ID

21769

Description

Hospital Routine Documentation Subform at the University Hospital Cologne. Original Form name: CA_AHB-Befundbericht

Keywords

Versions (1)
  1. 4/29/17 4/29/17 -
Uploaded on

April 29, 2017

DOI

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License

Creative Commons BY-NC 3.0
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Cancer follow-up treatment form, University Hospital Cologne

German English

Cancer follow-up treatment form, University Hospital Cologne

1 forms  
Follow-up treatment for cancer patients
Description

Follow-up treatment for cancer patients

Alias
UMLS CUI-1
C0683527
UMLS CUI-2
C0034991
UMLS CUI-3
C0006826
Patient name
Description

Patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
Gender
Description

Gender

Data type

integer

Alias
UMLS CUI [1]
C0079399
Birth Date
Description

Birth Date

Data type

date

Measurement units
  • dd.mm.yyyy
Alias
UMLS CUI [1]
C0421451
dd.mm.yyyy
Patient address
Description

Patient address

Data type

text

Alias
UMLS CUI [1]
C0421449
Healthcare payer
Description

Healthcare payer

Data type

text

Alias
UMLS CUI [1,1]
C2348942
UMLS CUI [1,2]
C0021682
Diagnosis and localization of malignant disease
Description

Diagnosis and localization of malignant disease

Data type

text

Alias
UMLS CUI [1,1]
C0006826
UMLS CUI [1,2]
C2598420
UMLS CUI [2]
C3897292
pT Staging
Description

pT Staging

Data type

text

Alias
UMLS CUI [1]
C1272834
pN Staging
Description

pN Staging

Data type

text

Alias
UMLS CUI [1]
C1272833
pM Staging
Description

pM Staging

Data type

text

Alias
UMLS CUI [1]
C1272832
Histopathologic Grade
Description

Histopathologic Grade

Data type

integer

Alias
UMLS CUI [1]
C0919553
Hiistomorphologic finding
Description

Hiistomorphologic finding

Data type

text

Alias
UMLS CUI [1,1]
C1516204
UMLS CUI [1,2]
C0243095
Date of diagnosis
Description

Date of diagnosis

Data type

date

Measurement units
  • mm/yyyy
Alias
UMLS CUI [1]
C2316983
mm/yyyy
Hormone receptor finding
Description

Hormone receptor finding

Data type

boolean

Alias
UMLS CUI [1,1]
C0019929
UMLS CUI [1,2]
C0430022
Tumor markers
Description

Tumor markers

Data type

text

Alias
UMLS CUI [1]
C0041365
Surgical procedures
Description

Surgical procedures

Data type

boolean

Alias
UMLS CUI [1]
C0543467
Radiotherapy
Description

Radiotherapy

Data type

boolean

Alias
UMLS CUI [1]
C1522449
Cytostatic or hormone therapy
Description

Cytostatic or hormone therapy

Data type

boolean

Alias
UMLS CUI [1]
C2609342
UMLS CUI [2]
C0279025
Other treatment for malignant disease
Description

Other treatment for malignant disease

Data type

boolean

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0087111
UMLS CUI [1,3]
C0006826
Physical examination finding
Description

Physical examination finding

Alias
UMLS CUI-1
C0031809
UMLS CUI-2
C0243095
Physical examination finding
Description

Physical examination finding

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0243095
Body Height
Description

Body Height

Data type

integer

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

Body Weight

Data type

float

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

Heart rate

Data type

integer

Measurement units
  • /min
Alias
UMLS CUI [1]
C0018810
/min
Blood Pressure
Description

Blood Pressure

Data type

integer

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

Comorbidity

Alias
UMLS CUI-1
C0009488
Preternatural anus
Description

Preternatural anus

Data type

boolean

Alias
UMLS CUI [1]
C1611169
Urinary incontinence
Description

Urinary incontinence

Data type

boolean

Alias
UMLS CUI [1]
C0042024
Amputation of leg or arm
Description

Amputation of leg or arm

Data type

boolean

Alias
UMLS CUI [1]
C0337308
UMLS CUI [2]
C0186399
Severe visual impairment or blindness
Description

Severe visual impairment or blindness

Data type

boolean

Alias
UMLS CUI [1,1]
C0205082
UMLS CUI [1,2]
C3665347
UMLS CUI [2]
C0456909
Tracheostoma
Description

Tracheostoma

Data type

boolean

Alias
UMLS CUI [1]
C0260682
Fecal incontinence
Description

Fecal incontinence

Data type

boolean

Alias
UMLS CUI [1]
C0015732
Diabetes
Description

Diabetes

Data type

boolean

Alias
UMLS CUI [1]
C0011849
Urinary catheter
Description

Urinary catheter

Data type

boolean

Alias
UMLS CUI [1]
C0179802
Lymphedema
Description

Lymphedema

Data type

boolean

Alias
UMLS CUI [1]
C0024236
Drug allergy
Description

Drug allergy

Data type

boolean

Alias
UMLS CUI [1]
C0013182
Substance use disorder
Description

Substance use disorder

Data type

boolean

Alias
UMLS CUI [1]
C0038586
Karnofsky performance score
Description

Karnofsky performance score

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C0206065
%
Help with eating
Description

Help with eating

Data type

boolean

Alias
UMLS CUI [1,1]
C3641746
UMLS CUI [1,2]
C0558129
Help with washing or dressing
Description

Help with washing or dressing

Data type

boolean

Alias
UMLS CUI [1,1]
C3641746
UMLS CUI [1,2]
C0564675
UMLS CUI [1,3]
C0518459
Mobility on ward
Description

Mobility on ward

Data type

boolean

Alias
UMLS CUI [1]
C0449580
Ability to use public transportation
Description

Ability to use public transportation

Data type

boolean

Alias
UMLS CUI [1]
C0577341
Assitance with journey to follow-up treatment facility
Description

