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ID
4054
Beschreibung
base-dataset from ADT - autopsy, ODM derived from http://www.tumorzentren.de/tl_files/dokumente/adt_basis.pdf
Link
http://www.tumorzentren.de/tl_files/dokumente/adt_basis.pdf
Stichworte
Versionen (2)
- 01.08.13 01.08.13 -
- 27.09.21 27.09.21 -
Hochgeladen am
1. August 2013
DOI
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Lizenz
Creative Commons BY-NC 3.0 Legacy
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quality management ADT-autopsy cancer
quality management
- StudyEvent: quality management
Ähnliche Modelle
quality management
- StudyEvent: quality management
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Patientenidentifikationsnummer
Item
patient number
string
Patients (Code-1)
C0030705 (UMLS CUI-1)
116154003 (SNOMED CT-1)
Identification number (Code-2)
C1300638 (UMLS CUI-2)
396278008 (SNOMED CT-2)
C0030705 (UMLS CUI-1)
116154003 (SNOMED CT-1)
Identification number (Code-2)
C1300638 (UMLS CUI-2)
396278008 (SNOMED CT-2)
Krankenkasse
Item
Health Insurance
string
C0021682 (UMLS CUI-1)
Telefon
Item
Patient telephone number
string
C0421455 (UMLS CUI-1)
184103008 (SNOMED CT-1)
184103008 (SNOMED CT-1)
Name
Item
Patient surname
string
C0421448 (UMLS CUI-1)
184096005 (SNOMED CT-1)
184096005 (SNOMED CT-1)
Geburtsname
Item
Maiden Name
string
C0806887 (UMLS CUI-1)
423203003 (SNOMED CT-1)
MTHU010481 (LOINC-1)
Patients (Code-2)
C0030705 (UMLS CUI-2)
116154003 (SNOMED CT-2)
423203003 (SNOMED CT-1)
MTHU010481 (LOINC-1)
Patients (Code-2)
C0030705 (UMLS CUI-2)
116154003 (SNOMED CT-2)
Vorname
Item
Patient forename
string
C0421447 (UMLS CUI-1)
184095009 (SNOMED CT-1)
184095009 (SNOMED CT-1)
CL Item
Female (weiblich)
C0015780 (UMLS CUI-1)
1086007 (SNOMED CT-1)
1086007 (SNOMED CT-1)
CL Item
Male gender (männlich)
C0024554 (UMLS CUI-1)
10052007 (SNOMED CT-1)
10052007 (SNOMED CT-1)
Geburtsdatum
Item
Patient date of birth
date
C0421451 (UMLS CUI-1)
184099003 (SNOMED CT-1)
184099003 (SNOMED CT-1)
Staatsangehörigkeit
Item
Ethnicity / related nationality data
string
C0438960 (UMLS CUI-1)
186034007 (SNOMED CT-1)
Patients (Code-2)
C0030705 (UMLS CUI-2)
116154003 (SNOMED CT-2)
186034007 (SNOMED CT-1)
Patients (Code-2)
C0030705 (UMLS CUI-2)
116154003 (SNOMED CT-2)
Straße
Item
Street Address
string
C1301826 (UMLS CUI-1)
398099009 (SNOMED CT-1)
Patient address (Code-2)
C0421449 (UMLS CUI-2)
184097001 (SNOMED CT-2)
398099009 (SNOMED CT-1)
Patient address (Code-2)
C0421449 (UMLS CUI-2)
184097001 (SNOMED CT-2)
PLZ
Item
Patient postal code
integer
C0421454 (UMLS CUI-1)
184102003 (SNOMED CT-1)
184102003 (SNOMED CT-1)
Ort
Item
City of residence
string
C2316883 (UMLS CUI-1)
433178008 (SNOMED CT-1)
Patient address (Code-2)
C0421449 (UMLS CUI-2)
184097001 (SNOMED CT-2)
433178008 (SNOMED CT-1)
Patient address (Code-2)
C0421449 (UMLS CUI-2)
184097001 (SNOMED CT-2)
Datum der Autopsie
Item
Date of Autopsy
date
Date in time (Code-1)
