ID

4080

Beschrijving

HIS form ORBIS. with friendly permission form gynecology (Dr. Tio) and medical informatics department (Dr. Breil)

Trefwoorden

Versies (1)
  1. 07-08-13 07-08-13 -
Geüploaded op

7 augustus 2013

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0 Legacy
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

HIS cancer conference after biopsy breast cancer

Duits Engels

HIS

1 Formulieren  
  1. StudyEvent: HIS
    1. HIS
Patientenaufkleber groß
Beschrijving

Patientenaufkleber groß

Aufnahmedatum
Beschrijving

Aufnahmedatum

Datatype

date

Alias
Code-1
Date of admission
UMLS CUI-1
C1302393
SNOMED CT-1
399423000
LOINC-1
MTHU029790
Patientenidentifikationsnummer
Beschrijving

PatientenID

Datatype

integer

Alias
Code-1
Patients
UMLS CUI-1
C0030705
SNOMED CT-1
116154003
Code-2
Identification number
UMLS CUI-2
C1300638
SNOMED CT-2
396278008
Geschlecht Patient
Beschrijving

Geschlecht

Datatype

string

Alias
UMLS CUI-1
C0150831
SNOMED CT-1
184100006
Patienten-Nachname
Beschrijving

Nachname

Datatype

string

Alias
UMLS CUI-1
C0421448
SNOMED CT-1
184096005
Patienten-Vorname
Beschrijving

Vorname

Datatype

string

Alias
UMLS CUI-1
C0421447
SNOMED CT-1
184095009
Patienten-Geburtsdatum
Beschrijving

Geburtsdatum

Datatype

date

Alias
UMLS CUI-1
C0421451
SNOMED CT-1
184099003
Aufnahmezeit
Beschrijving

Aufnahmezeit

Datatype

date

Alias
Code-1
Date of admission
UMLS CUI-1
C1302393
SNOMED CT-1
399423000
LOINC-1
MTHU029790
Code-2
Hour
UMLS CUI-2
C0439227
SNOMED CT-2
258702006
HL7 V3-2
HR
Einweisender Arzt
Beschrijving

E-Arzt

Datatype

string

Alias
Code-1
Admission
UMLS CUI-1
C0809949
Code-2
Physicians
UMLS CUI-2
C0031831
SNOMED CT-2
112247003
LOINC-2
MTHU010489
HL7 V3-2
PHYS
Tumorkonferenz
Beschrijving

Tumorkonferenz

Datum der Konferenz
Beschrijving

Datum der Konferenz

Datatype

date

Alias
Code-1
Cancer conference:Time Stamp -- Date and Time:Point in time:Cancer.To be specified in another part of the message:Quantitative
UMLS CUI-1
C0804663
LOINC-1
21875-0
Ort der Konferenz
Beschrijving

Ort der Konferenz

Datatype

string

Alias
Code-1
Place
UMLS CUI-1
C0442504
SNOMED CT-1
257557008
HL7 V3-1
PLC
Code-2
Cancer conference
UMLS CUI-2
C0805438
LOINC-2
MTHU010336
Verantwortliche Person für die Anmeldung
Beschrijving

Patient angemeldet durch

Datatype

string

Alias
Code-1
Registration
UMLS CUI-1
C1514821
Code-2
Responsible Person
UMLS CUI-2
C1273518
SNOMED CT-2
394851003
Datum der Anmeldung
Beschrijving

Datum der Anmeldung

Datatype

date

Alias
Code-1
Registration
UMLS CUI-1
C1514821
Code-2
Date in time
UMLS CUI-2
C0011008
SNOMED CT-2
410671006
LOINC-2
MTHU021546
Teilnehmer
Beschrijving

Teilnehmer

Datatype

integer

Alias
Code-Info
for_compare
Code-1
Conference Participants
UMLS CUI-1
CL106596
Patientendaten
Beschrijving

Patientendaten

Status Patient
Beschrijving

Patient ist:

Datatype

integer

Alias
Code-Info
for_compare
Code-1
Patient status (attribute)
UMLS CUI-1
C0449437
SNOMED CT-1
246097001
Diagnose
Beschrijving

Diagnose

Datatype

string

Alias
UMLS CUI-1
C0011900
SNOMED CT-1
439401001
LOINC-1
MTHU015826
Karnofsky Index
Beschrijving

Karnofsky Index

Datatype

string

Alias
Code-1
Karnofsky Performance Status
UMLS CUI-1
C0206065
SNOMED CT-1
273546003
MedDRA-1
10054755
klinische Studie
Beschrijving

Studie

Datatype

string

Alias
UMLS CUI-1
C0008976
SNOMED CT-1
110465008
Krankheitsverlauf
Beschrijving

Krankheitsverlauf

Krankheitsverlauf
Beschrijving

Verlauf

Datatype

string

Alias
Code-1
Disease Progression
UMLS CUI-1
C0242656
SNOMED CT-1
246453008
MedDRA-1
10061818
LOINC-1
MTHU039942
Code-2
Free Text Format
UMLS CUI-2
C2348713
Pathologie Befund
Beschrijving