Assitance with journey to follow-up treatment facility

Data type

boolean

Alias
UMLS CUI [1,1]
C1822191
UMLS CUI [1,2]
C0683527
UMLS CUI [1,3]
C0034991
Transport by car
Description

Transport by car

Data type

boolean

Alias
UMLS CUI [1,1]
C1547285
UMLS CUI [1,2]
C0034991
Ambulance transport
Description

Ambulance transport

Data type

boolean

Alias
UMLS CUI [1]
C1547284
Date of report
Description

Date of report

Data type

date

Measurement units
  • dd.mm.yyyy
Alias
UMLS CUI [1]
C1302584
dd.mm.yyyy
Signature physician
Description

Signature physician

Data type

text

Alias
UMLS CUI [1]
C0807938
Medical specialty and ward
Description

Medical specialty and ward

Data type

text

Alias
UMLS CUI [1,1]
C0037778
UMLS CUI [1,2]
C1305702
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Similar models

Cancer follow-up treatment form, University Hospital Cologne

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
C0683527 (UMLS CUI-1)
C0034991 (UMLS CUI-2)
C0006826 (UMLS CUI-3)
Patient name
Item
text
C1299487 (UMLS CUI [1])
Item
integer
C0079399 (UMLS CUI [1])
Gender
Code List
Gender
CL Item
 (1)
CL Item
 (2)
Birth Date
Item
date
C0421451 (UMLS CUI [1])
Patient address
Item
text
C0421449 (UMLS CUI [1])
Healthcare payer
Item
text
C2348942 (UMLS CUI [1,1])
C0021682 (UMLS CUI [1,2])
Diagnosis and localization of malignant disease
Item
text
C0006826 (UMLS CUI [1,1])
C2598420 (UMLS CUI [1,2])
C3897292 (UMLS CUI [2])
pT Staging
Item
text
C1272834 (UMLS CUI [1])
pN Staging
Item
text
C1272833 (UMLS CUI [1])
pM Staging
Item
text
C1272832 (UMLS CUI [1])
Item
integer
C0919553 (UMLS CUI [1])
Histopathologic Grade
Code List
Histopathologic Grade
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
Hiistomorphologic finding
Item
text
C1516204 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
Date of diagnosis
Item
date
C2316983 (UMLS CUI [1])
Hormone receptor finding
Item
boolean
C0019929 (UMLS CUI [1,1])
C0430022 (UMLS CUI [1,2])
Tumor markers
Item
text
C0041365 (UMLS CUI [1])
Surgical procedures
Item
boolean
C0543467 (UMLS CUI [1])
Radiotherapy
Item
boolean
C1522449 (UMLS CUI [1])
Cytostatic or hormone therapy
Item
boolean
C2609342 (UMLS CUI [1])
C0279025 (UMLS CUI [2])
Other treatment for malignant disease
Item
boolean
C0205394 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,3])
Item Group
C0031809 (UMLS CUI-1)
C0243095 (UMLS CUI-2)
Physical examination finding
Item
text
C0031809 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
Body Height
Item
integer
C0005890 (UMLS CUI [1])
Body Weight
Item
float
C0005910 (UMLS CUI [1])
Heart rate
Item
integer
C0018810 (UMLS CUI [1])
Blood Pressure
Item
integer
C0005823 (UMLS CUI [1])
Item Group
C0009488 (UMLS CUI-1)
Preternatural anus
Item
boolean
C1611169 (UMLS CUI [1])
Urinary incontinence
Item
boolean
C0042024 (UMLS CUI [1])
Amputation of leg or arm
Item
boolean
C0337308 (UMLS CUI [1])
C0186399 (UMLS CUI [2])
Severe visual impairment or blindness
Item
boolean
C0205082 (UMLS CUI [1,1])
C3665347 (UMLS CUI [1,2])
C0456909 (UMLS CUI [2])
Tracheostoma
Item
boolean
C0260682 (UMLS CUI [1])
Fecal incontinence
Item
boolean
C0015732 (UMLS CUI [1])
Diabetes
Item
boolean
C0011849 (UMLS CUI [1])
Urinary catheter
Item
boolean
C0179802 (UMLS CUI [1])
Lymphedema
Item
boolean
C0024236 (UMLS CUI [1])
Drug allergy
Item
boolean
C0013182 (UMLS CUI [1])
Substance use disorder
Item
boolean
C0038586 (UMLS CUI [1])
Karnofsky performance score
Item
integer
C0206065 (UMLS CUI [1])
Help with eating
Item
boolean
C3641746 (UMLS CUI [1,1])
C0558129 (UMLS CUI [1,2])
Help with washing or dressing
Item
boolean
C3641746 (UMLS CUI [1,1])
C0564675 (UMLS CUI [1,2])
C0518459 (UMLS CUI [1,3])
Mobility on ward
Item
boolean
C0449580 (UMLS CUI [1])
Ability to use public transportation
Item
boolean
C0577341 (UMLS CUI [1])
Assitance with journey to follow-up treatment facility
Item
boolean
C1822191 (UMLS CUI [1,1])
C0683527 (UMLS CUI [1,2])
C0034991 (UMLS CUI [1,3])
Transport by car
Item
boolean
C1547285 (UMLS CUI [1,1])
C0034991 (UMLS CUI [1,2])
Ambulance transport
Item
boolean
C1547284 (UMLS CUI [1])
Date of report
Item
date
C1302584 (UMLS CUI [1])
Signature physician
Item
text
C0807938 (UMLS CUI [1])
Medical specialty and ward
Item
text
C0037778 (UMLS CUI [1,1])
C1305702 (UMLS CUI [1,2])
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