C0011008 (UMLS CUI-1)
410671006 (SNOMED CT-1)
MTHU021546 (LOINC-1)
Autopsy (Code-2)
C0004398 (UMLS CUI-2)
29240004 (SNOMED CT-2)
10050117 (MedDRA-2)
89.8 (ICD-10-CM-2)
C0011008 (UMLS CUI-1)
410671006 (SNOMED CT-1)
MTHU021546 (LOINC-1)
Autopsy (Code-2)
C0004398 (UMLS CUI-2)
29240004 (SNOMED CT-2)
10050117 (MedDRA-2)
89.8 (ICD-10-CM-2)
Item
Generic tumor staging descriptor
integer
for_compare (Code-Info)
Generic tumor staging descriptor (tumor staging) (Code-1)
C0475266 (UMLS CUI-1)
258233007 (SNOMED CT-1)
Generic tumor staging descriptor (tumor staging) (Code-1)
C0475266 (UMLS CUI-1)
258233007 (SNOMED CT-1)
CL Item
neoadjuvant therapy (y) (nach Neoadjuvanter Therapie (y))
changed_datatype, merged_coding (Code-Info)
Tumor staging descriptor y (tumor staging) (Code-1)
C0439147 (UMLS CUI-1)
421755005 (SNOMED CT-1)
Tumor staging descriptor y (tumor staging) (Code-1)
C0439147 (UMLS CUI-1)
421755005 (SNOMED CT-1)
CL Item
relapse stage (r) (Rezidiv)
changed_datatype, merged_coding (Code-Info)
Tumor staging descriptor r (tumor staging) (Code-1)
C1704239 (UMLS CUI-1)
421188008 (SNOMED CT-1)
Tumor staging descriptor r (tumor staging) (Code-1)
C1704239 (UMLS CUI-1)
421188008 (SNOMED CT-1)
Ausbreitung des Primärtumors (T)
Item
T Stage
string
C0475455 (UMLS CUI-1)
260878002 (SNOMED CT-1)
a - At autopsy (tumor staging) (Code-2)
C0456886 (UMLS CUI-2)
277646006 (SNOMED CT-2)
260878002 (SNOMED CT-1)
a - At autopsy (tumor staging) (Code-2)
C0456886 (UMLS CUI-2)
277646006 (SNOMED CT-2)
Ausbreitung der regionären Lymphknotenmetastasen (N)
Item
N - Regional lymph node stage
string
N category (observable entity) (Code-1)
C0456532 (UMLS CUI-1)
277206009 (SNOMED CT-1)
a - At autopsy (tumor staging) (Code-2)
C0456886 (UMLS CUI-2)
277646006 (SNOMED CT-2)
C0456532 (UMLS CUI-1)
277206009 (SNOMED CT-1)
a - At autopsy (tumor staging) (Code-2)
C0456886 (UMLS CUI-2)
277646006 (SNOMED CT-2)
Fernmetastasen (M)
Item
M Stage
string
C0456533 (UMLS CUI-1)
77208005 (SNOMED CT-1)
a - At autopsy (tumor staging) (Code-2)
C0456886 (UMLS CUI-2)
277646006 (SNOMED CT-2)
77208005 (SNOMED CT-1)
a - At autopsy (tumor staging) (Code-2)
C0456886 (UMLS CUI-2)
277646006 (SNOMED CT-2)
Ann Arbor Klassifikation
Item
Ann Arbor Lymphoma Staging System
string
C0432516 (UMLS CUI-1)
254372002 (SNOMED CT-1)
254372002 (SNOMED CT-1)
Sonstige Klassifikation
Item
other Classification
string
Staging System (Code-1)
C0449394 (UMLS CUI-1)
246231009 (SNOMED CT-1)
C0449394 (UMLS CUI-1)
246231009 (SNOMED CT-1)
Stadium
Item
Stage
integer
Stage (Code-1)
C1300072 (UMLS CUI-1)
371508000 (SNOMED CT-1)
Staging System (Code-2)
C0449394 (UMLS CUI-2)
246231009 (SNOMED CT-2)
C1300072 (UMLS CUI-1)
371508000 (SNOMED CT-1)
Staging System (Code-2)
C0449394 (UMLS CUI-2)
246231009 (SNOMED CT-2)
Bitte Klartext, falls nicht oben verschlüsselt
Item
Classification/Stage Freetext
string
Free Text Format (Code-1)
C2348713 (UMLS CUI-1)
Stage (Code-2)
C1300072 (UMLS CUI-2)
371508000 (SNOMED CT-2)
