ID

20014

Description

"Zur Dokumentation der Tumorerkrankungen wurde in Medico eine dem ADT/ GEKID konforme Tumordokumentation eingerichtet. Sukzessive wurde sie mit zusätzlichen Merkmalen ergänzt, damit alle notwendigen Informationen, die auch zur vollständigen Dokumentation der Tumorboardbeschlüsse und zur Bedienung diverser Anfragen erforderlich sind, in Medico abrufbar sind." Dieses Handbuch bezieht sich auf die Tumordokumentation im "Basisbogen" der Medico-Tumordokumentation und auf die Dokumentation solider Tumore. Spezifische Dokumentationsmerkmale für systemische Erkrankungen und multiple Hauttumore werden folgen. Für die Anlage des Basisbogens in Medico und Anmeldung zum Tumorboard sowie für die Dokumentation des Tumorboards inklusive des zugehörigen Beschlusses wurde jeweils eine eigene Anleitung erstellt. Diese stehen allen Mitarbeiterinnen und Mitarbeitern im QM-Handbuch des UK Essen über das Dokumentenmanagementsystem roXtra zur Verfügung. https://roxtra.uk-es-sen.de/Roxtra/preview/pdf/Anlegen+des+Basisbogens+und+Anmeldung+zur+Tumorkonferenz.pdf?Type=PDF&FileID=33846 https://roxtra.uk-essen.de/Roxtra/preview/pdf/Dokumentation+der+Tumorkonferenz.pdf?Type=PDF&FileID=33851

Link

https://roxtra.uk-es-sen.de/Roxtra/preview/pdf/Anlegen+des+Basisbogens+und+Anmeldung+zur+Tumorkonferenz.pdf?Type=PDF&FileID=33846

Keywords

Versions (1)
  1. 2/3/17 2/3/17 -
Uploaded on

February 3, 2017

DOI

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License

Creative Commons BY-NC 3.0
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Manual for tumor documentation in MEDICO Organ specific tumor documentation DCP02

German English

Manual for tumor documentation in MEDICO- Appendix 3: Organ specific tumor documentation DCP02-LZ

1 forms  
Tab 1 primary tumor
Description

Tab 1 primary tumor

Risk factors
Description

Risk factors

Data type

integer

Alias
UMLS CUI [1]
C0035648
Smoking Status
Description

Smoking Status

Data type

integer

Alias
UMLS CUI [1]
C1519386
Smoking Status
Description

Smoking Status

Data type

integer

Alias
UMLS CUI [1]
C1519386
Smoking Status
Description

Smoking Status

Data type

date

Alias
UMLS CUI [1]
C1519386
Smoking Status
Description

Smoking Status

Data type

integer

Alias
UMLS CUI [1]
C1519386
Height
Description

Height

Data type

float

Measurement units
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Weight
Description

Weight

Data type

float

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

Weight loss

Data type

float

Measurement units
  • kg
Alias
UMLS CUI [1]
C0936227
kg
BMI
Description

BMI

Data type

float

Measurement units
  • kg/m2
Alias
UMLS CUI [1]
C1305855
kg/m2
Blood Pressure
Description

Blood Pressure

Data type

text

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0005823
mmHg
Heart rate
Description

Heart rate

Data type

integer

Measurement units
  • bpm
Alias
UMLS CUI [1]
C0018810
bpm
Body Temperature
Description

Body Temperature

Data type

float

Measurement units
  • °C
Alias
UMLS CUI [1]
C0005903
°C
SpO2
Description

SpO2

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C0428179
%
respiratory rate
Description

respiratory rate

Data type

integer

Measurement units
  • /minute
Alias
UMLS CUI [1]
C0231832
/minute
Tab 2 Localization
Description

