ID

4107

Description

HIS form from Soarian. Urologie Erlangen" with friendly permission of the urology Erlangen (Prof. Wullich) and the medical informatics department Erlangen (PD Dr. Bürkle)

Keywords

  1. 8/7/13 8/7/13 -
  2. 4/13/21 4/13/21 - Dr. rer. medic Philipp Neuhaus
  3. 9/20/21 9/20/21 -
Uploaded on

August 7, 2013

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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HIS pathology report - organ prostate cancer

  1. StudyEvent: HIS
    1. HIS
Admininstrative Daten
Description

Admininstrative Daten

Patient surname
Description

Name

Data type

string

Alias
UMLS CUI-1
C0421448
SNOMED CT-1
184096005
Patient forename
Description

Vorname

Data type

string

Alias
UMLS CUI-1
C0421447
SNOMED CT-1
184095009
Patient title
Description

Titel

Data type

string

Alias
Code-1
Patient title (observable entity)
UMLS CUI-1
C0421450
SNOMED CT-1
184098006
former Patient name
Description

früherer Name

Data type

string

Alias
Code-1
Previous
UMLS CUI-1
C0205156
SNOMED CT-1
9130008
Code-2
Patient name (observable entity)
UMLS CUI-2
C1299487
SNOMED CT-2
371484003
Patient date of birth
Description

Geburtsdatum

Data type

date

Alias
UMLS CUI-1
C0421451
SNOMED CT-1
184099003
patient age
Description

Alter

Data type

integer

Alias
Code-1
patient age
UMLS CUI-1
CL386174
Ethnicity / related nationality data
Description

Nationalität

Data type

string

Alias
UMLS CUI-1
C0438960
SNOMED CT-1
186034007
Code-2
Patients
UMLS CUI-2
C0030705
SNOMED CT-2
116154003
Street Address
Description

Adresse

Data type

string

Alias
UMLS CUI-1
C1301826
SNOMED CT-1
398099009
Code-2
Patient address
UMLS CUI-2
C0421449
SNOMED CT-2
184097001
Patient postal code
Description

PLZ

Data type

integer

Alias
UMLS CUI-1
C0421454
SNOMED CT-1
184102003
City of residence
Description

Stadt

Data type

string

Alias
UMLS CUI-1
C2316883
SNOMED CT-1
433178008
Code-2
Patient address
UMLS CUI-2
C0421449
SNOMED CT-2
184097001
Case Identifier
Description

Fallnummer

Data type

integer

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

Tumordiagnose

Cancer Diagnosis
Description

Tumordiagnose (ICD-10)

Data type

string

Alias
Code-1
Tumor finding (finding)
UMLS CUI-1
C1274082
SNOMED CT-1
395557000
Code-2
Diagnosis ICD code
UMLS CUI-2
C2598420
Date of diagnosis
Description

Diagnose-Datum

Data type

date

Alias
UMLS CUI-1
C2316983
SNOMED CT-1
432213005
Code-2
Tumor finding (finding)
UMLS CUI-2
C1274082
SNOMED CT-2
395557000
Tumorhistologie
Description

Tumorhistologie

General pathology department
Description

Pathologisches Institut

Data type

string

Alias
UMLS CUI-1
C0587490
SNOMED CT-1
309953001
Histopathology-number
Description

Histologie-Einsendenummer

Data type

string

Alias
Item-Info
must_have
Code-1
Histopathology
UMLS CUI-1
C0677043
SNOMED CT-1
394597005
Code-2
Identifier
UMLS CUI-2
C0600091
SNOMED CT-2
118522005
LOINC-2
MTHU003116
Admission Information
Description

Aufnahme-Nr. WHK

Data type

integer

Alias
Code-1
Admission Information
UMLS CUI-1
C2599639
Histopathology
Description

Histopathology

Histopathology
Description

Histologie-Datum

Data type

date

Alias
Code-1
Date of pathology report (observable entity)
UMLS CUI-1
C1302659
SNOMED CT-1
399737008
Time of entry
Description

Eingangszeit

Data type

string

Alias
Code-1
Date of entry
UMLS CUI-1
C1978797
LOINC-1
MTHU026971
Histology ICD-O-3
Description

Histologie ICD-0-3

Data type

string

Alias
Code-1
ICDO3 Morphology Axis
UMLS CUI-1
CL364362
Code-2
Operative Surgical Procedures
UMLS CUI-2
C0543467
SNOMED CT-2
387713003
MedDRA-2
10042609
LOINC-2
MTHU007597
Histopathology
Description

sonstige Histologie

Data type

string

Alias
UMLS CUI-1
C0677043
SNOMED CT-1
394597005
Code-2
Other
UMLS CUI-2
C0205394
SNOMED CT-2
74964007
Code-3
Operative Surgical Procedures
UMLS CUI-3
C0543467
SNOMED CT-3
387713003
MedDRA-3
10042609
LOINC-3
MTHU007597
Histology ICD-O-3
Description