Pathologie Befund

Kommentar zu den Pathologie Proben
Beschrijving

Pathologie Befund

Datatype

string

Alias
Code-1
Narrative comments on pathology specimen (observable entity)
UMLS CUI-1
C1444069
SNOMED CT-1
409770001
Frage
Beschrijving

Frage

Frage
Beschrijving

Fragestellung

Datatype

string

Alias
Code-1
Question
UMLS CUI-1
C1522634
Subformular
Beschrijving

Subformular

MDT (MIB)
Beschrijving

MDT (MIB)

Klinischer Befund vorhanden
Beschrijving

kurativ

Datatype

boolean

Alias
Code-1
Clinical finding present (situation)
UMLS CUI-1
C1276746
SNOMED CT-1
373573001
MedDRA-1
MTHU019505
Mamma-Screening
Beschrijving

Screening

Datatype

boolean

Alias
Code-1
Breast Cancer Early Detection
UMLS CUI-1
C0281182
SNOMED CT-1
268547008
Ultraschall-gestütze Biopsie
Beschrijving

sonographisch

Datatype

boolean

Alias
Code-1
Ultrasound-guided Biopsy
UMLS CUI-1
C0456900
SNOMED CT-1
277667006
Vakuumsaugbiopsie - Sonographie
Beschrijving

VSB Sono

Datatype

boolean

Alias
Code-1
Vacuum-Assisted Biopsy
UMLS CUI-1
C1710607
Code-2
Ultrasound-guided Biopsy
UMLS CUI-2
C0456900
SNOMED CT-2
277667006
Biopsie bei Mammographie
Beschrijving

stereotaktisch MG

Datatype

boolean

Alias
Code-1
Mammography and biopsy (procedure)
UMLS CUI-1
C1636774
SNOMED CT-1
418378007
Vakuumsaugbiopsie - Mammographie
Beschrijving

VSB MG

Datatype

boolean

Alias
Code-1
Vacuum-Assisted Biopsy
UMLS CUI-1
C1710607
Code-2
Mammography and biopsy (procedure)
UMLS CUI-2
C1636774
SNOMED CT-2
418378007
Vakuumsaugbiopsie - MRT
Beschrijving

VSB MRT

Datatype

boolean

Alias
Code-1
Vacuum-Assisted Biopsy
UMLS CUI-1
C1710607
Code-2
Magnetic resonance imaging guided biopsy (procedure)
UMLS CUI-2
C0456854
SNOMED CT-2
277592004
Datum Pathologie Befund
Beschrijving

Histologie der Biopsie

Datatype

string

Alias
Code-1
Date of pathology report (observable entity)
UMLS CUI-1
C1302659
SNOMED CT-1
399737008
Histologie Klassifikation (B)
Beschrijving

B-Kategorie

Datatype

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
nicht_kodiert
Beschrijving

Korrelation

Datatype

integer

Aktion
Beschrijving

Aktion

Wiederholung der Biopsie
Beschrijving

Wiederholung MIB

Datatype

boolean

Alias
Code-1
Repeat
UMLS CUI-1
C0205341
SNOMED CT-1
27582007
Code-2
Biopsy
UMLS CUI-2
C0005558
SNOMED CT-2
86273004
MedDRA-2
10004720
LOINC-2
MTHU028106
regülare Vorsorge
Beschrijving

reguläre weitere Vorsorge

Datatype

boolean

Alias
Code-1
Screening procedure
UMLS CUI-1
C0220908
SNOMED CT-1
275926002
Code-2
Regular
UMLS CUI-2
C0449581
SNOMED CT-2
17854005
geplante Kontrolle
Beschrijving

Kontrolle in X Monaten

Datatype

boolean

Alias
Code-1
checkup examination
UMLS CUI-1
C0598836
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Monate Check-Up
Beschrijving

_ Monate

Datatype

integer

Alias
Code-1
month (qualifier value)
UMLS CUI-1
C0439231
SNOMED CT-1
258706009
HL7 V3-1
MO
Check-Up Mammographie
Beschrijving

Kontrolle MG

Datatype

boolean

Alias
Code-1
Mammography
UMLS CUI-1
C0024671
SNOMED CT-1
71651007
MedDRA-1
10026735
Code-2
checkup examination
UMLS CUI-2
C0598836
Check-Up Sonographie
Beschrijving

Konrolle Sono

Datatype

boolean

Alias
Code-1
Ultrasonography, Mammary
UMLS CUI-1
C0080264
SNOMED CT-1
47079000
Code-2
checkup examination
UMLS CUI-2
C0598836
Check-Up MRT
Beschrijving

