ID

15694

Description

Routine documentation in German hospitals. Source file name: SD150102_Meldebogen Krebsregister/ Meldung an das gemeinsame Krebsregister.017 Examplary forms provided by DMI (http://www.dmi.de/)

Link

http://www.dmi.de/

Keywords

Versions (1)
  1. 6/8/16 6/8/16 -
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June 8, 2016

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Creative Commons BY-NC 3.0
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Notification sheet Cancer registries Routine documentation in German hospitals DMI

German

Notification sheet Cancer registries

1 forms  
Identitätsdaten des Patienten
Description

Identitätsdaten des Patienten

Alias
UMLS CUI-1
C1955348
Nachname des Patienten
Description

Patient Last Name

Data type

text

Alias
UMLS CUI [1]
C0421448
Vorname
Description

Patient first name

Data type

text

Alias
UMLS CUI [1]
C1443235
Geburtsdatum
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Geschlecht
Description

Gender

Data type

integer

Alias
UMLS CUI [1]
C0079399
Staatsangehörigkeit
Description

Nationality

Data type

text

Alias
UMLS CUI [1]
C0027473
Adresse des Patienten
Description

Patient address

Data type

text

Alias
UMLS CUI [1]
C0421449
Wurder der Patient über die Anmeldung informiert?
Description

Informed consent

Data type

boolean

Alias
UMLS CUI [1]
C0021430
Anamnestische Daten
Description

Anamnestische Daten

Alias
UMLS CUI-1
C0262926
Mehrlinge
Description

multiples

Data type

boolean

Alias
UMLS CUI [1]
C0032989
Geburten (Bitte erwähnen die Anzahl von Lebend, Totegeburten oder Fehlgeburten)
Description

Births

Data type

text

Alias
UMLS CUI [1]
C1148523
Zuletzt ausgeübter Beruf und Dauer des Berufs
Description

Profession

Data type

text

Alias
UMLS CUI [1]
C0028811
Am längsten ausgeübten Beruf und Dauer des Berufs
Description

Profession

Data type

text

Alias
UMLS CUI [1]
C0028811
Früherer Tumor
Description

Tumor

Data type

boolean

Alias
UMLS CUI [1]
C0006826
Welche Tumor und wann?
Description

Tumor

Data type

text

Alias
UMLS CUI [1]
C0006826
Angaben zum Primärtumor
Description

Angaben zum Primärtumor

Alias
UMLS CUI-1
C0677930
Diagnosedatum
Description

Date of diagnosis

Data type

date

Alias
UMLS CUI [1]
C2316983
Anlass der Diagnosestellung
Description

Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
Sontiges:
Description

Other

Data type

text

Alias
UMLS CUI [1]
C0205394
Nur bei Basaliomen: Wievieltes Basaliom des Patienten?
Description

Basal cell carcinoma

Data type

text

Alias
UMLS CUI [1]
C0007117
Tumordiagnose
Description

diagnosis tumor

Data type

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0027651
ICD-10
Description

ICD 10

Data type

text

Alias
UMLS CUI [1]
C1137110
Tumorlokalisation
Description

Tumor site

Data type

text

Alias
UMLS CUI [1]
C0475445
Seitenangabe
Description

Body side

Data type

text

Alias
UMLS CUI [1,1]
C0229966
UMLS CUI [1,2]
C0229967
Tumorhistologie
Description

histology Tumor

Data type

text

Alias
UMLS CUI [1,1]
C0019638
UMLS CUI [1,2]
C0027651
ICD-O-3
Description

ICD O 3

Data type

text

Dignität
Description

Tumor dignity

Data type

text

Diagnosesicherung
Description

Diagnosis confirmation

Data type

text

Sonstiges
Description

other

Data type

text

Alias
UMLS CUI [1]
C0205394
Grading
Description

Grading

Data type

text

Alias
UMLS CUI [1]
C0919553
TNM-Klassifikation
Description

TNM classification

Data type

text

Alias
UMLS CUI [1]
C0809869
Tumorausbreitung
Description

Spread of tumor

Data type

text

Alias
UMLS CUI [1]
C0347065
Andere Klassifikation
Description

tumor classification

Data type

text

Alias
UMLS CUI [1]
C0178759
Clark- level
Description

Clark level

Data type

text

Alias
UMLS CUI [1,1]
C2986693
UMLS CUI [1,2]
C2986694
UMLS CUI [1,3]
C2986695
UMLS CUI [1,4]
C2986696
UMLS CUI [1,5]
C2986697
Breslow
Description

Breslow

Data type

text

Gleason score
Description

Gleason score

Data type

text

Alias
UMLS CUI [1]
C0332326
UICC
Description

UICC classification

Data type

text

Alias
UMLS CUI [1]
C0441914
Operation
Description

Surgery

Data type

text

Alias
UMLS CUI [1]
C0543467
OP- Klartext
Description

Surgery

Data type

text

Alias
UMLS CUI [1]
C0543467
Datum Operation
Description

Date Surgery

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0543467
Strahlentherapie
Description

