Datatype integer
    Aliases:  
    Code-1 Side
    UMLS CUI-1 C0441987
    SNOMED CT-1 182353008
    LOINC-1 MTHU014973
    Codelistitems  
      linksLeft(links)
      rechtsRight(rechts)
    Name Topografie Topografie
    Question Topografie Topography
    Datatype integer
    Aliases:  
    Code-1 Topography, Medical
    UMLS CUI-1 C0376559
    Code-2 Imaging, Medical
    UMLS CUI-2 C0025086
    Codelistitems  
      äußerer oberer QuadrantUpper-Outer Quadrant of the Breast(äußerer oberer Quadrant)
      äußerer unterer QuadrantLower-Outer Quadrant of the Breast(äußerer unterer Quadrant)
      axillärer AnteilAxilla(axillärer Anteil)
      innerer oberer QuadrantUpper-Inner Quadrant of the Breast (innerer oberer Quadrant)
      innerer unterer QuadrantLower-Inner Quadrant of the Breast (innerer unterer Quadrant)
      ...
      There are 2 more items on this list. Click to show them.
      Nipples(Mamille)
      Central (zentraler Drüsenkorper)

    Biopsy Biopsie

    Name: Biopsie
    Description: BiopsieBiopsy

    Name noch keine Biopsie noch keine Biopsie
    Question keine Biopsie bo biopsy
    Datatype boolean
    Aliases:  
    Code-Info changed_datatype
    Code-1 None
    UMLS CUI-1 C0549184
    SNOMED CT-1 260413007
    Code-2 Biopsy
      ...
      There are 4 more alias. Click to show them.
    UMLS CUI-2 C0005558
    SNOMED CT-2 86273004
    MedDRA-2 10004720
    LOINC-2 MTHU028106
    Name Stanzbiopsie mammographisch Stanzbiopsie mammographisch
    Question Biopsie bei Mammographie Biopsy with Mammography
    Datatype boolean
    Aliases:  
    Code-Info changed_datatype
    Code-1 Mammography and biopsy (procedure)
    UMLS CUI-1 C1636774
    SNOMED CT-1 418378007
    Name Stanzbiopsie sonographisch Stanzbiopsie sonographisch
    Question Ultraschallgestütze Biopsie Ultrasound-guided Biopsy
    Datatype boolean
    Aliases:  
    Code-Info changed_datatype
    Code-1 Ultrasound-guided Biopsy
    UMLS CUI-1 C0456900
    SNOMED CT-1 277667006
    Name Stanzbiopsie klinisch Stanzbiopsie klinisch
    Question Biopsie Biopsy
    Datatype boolean
    Aliases:  
    Code-Info changed_datatype
    Code-1 Biopsy
    UMLS CUI-1 C0005558
    SNOMED CT-1 86273004
    MedDRA-1 10004720
      ...
      There are 1 more alias. Click to show them.
    LOINC-1 MTHU028106
    Name Mammotome Mammotome
    Question Mammotome Mammotome
    Datatype boolean
    Aliases:  
    Code-1 Mammotome
    UMLS CUI-1 CL429698
    Name bioptierte Areale bioptierte Areale
    Question Biospie Areal Biopsy Site
    Datatype integer
    Aliases:  
    Code-1 Biopsy Site
    UMLS CUI-1 C1301128
    SNOMED CT-1 396991001
    Codelistitems  
      Biopsie LäsionLesion Biopsy(abklärungsbedüftige Läsion)
      mamillenwärts orientierte Biopsienipple orientated biopsy(mamillenwärts orientierte Biopsie)
      behind nipplebehind nipple(Retromamillärregion)
    Name Zahl der Zylinder Zahl der Zylinder
    Question Anzahl der Stanzen count of Punches
    Datatype integer
    Aliases:  
    Code-1 Punch biopsy (procedure)
    UMLS CUI-1 C0184924
    SNOMED CT-1 68660007
    Code-2 Count of entities (property) (qualifier value)
    UMLS CUI-2 C0449788
      ...
      There are 1 more alias. Click to show them.
    SNOMED CT-2 410681005
    Name Distanz zwischen Biopsien Distanz zwischen Biopsien
    Question Distanz zwischen Biopsien Distance between biopsies
    Datatype integer
    Aliases:  
    Code-1 Distance
    UMLS CUI-1 C0012751
    SNOMED CT-1 246132006
    Code-2 Between
    UMLS CUI-2 CL426201
      ...
      There are 5 more alias. Click to show them.
    Code-3 Biopsy
    UMLS CUI-3 C0005558
    SNOMED CT-3 86273004
    MedDRA-3 10004720
    LOINC-3 MTHU028106
    Name Mammotome: Kalk enthatlten in Mammotome: Kalk enthatlten in
    Question Kalk in Mammotome Calcification in Mammotome
    Datatype integer
    Aliases:  
    Code-1 Calcification
    UMLS CUI-1 C1533591
    SNOMED CT-1 10006958
    Code-2 Mammotome
    UMLS CUI-2 CL429698
    Name Mikrokalk in Biopsie Mikrokalk in Biopsie
    Question Mikrokalk in Biopsie Microcalcification in biopsy
    Datatype integer
    Aliases:  
    Code-1 Microcalcification
    UMLS CUI-1 C0521174
    SNOMED CT-1 44771000
    LOINC-1 MTHU020083
    Code-2 Biopsy
      ...
      There are 4 more alias. Click to show them.
    UMLS CUI-2 C0005558
    SNOMED CT-2 86273004
    MedDRA-2 10004720
    LOINC-2 MTHU028106
    Codelistitems  
      JaYes(ja)
      NeinNo(nein)

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