ICD-0-3

Data type

string

Alias
Code-1
ICDO3 Morphology Axis
UMLS CUI-1
CL364362
Code-2
Other
UMLS CUI-2
C0205394
SNOMED CT-2
74964007
Code-3
Operative Surgical Procedures
UMLS CUI-3
C0543467
SNOMED CT-3
387713003
MedDRA-3
10042609
LOINC-3
MTHU007597
Histologic Grade
Description

Histo-Patho-Grading

Data type

integer

Alias
UMLS CUI-1
C0919553
SNOMED CT-1
371469007
Gleason-Score
Description

Gleason-Score

Gleason-Score
Description

Gleason-Score

Data type

integer

Alias
Code-1
Gleason Score for Prostate Cancer
UMLS CUI-1
C0332326
SNOMED CT-1
106241006
Code-2
Prostatectomy
UMLS CUI-2
C0033573
SNOMED CT-2
90470006
MedDRA-2
10061916
Primary Gleason Pattern
Description

Gleason-1

Data type

integer

Alias
UMLS CUI-1
C1273604
SNOMED CT-1
384994009
LOINC-1
MTHU020049
Code-2
Prostatectomy
UMLS CUI-2
C0033573
SNOMED CT-2
90470006
MedDRA-2
10061916
Secondary Gleason Pattern
Description

Gleason-2

Data type

integer

Alias
UMLS CUI-1
C1273605
SNOMED CT-1
384995005
LOINC-1
MTHU020050
Code-2
Prostatectomy
UMLS CUI-2
C0033573
SNOMED CT-2
90470006
MedDRA-2
10061916
Total Gleason Score for Prostate Cancer
Description

Gleason-Summe

Data type

integer

Alias
UMLS CUI-1
C1273607
SNOMED CT-1
384997002
Code-2
Prostatectomy
UMLS CUI-2
C0033573
SNOMED CT-2
90470006
MedDRA-2
10061916
Tertiary Gleason Pattern
Description

tertiäres Gleason-Muster

Data type

integer

Alias
UMLS CUI-1
C1273608
SNOMED CT-1
385002007
LOINC-1
MTHU020051
Code-2
Prostatectomy
UMLS CUI-2
C0033573
SNOMED CT-2
90470006
MedDRA-2
10061916
verschiedene Kriterien
Description

verschiedene Kriterien

prostatitis
Description

Prostatitis

Data type

boolean

Alias
UMLS CUI-1
C0033581
SNOMED CT-1
9713002
MedDRA-1
10036978
ICD-10-CM-1
N41.9
ICD-9-CM-1
601.9
Necrosis
Description

Nekrosen

Data type

boolean

Alias
UMLS CUI-1
C0027540
SNOMED CT-1
6574001
MedDRA-1
10028851
Seminal vesicle invasion
Description

Samenblaseninfiltration

Data type

boolean

Alias
Code-1
Seminal vesicle invasion by tumor present (finding)
UMLS CUI-1
C1268952
SNOMED CT-1
372294007
Tumor site
Description

Tumorlokalisation

Data type

boolean

Alias
UMLS CUI-1
C0475445
SNOMED CT-1
263591006
LOINC-1
MTHU015562
extraprostatic extension
Description

extraprostat. Ausbreitung

Data type

boolean

Alias
Code-1
Extraprostatic extension of tumor present (finding)
UMLS CUI-1
C1276734
SNOMED CT-1
372306004
Tumorsite - Side
Description

Tumorlokalisation Seite

Data type

integer

Alias
Code-1
Side
UMLS CUI-1
C0441987
SNOMED CT-1
182353008
LOINC-1
MTHU014973
Code-2
Tumor site
UMLS CUI-2
C0475445
SNOMED CT-2
263591006
LOINC-2
MTHU015562
Transitional zone of prostate
Description

Transitionalzone

Data type

boolean

Alias
Code-1
Transitional zone of prostate (body structure)
UMLS CUI-1
C1261214
SNOMED CT-1
399384005
Tumorsite - Height
Description

Tumorlokalisation Höhe

Data type

integer

Alias
Code-1
Height
UMLS CUI-1
C0489786
LOINC-1
MTHU005354
Code-2
Tumor site
UMLS CUI-2
C0475445
SNOMED CT-2
263591006
LOINC-2
MTHU015562
Tumor Volume
Description

