ID

4069

Description

Breast Center requirements of the "Ärztekammer Westfalen-Lippe" - Forms adapted from the requirement definition cataloge for 2012 that were available at http://www.aekwl.de/index.php?id=1788

Link

http://www.aekwl.de/index.php?id=1788

Keywords

Versions (1)
  1. 8/7/13 8/7/13 -
Uploaded on

August 7, 2013

DOI

To request one please log in.

License

Creative Commons BY-NC 3.0 Legacy
Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Back to model comments
Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

quality management Breast Center requirements breast cancer

German English

quality management

1 forms  
  1. StudyEvent: quality management
    1. quality management
breast cancer
Description

breast cancer

waiting time consultation
Description

Wartezeiten in der Brustsprechstunde

Data type

integer

Alias
Code-1
waiting time
UMLS CUI-1
C0814636
Code-2
Consultation
UMLS CUI-2
C0009818
SNOMED CT-2
11429006
ICD-9-CM-2
89.09
waiting time appointment
Description

Wartezeit auf Termin Sprechstunde

Data type

integer

Alias
Code-1
waiting time
UMLS CUI-1
C0814636
Code-2
Appointment date (finding)
UMLS CUI-2
C0585085
SNOMED CT-2
185353001
Interval between diagnosis and surgery
Description

Zeitlicher Abstand zwischen Diagnose und Operationsdatum

Data type

integer

Alias
Code-1
Interval Of Points In Time
UMLS CUI-1
C1552717
HL7 V3-1
IVL
Code-2
Date surgery
UMLS CUI-2
C1628561
LOINC-2
MTHU019327
Code-3
Date of diagnosis
UMLS CUI-3
C2316983
SNOMED CT-3
432213005
LOINC-3
MTHU038128
Microscopic specimen observation before surgery
Description

Mikroskopische Sicherung der Malignität vor Operation

Data type

boolean

Alias
Code-Info
changed_datatype
Code-1
Microscopic specimen observation (finding)
UMLS CUI-1
C1273128
SNOMED CT-1
395538009
Code-2
Prior
UMLS CUI-2
C0332152
SNOMED CT-2
288556008
Code-3
Operative Surgical Procedures
UMLS CUI-3
C0543467
SNOMED CT-3
387713003
MedDRA-3
10042609
LOINC-3
MTHU007597
Tumor finding
Description

Tumor

Data type

integer

Alias
Code-Info
for_compare
Code-1
Tumor finding (finding)
UMLS CUI-1
C1274082
SNOMED CT-1
395557000
Excisional Biopsy
Description

entdeckte Malignome bei offener Biopsy

Data type

integer

Alias
Code-Info
changed_datatype
Code-1
Excisional Biopsy
UMLS CUI-1
C0184921
SNOMED CT-1
8889005
Code-2
Tumor finding (finding)
UMLS CUI-2
C1274082
SNOMED CT-2
395557000
Sentinel Lymph Node Biopsy
Description

SLNB

Data type

boolean

Alias
Code-1
Sentinel Lymph Node Biopsy
UMLS CUI-1
C0796693
SNOMED CT-1
396487001
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Histopathology
Description

Histologie

Data type

integer

Alias
Code-1
Histologic Type
UMLS CUI-1
C0449574
SNOMED CT-1
263541007
LOINC-1
MTHU020048
Code-2
Biopsy
UMLS CUI-2
C0005558
SNOMED CT-2
86273004
MedDRA-2
10004720
LOINC-2
MTHU028106
intraoperative mammography of specimen
Description

Präparate Radiographie

Data type

boolean

Alias
Code-1
Specimen mammography (procedure)
UMLS CUI-1
C0203031
SNOMED CT-1
80865008
Code-2
Intraoperative
UMLS CUI-2
C0456904
SNOMED CT-2
277671009
Breast Conservation Treatment
Description

BET

Data type

boolean

Alias
Code-Info
changed_datatype
Code-1
Breast Conservation Treatment
UMLS CUI-1
C0917927
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
pT Stage
Description

Ausbreitungs des Primärtumors (pT)

Data type

string

Alias
Code-1
pT category finding (finding)
UMLS CUI-1
C1272834
SNOMED CT-1
385385001
Axillary Lymph Node Dissection
Description

aLNE

Data type

boolean

Alias
Code-Info
changed_datatype
Code-1
Axillary Lymph Node Dissection
UMLS CUI-1
C0193867
SNOMED CT-1
234254000
MedDRA-1
10068477
ICD-9-CM-1
40.23
Number of lymph nodes examined
Description

