ID

18127

Description

Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: Prostatahistologie MS Prostata Biopsie Bericht

Keywords

Versions (2)
  1. 10/21/16 10/21/16 -
  2. 10/21/16 10/21/16 -
Uploaded on

October 21, 2016

DOI

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License

Creative Commons BY-NC 3.0
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Prostate biopsy report University Hospital Muenster (UKM)

German

Prostate biopsy report University Hospital Muenster (UKM)

1 forms  
Demographische Informationen
Description

Demographische Informationen

Patientenname
Description

Patient Name

Data type

text

Alias
UMLS CUI [1]
C1299487
Geburtsdatum
Description

Birth Date

Data type

date

Alias
UMLS CUI [1]
C0421451
Aufnahmezeit
Description

Time of admission

Data type

time

Alias
UMLS CUI [1]
C3854259
Aufnahmedatum
Description

Date of admission

Data type

date

Alias
UMLS CUI [1]
C1302393
Beruf
Description

Occupation

Data type

text

Alias
UMLS CUI [1]
C0028811
Arbeitgeber:
Description

Employer

Data type

text

Alias
UMLS CUI [1]
C1274022
Nachricht an
Description

Information to

Data type

text

Alias
UMLS CUI [1]
C0012625
Nachricht an : Telefonnummer
Description

Information to: Phone number

Data type

integer

Alias
UMLS CUI [1,1]
C0012625
UMLS CUI [1,2]
C1515258
Einweisender Arzt
Description

Referring physician

Data type

text

Alias
UMLS CUI [1]
C1709880
Einweisender Arzt Telefon
Description

Referring physician: phone number

Data type

integer

Alias
UMLS CUI [1,1]
C1709880
UMLS CUI [1,2]
C1515258
Einweisender Arzt Adresse
Description

Referring physician address

Data type

text

Alias
UMLS CUI [1]
C3669301
Allgemeine urologische Angeben
Description

Allgemeine urologische Angeben

Bericht am
Description

Report date

Data type

date

Alias
UMLS CUI [1]
C1302584
Anz. Seiten
Description

Number of pages

Data type

integer

Alias
UMLS CUI [1,1]
C1704732
UMLS CUI [1,2]
C0449788
Fax-Nummer
Description

Fax

Data type

integer

Alias
UMLS CUI [1]
C1549619
Urologe
Description

Urologist

Data type

text

Alias
UMLS CUI [1]
C0260314
Hausarzt
Description

Primary physician

Data type

text

Alias
UMLS CUI [1]
C1508823
Datum Biopsie
Description

Biopsy Date

Data type

date

Alias
UMLS CUI [1,1]
C0005558
UMLS CUI [1,2]
C0011008
PSA
Description

PSA

Data type

float

Alias
UMLS CUI [1]
C0201544
freies PSA
Description

Free PSA

Data type

float

Measurement units
  • ng/ml
Alias
UMLS CUI [1]
C1255517
ng/ml
Access Hybritech freies PSA
Description

Access Hybritech free PSA

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1,1]
C1255517
UMLS CUI [1,2]
C3829584
%
Prostatavolumen
Description

Prostate volume

Data type

integer

Measurement units
  • ccm
Alias
UMLS CUI [1]
C1441416
ccm
Übergangszone
Description

Transitional zone

Data type

integer

Measurement units
  • ccm
Alias
UMLS CUI [1,1]
C1261214
UMLS CUI [1,2]
C0449468
ccm
Familiäre Vorbelastung
Description

Familial predisposition

Data type

text

Alias
UMLS CUI [1]
C4025765
Körpergewicht
Description

Weight

Data type

float

Measurement units
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Körpergröße
Description

Height

Data type

float

Measurement units
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Body Mass Index (BMI)
Description

Body Mass Index (BMI)

Data type

float

Alias
UMLS CUI [1]
C1305855
Tastbefund
Description

Palpation result

Data type

text

Alias
UMLS CUI [1,1]
C0030247
UMLS CUI [1,2]
C1274040
TRUS
Description

TRUS

Data type

text

Alias
UMLS CUI [1]
C0373345
Internationaler Prostata Symptom Score
Description

IPSS

Data type

text

Alias
UMLS CUI [1]
C1998280
Lebensqualität
Description

QoL

Data type

text

Alias
UMLS CUI [1]
C0451401
Internationaler Index für erektile Funktion
Description

IIEF

Data type

text

Alias
UMLS CUI [1]
C2959364
PSA-Verlauf / Vorgeschichte
Description

PSA / medical history

Data type

text

Alias
UMLS CUI [1,1]
C0201544
UMLS CUI [1,2]
C0262926
Kommentar Urologie
Description