Staging System (Code-3)
C0449394 (UMLS CUI-3)
246231009 (SNOMED CT-3)
C2348713 (UMLS CUI-1)
Stage (Code-2)
C1300072 (UMLS CUI-2)
371508000 (SNOMED CT-2)
Staging System (Code-3)
C0449394 (UMLS CUI-3)
246231009 (SNOMED CT-3)
Pathologisches Institut
Item
General pathology department
string
C0587490 (UMLS CUI-1)
309953001 (SNOMED CT-1)
309953001 (SNOMED CT-1)
Histologie - Datum
Item
Date of pathology report
date
Date of pathology report (observable entity) (Code-1)
C1302659 (UMLS CUI-1)
399737008 (SNOMED CT-1)
C1302659 (UMLS CUI-1)
399737008 (SNOMED CT-1)
Histologie ICD-0-3
Item
Histology ICD-O-3
string
ICDO3 Morphology Axis (Code-1)
CL364362 (UMLS CUI-1)
Autopsy (Code-2)
C0004398 (UMLS CUI-2)
29240004 (SNOMED CT-2)
10050117 (MedDRA-2)
89.8 (ICD-10-CM-2)
CL364362 (UMLS CUI-1)
Autopsy (Code-2)
C0004398 (UMLS CUI-2)
29240004 (SNOMED CT-2)
10050117 (MedDRA-2)
89.8 (ICD-10-CM-2)
Grading G
Item
Histologic Grade
string
C0919553 (UMLS CUI-1)
371469007 (SNOMED CT-1)
Autopsy (Code-2)
C0004398 (UMLS CUI-2)
29240004 (SNOMED CT-2)
10050117 (MedDRA-2)
89.8 (ICD-10-CM-2)
371469007 (SNOMED CT-1)
Autopsy (Code-2)
C0004398 (UMLS CUI-2)
29240004 (SNOMED CT-2)
10050117 (MedDRA-2)
89.8 (ICD-10-CM-2)
Anzahl untersuchter Lymphknoten
Item
Number of lymph nodes examined
integer
C2733494 (UMLS CUI-1)
444025001 (SNOMED CT-1)
444025001 (SNOMED CT-1)
Anzahl befallene Lymphknoten
Item
Number of lymph nodes involved by malignant neoplasm
integer
Number of lymph nodes involved by malignant neoplasm (observable entity) (Code-1)
C2732750 (UMLS CUI-1)
443527007 (SNOMED CT-1)
C2732750 (UMLS CUI-1)
443527007 (SNOMED CT-1)
Item
Lymph vessel invasion
integer
Lymphatic (small vessel) tumor invasion finding (finding) (Code-1)
C1272791 (UMLS CUI-1)
385414009 (SNOMED CT-1)
C1272791 (UMLS CUI-1)
385414009 (SNOMED CT-1)
CL Item
L0 Stage Finding (L0 = keine Lymphgefäßinvasion)
C0441917 (UMLS CUI-1)
44649003 (SNOMED CT-1)
44649003 (SNOMED CT-1)
CL Item
L1 Stage Finding (L1)
C0441918 (UMLS CUI-1)
74139005 (SNOMED CT-1)
74139005 (SNOMED CT-1)
CL Item
LX Stage Finding (LX = nicht beurteilbar)
C0441916 (UMLS CUI-1)
33419001 (SNOMED CT-1)
33419001 (SNOMED CT-1)
CL Item
V0 Stage Finding (V0 = keine Veneninvasion)
C0441906 (UMLS CUI-1)
40223008 (SNOMED CT-1)
40223008 (SNOMED CT-1)
CL Item
V1 Stage Finding (V1)
C0457422 (UMLS CUI-1)
67302005 (SNOMED CT-1)
67302005 (SNOMED CT-1)
CL Item
V2 Stage Finding (V2)
C0457423 (UMLS CUI-1)
50064003 (SNOMED CT-1)
50064003 (SNOMED CT-1)
CL Item
VX Stage Finding (VX = nicht beurteilbar)
C0441905 (UMLS CUI-1)
6510002 (SNOMED CT-1)
6510002 (SNOMED CT-1)
Item
Primary Neoplasm
integer
Primary Malignant Neoplasm (Code-1)
C1306459 (UMLS CUI-1)
372087000 (SNOMED CT-1)
C1306459 (UMLS CUI-1)
372087000 (SNOMED CT-1)
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignant Neoplasm to the regional Lymph Nodes
integer
C0686619 (UMLS CUI-1)
94392001 (SNOMED CT-1)
10027459 (MedDRA-1)
C77.9 (ICD-10-CM-1)