Anzahl der untersuchten Lymphknoten

Data type

integer

Alias
UMLS CUI-1
C2733494
SNOMED CT-1
444025001
Residual tumor stage
Description

Gesamtbeurteilung der Residualklassifikation nach Abschluss de Primärtherapie

Data type

integer

Alias
Code-1
Residual tumor stage (observable entity)
UMLS CUI-1
C0475286
SNOMED CT-1
17964000
Complication
Description

Komplikation

Data type

boolean

Alias
Code-Info
changed_datatype
Code-1
Complication
UMLS CUI-1
C0009566
SNOMED CT-1
116223007
LOINC-1
MTHU008883
Surgical Revision
Description

Revisionsoperation war erforderlich

Data type

integer

Alias
Code-1
Repeated Surgical Procedure
UMLS CUI-1
C0035110
SNOMED CT-1
261554009
MedDRA-1
10038579
Postoperative Wound Infection
Description

WUN-Wundinfekion, postoperative

Data type

integer

Alias
Code-Info
changed_datatype
UMLS CUI-1
CL354174
Estrogen Receptor
Description

Östrogen (ER)

Data type

integer

Alias
Code-Info
extended_coding
Code-1
Status of estrogen receptors of neoplasm (observable entity)
UMLS CUI-1
C2919271
SNOMED CT-1
445028008
progesterone receptor
Description

Progesteron (PR)

Data type

integer

Alias
Code-Info
extended_coding
Code-1
Status of progesterone receptors of neoplasm (observable entity)
UMLS CUI-1
C2919590
SNOMED CT-1
445029000
Her-2/neu
Description

Her2/neu-Status

Data type

integer

Alias
Code-1
Her2/Neu Status
UMLS CUI-1
C1512413
Distance of tumor from closest margin
Description

minimaler Resektionsrand in mm

Data type

integer

Alias
Code-1
Distance of tumor from closest surgical margin (breast) (observable entity)
UMLS CUI-1
C1268956
SNOMED CT-1
373120008
Consent
Description

Einverständniserklärung Krebsregister

Data type

integer

Alias
Code-1
Informed consent obtained
UMLS CUI-1
C0514044
Code-2
Cancer Registry
UMLS CUI-2
C0805443
LOINC-2
MTHU010262
Therapeutic radiology procedure
Description

Bestrahlung

Data type

integer

Alias
UMLS CUI-1
C1522449
SNOMED CT-1
108290001
MedDRA-1
10037794
Chemotherapy Regimen
Description

Chemotherapie

Data type

boolean

Alias
UMLS CUI-1
C0392920
SNOMED CT-1
69960004
MedDRA-1
10061758
Endocrine Therapy
Description

Hormontherapie

Data type

boolean

Alias
UMLS CUI-1
C0279025
SNOMED CT-1
169413002
MedDRA-1
10065646
pN - Regional lymph node stage
Description

Ausbreitung der regionären Lymphknotenmetastasen (pN)

Data type

string

Alias
Code-1
pN category finding (finding)
UMLS CUI-1
C1272833
SNOMED CT-1
385381005
Patient satisfaction score assessment consent
Description

Evaluation Patientenzufriedenheit

Data type

integer

Alias
Code-1
Patient satisfaction score (assessment scale)
UMLS CUI-1
C0451370
SNOMED CT-1
273689006
Code-2
Informed consent obtained
UMLS CUI-2
C0514044
good Patient satisfaction score
Description

hohe Patientenzufriedenheit

Data type

integer

Alias
Code-1
Patient satisfaction score (assessment scale)
UMLS CUI-1
C0451370
SNOMED CT-1
273689006
Code-2
Good
UMLS CUI-2
C0205170
SNOMED CT-2
20572008
Patient date of birth
Description

Geburtsdatum

Data type

date

Alias
UMLS CUI-1
C0421451
SNOMED CT-1
184099003
Histology ICD-O-3
Description

Histologie

Data type

string

Alias
Code-1
ICDO3 Morphology Axis
UMLS CUI-1
CL364362
Surgical and medical procedures
Description

OPS

Data type

integer

Alias
Code-1
Surgical and medical procedures
UMLS CUI-1
C1948041
SNOMED CT-1
71388002
LOINC-1
MTHU006237
Back to the top of the page

