ID

11767

Descrizione

ODM form derived from Humangenetik Senologie UKM. Used as a routine documentation by the University Hospital Muenster, Germany.

Keywords

versioni (1)
  1. 30/07/15 30/07/15 -
Caricato su

30 luglio 2015

DOI

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Licenza

Creative Commons BY-NC 3.0 Legacy
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Checklist for genetic disposition breast cancer and/or Ovarian cancer

Tedesco ( localization.languageCode.DE ) Inglese

Checklist for genetic disposition breast cancer and/or Ovarian cancer

1 moduli  
Patient demographics
Descrizione

Patient demographics

Date of birth
Descrizione

Date of birth

Tipo di dati

date

Case #
Descrizione

Case #

Tipo di dati

integer

Gender
Descrizione

Gender

Tipo di dati

text

Alias
UMLS CUI-1
C0079399
Stationary admission
Descrizione

Stationary admission

Tipo di dati

text

Registration date
Descrizione

Registration date

Tipo di dati

date

Registered by
Descrizione

Registered by

Tipo di dati

text

A. Patient and her siblings / children
Descrizione

A. Patient and her siblings / children

Breast cancer prior to the age of 36
Descrizione

Breast cancer prior to the age of 36

Tipo di dati

integer

Alias
UMLS CUI-1
C0678222
Unilateral breast canster prior to the age of 51
Descrizione

Unilateral breast canster prior to the age of 51

Tipo di dati

integer

Bilateral breast canster prior to the age of 51
Descrizione

Bilateral breast canster prior to the age of 51

Tipo di dati

integer

Alias
UMLS CUI-1
C0238767
UMLS CUI-2
C0007104
Unilateral or Bilateral breast canster after the age of 50
Descrizione

Unilateral or Bilateral breast canster after the age of 50

Tipo di dati

integer

Alias
UMLS CUI-1
C0238767
UMLS CUI-2
C0007104
Ovarian cancer or a primary peritonitis carcinomatosa
Descrizione

Ovarian cancer or a primary peritonitis carcinomatosa

Tipo di dati

integer

Alias
UMLS CUI-1
C1611183
UMLS CUI-2
C0029925
Sister/daughter has breast cancer prior to the age of 36
Descrizione

Sister/daughter has breast cancer prior to the age of 36

Tipo di dati

integer

Sisiter/ daughter has unilateral breast canster prior to the age of 51
Descrizione

Sisiter/ daughter has unilateral breast canster prior to the age of 51

Tipo di dati

integer

Sister/ daughter has bilateral breast canster prior to the age of 51
Descrizione

Sister/ daughter has bilateral breast canster prior to the age of 51

Tipo di dati

integer

Sister/ daughter has unilateral or blateral breast canster after the age of 50
Descrizione

Sister/ daughter has unilateral or blateral breast canster after the age of 50

Tipo di dati

integer

Brother/ son has breast cancer
Descrizione

Brother/ son has breast cancer

Tipo di dati

integer

Sister/ daughter has ovarian cancer or a primary peritonitis carcinomatosa
Descrizione

Sister/ daughter has ovarian cancer or a primary peritonitis carcinomatosa

Tipo di dati

integer

Total
Descrizione

Total

Tipo di dati

integer

B. Matrilineality
Descrizione

B. Matrilineality

Relatuve has breast cancer prior to the age of 36
Descrizione

Relatuve has breast cancer prior to the age of 36

Tipo di dati

integer

Relative has unilateral breast canster prior to the age of 51
Descrizione

Relative has unilateral breast canster prior to the age of 51

Tipo di dati

integer

Relative has bilateral breast canster prior to the age of 51
Descrizione

Relative has bilateral breast canster prior to the age of 51

Tipo di dati

integer

Relative has unilateral or blateral breast canster after the age of 50
Descrizione

Relative has unilateral or blateral breast canster after the age of 50

Tipo di dati

integer

Male relative has breast cancer
Descrizione

Male relative has breast cancer

Tipo di dati

integer

Relative has ovarian cancer or a primary peritonitis carcinomatosa
Descrizione

Relative has ovarian cancer or a primary peritonitis carcinomatosa

Tipo di dati

integer

Total
Descrizione

Total

Tipo di dati

integer

Patrilineality
Descrizione

Patrilineality

Relative has breast cancer prior to the age of 36
Descrizione

Relative has breast cancer prior to the age of 36

Tipo di dati

integer

Relative has unilateral breast canster prior to the age of 51
Descrizione

Relative has unilateral breast canster prior to the age of 51

Tipo di dati

integer

Relative has bilateral breast canster prior to the age of 51
Descrizione

Relative has bilateral breast canster prior to the age of 51

Tipo di dati

integer

Relative has unilateral or blateral breast canster after the age of 50
Descrizione