Konrolle MRT

Datatype

boolean

Alias
Code-1
Magnetic resonance imaging of breast (procedure)
UMLS CUI-1
C0344104
SNOMED CT-1
241615005
Code-2
checkup examination
UMLS CUI-2
C0598836
zusätzliche Biopsie
Beschrijving

weiterführende MIB

Datatype

boolean

Alias
Code-1
Additional
UMLS CUI-1
C1524062
LOINC-1
MTHU013802
Code-2
Biopsy
UMLS CUI-2
C0005558
SNOMED CT-2
86273004
MedDRA-2
10004720
LOINC-2
MTHU028106
Excisionsbiopsie
Beschrijving

diagnotische Excision

Datatype

boolean

Alias
Code-1
Excisional Biopsy
UMLS CUI-1
C0184921
SNOMED CT-1
8889005
onkologische Operation
Beschrijving

onkologische OP

Datatype

boolean

Alias
Code-1
Surgical Oncology
UMLS CUI-1
C1515090
Audit
Beschrijving

Audit

Datatype

boolean

Alias
Code-1
Audit
UMLS CUI-1
C1704775
Tumorboardentscheidungen
Beschrijving

Tumorboardentscheidungen

Operation
Beschrijving

Operation

Datatype

boolean

Alias
Code-1
Operative Surgical Procedures
UMLS CUI-1
C0543467
SNOMED CT-1
387713003
MedDRA-1
10042609
LOINC-1
MTHU007597
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Intention
Beschrijving

Therapieziel

Datatype

integer

Alias
UMLS CUI-1
C1283828
SNOMED CT-1
367565008
Code-2
Operative Surgical Procedures
UMLS CUI-2
C0543467
SNOMED CT-2
387713003
MedDRA-2
10042609
LOINC-2
MTHU007597
Code-3
Plan
UMLS CUI-3
C1301732
SNOMED CT-3
397943006
Chemotherapie
Beschrijving

Chemotherapie

Datatype

boolean

Alias
Code-1
Chemotherapy Regimen
UMLS CUI-1
C0392920
SNOMED CT-1
69960004
MedDRA-1
10061758
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Intention
Beschrijving

Therapieziel

Datatype

integer

Alias
UMLS CUI-1
C1283828
SNOMED CT-1
367565008
Code-2
Chemotherapy Regimen
UMLS CUI-2
C0392920
SNOMED CT-2
69960004
MedDRA-2
10061758
Code-3
Plan
UMLS CUI-3
C1301732
SNOMED CT-3
397943006
Bestrahlung
Beschrijving

Strahlentherapie

Datatype

boolean

Alias
Code-1
Therapeutic radiology procedure
UMLS CUI-1
C1522449
SNOMED CT-1
108290001
MedDRA-1
10037794
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Intention
Beschrijving

Therapieziel

Datatype

integer

Alias
UMLS CUI-1
C1283828
SNOMED CT-1
367565008
Code-2
Therapeutic radiology procedure
UMLS CUI-2
C1522449
SNOMED CT-2
108290001
MedDRA-2
10037794
Code-3
Plan
UMLS CUI-3
C1301732
SNOMED CT-3
397943006
Hormon- / endokrine Therapie
Beschrijving

Hormontherapie

Datatype

boolean

Alias
Code-1
Endocrine Therapy
UMLS CUI-1
C0279025
SNOMED CT-1
169413002
MedDRA-1
10065646
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Intention
Beschrijving

Therapieziel

Datatype

integer

Alias
UMLS CUI-1
C1283828
SNOMED CT-1
367565008
Code-2
Endocrine Therapy
UMLS CUI-2
C0279025
SNOMED CT-2
169413002
MedDRA-2
10065646
Code-3
Plan
UMLS CUI-3
C1301732
SNOMED CT-3
397943006
Immuntherapie
Beschrijving

Immuntherapie

Datatype

boolean

Alias
Code-1
Immunotherapy
UMLS CUI-1
C0021083
SNOMED CT-1
76334006
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Intention
Beschrijving

Therapieziel

Datatype

integer

Alias
UMLS CUI-1
C1283828
SNOMED CT-1
367565008
Code-2
Immunotherapy
UMLS CUI-2
C0021083
SNOMED CT-2
76334006
Code-3
Plan
UMLS CUI-3
C1301732
SNOMED CT-3
397943006
Studienprotokoll
Beschrijving

Studienprotokoll

Datatype

boolean

Alias
UMLS CUI-1
C2348563
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Studienprotokoll - Freitext
Beschrijving

Studienprotokoll

Datatype

string

Alias
UMLS CUI-1
C2348563
Code-2
Free Text Format
UMLS CUI-2
C2348713
Verlaufskontrolle
Beschrijving

Verlaufskontrolle

Datatype

boolean

Alias
UMLS CUI-1
C1522577
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Verlaufskontrolle - Freitext
Beschrijving

Verlaufskontrolle

Datatype

string

Alias
UMLS CUI-1
C1522577
Code-2
Free Text Format
UMLS CUI-2
C2348713
Analgetika
Beschrijving

Analgetika

Datatype

boolean

Alias
Code-1
Pain management
UMLS CUI-1
C0002766
SNOMED CT-1
278414003
MedDRA-1
10056350
LOINC-1
MTHU031888
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Analgetika - Freitext
Beschrijving