Radiotherapy

Data type

text

Alias
UMLS CUI [1]
C1522449
Datum Strahlentherapie
Description

Date Radiotherapy

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C1522449
Chemotherapie
Description

Chemotherapy

Data type

text

Alias
UMLS CUI [1]
C0392920
Datum Chemotherapie
Description

Date Chemotherapy

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0392920
Hormontherapie
Description

Hormonetherapy

Data type

text

Alias
UMLS CUI [1]
C0279025
Datum Hormontherapie
Description

Date Hormonetherapy

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0279025
Immuntherapie
Description

Immunotherapy

Data type

text

Alias
UMLS CUI [1]
C0021083
Datum Immuntherapie
Description

Date Immunotherapy

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0021083
Therapieintention
Description

therapeutic goal

Data type

text

Alias
UMLS CUI [1]
C0679840
Todesdaten
Description

Todesdaten

Todesursache
Description

Cause of death

Data type

text

Alias
UMLS CUI [1]
C0007465
Todesursache
Description

Cause of death

Data type

text

Alias
UMLS CUI [1]
C0007465
Sterbedatum
Description

Date of Death

Data type

date

Alias
UMLS CUI [1]
C1148348
Tod tumorbedingt
Description

death

Data type

text

Alias
UMLS CUI [1]
C1306577
Sektion durchgeführt
Description

autopsy

Data type

text

Alias
UMLS CUI [1]
C0004398
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Similar models