Relative has unilateral or blateral breast canster after the age of 50

Tipo di dati

integer

Male relative has breast cancer
Descrizione

Male relative has breast cancer

Tipo di dati

integer

Relative has ovarian cancer or a primary peritonitis carcinomatosa
Descrizione

Relative has ovarian cancer or a primary peritonitis carcinomatosa

Tipo di dati

integer

Total
Descrizione

Total

Tipo di dati

integer

D. Higher score B. matrilineality or C. patrilineality
Descrizione

D. Higher score B. matrilineality or C. patrilineality

E. Total A+D
Descrizione

E. Total A+D

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Similar models

Checklist for genetic disposition breast cancer and/or Ovarian cancer

1 moduli
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Patient demographics
Date of birth
Item
Date of birth
date
Case #
Item
Case #
integer
Gender
Item
Gender
text
C0079399 (UMLS CUI-1)
Stationary admission
Item
Stationary admission
text
Registration date
Item
Registration date
date
Registered by
Item
Registered by
text
Item Group
A. Patient and her siblings / children
Item
Breast cancer prior to the age of 36
integer
C0678222 (UMLS CUI-1)
Breast cancer
Code List
Breast cancer prior to the age of 36
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Unilateral breast canster prior to the age of 51
integer
Breast cancer
Code List
Unilateral breast canster prior to the age of 51
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Bilateral breast canster prior to the age of 51
integer
C0238767 (UMLS CUI-1)
C0007104 (UMLS CUI-2)
Breast cancer
Code List
Bilateral breast canster prior to the age of 51
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Unilateral or Bilateral breast canster after the age of 50
integer
C0238767 (UMLS CUI-1)
C0007104 (UMLS CUI-2)
Breast cancer
Code List
Unilateral or Bilateral breast canster after the age of 50
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Ovarian cancer or a primary peritonitis carcinomatosa
integer
C1611183 (UMLS CUI-1)
C0029925 (UMLS CUI-2)
Breast cancer
Code List
Ovarian cancer or a primary peritonitis carcinomatosa
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Sister/daughter has breast cancer prior to the age of 36
integer
Breast cancer
Code List
Sister/daughter has breast cancer prior to the age of 36
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Sisiter/ daughter has unilateral breast canster prior to the age of 51
integer
Breast cancer
Code List
Sisiter/ daughter has unilateral breast canster prior to the age of 51
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Sister/ daughter has bilateral breast canster prior to the age of 51
integer
Breast cancer
Code List
Sister/ daughter has bilateral breast canster prior to the age of 51
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Sister/ daughter has unilateral or blateral breast canster after the age of 50
integer
Breast cancer
Code List
Sister/ daughter has unilateral or blateral breast canster after the age of 50
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Brother/ son has breast cancer
integer
Breast cancer
Code List
Brother/ son has breast cancer
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Sister/ daughter has ovarian cancer or a primary peritonitis carcinomatosa
integer
Breast cancer
Code List
Sister/ daughter has ovarian cancer or a primary peritonitis carcinomatosa
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Total
Item
Total
integer
Item Group
B. Matrilineality
Item
Relatuve has breast cancer prior to the age of 36
integer
Breast cancer
Code List
Relatuve has breast cancer prior to the age of 36
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Relative has unilateral breast canster prior to the age of 51
integer
Breast cancer
Code List
Relative has unilateral breast canster prior to the age of 51
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Relative has bilateral breast canster prior to the age of 51
integer
Breast cancer
Code List
Relative has bilateral breast canster prior to the age of 51
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Relative has unilateral or blateral breast canster after the age of 50
integer
Breast cancer
Code List
Relative has unilateral or blateral breast canster after the age of 50
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Male relative has breast cancer
integer
Breast cancer
Code List
Male relative has breast cancer
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Relative has ovarian cancer or a primary peritonitis carcinomatosa
integer
Breast cancer
Code List
Relative has ovarian cancer or a primary peritonitis carcinomatosa
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Total
Item
Total
integer
Item Group
Patrilineality
Item
Relative has breast cancer prior to the age of 36
integer
Breast cancer
Code List
Relative has breast cancer prior to the age of 36
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Relative has unilateral breast canster prior to the age of 51
integer
Breast cancer
Code List
Relative has unilateral breast canster prior to the age of 51
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Relative has bilateral breast canster prior to the age of 51
integer
Breast cancer
Code List
Relative has bilateral breast canster prior to the age of 51
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Relative has unilateral or blateral breast canster after the age of 50
integer
Breast cancer
Code List
Relative has unilateral or blateral breast canster after the age of 50
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Male relative has breast cancer
integer
Breast cancer
Code List
Male relative has breast cancer
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Item
Relative has ovarian cancer or a primary peritonitis carcinomatosa
integer
Breast cancer
Code List
Relative has ovarian cancer or a primary peritonitis carcinomatosa
CL Item
Amount (1)
CL Item
Weighting  (2)
CL Item
Result (3)
Total
Item
Total
integer
Item Group
D. Higher score B. matrilineality or C. patrilineality
Item Group
E. Total A+D
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