Analgetika

Datatype

string

Alias
Code-1
Pain management
UMLS CUI-1
C0002766
SNOMED CT-1
278414003
MedDRA-1
10056350
LOINC-1
MTHU031888
Code-2
Free Text Format
UMLS CUI-2
C2348713
andere Empfehlung
Beschrijving

sonstige

Datatype

boolean

Alias
Code-1
Advising
UMLS CUI-1
C1828381
SNOMED CT-1
424900004
Code-2
Other
UMLS CUI-2
C0205394
SNOMED CT-2
74964007
andere Empfehlung - Freitext
Beschrijving

sonstige

Datatype

string

Alias
Code-1
Advising
UMLS CUI-1
C1828381
SNOMED CT-1
424900004
Code-2
Other
UMLS CUI-2
C0205394
SNOMED CT-2
74964007
Code-3
Free Text Format
UMLS CUI-3
C2348713
Re-Biopsie
Beschrijving

Re-Biopsie

Datatype

boolean

Alias
Code-1
Repeat
UMLS CUI-1
C0205341
SNOMED CT-1
27582007
Code-2
Biopsy
UMLS CUI-2
C0005558
SNOMED CT-2
86273004
MedDRA-2
10004720
LOINC-2
MTHU028106
Code-3
Plan
UMLS CUI-3
C1301732
SNOMED CT-3
397943006
Bisphosphonate
Beschrijving

Bisphosphonate

Datatype

boolean

Alias
Code-1
Diphosphonates
UMLS CUI-1
C0012544
SNOMED CT-1
372907000
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Bisphosphonate - Freitext
Beschrijving

Bisphosphonate

Datatype

string

Alias
Code-1
Diphosphonates
UMLS CUI-1
C0012544
SNOMED CT-1
372907000
Code-2
Free Text Format
UMLS CUI-2
C2348713
Radioiodtherapie
Beschrijving

Radioiodtherapie

Datatype

boolean

Alias
Code-1
Iodine 131 therapy (procedure)
UMLS CUI-1
C0454105
SNOMED CT-1
228698009
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Wiedervorstellung nach Diagnostik
Beschrijving

Wiedervorstellung nach weiterer Diagnostik

Datatype

boolean

Alias
Code-1
Follow-up visit (procedure)
UMLS CUI-1
C0589121
SNOMED CT-1
185389009
Code-2
Post
UMLS CUI-2
C0231290
SNOMED CT-2
237679004
Code-3
diagnostic procedure
UMLS CUI-3
C0430022
SNOMED CT-3
103693007
MedDRA-3
10061816
Active Surveillance
Beschrijving

Act. Surveillance

Datatype

boolean

Alias
Code-1
Active surveillance (regime/therapy)
UMLS CUI-1
C1827061
SNOMED CT-1
424313000
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Diagnostik notwendig
Beschrijving

weitere Diagnostik

Datatype

string

Alias
Code-1
diagnostic procedure
UMLS CUI-1
C0430022
SNOMED CT-1
103693007
MedDRA-1
10061816
Code-2
Need
UMLS CUI-2
C0027552
SNOMED CT-2
410525008
Therapie Freitext
Beschrijving

Therapie Freitext

Datatype

string

Alias
Code-1
Therapeutic procedure
UMLS CUI-1
C0087111
SNOMED CT-1
277132007
MedDRA-1
10053757
LOINC-1
MTHU008880
Code-2
Free Text Format
UMLS CUI-2
C2348713
Datum der Arzt-Unterschrift
Beschrijving

Datum

Datatype

date

Alias
Code-1
Signature of responsible attending physician on file
UMLS CUI-1
C0807938
SNOMED CT-1
112247003
Code-2
Date in time
UMLS CUI-2
C0011008
SNOMED CT-2
410671006
LOINC-2
MTHU021546
Arzt-Unterschrift
Beschrijving

Unterschrift Arzt

Datatype

string

Alias
Code-1
Signature of responsible attending physician on file
UMLS CUI-1
C0807938
Terug naar het begin van de pagina