Comment Urologist

Data type

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0260314
Bericht vom
Description

Date of report

Data type

date

Alias
UMLS CUI [1]
C1302584
Urologe
Description

Urologist

Data type

text

Alias
UMLS CUI [1]
C0260314
Gleason Score
Description

Gleason Score

Anzahl Biopsiezylinder links
Description

Number of biopsy cylinder left

Data type

integer

Alias
UMLS CUI [1,1]
C0677862
UMLS CUI [1,2]
C0750480
Anzahl Biopsiezylinder rechts
Description

Number of biopsy cylinder right

Data type

integer

Alias
UMLS CUI [1,1]
C0677862
UMLS CUI [1,2]
C0750480
Anzahl positiver Proben links
Description

Number of positive specimen left

Data type

integer

Alias
UMLS CUI [1,1]
C1514241
UMLS CUI [1,2]
C0750480
Anzahl positiver Proben rechts
Description

Number of positive specimen lright

Data type

integer

Alias
UMLS CUI [1,1]
C1514241
UMLS CUI [1,2]
C0750480
Länge gesamt
Description

Biopsy specimen length

Data type

integer

Measurement units
  • mm
Alias
UMLS CUI [1,1]
C0677862
UMLS CUI [1,2]
C1273729
mm
Prozentualer Anteil des Zielgebiets
Description

Percent of biopsy target

Data type

integer

Alias
UMLS CUI [1,1]
C0194804
UMLS CUI [1,2]
C1515974
UMLS CUI [1,3]
C0439165
Zielgebiet
Description

Biopsy target

Data type

text

Alias
UMLS CUI [1,1]
C0194804
UMLS CUI [1,2]
C1515974
Gleason Summe
Description

Gleason Score

Data type

integer

Alias
UMLS CUI [1,1]
C1273607
UMLS CUI [1,2]
C0005558
Pathologie Befund
Description

Pathologie Befund

Keine Malignität
Description

No malignancy

Data type

boolean

Alias
UMLS CUI [1]
C0391857
high grade PIN
Description

high grade PIN

Data type

boolean

Alias
UMLS CUI [1]
C1168327
Adenokarzinom
Description

Adenocarcinoma

Data type

boolean

Alias
UMLS CUI [1]
C0007112
Gleason Summe
Description

Total Gleason score

Data type

integer

Alias
UMLS CUI [1]
C1273607
Malignitätsgrad (Helpap)
Description

Grading of prostate cancer (Helpap)

Data type

text

Alias
UMLS CUI [1]
C0919553
Perineurale Invasion
Description

Perineural Invasion

Data type

boolean

Alias
UMLS CUI [1]
C1300724
Extrakapsuläres Wachstum
Description

Extracapsular extension

Data type

boolean

Alias
UMLS CUI [1]
C1276489
Journal Nr.
Description

Report number

Data type

integer

Alias
UMLS CUI [1,1]
C0684224
UMLS CUI [1,2]
C0600091
Prostatitis
Description

Prostatitis

Data type

integer

Alias
UMLS CUI [1]
C0033581
Kommentar Pathologie
Description

Comment Pathology

Data type

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0030664
Bericht vom
Description

Date of report

Data type

date

Alias
UMLS CUI [1]
C1302584
Pathologe
Description

Pathologist

Data type

text

Alias
UMLS CUI [1]
C0334866
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Similar models

Prostate biopsy report University Hospital Muenster (UKM)

