Cancer Centre
Item
The form must be completed and submitted to: Regional Cancer Centre in each region.
text
C1301943 (UMLS CUI [1])
Physician
Item
Physician
text
C2826892 (UMLS CUI [1])
Hospital
Item
Hospital/Clinic
text
C0019994 (UMLS CUI [1])
Date of Report
Item
Date of Report
date
C1302584 (UMLS CUI [1])
Patient ID
Item
Patient-No.: (yyyy-mm-dd-xxxx)
text
C2348585 (UMLS CUI [1])
Patient's Name
Item
Name
text
C1299487 (UMLS CUI [1])
Contact Nurse
Item
Patient has designated contact nurse?
boolean
C0583629 (UMLS CUI [1])
Chemotherapy Single Shot
Item
Chemotherapy Single Shot?
boolean
C0392920 (UMLS CUI [1,1])
C1301654 (UMLS CUI [1,2])
Bladder Resection
Item
Resection?
boolean
C0194386 (UMLS CUI [1])
Date of Bladder Resection
Item
Resection? If yes, specify date of resection:
date
C0194386 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Bladder Resection: Detrusor
Item
If there was a resection, was the detrusor in the preparation?
boolean
C0194386 (UMLS CUI [1,1])
C1180419 (UMLS CUI [1,2])
Item
Clinical Stage: T-stage (TNM-2009)
text
C0475455 (UMLS CUI [1,1])
C0005684 (UMLS CUI [1,2])
Code List
Clinical Stage: T-stage (TNM-2009)
CL Item
T1 (lamina propria) (T1 (lamina propria))
CL Item
Ta (ej invasiv) (Ta (ej invasiv))
CL Item
T2 (ytlig muskel <1/2 och djup muskel >1/2) (T2 (ytlig muskel <1/2 och djup muskel >1/2))
CL Item
T3 (extravesical. resistens/makroskopisk och perivesic/mikroskopisk) (T3 (extravesical. resistens/makroskopisk och perivesic/mikroskopisk))
CL Item
TX (kriterier ej uppfyllda) (TX (kriterier ej uppfyllda))
CL Item
T0 (no tumor) (T0 (no tumor))
CL Item
Tis (endast primär, in situ) (Tis (endast primär, in situ))
CL Item
T4a (prostata/vagina, uterus) T4b (bäckenvägg, bukvägg, rektum) (T4a (prostata/vagina, uterus) T4b (bäckenvägg, bukvägg, rektum))
Item
Clinical Stage: Grade (WHO 1999)
text
C0441800 (UMLS CUI [1,1])
C0005684 (UMLS CUI [1,2])
Code List
Clinical Stage: Grade (WHO 1999)
Tumor Conference
Item
Discussed at multidisciplinary conference?
boolean
C2985541 (UMLS CUI [1])
Study Participation Status
Item
Participation in Clinical Trial?
boolean
C2348568 (UMLS CUI [1])
Further Treatment
Item
Further Treatment?
boolean
C0087111 (UMLS CUI [1,1])
C1517331 (UMLS CUI [1,2])
Intravesical Treatment
Item
Intravesical Treatment?
boolean
C0444473 (UMLS CUI [1])
Intravesical Treatment: Start Date
Item
Intravesical Treatment? If YES, specify Start Date:
date
C0444473 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Item
Intravesical Treatment? If YES, specify the treatment:
text
C0444473 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Code List
Intravesical Treatment? If YES, specify the treatment:
CL Item
(Cytostatika – flergångsinstillation)
Chemotherapy
Item
Systemic Chemotherapy?
boolean
C0392920 (UMLS CUI [1])
Neoadjuvant Chemotherapy
Item
Neoadjuvant?
boolean
C0600558 (UMLS CUI [1])
Induction Chemotherapy
Item
Induction?
boolean
C3179010 (UMLS CUI [1])
Adjuvant Chemotherapy
Item
Adjuvant?
boolean
C0085533 (UMLS CUI [1])
Palliative Care
Item
Palliative Care?
boolean
C0030231 (UMLS CUI [1])
Hospital for Chemotherapy
Item
Treating Hospital for Chemotherapy:
text
C0019994 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
Cystectomy
Item
Cystectomy?
boolean
C0010651 (UMLS CUI [1])
Hospital for Cystectomy
Item
Treating Hospital for Cystectomy:
text
C0019994 (UMLS CUI [1,1])
C0010651 (UMLS CUI [1,2])
Radiation: Curative Intention
Item
Radiation with curative intention?
boolean
C0851346 (UMLS CUI [1,1])
C1276305 (UMLS CUI [1,2])
Radiation: Start Date
Item
Radiation with curative intention? If YES, specify the start date:
date
C1522449 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Hospital for Radiation
Item
Radiation with curative intention? If Yes, please specify the treating hospital:
text
C0851346 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])