Similar models

HIS

1 Formulieren
  1. StudyEvent: HIS
    1. HIS
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Patientenaufkleber groß
Aufnahmedatum
Item
Aufnahmedatum
date
Date of admission (Code-1)
C1302393 (UMLS CUI-1)
399423000 (SNOMED CT-1)
MTHU029790 (LOINC-1)
PatientenID
Item
Patientenidentifikationsnummer
integer
Patients (Code-1)
C0030705 (UMLS CUI-1)
116154003 (SNOMED CT-1)
Identification number (Code-2)
C1300638 (UMLS CUI-2)
396278008 (SNOMED CT-2)
Geschlecht
Item
Geschlecht Patient
string
C0150831 (UMLS CUI-1)
184100006 (SNOMED CT-1)
Nachname
Item
Patienten-Nachname
string
C0421448 (UMLS CUI-1)
184096005 (SNOMED CT-1)
Vorname
Item
Patienten-Vorname
string
C0421447 (UMLS CUI-1)
184095009 (SNOMED CT-1)
Geburtsdatum
Item
Patienten-Geburtsdatum
date
C0421451 (UMLS CUI-1)
184099003 (SNOMED CT-1)
Aufnahmezeit
Item
Aufnahmezeit
date
Date of admission (Code-1)
C1302393 (UMLS CUI-1)
399423000 (SNOMED CT-1)
MTHU029790 (LOINC-1)
Hour (Code-2)
C0439227 (UMLS CUI-2)
258702006 (SNOMED CT-2)
HR (HL7 V3-2)
E-Arzt
Item
Einweisender Arzt
string
Admission (Code-1)
C0809949 (UMLS CUI-1)
Physicians (Code-2)
C0031831 (UMLS CUI-2)
112247003 (SNOMED CT-2)
MTHU010489 (LOINC-2)
PHYS (HL7 V3-2)
Item Group
Tumorkonferenz
Datum der Konferenz
Item
Datum der Konferenz
date
Cancer conference:Time Stamp -- Date and Time:Point in time:Cancer.To be specified in another part of the message:Quantitative (Code-1)
C0804663 (UMLS CUI-1)
21875-0 (LOINC-1)
Ort der Konferenz
Item
Ort der Konferenz
string
Place (Code-1)
C0442504 (UMLS CUI-1)
257557008 (SNOMED CT-1)
PLC (HL7 V3-1)
Cancer conference (Code-2)
C0805438 (UMLS CUI-2)
MTHU010336 (LOINC-2)
Patient angemeldet durch
Item
Verantwortliche Person für die Anmeldung
string
Registration (Code-1)
C1514821 (UMLS CUI-1)
Responsible Person (Code-2)
C1273518 (UMLS CUI-2)
394851003 (SNOMED CT-2)
Datum der Anmeldung
Item
Datum der Anmeldung
date
Registration (Code-1)
C1514821 (UMLS CUI-1)
Date in time (Code-2)
C0011008 (UMLS CUI-2)
410671006 (SNOMED CT-2)
MTHU021546 (LOINC-2)
Item
Teilnehmer
integer
for_compare (Code-Info)
Conference Participants (Code-1)
CL106596 (UMLS CUI-1)
Teilnehmer
Code List
Teilnehmer
CL Item
Gynäkologie (Senologie)
changed_datatype (Code-Info)
Obstetrics and gynecology (clinical specialty) (Code-1)
C1274104 (UMLS CUI-1)
394585009 (SNOMED CT-1)
MTHU000107 (LOINC-1)
CL Item
Radiologie (Radiologie)
changed_datatype (Code-Info)
Radiology Department (Code-1)
C0587500 (UMLS CUI-1)
309964003 (SNOMED CT-1)
CL Item
Nuklearmedizin (Nuklearmedizin)
changed_datatype (Code-Info)
Discipline of Nuclear Medicine (Code-1)
C0028582 (UMLS CUI-1)
394649004 (SNOMED CT-1)
CL Item
Strahlentherapie (Strahlentherapie)
changed_datatype (Code-Info)
Radiation Oncology (Code-1)
C0243005 (UMLS CUI-1)
419815003 (SNOMED CT-1)
CL Item
Pathologie (Pathologie)
changed_datatype (Code-Info)
C0030664 (UMLS CUI-1)
394595002 (SNOMED CT-1)
Item Group
Patientendaten
Item
Status Patient
integer
for_compare (Code-Info)
Patient status (attribute) (Code-1)
C0449437 (UMLS CUI-1)
246097001 (SNOMED CT-1)
Patient ist:
Code List
Status Patient
CL Item
Primärfall (Primärpatient)
Primary (Code-1)
CL414904 (UMLS CUI-1)
Case - situation (qualifier value) (Code-2)
C0868928 (UMLS CUI-2)
398241000 (SNOMED CT-2)
Diagnose
Item
Diagnose
string
C0011900 (UMLS CUI-1)
439401001 (SNOMED CT-1)
MTHU015826 (LOINC-1)
Karnofsky Index
Item
Karnofsky Index
string
Karnofsky Performance Status (Code-1)
C0206065 (UMLS CUI-1)
273546003 (SNOMED CT-1)
10054755 (MedDRA-1)
Studie
Item
klinische Studie
string
C0008976 (UMLS CUI-1)
110465008 (SNOMED CT-1)
Item Group
Krankheitsverlauf
Verlauf
Item
Krankheitsverlauf
string
Disease Progression (Code-1)
C0242656 (UMLS CUI-1)
246453008 (SNOMED CT-1)
10061818 (MedDRA-1)
MTHU039942 (LOINC-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
Item Group
Pathologie Befund
Pathologie Befund
Item
Kommentar zu den Pathologie Proben
string
Narrative comments on pathology specimen (observable entity) (Code-1)
C1444069 (UMLS CUI-1)
409770001 (SNOMED CT-1)
Item Group
Frage
Fragestellung
Item
Frage
string
Question (Code-1)
