HIS

1 forms

StudyEvent: HIS
1. HIS

Admininstrative Daten

Description

Admininstrative Daten

Patient surname

Description

Name

Data type

string

Alias

UMLS CUI-1: C0421448

SNOMED CT-1: 184096005

Patient forename

Description

Vorname

Data type

string

Alias

UMLS CUI-1: C0421447

SNOMED CT-1: 184095009

Patient title

Description

Titel

Data type

string

Alias

Code-1: Patient title (observable entity)

UMLS CUI-1: C0421450

SNOMED CT-1: 184098006

former Patient name

Description

früherer Name

Data type

string

Alias

Code-1: Previous

UMLS CUI-1: C0205156

SNOMED CT-1: 9130008

Code-2: Patient name (observable entity)

UMLS CUI-2: C1299487

SNOMED CT-2: 371484003

Patient date of birth

Description

Geburtsdatum

Data type

date

Alias

UMLS CUI-1: C0421451

SNOMED CT-1: 184099003

patient age

Description

Alter

Data type

integer

Alias

Code-1: patient age

UMLS CUI-1: CL386174

Ethnicity / related nationality data

Description

Nationalität

Data type

string

Alias

UMLS CUI-1: C0438960

SNOMED CT-1: 186034007

Code-2: Patients

UMLS CUI-2: C0030705

SNOMED CT-2: 116154003

Street Address

Description

Adresse

Data type

string

Alias

UMLS CUI-1: C1301826

SNOMED CT-1: 398099009

Code-2: Patient address

UMLS CUI-2: C0421449

SNOMED CT-2: 184097001

Patient postal code

Description

PLZ

Data type

integer

Alias

UMLS CUI-1: C0421454

SNOMED CT-1: 184102003

City of residence

Description

Stadt

Data type

string

Alias

UMLS CUI-1: C2316883

SNOMED CT-1: 433178008

Code-2: Patient address

UMLS CUI-2: C0421449

SNOMED CT-2: 184097001

Pathologie-Dokumentation für FK Tumorboard

Description

Pathologie-Dokumentation für FK Tumorboard

Histopathology-number

Description

Einsendenummern

Data type

string

Alias

Code-1: Histopathology

UMLS CUI-1: C0677043

SNOMED CT-1: 394597005

Code-2: Identifier

UMLS CUI-2: C0600091

SNOMED CT-2: 118522005

LOINC-2: MTHU003116

Specimen

Description

eingesandte Präparate

Data type

string

Alias

Code-1: Specimen

UMLS CUI-1: C0370003

SNOMED CT-1: 123038009

LOINC-1: MTHU010726

Specimen with pathologic finding

Description

eingesandte Präparate mit pathologischem Ergebnis

Data type

string

Alias

Code-1: Pathologic findings

UMLS CUI-1: C1317598

LOINC-1: MTHU015584

Code-2: Specimen

UMLS CUI-2: C0370003

SNOMED CT-2: 123038009

LOINC-2: MTHU010726

Histopathology

Description

Ergebnis Pathologie

Data type

string

Alias

Code-1: Histologic Type

UMLS CUI-1: C0449574

SNOMED CT-1: 263541007

LOINC-1: MTHU020048

Pathologic TNM

Description

Pathologic TNM

Generic tumor staging descriptor

Description

(y/r)

Data type

integer

Alias

Code-1: Generic tumor staging descriptor (tumor staging)

UMLS CUI-1: C0475266

SNOMED CT-1: 258233007

Tumor staging descriptor y (y)

Tumor staging descriptor r (r)

pT Stage

Description

Data type

string

Alias

Code-1: pT category finding (finding)

UMLS CUI-1: C1272834

SNOMED CT-1: 385385001

pN - Regional lymph node stage

Description

Data type

string

Alias

Code-1: pN category finding (finding)

UMLS CUI-1: C1272833

SNOMED CT-1: 385381005

Number of lymph nodes involved by malignant neoplasm

Description

Anzahl befallener LK

Data type

integer

Alias

Code-1: Number of lymph nodes involved by malignant neoplasm (observable entity)

UMLS CUI-1: C2732750

SNOMED CT-1: 443527007

Number of lymph nodes examined

Description

Anzahl LK gesamt

Data type

integer

Alias

UMLS CUI-1: C2733494

SNOMED CT-1: 444025001

Number of sentinel lymph nodes involved

Description

Anzahl befallener SN-LK

Data type

integer

Alias

Code-1: Sentinel Lymph Node

UMLS CUI-1: C0677944

SNOMED CT-1: 330469005

Number of sentinel lymph nodes examined

Description

Anzahl SN-LK gesamt

Data type

integer

Alias

UMLS CUI-1: C2733493

SNOMED CT-1: 444411008

pM Stage

Description

Data type

string

Alias

Code-1: pM category (observable entity)