Similar models

quality management

1 forms
  1. StudyEvent: quality management
    1. quality management
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
breast cancer
Wartezeiten in der Brustsprechstunde
Item
waiting time consultation
integer
waiting time (Code-1)
C0814636 (UMLS CUI-1)
Consultation (Code-2)
C0009818 (UMLS CUI-2)
11429006 (SNOMED CT-2)
89.09 (ICD-9-CM-2)
Wartezeit auf Termin Sprechstunde
Item
waiting time appointment
integer
waiting time (Code-1)
C0814636 (UMLS CUI-1)
Appointment date (finding) (Code-2)
C0585085 (UMLS CUI-2)
185353001 (SNOMED CT-2)
Zeitlicher Abstand zwischen Diagnose und Operationsdatum
Item
Interval between diagnosis and surgery
integer
Interval Of Points In Time (Code-1)
C1552717 (UMLS CUI-1)
IVL (HL7 V3-1)
Date surgery (Code-2)
C1628561 (UMLS CUI-2)
MTHU019327 (LOINC-2)
Date of diagnosis (Code-3)
C2316983 (UMLS CUI-3)
432213005 (SNOMED CT-3)
MTHU038128 (LOINC-3)
Mikroskopische Sicherung der Malignität vor Operation
Item
Microscopic specimen observation before surgery
boolean
changed_datatype (Code-Info)
Microscopic specimen observation (finding) (Code-1)
C1273128 (UMLS CUI-1)
395538009 (SNOMED CT-1)
Prior (Code-2)
C0332152 (UMLS CUI-2)
288556008 (SNOMED CT-2)
Operative Surgical Procedures (Code-3)
C0543467 (UMLS CUI-3)
387713003 (SNOMED CT-3)
10042609 (MedDRA-3)
MTHU007597 (LOINC-3)
Item
Tumor finding
integer
for_compare (Code-Info)
Tumor finding (finding) (Code-1)
C1274082 (UMLS CUI-1)
395557000 (SNOMED CT-1)
Tumor
Code List
Tumor finding
CL Item
Histological finding  (histologisch)
changed_datatype (Code-Info)
C0449575 (UMLS CUI-1)
263540008 (SNOMED CT-1)
entdeckte Malignome bei offener Biopsy
Item
Excisional Biopsy
integer
changed_datatype (Code-Info)
Excisional Biopsy (Code-1)
C0184921 (UMLS CUI-1)
8889005 (SNOMED CT-1)
Tumor finding (finding) (Code-2)
C1274082 (UMLS CUI-2)
395557000 (SNOMED CT-2)
SLNB
Item
Sentinel Lymph Node Biopsy
boolean
Sentinel Lymph Node Biopsy (Code-1)
C0796693 (UMLS CUI-1)
396487001 (SNOMED CT-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Item
Histopathology
integer
Histologic Type (Code-1)
C0449574 (UMLS CUI-1)
263541007 (SNOMED CT-1)
MTHU020048 (LOINC-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
Histologie
Code List
Histopathology
CL Item
Invasive Carcinoma (invasiv)
Invasive Breast Carcinoma (Code-1)
C0853879 (UMLS CUI-1)
10006190 (MedDRA-1)
CL Item
Invasive Lobular Breast Carcinoma (IL)
merged_coding (Code-Info)
Invasive Lobular Breast Carcinoma (Code-1)
CL029510 (UMLS CUI-1)
CL Item
Noninfiltrating Intraductal Carcinoma  (DCIS)
Noninfiltrating Intraductal Carcinoma (Code-1)
C0007124 (UMLS CUI-1)
86616005 (SNOMED CT-1)
10013806 (MedDRA-1)
D05.1 (ICD-10-CM-1)
Präparate Radiographie
Item
intraoperative mammography of specimen
boolean
Specimen mammography (procedure) (Code-1)
C0203031 (UMLS CUI-1)
80865008 (SNOMED CT-1)
Intraoperative (Code-2)
C0456904 (UMLS CUI-2)
277671009 (SNOMED CT-2)
BET
Item
Breast Conservation Treatment
boolean
changed_datatype (Code-Info)
Breast Conservation Treatment (Code-1)
C0917927 (UMLS CUI-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Ausbreitungs des Primärtumors (pT)
Item
pT Stage
string
pT category finding (finding) (Code-1)
C1272834 (UMLS CUI-1)
385385001 (SNOMED CT-1)
aLNE
Item
Axillary Lymph Node Dissection
boolean
changed_datatype (Code-Info)
Axillary Lymph Node Dissection (Code-1)
C0193867 (UMLS CUI-1)
234254000 (SNOMED CT-1)
10068477 (MedDRA-1)
40.23 (ICD-9-CM-1)
Anzahl der untersuchten Lymphknoten
Item
Number of lymph nodes examined
integer
C2733494 (UMLS CUI-1)
444025001 (SNOMED CT-1)
Item
Residual tumor stage
integer
Residual tumor stage (observable entity) (Code-1)
C0475286 (UMLS CUI-1)
17964000 (SNOMED CT-1)