C1522634 (UMLS CUI-1)
Item Group
Subformular
Item Group
MDT (MIB)
kurativ
Item
Klinischer Befund vorhanden
boolean
Clinical finding present (situation) (Code-1)
C1276746 (UMLS CUI-1)
373573001 (SNOMED CT-1)
MTHU019505 (MedDRA-1)
Screening
Item
Mamma-Screening
boolean
Breast Cancer Early Detection (Code-1)
C0281182 (UMLS CUI-1)
268547008 (SNOMED CT-1)
sonographisch
Item
Ultraschall-gestütze Biopsie
boolean
Ultrasound-guided Biopsy (Code-1)
C0456900 (UMLS CUI-1)
277667006 (SNOMED CT-1)
VSB Sono
Item
Vakuumsaugbiopsie - Sonographie
boolean
Vacuum-Assisted Biopsy (Code-1)
C1710607 (UMLS CUI-1)
Ultrasound-guided Biopsy (Code-2)
C0456900 (UMLS CUI-2)
277667006 (SNOMED CT-2)
stereotaktisch MG
Item
Biopsie bei Mammographie
boolean
Mammography and biopsy (procedure) (Code-1)
C1636774 (UMLS CUI-1)
418378007 (SNOMED CT-1)
VSB MG
Item
Vakuumsaugbiopsie - Mammographie
boolean
Vacuum-Assisted Biopsy (Code-1)
C1710607 (UMLS CUI-1)
Mammography and biopsy (procedure) (Code-2)
C1636774 (UMLS CUI-2)
418378007 (SNOMED CT-2)
VSB MRT
Item
Vakuumsaugbiopsie - MRT
boolean
Vacuum-Assisted Biopsy (Code-1)
C1710607 (UMLS CUI-1)
Magnetic resonance imaging guided biopsy (procedure) (Code-2)
C0456854 (UMLS CUI-2)
277592004 (SNOMED CT-2)
Histologie der Biopsie
Item
Datum Pathologie Befund
string
Date of pathology report (observable entity) (Code-1)
C1302659 (UMLS CUI-1)
399737008 (SNOMED CT-1)
Item
Histologie Klassifikation (B)
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)
B-Kategorie
Code List
Histologie Klassifikation (B)
CL Item
normales Brustgewebe (B1)
Mammary Gland Tissue (Code-1)
C1521747 (UMLS CUI-1)
Normal (Code-2)
C0205307 (UMLS CUI-2)
17621005 (SNOMED CT-2)
CL Item
benigne (B2)
Benign (Code-1)
C0205183 (UMLS CUI-1)
30807003 (SNOMED CT-1)
CL Item
unklar ob benigne oder maligne (B3)
Neoplasm, Uncertain Whether Benign or Malignant (Code-1)
C0677041 (UMLS CUI-1)
86251006 (SNOMED CT-1)
CL Item
Malignitätsverdacht (B4)
Suspected malignancy (situation) (Code-1)
C0581833 (UMLS CUI-1)
162572001 (SNOMED CT-1)
CL Item
DCIS (B5a)
Noninfiltrating Intraductal Carcinoma (Code-1)
C0007124 (UMLS CUI-1)
86616005 (SNOMED CT-1)
10013806 (MedDRA-1)
D05.1 (ICD-10-CM-1)
CL Item
Invasive Karzinom (B5b)
Invasive Breast Carcinoma (Code-1)
C0853879 (UMLS CUI-1)
10006190 (MedDRA-1)
CL Item
Tumor Invasion kann nicht beurteilt werden (B5c)
Tumor invasion cannot be assessed (finding) (Code-1)
C1276687 (UMLS CUI-1)
370048007 (SNOMED CT-1)
CL Item
anderer Tumor (B5d)
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Malignant Neoplasms (Code-2)
C0006826 (UMLS CUI-2)
363346000 (SNOMED CT-2)
10028997 (MedDRA-2)
MTHU010328 (LOINC-2)
C00-C96 (ICD-10-CM-2)
Item
nicht_kodiert
integer
Korrelation
Code List
nicht_kodiert
CL Item
nicht_kodiert (K1 (sicher))
CL Item
nicht_kodiert (K2 (sicher))
CL Item
nicht_kodiert (K3a (unsicher, aber wahrscheinlich))
CL Item
nicht_kodiert (K3b (unsicher und wahrscheinlich))
Item Group
Aktion
Wiederholung MIB
Item
Wiederholung der Biopsie
boolean
Repeat (Code-1)
C0205341 (UMLS CUI-1)
27582007 (SNOMED CT-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
reguläre weitere Vorsorge
Item
regülare Vorsorge
boolean
Screening procedure (Code-1)
C0220908 (UMLS CUI-1)
275926002 (SNOMED CT-1)
Regular (Code-2)
C0449581 (UMLS CUI-2)
17854005 (SNOMED CT-2)
Kontrolle in X Monaten
Item
geplante Kontrolle
boolean
checkup examination (Code-1)
C0598836 (UMLS CUI-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
_ Monate
Item
Monate Check-Up
integer
month (qualifier value) (Code-1)
C0439231 (UMLS CUI-1)
258706009 (SNOMED CT-1)
MO (HL7 V3-1)
Kontrolle MG
Item
Check-Up Mammographie
boolean
Mammography (Code-1)
C0024671 (UMLS CUI-1)
71651007 (SNOMED CT-1)
10026735 (MedDRA-1)
checkup examination (Code-2)
C0598836 (UMLS CUI-2)
Konrolle Sono
Item
Check-Up Sonographie
boolean
Ultrasonography, Mammary (Code-1)
C0080264 (UMLS CUI-1)
47079000 (SNOMED CT-1)
checkup examination (Code-2)
C0598836 (UMLS CUI-2)
Konrolle MRT
Item
Check-Up MRT
boolean
Magnetic resonance imaging of breast (procedure) (Code-1)
C0344104 (UMLS CUI-1)
241615005 (SNOMED CT-1)