196.9 (ICD-9-CM-1)
Local-Regional (Code-2)
C0205276 (UMLS CUI-2)
255470001 (SNOMED CT-2)
94392001 (SNOMED CT-1)
10027459 (MedDRA-1)
C77.9 (ICD-10-CM-1)
196.9 (ICD-9-CM-1)
Local-Regional (Code-2)
C0205276 (UMLS CUI-2)
255470001 (SNOMED CT-2)
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
261665006 (SNOMED CT-1)
Fernmetastasen
Item
distant metastasis
boolean
for_compare (Code-Info)
Distant Metastasis (Code-1)
CL278860 (UMLS CUI-1)
Distant Metastasis (Code-1)
CL278860 (UMLS CUI-1)
Item
Metastatic Malignant Neoplasm to distant Lymph Nodes
integer
C0686619 (UMLS CUI-1)
94392001 (SNOMED CT-1)
10027459 (MedDRA-1)
C77.9 (ICD-10-CM-1)
196.9 (ICD-9-CM-1)
Distant (Code-2)
C0443203 (UMLS CUI-2)
261007001 (SNOMED CT-2)
94392001 (SNOMED CT-1)
10027459 (MedDRA-1)
C77.9 (ICD-10-CM-1)
196.9 (ICD-9-CM-1)
Distant (Code-2)
C0443203 (UMLS CUI-2)
261007001 (SNOMED CT-2)
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignant Neoplasm to the Lung
integer
C0153676 (UMLS CUI-1)
94391008 (SNOMED CT-1)
10027473 (MedDRA-1)
C78.0 (ICD-10-CM-1)
197 (ICD-9-CM-1)
94391008 (SNOMED CT-1)
10027473 (MedDRA-1)
C78.0 (ICD-10-CM-1)
197 (ICD-9-CM-1)
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignant Neoplasm to the Liver
integer
C0494165 (UMLS CUI-1)
94381002 (SNOMED CT-1)
10027457 (MedDRA-1)
94381002 (SNOMED CT-1)
10027457 (MedDRA-1)
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
261665006 (SNOMED CT-1)
Item
Metastatic malignant neoplasm to brain
integer
C0220650 (UMLS CUI-1)
94225005 (SNOMED CT-1)
10027453 (MedDRA-1)
C79.31 (ICD-10-CM-1)
94225005 (SNOMED CT-1)
10027453 (MedDRA-1)
C79.31 (ICD-10-CM-1)
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignant Neoplasm to the Pleura
integer
C0153678 (UMLS CUI-1)
94493005 (SNOMED CT-1)
10035608 (MedDRA-1)
C78.2 (ICD-10-CM-1)
94493005 (SNOMED CT-1)
10035608 (MedDRA-1)
C78.2 (ICD-10-CM-1)
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
261665006 (SNOMED CT-1)
Item
Secondary malignant neoplasm of skin
integer
C0153687 (UMLS CUI-1)
94579000 (SNOMED CT-1)
10027465 (MedDRA-1)
C79.2 (ICD-10-CM-1)
94579000 (SNOMED CT-1)
10027465 (MedDRA-1)
C79.2 (ICD-10-CM-1)
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignant Neoplasm to the Bone
integer
C0153690 (UMLS CUI-1)
94222008 (SNOMED CT-1)
10027452 (MedDRA-1)
C79.5 (ICD-10-CM-1)
94222008 (SNOMED CT-1)
10027452 (MedDRA-1)
C79.5 (ICD-10-CM-1)
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignat Neoplasm to the adrenal gland
integer
secondary malignant neoplasm of adrenal gland (disorder) (Code-1)
C0153691 (UMLS CUI-1)
94161006 (SNOMED CT-1)
10039870 (MedDRA-1)
C79.7 (ICD-10-CM-1)
C0153691 (UMLS CUI-1)
94161006 (SNOMED CT-1)
10039870 (MedDRA-1)
C79.7 (ICD-10-CM-1)
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignant Neoplasm to the Peritoneum
integer
C0346989 (UMLS CUI-1)
94627008 (SNOMED CT-1)
10051676 (MedDRA-1)
94627008 (SNOMED CT-1)
10051676 (MedDRA-1)