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Demographische Informationen
Patient Name
Item
Patientenname
text
C1299487 (UMLS CUI [1])
Birth Date
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Time of admission
Item
Aufnahmezeit
time
C3854259 (UMLS CUI [1])
Date of admission
Item
Aufnahmedatum
date
C1302393 (UMLS CUI [1])
Occupation
Item
Beruf
text
C0028811 (UMLS CUI [1])
Employer
Item
Arbeitgeber:
text
C1274022 (UMLS CUI [1])
Information to
Item
Nachricht an
text
C0012625 (UMLS CUI [1])
Information to: Phone number
Item
Nachricht an : Telefonnummer
integer
C0012625 (UMLS CUI [1,1])
C1515258 (UMLS CUI [1,2])
Referring physician
Item
Einweisender Arzt
text
C1709880 (UMLS CUI [1])
Referring physician: phone number
Item
Einweisender Arzt Telefon
integer
C1709880 (UMLS CUI [1,1])
C1515258 (UMLS CUI [1,2])
Referring physician address
Item
Einweisender Arzt Adresse
text
C3669301 (UMLS CUI [1])
Item Group
Allgemeine urologische Angeben
Report date
Item
Bericht am
date
C1302584 (UMLS CUI [1])
Number of pages
Item
Anz. Seiten
integer
C1704732 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Fax
Item
Fax-Nummer
integer
C1549619 (UMLS CUI [1])
Urologist
Item
Urologe
text
C0260314 (UMLS CUI [1])
Primary physician
Item
Hausarzt
text
C1508823 (UMLS CUI [1])
Biopsy Date
Item
Datum Biopsie
date
C0005558 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
PSA
Item
PSA
float
C0201544 (UMLS CUI [1])
Free PSA
Item
freies PSA
float
C1255517 (UMLS CUI [1])
Access Hybritech free PSA
Item
Access Hybritech freies PSA
integer
C1255517 (UMLS CUI [1,1])
C3829584 (UMLS CUI [1,2])
Prostate volume
Item
Prostatavolumen
integer
C1441416 (UMLS CUI [1])
Transitional zone
Item
Übergangszone
integer
C1261214 (UMLS CUI [1,1])
C0449468 (UMLS CUI [1,2])
Familial predisposition
Item
Familiäre Vorbelastung
text
C4025765 (UMLS CUI [1])
Weight
Item
Körpergewicht
float
C0005910 (UMLS CUI [1])
Height
Item
Körpergröße
float
C0005890 (UMLS CUI [1])
Body Mass Index (BMI)
Item
Body Mass Index (BMI)
float
C1305855 (UMLS CUI [1])
Palpation result
Item
Tastbefund
text
C0030247 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
TRUS
Item
TRUS
text
C0373345 (UMLS CUI [1])
IPSS
Item
Internationaler Prostata Symptom Score
text
C1998280 (UMLS CUI [1])
QoL
Item
Lebensqualität
text
C0451401 (UMLS CUI [1])
IIEF
Item
Internationaler Index für erektile Funktion
text
C2959364 (UMLS CUI [1])
PSA / medical history
Item
PSA-Verlauf / Vorgeschichte
text
C0201544 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Comment Urologist
Item
Kommentar Urologie
text
C0947611 (UMLS CUI [1,1])
C0260314 (UMLS CUI [1,2])
Date of report
Item
Bericht vom
date
C1302584 (UMLS CUI [1])
Urologist
Item
Urologe
text
C0260314 (UMLS CUI [1])
Item Group
Gleason Score
Number of biopsy cylinder left
Item
Anzahl Biopsiezylinder links
integer
C0677862 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Number of biopsy cylinder right
Item
Anzahl Biopsiezylinder rechts
integer
C0677862 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Number of positive specimen left
Item
Anzahl positiver Proben links
integer
C1514241 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Number of positive specimen lright
Item
Anzahl positiver Proben rechts
integer
C1514241 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Biopsy specimen length
Item
Länge gesamt
integer
C0677862 (UMLS CUI [1,1])
C1273729 (UMLS CUI [1,2])
Percent of biopsy target
Item
Prozentualer Anteil des Zielgebiets
integer
C0194804 (UMLS CUI [1,1])
C1515974 (UMLS CUI [1,2])
C0439165 (UMLS CUI [1,3])
Biopsy target
Item
Zielgebiet
text
C0194804 (UMLS CUI [1,1])
C1515974 (UMLS CUI [1,2])
Gleason Score
Item
Gleason Summe
integer
C1273607 (UMLS CUI [1,1])
C0005558 (UMLS CUI [1,2])
Item Group
Pathologie Befund
No malignancy
Item
Keine Malignität
boolean
C0391857 (UMLS CUI [1])
high grade PIN
Item
high grade PIN
boolean
C1168327 (UMLS CUI [1])
Adenocarcinoma
Item
Adenokarzinom
boolean
C0007112 (UMLS CUI [1])
Total Gleason score
Item
Gleason Summe
integer
C1273607 (UMLS CUI [1])
Grading of prostate cancer (Helpap)
Item
Malignitätsgrad (Helpap)
text
C0919553 (UMLS CUI [1])
Perineural Invasion
Item
Perineurale Invasion
boolean
C1300724 (UMLS CUI [1])
Extracapsular extension
Item
Extrakapsuläres Wachstum
boolean
C1276489 (UMLS CUI [1])
Report number
Item
Journal Nr.
integer
C0684224 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Item
Prostatitis
integer
C0033581 (UMLS CUI [1])
Prostatitis
Code List
Prostatitis
CL Item
chronisch (1)
CL Item
floride (2)
CL Item
keine (3)
Comment Pathology
Item
Kommentar Pathologie
text
C0947611 (UMLS CUI [1,1])
C0030664 (UMLS CUI [1,2])
Date of report
Item
Bericht vom
date
C1302584 (UMLS CUI [1])
Pathologist
Item
Pathologe
text
C0334866 (UMLS CUI [1])
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