checkup examination (Code-2)
C0598836 (UMLS CUI-2)
weiterführende MIB
Item
zusätzliche Biopsie
boolean
Additional (Code-1)
C1524062 (UMLS CUI-1)
MTHU013802 (LOINC-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
diagnotische Excision
Item
Excisionsbiopsie
boolean
Excisional Biopsy (Code-1)
C0184921 (UMLS CUI-1)
8889005 (SNOMED CT-1)
onkologische OP
Item
onkologische Operation
boolean
Surgical Oncology (Code-1)
C1515090 (UMLS CUI-1)
Audit
Item
Audit
boolean
Audit (Code-1)
C1704775 (UMLS CUI-1)
Item Group
Tumorboardentscheidungen
Operation
Item
Operation
boolean
Operative Surgical Procedures (Code-1)
C0543467 (UMLS CUI-1)
387713003 (SNOMED CT-1)
10042609 (MedDRA-1)
MTHU007597 (LOINC-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Item
Intention
integer
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
Therapieziel
Code List
Intention
CL Item
Adjuvant (adjuvant)
Adjuvant - intent (qualifier value) (Code-1)
C1298675 (UMLS CUI-1)
373846009 (SNOMED CT-1)
CL Item
Kurativ (kurativ)
Curative - procedure intent (qualifier value) (Code-1)
C1276305 (UMLS CUI-1)
373808002 (SNOMED CT-1)
CL Item
Neoadjuvant (neoadjuvant)
Neo-adjuvant - intent (qualifier value) (Code-1)
C1298676 (UMLS CUI-1)
373847000 (SNOMED CT-1)
CL Item
Palliativ (palliativ)
Palliative - procedure intent (qualifier value) (Code-1)
C1285530 (UMLS CUI-1)
363676003 (SNOMED CT-1)
CL Item
sonstiges (sonstiges)
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Chemotherapie
Item
Chemotherapie
boolean
Chemotherapy Regimen (Code-1)
C0392920 (UMLS CUI-1)
69960004 (SNOMED CT-1)
10061758 (MedDRA-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Item
Intention
integer
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Chemotherapy Regimen (Code-2)
C0392920 (UMLS CUI-2)
69960004 (SNOMED CT-2)
10061758 (MedDRA-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
Therapieziel
Code List
Intention
CL Item
Adjuvant (adjuvant)
Adjuvant - intent (qualifier value) (Code-1)
C1298675 (UMLS CUI-1)
373846009 (SNOMED CT-1)
CL Item
Kurativ (kurativ)
Curative - procedure intent (qualifier value) (Code-1)
C1276305 (UMLS CUI-1)
373808002 (SNOMED CT-1)
CL Item
Neoadjuvant (neoadjuvant)
Neo-adjuvant - intent (qualifier value) (Code-1)
C1298676 (UMLS CUI-1)
373847000 (SNOMED CT-1)
CL Item
Palliativ (palliativ)
Palliative - procedure intent (qualifier value) (Code-1)
C1285530 (UMLS CUI-1)
363676003 (SNOMED CT-1)
CL Item
sonstiges (sonstiges)
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Strahlentherapie
Item
Bestrahlung
boolean
Therapeutic radiology procedure (Code-1)
C1522449 (UMLS CUI-1)
108290001 (SNOMED CT-1)
10037794 (MedDRA-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Item
Intention
integer
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Therapeutic radiology procedure (Code-2)
C1522449 (UMLS CUI-2)
108290001 (SNOMED CT-2)
10037794 (MedDRA-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
Therapieziel
Code List
Intention
CL Item
Adjuvant (adjuvant)
Adjuvant - intent (qualifier value) (Code-1)
C1298675 (UMLS CUI-1)
373846009 (SNOMED CT-1)
CL Item
Kurativ (kurativ)
Curative - procedure intent (qualifier value) (Code-1)
C1276305 (UMLS CUI-1)
373808002 (SNOMED CT-1)
CL Item
Neoadjuvant (neoadjuvant)
Neo-adjuvant - intent (qualifier value) (Code-1)
C1298676 (UMLS CUI-1)
373847000 (SNOMED CT-1)
CL Item
Palliativ (palliativ)
Palliative - procedure intent (qualifier value) (Code-1)
C1285530 (UMLS CUI-1)
363676003 (SNOMED CT-1)
CL Item
sonstiges (sonstiges)
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Hormontherapie
Item
Hormon- / endokrine Therapie
boolean
Endocrine Therapy (Code-1)
C0279025 (UMLS CUI-1)
169413002 (SNOMED CT-1)
10065646 (MedDRA-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Item
Intention
integer
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Endocrine Therapy (Code-2)
C0279025 (UMLS CUI-2)
169413002 (SNOMED CT-2)
10065646 (MedDRA-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
Therapieziel
Code List
Intention
CL Item
Adjuvant (adjuvant)
Adjuvant - intent (qualifier value) (Code-1)
C1298675 (UMLS CUI-1)
373846009 (SNOMED CT-1)