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignant Neoplasm to the Spleen
integer
Secondary malignant neoplasm of spleen (disorder) (Code-1)
C0346977 (UMLS CUI-1)
94603006 (SNOMED CT-1)
10051682 (MedDRA-1)
C0346977 (UMLS CUI-1)
94603006 (SNOMED CT-1)
10051682 (MedDRA-1)
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignant Neoplasm to the Ovary
integer
Metastatic Malignant Neoplasm to the Ovary (Code-1)
C0036527 (UMLS CUI-1)
94455000 (SNOMED CT-1)
10027462 (MedDRA-1)
C0036527 (UMLS CUI-1)
94455000 (SNOMED CT-1)
10027462 (MedDRA-1)
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignant Neoplasm to the Bone Marrow
integer
C0346979 (UMLS CUI-1)
94217008 (SNOMED CT-1)
10051662 (MedDRA-1)
C79.52 (ICD-10-CM-1)
94217008 (SNOMED CT-1)
10051662 (MedDRA-1)
C79.52 (ICD-10-CM-1)
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
261665006 (SNOMED CT-1)
Item
Distant metastasis (other organs)
integer
Distant Metastasis (Code-1)
CL278860 (UMLS CUI-1)
Other (Code-2)
C0205394 (UMLS CUI-2)
74964007 (SNOMED CT-2)
CL278860 (UMLS CUI-1)
Other (Code-2)
C0205394 (UMLS CUI-2)
74964007 (SNOMED CT-2)
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
261665006 (SNOMED CT-1)
Andere, welche?
Item
other organ, which?
string
Distant Metastasis (Code-1)
CL278860 (UMLS CUI-1)
Other (Code-2)
C0205394 (UMLS CUI-2)
74964007 (SNOMED CT-2)
Free Text Format (Code-3)
C2348713 (UMLS CUI-3)
CL278860 (UMLS CUI-1)
Other (Code-2)
C0205394 (UMLS CUI-2)
74964007 (SNOMED CT-2)
Free Text Format (Code-3)
C2348713 (UMLS CUI-3)
Datum Arzt
Item
date physician
date
Signature of responsible attending physician on file (Code-1)
C0807938 (UMLS CUI-1)
Date in time (Code-2)
C0011008 (UMLS CUI-2)
410671006 (SNOMED CT-2)
MTHU021546 (LOINC-2)
C0807938 (UMLS CUI-1)
Date in time (Code-2)
C0011008 (UMLS CUI-2)
410671006 (SNOMED CT-2)
MTHU021546 (LOINC-2)
Unterschrift Arzt
Item
signature physician
string
Signature of responsible attending physician on file (Code-1)
C0807938 (UMLS CUI-1)
C0807938 (UMLS CUI-1)
Datum Dokumentar
Item
date documentation officer
date
Documentation procedure (procedure) (Code-1)
C01756361 (UMLS CUI-1)
23745001 (SNOMED CT-1)
Responsible Person (Code-2)
C1273518 (UMLS CUI-2)
394851003 (SNOMED CT-2)
Date in time (Code-3)
C0011008 (UMLS CUI-3)
410671006 (SNOMED CT-3)
MTHU021546 (LOINC-3)
C01756361 (UMLS CUI-1)
23745001 (SNOMED CT-1)
Responsible Person (Code-2)
C1273518 (UMLS CUI-2)
394851003 (SNOMED CT-2)
Date in time (Code-3)
C0011008 (UMLS CUI-3)
410671006 (SNOMED CT-3)
MTHU021546 (LOINC-3)
Unterschrift Dokumentar
Item
Signature documentation officer
string
Signature (Code-1)
C1519316 (UMLS CUI-1)
Documentation procedure (procedure) (Code-2)
C01756361 (UMLS CUI-2)
23745001 (SNOMED CT-2)
Responsible Person (Code-3)
C1273518 (UMLS CUI-3)
394851003 (SNOMED CT-3)
C1519316 (UMLS CUI-1)
Documentation procedure (procedure) (Code-2)
C01756361 (UMLS CUI-2)
23745001 (SNOMED CT-2)
Responsible Person (Code-3)
C1273518 (UMLS CUI-3)
394851003 (SNOMED CT-3)