UMLS CUI-1: C1269798

SNOMED CT-1: 371497001

Lymph vessel invasion

Description

Data type

string

Alias

Code-1: Lymphatic (small vessel) tumor invasion finding (finding)

UMLS CUI-1: C1272791

SNOMED CT-1: 385414009

Venous Invasion

Description

Data type

string

Alias

UMLS CUI-1: C1710625

Perineural Invasion

Description

Data type

string

Alias

Code-1: Perineural invasion finding

UMLS CUI-1: C1300724

SNOMED CT-1: 396394004

Histologic Grade

Description

Data type

string

Alias

UMLS CUI-1: C0919553

SNOMED CT-1: 371469007

Residual tumor stage

Description

Data type

string

Alias

Code-1: Residual tumor stage (observable entity)

UMLS CUI-1: C0475286

SNOMED CT-1: 17964000

safety margin Noninfiltrating Intraductal Carcinoma

Description

RIS

Data type

string

Alias

Code-1: Noninfiltrating Intraductal Carcinoma

UMLS CUI-1: C0007124

SNOMED CT-1: 86616005

MedDRA-1: 10013806

ICD-10-CM-1: D05.1

Code-2: margin of safety

UMLS CUI-2: C0243168

Estrogen Receptor

Description

Data type

integer

Alias

Code-1: Status of estrogen receptors of neoplasm (observable entity)

UMLS CUI-1: C2919271

SNOMED CT-1: 445028008

progesterone receptor

Description

Data type

integer

Alias

Code-1: Status of progesterone receptors of neoplasm (observable entity)

UMLS CUI-1: C2919590

SNOMED CT-1: 445029000

Ki-67 Antigen

Description

MIB1

Data type

integer

Alias

Code-1: Ki-67 Antigen

UMLS CUI-1: C0208804

LOINC-1: MTHU014806

Her-2/neu

Description

HER2/neu

Data type

integer

Alias

Code-1: Her2/Neu Status

UMLS CUI-1: C1512413

CISH

Description

CISH

Data type

integer

Alias

Code-1: Cytokine-Inducible SH2-Containing Protein

UMLS CUI-1: C0299250

postive (positiv)

negative (negativ)

Histology

Description

Tumortyp

Data type

string

Alias

Code-1: ICDO3 Morphology Axis

UMLS CUI-1: CL364362

Code-2: Free Text Format

UMLS CUI-2: C2348713

Histology ICD-O-3

Description

Histologie ICD-0-3

Data type

string

Alias

Code-1: ICDO3 Morphology Axis

UMLS CUI-1: CL364362

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HIS

1 forms

StudyEvent: HIS
1. HIS

Name

Type

Description | Question | Decode (Coded Value)

Data type

Alias

Admininstrative Daten

Item Group

Admininstrative Daten

Name

Item

Patient surname

string

C0421448 (UMLS CUI-1)
184096005 (SNOMED CT-1)

Vorname

Item

Patient forename

string

C0421447 (UMLS CUI-1)
184095009 (SNOMED CT-1)

Titel

Item

Patient title

string

Patient title (observable entity) (Code-1)
C0421450 (UMLS CUI-1)
184098006 (SNOMED CT-1)

früherer Name

Item

former Patient name

string

Previous (Code-1)
C0205156 (UMLS CUI-1)
9130008 (SNOMED CT-1)
Patient name (observable entity) (Code-2)
C1299487 (UMLS CUI-2)
371484003 (SNOMED CT-2)

Geburtsdatum

Item

Patient date of birth

date

C0421451 (UMLS CUI-1)
184099003 (SNOMED CT-1)

Alter

Item

patient age

integer

patient age (Code-1)
CL386174 (UMLS CUI-1)

Nationalität

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)

Adresse

Item

Street Address

string

C1301826 (UMLS CUI-1)
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)

Stadt

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)

Pathologie-Dokumentation für FK Tumorboard

Item Group

Pathologie-Dokumentation für FK Tumorboard

Einsendenummern

Item

Histopathology-number

string

Histopathology (Code-1)
C0677043 (UMLS CUI-1)
394597005 (SNOMED CT-1)
Identifier (Code-2)
C0600091 (UMLS CUI-2)
118522005 (SNOMED CT-2)
MTHU003116 (LOINC-2)

eingesandte Präparate

Item

Specimen

string

Specimen (Code-1)
C0370003 (UMLS CUI-1)
123038009 (SNOMED CT-1)
MTHU010726 (LOINC-1)

eingesandte Präparate mit pathologischem Ergebnis

Item

Specimen with pathologic finding

string

Pathologic findings (Code-1)
C1317598 (UMLS CUI-1)
MTHU015584 (LOINC-1)
Specimen (Code-2)
C0370003 (UMLS CUI-2)
123038009 (SNOMED CT-2)
MTHU010726 (LOINC-2)