Tumorvolumen (cm^3)

Data type

integer

Alias
UMLS CUI-1
C0475276
SNOMED CT-1
258261001
Weight of prostate
Description

Prostatagewicht

Data type

integer

Alias
Item-Info
gr
Code-1
Organ Weight
UMLS CUI-1
C0029218
SNOMED CT-1
125123008
Code-2
Prostate
UMLS CUI-2
C0033572
SNOMED CT-2
41216001
LOINC-2
MTHU004957
Other useful information
Description

sonstige Informationen

Data type

string

Alias
UMLS CUI-1
C2598196
LOINC-1
MTHU029932
Pathologic TNM
Description

Pathologic TNM

Pathologic TNM
Description

Pathologischer TNM

Data type

boolean

Alias
Item-Info
must_have
Code-Info
for_compare
Code-1
Tumor-node-metastasis (TNM) classification of malignant tumor after operation (observable entity)
UMLS CUI-1
C1264753
SNOMED CT-1
106249008
Generic tumor staging descriptor
Description

(y/r)

Data type

integer

Alias
Code-1
Generic tumor staging descriptor (tumor staging)
UMLS CUI-1
C0475266
SNOMED CT-1
258233007
pT Stage
Description

pT

Data type

integer

Alias
Code-1
pT category finding (finding)
UMLS CUI-1
C1272834
SNOMED CT-1
385385001
pN - Regional lymph node stage
Description

pN

Data type

integer

Alias
Code-1
pN category finding (finding)
UMLS CUI-1
C1272833
SNOMED CT-1
385381005
pM Stage
Description

pM

Data type

integer

Alias
Code-1
pM category (observable entity)
UMLS CUI-1
C1269798
SNOMED CT-1
371497001
Site of lymph node
Description

Seite Lymphknoten

Data type

integer

Alias
Code-Info
for_compare
Code-1
Site of lymph node (observable entity)
UMLS CUI-1
C1302572
SNOMED CT-1
399635006
Number of lymph nodes examined
Description

Anzahl der untersuchten Lymphknoten

Data type

integer

Alias
Code-Info
merged_coding
UMLS CUI-1
C2733494
SNOMED CT-1
444025001
Number of lymph nodes involved by malignant neoplasm
Description

davon befallen

Data type

integer

Alias
Code-Info
merged_coding
Code-1
Number of lymph nodes involved by malignant neoplasm (observable entity)
UMLS CUI-1
C2732750
SNOMED CT-1
443527007
Lymph vessel invasion
Description

Lymphgefäßinvasion

Data type

integer

Alias
Code-1
Lymphatic (small vessel) tumor invasion finding (finding)
UMLS CUI-1
C1272791
SNOMED CT-1
385414009
Venous Invasion
Description

Veneninvasion

Data type

integer

Alias
UMLS CUI-1
C1710625
Residual tumor stage
Description

Gesamtbeurteilung der Residualklassifikation

Data type

integer

Alias
Code-1
Residual tumor stage (observable entity)
UMLS CUI-1
C0475286
SNOMED CT-1
17964000
Number of Tissue Sample
Description

Number of Tissue Sample

Number of Tissue Sample
Description

Gewebeprobe Anzahl

Data type

boolean

Alias
Code-Info
for_compare
Code-1
Tissue Sample
UMLS CUI-1
C1292533
SNOMED CT-1
119376003
Code-2
Count of entities (property) (qualifier value)
UMLS CUI-2
C0449788
SNOMED CT-2
410681005
number of specimen without tumor
Description

Normal

Data type

integer

Alias
Code-1
No tumor present in specimen (finding)
UMLS CUI-1
C1300994
SNOMED CT-1
396796000
number of specimen with tumor
Description

Tumor

Data type

integer

Alias
Code-1
No tumor present in specimen (finding)
UMLS CUI-1
C1300994
SNOMED CT-1
396796000
Code-2
Negation
UMLS CUI-2
C1518422
number of Unknown specimen
Description

Unbekannt

Data type

integer

Alias
UMLS CUI-1
C0439673
SNOMED CT-1
261665006
Specimen size (observable entity)
Description

Specimen size (observable entity)

Specimen size (observable entity)
Description

Größe der Tumorprobe

Data type

boolean

Alias
Item-Info
must_have
Code-Info
for_compare
UMLS CUI-1
C1299482
SNOMED CT-1
371475003
Specimen size, largest dimension
Description

Länge 1

Data type

string

Alias
Code-1
Specimen size, largest dimension (observable entity)
UMLS CUI-1
C1273739
SNOMED CT-1
384627007
Specimen size, additional dimension
Description