Tab 2 Localization

Lung lobe
Description

Lung lobe

Data type

text

Alias
UMLS CUI [1]
C0225752
Tab 5 Pathologic findings
Description

Tab 5 Pathologic findings

Lung cancer
Description

Lung cancer

Data type

text

Alias
UMLS CUI [1]
C0242379
Source of Lymph node
Description

Source of Lymph node

Data type

text

Alias
UMLS CUI [1,1]
C0024204
UMLS CUI [1,2]
C0449425
Tumor size histology
Description

Tumor size histology

Data type

text

Alias
UMLS CUI [1,1]
C0475440
UMLS CUI [1,2]
C0344441
Molecular genetic examination and immunologic biomarkers
Description

Molecular genetic examination and immunologic biomarkers

Data type

integer

Alias
UMLS CUI [1]
C1294203
UMLS CUI [2]
C0041366
EGFR
Description

EGFR

Data type

text

Alias
UMLS CUI [1]
C0034802
EML4-ALK
Description

EML4-ALK

Data type

text

Alias
UMLS CUI [1]
C3499377
ROS1
Description

ROS1

Data type

text

Alias
UMLS CUI [1]
C0812281
BRAF
Description

BRAF

Data type

text

Alias
UMLS CUI [1]
C0812241
K-RAS
Description

K-RAS

Data type

text

Alias
UMLS CUI [1]
C2697836
PD1-L
Description

PD1-L

Data type

text

Alias
UMLS CUI [1]
C2986635
Tab 9 Course of disease
Description

Tab 9 Course of disease

Examinations
Description

Examinations

Data type

integer

Alias
UMLS CUI [1]
C0582103
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Similar models

Manual for tumor documentation in MEDICO- Appendix 3: Organ specific tumor documentation DCP02-LZ

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item
integer
C0035648 (UMLS CUI [1])
rectum part according to UICC
Code List
Risk factors
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Item
integer
C1519386 (UMLS CUI [1])
Smoking Status
Code List
Smoking Status
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Smoking Status
Item
integer
C1519386 (UMLS CUI [1])
Smoking Status
Item
date
C1519386 (UMLS CUI [1])
Smoking Status
Item
integer
C1519386 (UMLS CUI [1])
Height
Item
float
C0005890 (UMLS CUI [1])
Weight
Item
float
C0005910 (UMLS CUI [1])
Weight loss
Item
float
C0936227 (UMLS CUI [1])
BMI
Item
float
C1305855 (UMLS CUI [1])
Blood Pressure
Item
text
C0005823 (UMLS CUI [1])
Heart rate
Item
integer
C0018810 (UMLS CUI [1])
Body Temperature
Item
float
C0005903 (UMLS CUI [1])
SpO2
Item
integer
C0428179 (UMLS CUI [1])
respiratory rate
Item
integer
C0231832 (UMLS CUI [1])
Item
text
C0225752 (UMLS CUI [1])
Mismatch-Repair-(MMR)-Genetic defects
Code List
Lung lobe
Lung cancer
Item
text
C0242379 (UMLS CUI [1])
Source of Lymph node
Item
text
C0024204 (UMLS CUI [1,1])
C0449425 (UMLS CUI [1,2])
Tumor size histology
Item
text
C0475440 (UMLS CUI [1,1])
C0344441 (UMLS CUI [1,2])
Item
integer
C1294203 (UMLS CUI [1])
C0041366 (UMLS CUI [2])
Molecular genetic examination and immunologic biomarkers
Code List
Molecular genetic examination and immunologic biomarkers
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
CL Item
 (5)
CL Item
 (6)
EGFR
Item
text
C0034802 (UMLS CUI [1])
EML4-ALK
Item
text
C3499377 (UMLS CUI [1])
ROS1
Item
text
C0812281 (UMLS CUI [1])
BRAF
Item
text
C0812241 (UMLS CUI [1])
K-RAS
Item
text
C2697836 (UMLS CUI [1])
PD1-L
Item
text
C2986635 (UMLS CUI [1])
Item
integer
C0582103 (UMLS CUI [1])
Examinations
Code List
Examinations
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
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