Ergebnis Pathologie

Item

Histopathology

string

Histologic Type (Code-1)
C0449574 (UMLS CUI-1)
263541007 (SNOMED CT-1)
MTHU020048 (LOINC-1)

Pathologische TNM-Stadium

Item Group

Pathologic TNM

(y/r)

Item

Generic tumor staging descriptor

integer

Generic tumor staging descriptor (tumor staging) (Code-1)
C0475266 (UMLS CUI-1)
258233007 (SNOMED CT-1)

(y/r)

Code List

Generic tumor staging descriptor

CL Item

Tumor staging descriptor y (y)

Tumor staging descriptor y (tumor staging) (Code-1)
C0439147 (UMLS CUI-1)
421755005 (SNOMED CT-1)

CL Item

Tumor staging descriptor r (r)

Tumor staging descriptor r (tumor staging) (Code-1)
C1704239 (UMLS CUI-1)
421188008 (SNOMED CT-1)

Item

pT Stage

string

pT category finding (finding) (Code-1)
C1272834 (UMLS CUI-1)
385385001 (SNOMED CT-1)

Item

pN - Regional lymph node stage

string

pN category finding (finding) (Code-1)
C1272833 (UMLS CUI-1)
385381005 (SNOMED CT-1)

Anzahl befallener LK

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)

Anzahl LK gesamt

Item

Number of lymph nodes examined

integer

C2733494 (UMLS CUI-1)
444025001 (SNOMED CT-1)

Anzahl befallener SN-LK

Item

Number of sentinel lymph nodes involved

integer

Sentinel Lymph Node (Code-1)
C0677944 (UMLS CUI-1)
330469005 (SNOMED CT-1)

Anzahl SN-LK gesamt

Item

Number of sentinel lymph nodes examined

integer

C2733493 (UMLS CUI-1)
444411008 (SNOMED CT-1)

Item

pM Stage

string

pM category (observable entity) (Code-1)
C1269798 (UMLS CUI-1)
371497001 (SNOMED CT-1)

Item

Lymph vessel invasion

string

Lymphatic (small vessel) tumor invasion finding (finding) (Code-1)
C1272791 (UMLS CUI-1)
385414009 (SNOMED CT-1)

Item

Venous Invasion

string

C1710625 (UMLS CUI-1)

Item

Perineural Invasion

string

Perineural invasion finding (Code-1)
C1300724 (UMLS CUI-1)
396394004 (SNOMED CT-1)

Item

Histologic Grade

string

C0919553 (UMLS CUI-1)
371469007 (SNOMED CT-1)

Item

Residual tumor stage

string

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

RIS

Item

safety margin Noninfiltrating Intraductal Carcinoma

string

Noninfiltrating Intraductal Carcinoma (Code-1)
C0007124 (UMLS CUI-1)
86616005 (SNOMED CT-1)
10013806 (MedDRA-1)
D05.1 (ICD-10-CM-1)
margin of safety (Code-2)
C0243168 (UMLS CUI-2)

Item

Estrogen Receptor

integer

Status of estrogen receptors of neoplasm (observable entity) (Code-1)
C2919271 (UMLS CUI-1)
445028008 (SNOMED CT-1)

Item

progesterone receptor

integer

Status of progesterone receptors of neoplasm (observable entity) (Code-1)
C2919590 (UMLS CUI-1)
445029000 (SNOMED CT-1)

MIB1

Item

Ki-67 Antigen

integer

Ki-67 Antigen (Code-1)
C0208804 (UMLS CUI-1)
MTHU014806 (LOINC-1)

HER2/neu

Item

Her-2/neu

integer

Her2/Neu Status (Code-1)
C1512413 (UMLS CUI-1)

CISH

Item

CISH

integer

Cytokine-Inducible SH2-Containing Protein (Code-1)
C0299250 (UMLS CUI-1)

CISH

Code List

CISH

CL Item

postive (positiv)

Positive Finding (Code-1)
C1446409 (UMLS CUI-1)
10828004 (SNOMED CT-1)

CL Item

negative (negativ)

Negative Finding (Code-1)
C0205160 (UMLS CUI-1)
260385009 (SNOMED CT-1)

Tumortyp

Item

Histology

string

ICDO3 Morphology Axis (Code-1)
CL364362 (UMLS CUI-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)

Histologie ICD-0-3

Item

Histology ICD-O-3

string

ICDO3 Morphology Axis (Code-1)
CL364362 (UMLS CUI-1)

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