Breite 1

Data type

string

Alias
Code-1
Specimen size, additional dimension (observable entity)
UMLS CUI-1
C1273738
SNOMED CT-1
384626003
rapid section
Description

Schnellschnitt

Data type

boolean

Alias
Code-1
Section
UMLS CUI-1
C1522472
Code-2
Rapid (qualifier value)
UMLS CUI-2
C0439831
SNOMED CT-2
255358001
Responsible Person for Defined Specimen Storage
Description

Gewebeasservierung/-lagerung durch

Data type

string

Alias
Item-Info
must_have
Code-1
Defined Specimen Storage
UMLS CUI-1
C2985587
Code-2
Responsible Person
UMLS CUI-2
C1273518
SNOMED CT-2
394851003
Site of distant metastasis
Description

Site of distant metastasis

Site of distant metastasis
Description

Lokalisation 1

Data type

string

Alias
Code-1
Site of distant metastasis (observable entity)
UMLS CUI-1
C0807944
SNOMED CT-1
385421009
LOINC-1
MTHU010380
Date in time
Description

Datum

Data type

date

Alias
Code-1
Date of diagnosis (observable entity)
UMLS CUI-1
C2316983
SNOMED CT-1
432213005
LOINC-1
MTHU038128
Code-2
Distant Metastasis
UMLS CUI-2
CL278860