Gesamtbeurteilung der Residualklassifikation nach Abschluss de Primärtherapie
Code List
Residual tumor stage
CL Item
Residual tumor stage R0 (R0 = kein Residualtumor)
Residual tumor stage R0 (finding) (Code-1)
C0475288 (UMLS CUI-1)
258254000 (SNOMED CT-1)
Komplikation
Item
Complication
boolean
changed_datatype (Code-Info)
Complication (Code-1)
C0009566 (UMLS CUI-1)
116223007 (SNOMED CT-1)
MTHU008883 (LOINC-1)
Revisionsoperation war erforderlich
Item
Surgical Revision
integer
Repeated Surgical Procedure (Code-1)
C0035110 (UMLS CUI-1)
261554009 (SNOMED CT-1)
10038579 (MedDRA-1)
WUN-Wundinfekion, postoperative
Item
Postoperative Wound Infection
integer
changed_datatype (Code-Info)
CL354174 (UMLS CUI-1)
Item
Estrogen Receptor
integer
extended_coding (Code-Info)
Status of estrogen receptors of neoplasm (observable entity) (Code-1)
C2919271 (UMLS CUI-1)
445028008 (SNOMED CT-1)
Östrogen (ER)
Code List
Estrogen Receptor
CL Item
positive (positiv)
extended_coding (Code-Info)
Estrogen receptor positive tumor (disorder) (Code-1)
C1562312 (UMLS CUI-1)
416053008 (SNOMED CT-1)
CL Item
negative (negativ)
extended_coding (Code-Info)
Estrogen receptor negative neoplasm (disorder) (Code-1)
C2584629 (UMLS CUI-1)
441117001 (SNOMED CT-1)
Item
progesterone receptor
integer
extended_coding (Code-Info)
Status of progesterone receptors of neoplasm (observable entity) (Code-1)
C2919590 (UMLS CUI-1)
445029000 (SNOMED CT-1)
Progesteron (PR)
Code List
progesterone receptor
CL Item
positive (positiv)
extended_coding (Code-Info)
Progesterone receptor positive tumor (disorder) (Code-1)
C1562928 (UMLS CUI-1)
416561008 (SNOMED CT-1)
CL Item
negative (negativ)
extended_coding (Code-Info)
Progesterone receptor negative neoplasm (disorder) (Code-1)
C2584628 (UMLS CUI-1)
441118006 (SNOMED CT-1)
Her2/neu-Status
Item
Her-2/neu
integer
Her2/Neu Status (Code-1)
C1512413 (UMLS CUI-1)
minimaler Resektionsrand in mm
Item
Distance of tumor from closest margin
integer
Distance of tumor from closest surgical margin (breast) (observable entity) (Code-1)
C1268956 (UMLS CUI-1)
373120008 (SNOMED CT-1)
Einverständniserklärung Krebsregister
Item
Consent
integer
Informed consent obtained (Code-1)
C0514044 (UMLS CUI-1)
Cancer Registry (Code-2)
C0805443 (UMLS CUI-2)
MTHU010262 (LOINC-2)
Bestrahlung
Item
Therapeutic radiology procedure
integer
C1522449 (UMLS CUI-1)
108290001 (SNOMED CT-1)
10037794 (MedDRA-1)
Chemotherapie
Item
Chemotherapy Regimen
boolean
C0392920 (UMLS CUI-1)
69960004 (SNOMED CT-1)
10061758 (MedDRA-1)
Hormontherapie
Item
Endocrine Therapy
boolean
C0279025 (UMLS CUI-1)
169413002 (SNOMED CT-1)
10065646 (MedDRA-1)
Ausbreitung der regionären Lymphknotenmetastasen (pN)
Item
pN - Regional lymph node stage
string
pN category finding (finding) (Code-1)
C1272833 (UMLS CUI-1)
385381005 (SNOMED CT-1)
Evaluation Patientenzufriedenheit
Item
Patient satisfaction score assessment consent
integer
Patient satisfaction score (assessment scale) (Code-1)
C0451370 (UMLS CUI-1)
273689006 (SNOMED CT-1)
Informed consent obtained (Code-2)
C0514044 (UMLS CUI-2)
hohe Patientenzufriedenheit
Item
good Patient satisfaction score
integer
Patient satisfaction score (assessment scale) (Code-1)
C0451370 (UMLS CUI-1)
273689006 (SNOMED CT-1)
Good (Code-2)
C0205170 (UMLS CUI-2)
20572008 (SNOMED CT-2)
Geburtsdatum
Item
Patient date of birth
date
C0421451 (UMLS CUI-1)
184099003 (SNOMED CT-1)
Histologie
Item
Histology ICD-O-3
string
ICDO3 Morphology Axis (Code-1)
CL364362 (UMLS CUI-1)
OPS
Item
Surgical and medical procedures
integer
Surgical and medical procedures (Code-1)
C1948041 (UMLS CUI-1)
71388002 (SNOMED CT-1)
MTHU006237 (LOINC-1)
Back to the top of the page 

Contact

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial