ID

20086

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

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  1. 2/6/17 2/6/17 -
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February 6, 2017

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Manual for tumor documentation in MEDICO Organ specific tumor documentation DCP03

German

Manual for tumor documentation in MEDICO- Appendix 3: Organ specific tumor documentation DCP03-Hematologic oncology

1 forms  
Reiter 4 Histologie
Description

Reiter 4 Histologie

Datum Befund
Description

Date of report

Data type

date

Alias
UMLS CUI [1]
C1302584
Befundzusammenfassung
Description

Summary report

Data type

text

Alias
UMLS CUI [1]
C0242482
Histo-Einsendenummern
Description

Histology specimen identification number

Data type

text

Alias
UMLS CUI [1,1]
C0019638
UMLS CUI [1,2]
C2985948
Pathologisches Institut
Description

Pathology institution

Data type

text

Alias
UMLS CUI [1,1]
C0587487
UMLS CUI [1,2]
C1301943
Morphologie Kode
Description

Morphology code

Data type

text

Alias
UMLS CUI [1]
C3889986
Morphologie Titel
Description

Morphology title

Data type

text

Alias
UMLS CUI [1,1]
C0332437
UMLS CUI [1,2]
C3888414
Morphologie Auflage
Description

Morphology Edition

Data type

integer

Alias
UMLS CUI [1,1]
C0332437
UMLS CUI [1,2]
C0441792
Immunphänotyp
Description

Immunologic phenotype

Data type

text

Alias
UMLS CUI [1,1]
C0031437
UMLS CUI [1,2]
C0205470
Bei Erstdiagnose
Description

At initial diagnosis

Data type

text

Alias
UMLS CUI [1]
C4071762
In das TB-Protokoll übernehmen
Description

Tumor board protocol

Data type

boolean

Alias
UMLS CUI [1,1]
C2985541
UMLS CUI [1,2]
C0008971
Reiter 5 Ann Arbor
Description

Reiter 5 Ann Arbor

Datum
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Stadium
Description

Stage

Data type

text

Alias
UMLS CUI [1]
C0449394
Risikofaktoren vorhanden
Description

Risk factor present

Data type

text

Alias
UMLS CUI [1,1]
C0035648
UMLS CUI [1,2]
C0150312
Extranodale Ausbreitung
Description

Extranodal involvement

Data type

text

Alias
UMLS CUI [1]
C3899187
B-Symptome
Description

B-Symptoms

Data type

text

Alias
UMLS CUI [1]
C1706867
Bulk
Description

Bulk

Data type

text

Alias
UMLS CUI [1]
C1337615
LDH erhöht
Description

LDH elevated

Data type

boolean

Alias
UMLS CUI [1,1]
C0202113
UMLS CUI [1,2]
C3163633
BSG erhöht
Description

ESR elevated

Data type

boolean

Alias
UMLS CUI [1,1]
C1176468
UMLS CUI [1,2]
C3163633
Befallene Organe: Milz
Description

Affected organs: spleen

Data type

boolean

Alias
UMLS CUI [1,1]
C0449642
UMLS CUI [1,2]
C0037993
Befallene Organe: Lunge
Description

Affected organs: Lung

Data type

boolean

Alias
UMLS CUI [1,1]
C0449642
UMLS CUI [1,2]
C0024109
Befallene Organe: Leber
Description

Affected organs: liver

Data type

boolean

Alias
UMLS CUI [1,1]
C0449642
UMLS CUI [1,2]
C0023884
Befallene Organe: Knochenmark
Description

Affected organs: bone marrow

Data type

boolean

Alias
UMLS CUI [1,1]
C0449642
UMLS CUI [1,2]
C0005953
Befallene Organe: Pleura
Description

Affected organs: Pleura

Data type

boolean

Alias
UMLS CUI [1,1]
C0449642
UMLS CUI [1,2]
C0032225
Befallene Organe: Peritoneum
Description

Affected organs: Peritoneum

Data type

boolean

Alias
UMLS CUI [1,1]
C0449642
UMLS CUI [1,2]
C0031153
Befallene Organe: Gehirn
Description

Affected organs: Brain

Data type

boolean

Alias
UMLS CUI [1,1]
C0449642
UMLS CUI [1,2]
C0006104
Befallene Organe: Nebennieren
Description

Affected organs: Adrenal glands

Data type

boolean

Alias
UMLS CUI [1,1]
C0449642
UMLS CUI [1,2]
C0001625
Befallene Organe: Haut
Description

Affected organs: Skin

Data type

boolean

Alias
UMLS CUI [1,1]
C0449642
UMLS CUI [1,2]
C1123023
Befallene Organe: Knochen
Description

Affected organs: Bones

Data type

boolean

Alias
UMLS CUI [1,1]
C0449642
UMLS CUI [1,2]
C0262950
Befallene Organe: Andere
Description

Affected organs: Other

Data type

boolean

Alias
UMLS CUI [1,1]
C0449642
UMLS CUI [1,2]
C0205394
Befallene Organe: Andere
Description

Affected organs: Other

Data type

text

Alias
UMLS CUI [1,1]
C0449642
UMLS CUI [1,2]
C0205394
Bei Erstdiagnose
Description

At initial diagnosis

Data type

text

Alias
UMLS CUI [1]
C4071762
Reiter 8 Andere Klassifikation
Description

Reiter 8 Andere Klassifikation

Datum
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Einsendenummern
Description

Specimen number

Data type

text

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0370003
Pathologisches Institut
Description

Pathology institution

Data type

text

Alias
UMLS CUI [1,1]
C0587487
UMLS CUI [1,2]
C1301943
Klassifikation
Description

Classification

Data type

text

Alias
UMLS CUI [1]
C0008902
Sonstige Klassifikation
Description

Other Classification

Data type

text

Alias
UMLS CUI [1,1]
C0920410
UMLS CUI [1,2]
C0027365
Auflage
Description

Edition

Data type

integer

Alias
UMLS CUI [1,1]
C0008902
UMLS CUI [1,2]
C0441792
Stadium
Description

Stage

Data type

text

Alias
UMLS CUI [1]
C0449394
Nierenfunktion
Description

Renal function

Data type

text

Alias
UMLS CUI [1]
C0232804
Bei Erstdiagnose
Description

At initial diagnosis

Data type

text

Alias
UMLS CUI [1]
C4071762
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Similar models

Manual for tumor documentation in MEDICO- Appendix 3: Organ specific tumor documentation DCP03-Hematologic oncology