Similar models

  1. StudyEvent: HIS
    1. HIS
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Admininstrative Daten
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)
Item Group
Tumordiagnose
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)
Item Group
Tumorhistologie
Pathologisches Institut
Item
General pathology department
string
C0587490 (UMLS CUI-1)
309953001 (SNOMED CT-1)
Histologie-Einsendenummer
Item
Histopathology-number
string
must_have (Item-Info)
Histopathology (Code-1)
C0677043 (UMLS CUI-1)
394597005 (SNOMED CT-1)
Identifier (Code-2)
C0600091 (UMLS CUI-2)
118522005 (SNOMED CT-2)
MTHU003116 (LOINC-2)
Aufnahme-Nr. WHK
Item
Admission Information
integer
Admission Information (Code-1)
C2599639 (UMLS CUI-1)
Item Group
Histopathology
Histologie-Datum
Item
Histopathology
date
Date of pathology report (observable entity) (Code-1)
C1302659 (UMLS CUI-1)
399737008 (SNOMED CT-1)
Eingangszeit
Item
Time of entry
string
Date of entry (Code-1)
C1978797 (UMLS CUI-1)
MTHU026971 (LOINC-1)
Histologie ICD-0-3
Item
Histology ICD-O-3
string
ICDO3 Morphology Axis (Code-1)
CL364362 (UMLS CUI-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
sonstige Histologie
Item
Histopathology
string
C0677043 (UMLS CUI-1)
394597005 (SNOMED CT-1)
Other (Code-2)
C0205394 (UMLS CUI-2)
74964007 (SNOMED CT-2)
Operative Surgical Procedures (Code-3)
C0543467 (UMLS CUI-3)
387713003 (SNOMED CT-3)
10042609 (MedDRA-3)
MTHU007597 (LOINC-3)
ICD-0-3
Item
Histology ICD-O-3
string
ICDO3 Morphology Axis (Code-1)
CL364362 (UMLS CUI-1)
Other (Code-2)
C0205394 (UMLS CUI-2)
74964007 (SNOMED CT-2)
Operative Surgical Procedures (Code-3)
C0543467 (UMLS CUI-3)
387713003 (SNOMED CT-3)
10042609 (MedDRA-3)
MTHU007597 (LOINC-3)
Item
Histologic Grade
integer
C0919553 (UMLS CUI-1)
371469007 (SNOMED CT-1)
Code List
Histologic Grade
CL Item
G1 grade  (G1 = Gut differenziert)
G1 grade (finding) (Code-1)
C0475269 (UMLS CUI-1)
54102005 (SNOMED CT-1)
CL Item
G2 grade (G2 = Mäßig differenziert)
G2 grade (finding) (Code-1)
C0475270 (UMLS CUI-1)
1663004 (SNOMED CT-1)
CL Item
G3 grade (G3 = Schlecht differenziert)
G3 grade (finding) (Code-1)
C0475271 (UMLS CUI-1)
61026006 (SNOMED CT-1)
CL Item
Grade cannot be determined  (X = Differenzierungsgrad kann nicht bestimmt werden)
Grade cannot be determined (finding) (Code-1)
C1273714 (UMLS CUI-1)
384741006 (SNOMED CT-1)
CL Item
Grade not designated (0 = Grading nicht vorgesehen)
Negation (Code-1)
C1518422 (UMLS CUI-1)
Designated (Code-2)
C1524084 (UMLS CUI-2)
CL Item
Low grade (Low grade)
Low grade (well to moderately differentiated) (finding) (Code-1)
C1273125 (UMLS CUI-1)
395529007 (SNOMED CT-1)
CL Item
High grade (High grade)
High grade (poorly differentiated to undifferentiated) (finding) (Code-1)
C1273126 (UMLS CUI-1)
395530002 (SNOMED CT-1)
Item Group
Gleason-Score
Item
Gleason-Score
integer
Gleason Score for Prostate Cancer (Code-1)
C0332326 (UMLS CUI-1)
106241006 (SNOMED CT-1)
Prostatectomy (Code-2)
C0033573 (UMLS CUI-2)
90470006 (SNOMED CT-2)
10061916 (MedDRA-2)
Code List
Gleason-Score
CL Item
available (Angaben vorhanden)
Availability (Code-1)
C0470187 (UMLS CUI-1)
103328004 (SNOMED CT-1)
CL Item
Unspecified Gleason-Score (keine Angabe)
C0205370 (UMLS CUI-1)
10003008 (SNOMED CT-1)
Gleason-1
Item
Primary Gleason Pattern
integer
C1273604 (UMLS CUI-1)
384994009 (SNOMED CT-1)
MTHU020049 (LOINC-1)
Prostatectomy (Code-2)
C0033573 (UMLS CUI-2)
90470006 (SNOMED CT-2)
10061916 (MedDRA-2)
Gleason-2
Item
Secondary Gleason Pattern
integer
C1273605 (UMLS CUI-1)
384995005 (SNOMED CT-1)
MTHU020050 (LOINC-1)
Prostatectomy (Code-2)
C0033573 (UMLS CUI-2)
90470006 (SNOMED CT-2)
10061916 (MedDRA-2)
Gleason-Summe
Item
Total Gleason Score for Prostate Cancer
integer
C1273607 (UMLS CUI-1)
384997002 (SNOMED CT-1)
Prostatectomy (Code-2)
C0033573 (UMLS CUI-2)
90470006 (SNOMED CT-2)
10061916 (MedDRA-2)
Item
Tertiary Gleason Pattern
integer
C1273608 (UMLS CUI-1)
385002007 (SNOMED CT-1)
MTHU020051 (LOINC-1)
Prostatectomy (Code-2)
C0033573 (UMLS CUI-2)
90470006 (SNOMED CT-2)
10061916 (MedDRA-2)
Code List
Tertiary Gleason Pattern
CL Item
Gleason Pattern 1  (Gl1)
C1276439 (UMLS CUI-1)
369770006 (SNOMED CT-1)
CL Item
Gleason Pattern 2 (Gl2)
C1276440 (UMLS CUI-1)
369771005 (SNOMED CT-1)
CL Item
Gleason Pattern 3  (Gl3)
C1276441 (UMLS CUI-1)
369772003 (SNOMED CT-1)
CL Item
Gleason Pattern 4 (Gl4)
C1276442 (UMLS CUI-1)
369773008 (SNOMED CT-1)
CL Item
Gleason Pattern 5 (Gl5)
C1276443 (UMLS CUI-1)
369774002 (SNOMED CT-1)
Item Group
verschiedene Kriterien
Prostatitis
Item
prostatitis
boolean
C0033581 (UMLS CUI-1)
9713002 (SNOMED CT-1)
10036978 (MedDRA-1)
N41.9 (ICD-10-CM-1)
601.9 (ICD-9-CM-1)
Nekrosen
Item
Necrosis
boolean
C0027540 (UMLS CUI-1)
6574001 (SNOMED CT-1)
10028851 (MedDRA-1)
Samenblaseninfiltration
Item
Seminal vesicle invasion
boolean
Seminal vesicle invasion by tumor present (finding) (Code-1)
C1268952 (UMLS CUI-1)
372294007 (SNOMED CT-1)
Tumorlokalisation
Item
Tumor site
boolean
C0475445 (UMLS CUI-1)
263591006 (SNOMED CT-1)
MTHU015562 (LOINC-1)
extraprostat. Ausbreitung
Item
extraprostatic extension
boolean
Extraprostatic extension of tumor present (finding) (Code-1)
C1276734 (UMLS CUI-1)
372306004 (SNOMED CT-1)
Item
Tumorsite - Side
integer
Side (Code-1)
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)
Code List
Tumorsite - Side
CL Item
Left (L)
C0205091 (UMLS CUI-1)
7771000 (SNOMED CT-1)
CL Item
Right (R)
C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)
CL Item
Unilocular (unilokulär)
merged_coding (Code-Info)
Unilocular (qualifier value) (Code-1)
C0205376 (UMLS CUI-1)
66715007 (SNOMED CT-1)
CL Item
multilocular (multilokulär)
merged_coding (Code-Info)
CL381556 (UMLS CUI-1)
Transitionalzone
Item
Transitional zone of prostate
boolean
Transitional zone of prostate (body structure) (Code-1)
C1261214 (UMLS CUI-1)
399384005 (SNOMED CT-1)
Item
Tumorsite - Height
integer
Height (Code-1)
C0489786 (UMLS CUI-1)
MTHU005354 (LOINC-1)
Tumor site (Code-2)
C0475445 (UMLS CUI-2)
263591006 (SNOMED CT-2)
MTHU015562 (LOINC-2)
Code List
Tumorsite - Height
CL Item
Basal  (basal)
C0205112 (UMLS CUI-1)
57195005 (SNOMED CT-1)
CL Item
Apical  (apikal)
C0205111 (UMLS CUI-1)
43674008 (SNOMED CT-1)
CL Item
Concentric (mittig)
(qualifier value) (Code-1)
C0439744 (UMLS CUI-1)
Tumorvolumen (cm^3)
Item
Tumor Volume
integer
C0475276 (UMLS CUI-1)
258261001 (SNOMED CT-1)
Prostatagewicht
Item
Weight of prostate
integer
gr (Item-Info)
Organ Weight (Code-1)
C0029218 (UMLS CUI-1)
125123008 (SNOMED CT-1)
Prostate (Code-2)
C0033572 (UMLS CUI-2)
41216001 (SNOMED CT-2)
MTHU004957 (LOINC-2)
sonstige Informationen
Item
Other useful information
string
C2598196 (UMLS CUI-1)
MTHU029932 (LOINC-1)
Item Group
Pathologic TNM
Pathologischer TNM
Item
Pathologic TNM
boolean
must_have (Item-Info)
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)
Item
Generic tumor staging descriptor
integer
Generic tumor staging descriptor (tumor staging) (Code-1)
C0475266 (UMLS CUI-1)
258233007 (SNOMED CT-1)
Code List
Generic tumor staging descriptor
CL Item
Tumor staging descriptor y (y)
Tumor staging descriptor y (tumor staging) (Code-1)
C0439147 (UMLS CUI-1)
421755005 (SNOMED CT-1)
CL Item
Tumor staging descriptor r (r)
Tumor staging descriptor r (tumor staging) (Code-1)
C1704239 (UMLS CUI-1)
421188008 (SNOMED CT-1)
Item
pT Stage
integer
pT category finding (finding) (Code-1)
C1272834 (UMLS CUI-1)
385385001 (SNOMED CT-1)
Code List
pT Stage
CL Item
pT0 Stage (T0)
pT0 Stage Finding (Code-1)
C0332390 (UMLS CUI-1)
39880006 (SNOMED CT-1)
