ID

18127

Descripción

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

Palabras clave

  1. 21/10/16 21/10/16 -
  2. 21/10/16 21/10/16 -
Subido en

21 de octubre de 2016

DOI

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Licencia

Creative Commons BY-NC 3.0

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Prostate biopsy report University Hospital Muenster (UKM)

Prostate biopsy report University Hospital Muenster (UKM)

Demographische Informationen
Descripción

Demographische Informationen

Patientenname
Descripción

Patient Name

Tipo de datos

text

Alias
UMLS CUI [1]
C1299487
Geburtsdatum
Descripción

Birth Date

Tipo de datos

date

Alias
UMLS CUI [1]
C0421451
Aufnahmezeit
Descripción

Time of admission

Tipo de datos

time

Alias
UMLS CUI [1]
C3854259
Aufnahmedatum
Descripción

Date of admission

Tipo de datos

date

Alias
UMLS CUI [1]
C1302393
Beruf
Descripción

Occupation

Tipo de datos

text

Alias
UMLS CUI [1]
C0028811
Arbeitgeber:
Descripción

Employer

Tipo de datos

text

Alias
UMLS CUI [1]
C1274022
Nachricht an
Descripción

Information to

Tipo de datos

text

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

Information to: Phone number

Tipo de datos

integer

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

Referring physician

Tipo de datos

text

Alias
UMLS CUI [1]
C1709880
Einweisender Arzt Telefon
Descripción

Referring physician: phone number

Tipo de datos

integer

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

Referring physician address

Tipo de datos

text

Alias
UMLS CUI [1]
C3669301
Allgemeine urologische Angeben
Descripción

Allgemeine urologische Angeben

Bericht am
Descripción

Report date

Tipo de datos

date

Alias
UMLS CUI [1]
C1302584
Anz. Seiten
Descripción

Number of pages

Tipo de datos

integer

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

Fax

Tipo de datos

integer

Alias
UMLS CUI [1]
C1549619
Urologe
Descripción

Urologist

Tipo de datos

text

Alias
UMLS CUI [1]
C0260314
Hausarzt
Descripción

Primary physician

Tipo de datos

text

Alias
UMLS CUI [1]
C1508823
Datum Biopsie
Descripción

Biopsy Date

Tipo de datos

date

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

PSA

Tipo de datos

float

Alias
UMLS CUI [1]
C0201544
freies PSA
Descripción

Free PSA

Tipo de datos

float

Unidades de medida
  • ng/ml
Alias
UMLS CUI [1]
C1255517
ng/ml
Access Hybritech freies PSA
Descripción

Access Hybritech free PSA

Tipo de datos

integer

Unidades de medida
  • %
Alias
UMLS CUI [1,1]
C1255517
UMLS CUI [1,2]
C3829584
%
Prostatavolumen
Descripción

Prostate volume

Tipo de datos

integer

Unidades de medida
  • ccm
Alias
UMLS CUI [1]
C1441416
ccm
Übergangszone
Descripción

Transitional zone

Tipo de datos

integer

Unidades de medida
  • ccm
Alias
UMLS CUI [1,1]
C1261214
UMLS CUI [1,2]
C0449468
ccm
Familiäre Vorbelastung
Descripción

Familial predisposition

Tipo de datos

text

Alias
UMLS CUI [1]
C4025765
Körpergewicht
Descripción

Weight

Tipo de datos

float

Unidades de medida
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Körpergröße
Descripción

Height

Tipo de datos

float

Unidades de medida
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Body Mass Index (BMI)
Descripción

Body Mass Index (BMI)

Tipo de datos

float

Alias
UMLS CUI [1]
C1305855
Tastbefund
Descripción

Palpation result

Tipo de datos

text

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

TRUS

Tipo de datos

text

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

IPSS

Tipo de datos

text

Alias
UMLS CUI [1]
C1998280
Lebensqualität
Descripción

QoL

Tipo de datos

text

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

IIEF

Tipo de datos

text

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

PSA / medical history

Tipo de datos

text

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

Comment Urologist

Tipo de datos

text

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

Date of report

Tipo de datos

date

Alias
UMLS CUI [1]
C1302584
Urologe
Descripción

Urologist

Tipo de datos

text

Alias
UMLS CUI [1]
C0260314
Gleason Score
Descripción

Gleason Score

Anzahl Biopsiezylinder links
Descripción

Number of biopsy cylinder left

Tipo de datos

integer

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

Number of biopsy cylinder right

Tipo de datos

integer

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

Number of positive specimen left

Tipo de datos

integer

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

Number of positive specimen lright

Tipo de datos

integer

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

Biopsy specimen length

Tipo de datos

integer

Unidades de medida
  • mm
Alias
UMLS CUI [1,1]
C0677862
UMLS CUI [1,2]
C1273729
mm
Prozentualer Anteil des Zielgebiets
Descripción

Percent of biopsy target

Tipo de datos

integer

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

Biopsy target

Tipo de datos

text

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

Gleason Score

Tipo de datos

integer

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

Pathologie Befund

Keine Malignität
Descripción

No malignancy

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0391857
high grade PIN
Descripción

high grade PIN

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1168327
Adenokarzinom
Descripción

Adenocarcinoma

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0007112
Gleason Summe
Descripción

Total Gleason score

Tipo de datos

integer

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

Grading of prostate cancer (Helpap)

Tipo de datos

text

Alias
UMLS CUI [1]
C0919553
Perineurale Invasion
Descripción

Perineural Invasion

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1300724
Extrakapsuläres Wachstum
Descripción

Extracapsular extension

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1276489
Journal Nr.
Descripción

Report number

Tipo de datos

integer

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

Prostatitis

Tipo de datos

integer

Alias
UMLS CUI [1]
C0033581
Kommentar Pathologie
Descripción

Comment Pathology

Tipo de datos

text

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

Date of report

Tipo de datos

date

Alias
UMLS CUI [1]
C1302584
Pathologe
Descripción

Pathologist

Tipo de datos

text

Alias
UMLS CUI [1]
C0334866

Similar models

Prostate biopsy report University Hospital Muenster (UKM)

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
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])
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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