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Reiter 4 Histologie
Date of report
Item
Datum Befund
date
C1302584 (UMLS CUI [1])
Summary report
Item
Befundzusammenfassung
text
C0242482 (UMLS CUI [1])
Histology specimen identification number
Item
Histo-Einsendenummern
text
C0019638 (UMLS CUI [1,1])
C2985948 (UMLS CUI [1,2])
Pathology institution
Item
Pathologisches Institut
text
C0587487 (UMLS CUI [1,1])
C1301943 (UMLS CUI [1,2])
Morphology code
Item
Morphologie Kode
text
C3889986 (UMLS CUI [1])
Morphology title
Item
Morphologie Titel
text
C0332437 (UMLS CUI [1,1])
C3888414 (UMLS CUI [1,2])
Morphology Edition
Item
Morphologie Auflage
integer
C0332437 (UMLS CUI [1,1])
C0441792 (UMLS CUI [1,2])
Immunologic phenotype
Item
Immunphänotyp
text
C0031437 (UMLS CUI [1,1])
C0205470 (UMLS CUI [1,2])
At initial diagnosis
Item
Bei Erstdiagnose
text
C4071762 (UMLS CUI [1])
Tumor board protocol
Item
In das TB-Protokoll übernehmen
boolean
C2985541 (UMLS CUI [1,1])
C0008971 (UMLS CUI [1,2])
Item Group
Reiter 5 Ann Arbor
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Stage
Item
Stadium
text
C0449394 (UMLS CUI [1])
Risk factor present
Item
Risikofaktoren vorhanden
text
C0035648 (UMLS CUI [1,1])
C0150312 (UMLS CUI [1,2])
Extranodal involvement
Item
Extranodale Ausbreitung
text
C3899187 (UMLS CUI [1])
B-Symptoms
Item
B-Symptome
text
C1706867 (UMLS CUI [1])
Bulk
Item
Bulk
text
C1337615 (UMLS CUI [1])
LDH elevated
Item
LDH erhöht
boolean
C0202113 (UMLS CUI [1,1])
C3163633 (UMLS CUI [1,2])
ESR elevated
Item
BSG erhöht
boolean
C1176468 (UMLS CUI [1,1])
C3163633 (UMLS CUI [1,2])
Affected organs: spleen
Item
Befallene Organe: Milz
boolean
C0449642 (UMLS CUI [1,1])
C0037993 (UMLS CUI [1,2])
Affected organs: Lung
Item
Befallene Organe: Lunge
boolean
C0449642 (UMLS CUI [1,1])
C0024109 (UMLS CUI [1,2])
Affected organs: liver
Item
Befallene Organe: Leber
boolean
C0449642 (UMLS CUI [1,1])
C0023884 (UMLS CUI [1,2])
Affected organs: bone marrow
Item
Befallene Organe: Knochenmark
boolean
C0449642 (UMLS CUI [1,1])
C0005953 (UMLS CUI [1,2])
Affected organs: Pleura
Item
Befallene Organe: Pleura
boolean
C0449642 (UMLS CUI [1,1])
C0032225 (UMLS CUI [1,2])
Affected organs: Peritoneum
Item
Befallene Organe: Peritoneum
boolean
C0449642 (UMLS CUI [1,1])
C0031153 (UMLS CUI [1,2])
Affected organs: Brain
Item
Befallene Organe: Gehirn
boolean
C0449642 (UMLS CUI [1,1])
C0006104 (UMLS CUI [1,2])
Affected organs: Adrenal glands
Item
Befallene Organe: Nebennieren
boolean
C0449642 (UMLS CUI [1,1])
C0001625 (UMLS CUI [1,2])
Affected organs: Skin
Item
Befallene Organe: Haut
boolean
C0449642 (UMLS CUI [1,1])
C1123023 (UMLS CUI [1,2])
Affected organs: Bones
Item
Befallene Organe: Knochen
boolean
C0449642 (UMLS CUI [1,1])
C0262950 (UMLS CUI [1,2])
Affected organs: Other
Item
Befallene Organe: Andere
boolean
C0449642 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Affected organs: Other
Item
Befallene Organe: Andere
text
C0449642 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
At initial diagnosis
Item
Bei Erstdiagnose
text
C4071762 (UMLS CUI [1])
Item Group
Reiter 8 Andere Klassifikation
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Specimen number
Item
Einsendenummern
text
C0600091 (UMLS CUI [1,1])
C0370003 (UMLS CUI [1,2])
Pathology institution
Item
Pathologisches Institut
text
C0587487 (UMLS CUI [1,1])
C1301943 (UMLS CUI [1,2])
Classification
Item
Klassifikation
text
C0008902 (UMLS CUI [1])
Other Classification
Item
Sonstige Klassifikation
text
C0920410 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
Edition
Item
Auflage
integer
C0008902 (UMLS CUI [1,1])
C0441792 (UMLS CUI [1,2])
Stage
Item
Stadium
text
C0449394 (UMLS CUI [1])
Renal function
Item
Nierenfunktion
text
C0232804 (UMLS CUI [1])
At initial diagnosis
Item
Bei Erstdiagnose
text
C4071762 (UMLS CUI [1])
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