CL Item
pTa Stage (Ta)
Tumor stage Ta (tumor staging) (Code-1)
C0475399 (UMLS CUI-1)
261663004 (SNOMED CT-1)
Tumor-node-metastasis (TNM) classification of malignant tumor after operation (observable entity) (Code-2)
C1264753 (UMLS CUI-2)
106249008 (SNOMED CT-2)
CL Item
pTis Stage (Tis)
pTis category (finding) (Code-1)
C0332389 (UMLS CUI-1)
84921008 (SNOMED CT-1)
CL Item
pT1 Stage  (T1)
pT1 Stage Finding (Code-1)
C0332391 (UMLS CUI-1)
53786006 (SNOMED CT-1)
CL Item
pT1a (pT1a)
normalized_coding (Code-Info)
pT1a category (finding) (Code-1)
C2733107 (UMLS CUI-1)
443357004 (SNOMED CT-1)
CL Item
pT1b (pT1b)
normalized_coding (Code-Info)
pT1b category (finding) (Code-1)
C2733246 (UMLS CUI-1)
443506002 (SNOMED CT-1)
CL Item
pT1c (pT1c)
normalized_coding (Code-Info)
pT1c category (finding) (Code-1)
C2732269 (UMLS CUI-1)
443642002 (SNOMED CT-1)
CL Item
pT2 Stage (T2)
pT2 Stage Finding (Code-1)
C0332392 (UMLS CUI-1)
80898003 (SNOMED CT-1)
CL Item
pT2a (pT2a)
normalized_coding (Code-Info)
pT2a category (finding) (Code-1)
C2732270 (UMLS CUI-1)
443812002 (SNOMED CT-1)
CL Item
pT2b (pT2b)
normalized_coding (Code-Info)
pT2b category (finding) (Code-1)
C2733080 (UMLS CUI-1)
443896000 (SNOMED CT-1)
CL Item
pT2c (pT2c)
normalized_coding (Code-Info)
pT2c category (finding) (Code-1)
C2733081 (UMLS CUI-1)
443956003 (SNOMED CT-1)
CL Item
pT3 Stage  (T3)
pT3 Stage Finding (Code-1)
C0332393 (UMLS CUI-1)
90402004 (SNOMED CT-1)
CL Item
pT3a (pT3a)
normalized_coding (Code-Info)
pT3a category (finding) (Code-1)
C2733390 (UMLS CUI-1)
443606005 (SNOMED CT-1)
CL Item
pT3b (pT3b)
normalized_coding (Code-Info)
pT3b category (finding) (Code-1)
C2732522 (UMLS CUI-1)
443817008 (SNOMED CT-1)
CL Item
pT4 Stage  (T4)
pT4 Stage Finding (Code-1)
C0332394 (UMLS CUI-1)
6123003 (SNOMED CT-1)
CL Item
pTX category  (TX)
pTX category (finding) (Code-1)
C0332395 (UMLS CUI-1)
43189003 (SNOMED CT-1)
Item
pN - Regional lymph node stage
integer
pN category finding (finding) (Code-1)
C1272833 (UMLS CUI-1)
385381005 (SNOMED CT-1)
Code List
pN - Regional lymph node stage
CL Item
pN0 Stage (N0)
pN0 Stage Finding (Code-1)
C0332396 (UMLS CUI-1)
399647000 (SNOMED CT-1)
CL Item
pN1 Stage (N1)
pN1 Stage Finding (Code-1)
C0332397 (UMLS CUI-1)
45552005 (SNOMED CT-1)
CL Item
pN2 Stage (N2)
pN2 Stage Finding (Code-1)
C0332398 (UMLS CUI-1)
15076001 (SNOMED CT-1)
CL Item
pN3 Stage (N3)
pN3 Stage Finding (Code-1)
C0332399 (UMLS CUI-1)
49182004 (SNOMED CT-1)
Item
pM Stage
integer
pM category (observable entity) (Code-1)
C1269798 (UMLS CUI-1)
371497001 (SNOMED CT-1)
Code List
pM Stage
CL Item
pM0 Stage  (M0)
pM0 Stage Finding (Code-1)
C0332402 (UMLS CUI-1)
19408000 (SNOMED CT-1)
CL Item
pM1 Stage  (M1)
pM1 Stage Finding (Code-1)
C0456957 (UMLS CUI-1)
277744001 (SNOMED CT-1)
CL Item
pM1a (pM1a)
normalized_coding (Code-Info)
pM1a category (finding) (Code-1)
C2733084 (UMLS CUI-1)
443841006 (SNOMED CT-1)
CL Item
pM1b (pM1b)
normalized_coding (Code-Info)
pM1b category (finding) (Code-1)
C2733110 (UMLS CUI-1)
443840007 (SNOMED CT-1)
CL Item
pM1c (pM1c)
normalized_coding (Code-Info)
pM1c category (finding) (Code-1)
C2732927 (UMLS CUI-1)
443839005 (SNOMED CT-1)
CL Item
pMX category (MX)
pMX category (finding) (Code-1)
C0332404 (UMLS CUI-1)
17076002 (SNOMED CT-1)
Item
Site of lymph node
integer
for_compare (Code-Info)
Site of lymph node (observable entity) (Code-1)
C1302572 (UMLS CUI-1)
399635006 (SNOMED CT-1)
Code List
Site of lymph node
CL Item
right (rechts)
for_compare (Code-Info)
Right (Code-1)
C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)
CL Item
left (links)
for_compare (Code-Info)
Left (Code-1)
C0205091 (UMLS CUI-1)
7771000 (SNOMED CT-1)
Anzahl der untersuchten Lymphknoten
Item
Number of lymph nodes examined
integer
merged_coding (Code-Info)