Notification sheet Cancer registries

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Identitätsdaten des Patienten
C1955348 (UMLS CUI-1)
Patient Last Name
Item
Nachname des Patienten
text
C0421448 (UMLS CUI [1])
Patient first name
Item
Vorname
text
C1443235 (UMLS CUI [1])
Date of birth
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Item
Geschlecht
integer
C0079399 (UMLS CUI [1])
Gender
Code List
Geschlecht
CL Item
männlich (1)
CL Item
weiblich (2)
Nationality
Item
Staatsangehörigkeit
text
C0027473 (UMLS CUI [1])
Patient address
Item
Adresse des Patienten
text
C0421449 (UMLS CUI [1])
Informed consent
Item
Wurder der Patient über die Anmeldung informiert?
boolean
C0021430 (UMLS CUI [1])
Item Group
Anamnestische Daten
C0262926 (UMLS CUI-1)
multiples
Item
Mehrlinge
boolean
C0032989 (UMLS CUI [1])
Births
Item
Geburten (Bitte erwähnen die Anzahl von Lebend, Totegeburten oder Fehlgeburten)
text
C1148523 (UMLS CUI [1])
Profession
Item
Zuletzt ausgeübter Beruf und Dauer des Berufs
text
C0028811 (UMLS CUI [1])
Profession
Item
Am längsten ausgeübten Beruf und Dauer des Berufs
text
C0028811 (UMLS CUI [1])
Tumor
Item
Früherer Tumor
boolean
C0006826 (UMLS CUI [1])
Tumor
Item
Welche Tumor und wann?
text
C0006826 (UMLS CUI [1])
Item Group
Angaben zum Primärtumor
C0677930 (UMLS CUI-1)
Date of diagnosis
Item
Diagnosedatum
date
C2316983 (UMLS CUI [1])
Item
Anlass der Diagnosestellung
text
C0011900 (UMLS CUI [1])
Diagnosis
Code List
Anlass der Diagnosestellung
CL Item
organisiertes Screening (1)
CL Item
Tumorsymptomatik (2)
CL Item
Früherkennungs-/ Vorsorgeuntersuchung (3)
CL Item
Selbstuntersuchung (4)
CL Item
Unbekannt (5)
CL Item
Sonstiges (6)
Other
Item
Sontiges:
text
C0205394 (UMLS CUI [1])
Basal cell carcinoma
Item
Nur bei Basaliomen: Wievieltes Basaliom des Patienten?
text
C0007117 (UMLS CUI [1])
diagnosis tumor
Item
Tumordiagnose
text
C0011900 (UMLS CUI [1,1])
C0027651 (UMLS CUI [1,2])
ICD 10
Item
ICD-10
text
C1137110 (UMLS CUI [1])
Tumor site
Item
Tumorlokalisation
text
C0475445 (UMLS CUI [1])
Item
Seitenangabe
text
C0229966 (UMLS CUI [1,1])
C0229967 (UMLS CUI [1,2])
Body side
Code List
Seitenangabe
CL Item
rechts (1)
CL Item
links (2)
CL Item
beidseits (3)
CL Item
unbekannt (4)
histology Tumor
Item
Tumorhistologie
text
C0019638 (UMLS CUI [1,1])
C0027651 (UMLS CUI [1,2])
ICD O 3
Item
ICD-O-3
text
Item
Dignität
text
Tumor dignity
Code List
Dignität
CL Item
maligne (1)
CL Item
in- Situ (2)
CL Item
borderline (3)
CL Item
benigne (4)
CL Item
unbekannt (5)
Item
Diagnosesicherung
text
Diagnosis confirmation
Code List
Diagnosesicherung
CL Item
histologisch (1)
CL Item
zytologisch/ hämatologisch (2)
CL Item
klin. Untersuchungsverfahren (3)
CL Item
autoptisch mit Histologie (4)
CL Item
ubekannt (5)
CL Item
Sonstiges (6)
other
Item
Sonstiges
text
C0205394 (UMLS CUI [1])
Item
Grading
text
C0919553 (UMLS CUI [1])
Grading
Code List
Grading
CL Item
G1 (1)
CL Item
G2 (2)
CL Item
G3 (3)
CL Item
G4 (4)
CL Item
low grade (5)
CL Item
intermidär (6)
CL Item
high grade (7)
CL Item
unbekannt (8)
CL Item
T- zell (9)
CL Item
B-Zell (10)
CL Item
Null Zell (11)
CL Item
NK- Zell (12)
TNM classification
Item
TNM-Klassifikation
text
C0809869 (UMLS CUI [1])
Item
Tumorausbreitung
text
C0347065 (UMLS CUI [1])
Spread of tumor
Code List
Tumorausbreitung
CL Item
lokal begrenzt (1)
CL Item
regionäre Lymphknoten (2)
CL Item
kontinuerl. Ausdehnung (3)
CL Item
Fernmetastase (4)
tumor classification
Item
Andere Klassifikation
text
C0178759 (UMLS CUI [1])
Clark level
Item
Clark- level
text
C2986693 (UMLS CUI [1,1])
C2986694 (UMLS CUI [1,2])
C2986695 (UMLS CUI [1,3])
C2986696 (UMLS CUI [1,4])
C2986697 (UMLS CUI [1,5])
Breslow
Item
Breslow
text
Gleason score
Item
Gleason score
text
C0332326 (UMLS CUI [1])
UICC classification
Item
UICC
text
C0441914 (UMLS CUI [1])
Item
Operation
text
C0543467 (UMLS CUI [1])
Surgery
Code List
Operation
CL Item
ja (1)
CL Item
nein (2)
CL Item
unbekannt (3)
Surgery
Item
OP- Klartext
text
C0543467 (UMLS CUI [1])
Date Surgery
Item
Datum Operation
date
C0011008 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
Item
Strahlentherapie
text
C1522449 (UMLS CUI [1])
Surgery
Code List
Strahlentherapie
CL Item
ja (1)
CL Item
nein (2)
CL Item
unbekannt (3)
Date Radiotherapy
Item
Datum Strahlentherapie
date
C0011008 (UMLS CUI [1,1])
C1522449 (UMLS CUI [1,2])
Item
Chemotherapie
text
C0392920 (UMLS CUI [1])
Surgery
Code List
Chemotherapie
CL Item
ja (1)
CL Item
nein (2)
CL Item
unbekannt (3)
Date Chemotherapy
Item
Datum Chemotherapie
date
C0011008 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
Item
Hormontherapie
text
C0279025 (UMLS CUI [1])
Hormonetherapy
Code List
Hormontherapie
CL Item
ja (1)
CL Item
nein (2)
CL Item
unbekannt (3)
CL Item
sonstige Therapie (4)
Date Hormonetherapy
Item
Datum Hormontherapie
date
C0011008 (UMLS CUI [1,1])
C0279025 (UMLS CUI [1,2])
Item
Immuntherapie
text
C0021083 (UMLS CUI [1])
Immunotherapy
Code List
Immuntherapie
CL Item
ja (1)
CL Item
nein (2)
CL Item
unbekannt (3)
CL Item
kein Therapie (4)
Date Immunotherapy
Item
Datum Immuntherapie
date
C0011008 (UMLS CUI [1,1])
C0021083 (UMLS CUI [1,2])
Item
Therapieintention
text
C0679840 (UMLS CUI [1])
therapeutic goal
Code List
Therapieintention
CL Item
kurativ (1)
CL Item
palliativ (2)
CL Item
unbekannt (3)
Item Group
Todesdaten
Cause of death
Item
Todesursache
text
C0007465 (UMLS CUI [1])
Item
Todesursache
text
C0007465 (UMLS CUI [1])
Cause of death
Code List
Todesursache
CL Item
Leichenschauschein (1)
CL Item
Obduktionsschein (2)
Date of Death
Item
Sterbedatum
date
C1148348 (UMLS CUI [1])
Item
Tod tumorbedingt
text
C1306577 (UMLS CUI [1])
death
Code List
Tod tumorbedingt
CL Item
ja (1)
CL Item
nein (2)
CL Item
unbekannt (3)
Item
Sektion durchgeführt
text
C0004398 (UMLS CUI [1])
autopsy
Code List
Sektion durchgeführt
CL Item
ja (1)
CL Item
nein (2)
CL Item
unbekannt (3)
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