C2733494 (UMLS CUI-1)
444025001 (SNOMED CT-1)
davon befallen
Item
Number of lymph nodes involved by malignant neoplasm
integer
merged_coding (Code-Info)
Number of lymph nodes involved by malignant neoplasm (observable entity) (Code-1)
C2732750 (UMLS CUI-1)
443527007 (SNOMED CT-1)
Item
Lymph vessel invasion
integer
Lymphatic (small vessel) tumor invasion finding (finding) (Code-1)
C1272791 (UMLS CUI-1)
385414009 (SNOMED CT-1)
Code List
Lymph vessel invasion
CL Item
L0 Stage Finding (L0 = keine Lymphgefäßinvasion)
C0441917 (UMLS CUI-1)
44649003 (SNOMED CT-1)
CL Item
L1 Stage Finding (L1)
C0441918 (UMLS CUI-1)
74139005 (SNOMED CT-1)
CL Item
LX Stage Finding (LX = nicht beurteilbar)
C0441916 (UMLS CUI-1)
33419001 (SNOMED CT-1)
Item
Venous Invasion
integer
C1710625 (UMLS CUI-1)
Code List
Venous Invasion
CL Item
V0 Stage Finding (V0 = keine Veneninvasion)
C0441906 (UMLS CUI-1)
40223008 (SNOMED CT-1)
CL Item
V1 Stage Finding  (V1)
C0457422 (UMLS CUI-1)
67302005 (SNOMED CT-1)
CL Item
VX Stage Finding (VX = nicht beurteilbar)
C0441905 (UMLS CUI-1)
6510002 (SNOMED CT-1)
Item
Residual tumor stage
integer
Residual tumor stage (observable entity) (Code-1)
C0475286 (UMLS CUI-1)
17964000 (SNOMED CT-1)
Code List
Residual tumor stage
CL Item
Residual tumor stage R0 (R0)
Residual tumor stage R0 (finding) (Code-1)
C0475288 (UMLS CUI-1)
258254000 (SNOMED CT-1)
CL Item
Residual tumor stage R1  (R1)
Residual tumor stage R1 (finding) (Code-1)
C0475825 (UMLS CUI-1)
278271003 (SNOMED CT-1)
CL Item
Residual tumor stage RX (RX = nicht beurteilbar)
Residual tumor stage RX (finding) (Code-1)
C0475287 (UMLS CUI-1)
258253006 (SNOMED CT-1)
Item Group
Number of Tissue Sample
Gewebeprobe Anzahl
Item
Number of Tissue Sample
boolean
for_compare (Code-Info)
Tissue Sample (Code-1)
C1292533 (UMLS CUI-1)
119376003 (SNOMED CT-1)
Count of entities (property) (qualifier value) (Code-2)
C0449788 (UMLS CUI-2)
410681005 (SNOMED CT-2)
Normal
Item
number of specimen without tumor
integer
No tumor present in specimen (finding) (Code-1)
C1300994 (UMLS CUI-1)
396796000 (SNOMED CT-1)
Tumor
Item
number of specimen with tumor
integer
No tumor present in specimen (finding) (Code-1)
C1300994 (UMLS CUI-1)
396796000 (SNOMED CT-1)
Negation (Code-2)
C1518422 (UMLS CUI-2)
Unbekannt
Item
number of Unknown specimen
integer
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Item Group
Specimen size (observable entity)
Größe der Tumorprobe
Item
Specimen size (observable entity)
boolean
must_have (Item-Info)
for_compare (Code-Info)
C1299482 (UMLS CUI-1)
371475003 (SNOMED CT-1)
Länge 1
Item
Specimen size, largest dimension
string
Specimen size, largest dimension (observable entity) (Code-1)
C1273739 (UMLS CUI-1)
384627007 (SNOMED CT-1)
Breite 1
Item
Specimen size, additional dimension
string
Specimen size, additional dimension (observable entity) (Code-1)
C1273738 (UMLS CUI-1)
384626003 (SNOMED CT-1)
Schnellschnitt
Item
rapid section
boolean
Section (Code-1)
C1522472 (UMLS CUI-1)
Rapid (qualifier value) (Code-2)
C0439831 (UMLS CUI-2)
255358001 (SNOMED CT-2)
Gewebeasservierung/-lagerung durch
Item
Responsible Person for Defined Specimen Storage
string
must_have (Item-Info)
Defined Specimen Storage (Code-1)
C2985587 (UMLS CUI-1)
Responsible Person (Code-2)
C1273518 (UMLS CUI-2)
394851003 (SNOMED CT-2)
Item Group
Site of distant metastasis
Lokalisation 1
Item
Site of distant metastasis
string
Site of distant metastasis (observable entity) (Code-1)
C0807944 (UMLS CUI-1)
385421009 (SNOMED CT-1)
MTHU010380 (LOINC-1)
Datum
Item
Date in time
date
Date of diagnosis (observable entity) (Code-1)
C2316983 (UMLS CUI-1)
432213005 (SNOMED CT-1)
MTHU038128 (LOINC-1)
Distant Metastasis (Code-2)
CL278860 (UMLS CUI-2)

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