CL Item
Kurativ (kurativ)
Curative - procedure intent (qualifier value) (Code-1)
C1276305 (UMLS CUI-1)
373808002 (SNOMED CT-1)
CL Item
Neoadjuvant (neoadjuvant)
Neo-adjuvant - intent (qualifier value) (Code-1)
C1298676 (UMLS CUI-1)
373847000 (SNOMED CT-1)
CL Item
Palliativ (palliativ)
Palliative - procedure intent (qualifier value) (Code-1)
C1285530 (UMLS CUI-1)
363676003 (SNOMED CT-1)
CL Item
sonstiges (sonstiges)
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Immuntherapie
Item
Immuntherapie
boolean
Immunotherapy (Code-1)
C0021083 (UMLS CUI-1)
76334006 (SNOMED CT-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Item
Intention
integer
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Immunotherapy (Code-2)
C0021083 (UMLS CUI-2)
76334006 (SNOMED CT-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
Therapieziel
Code List
Intention
CL Item
Adjuvant (adjuvant)
Adjuvant - intent (qualifier value) (Code-1)
C1298675 (UMLS CUI-1)
373846009 (SNOMED CT-1)
CL Item
Kurativ (kurativ)
Curative - procedure intent (qualifier value) (Code-1)
C1276305 (UMLS CUI-1)
373808002 (SNOMED CT-1)
CL Item
Neoadjuvant (neoadjuvant)
Neo-adjuvant - intent (qualifier value) (Code-1)
C1298676 (UMLS CUI-1)
373847000 (SNOMED CT-1)
CL Item
Palliativ (palliativ)
Palliative - procedure intent (qualifier value) (Code-1)
C1285530 (UMLS CUI-1)
363676003 (SNOMED CT-1)
CL Item
sonstiges (sonstiges)
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Studienprotokoll
Item
Studienprotokoll
boolean
C2348563 (UMLS CUI-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Studienprotokoll
Item
Studienprotokoll - Freitext
string
C2348563 (UMLS CUI-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
Verlaufskontrolle
Item
Verlaufskontrolle
boolean
C1522577 (UMLS CUI-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Verlaufskontrolle
Item
Verlaufskontrolle - Freitext
string
C1522577 (UMLS CUI-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
Analgetika
Item
Analgetika
boolean
Pain management (Code-1)
C0002766 (UMLS CUI-1)
278414003 (SNOMED CT-1)
10056350 (MedDRA-1)
MTHU031888 (LOINC-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Analgetika
Item
Analgetika - Freitext
string
Pain management (Code-1)
C0002766 (UMLS CUI-1)
278414003 (SNOMED CT-1)
10056350 (MedDRA-1)
MTHU031888 (LOINC-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
sonstige
Item
andere Empfehlung
boolean
Advising (Code-1)
C1828381 (UMLS CUI-1)
424900004 (SNOMED CT-1)
Other (Code-2)
C0205394 (UMLS CUI-2)
74964007 (SNOMED CT-2)
sonstige
Item
andere Empfehlung - Freitext
string
Advising (Code-1)
C1828381 (UMLS CUI-1)
424900004 (SNOMED CT-1)
Other (Code-2)
C0205394 (UMLS CUI-2)
74964007 (SNOMED CT-2)
Free Text Format (Code-3)
C2348713 (UMLS CUI-3)
Re-Biopsie
Item
Re-Biopsie
boolean
Repeat (Code-1)
C0205341 (UMLS CUI-1)
27582007 (SNOMED CT-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
Bisphosphonate
Item
Bisphosphonate
boolean
Diphosphonates (Code-1)
C0012544 (UMLS CUI-1)
372907000 (SNOMED CT-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Bisphosphonate
Item
Bisphosphonate - Freitext
string
Diphosphonates (Code-1)
C0012544 (UMLS CUI-1)
372907000 (SNOMED CT-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
Radioiodtherapie
Item
Radioiodtherapie
boolean
Iodine 131 therapy (procedure) (Code-1)
C0454105 (UMLS CUI-1)
228698009 (SNOMED CT-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Wiedervorstellung nach weiterer Diagnostik
Item
Wiedervorstellung nach Diagnostik
boolean
Follow-up visit (procedure) (Code-1)
C0589121 (UMLS CUI-1)
185389009 (SNOMED CT-1)
Post (Code-2)
C0231290 (UMLS CUI-2)
237679004 (SNOMED CT-2)
diagnostic procedure (Code-3)
C0430022 (UMLS CUI-3)
103693007 (SNOMED CT-3)
10061816 (MedDRA-3)
Act. Surveillance
Item
Active Surveillance
boolean
Active surveillance (regime/therapy) (Code-1)
C1827061 (UMLS CUI-1)
424313000 (SNOMED CT-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
weitere Diagnostik
Item
Diagnostik notwendig
string
diagnostic procedure (Code-1)
C0430022 (UMLS CUI-1)
103693007 (SNOMED CT-1)
10061816 (MedDRA-1)
Need (Code-2)
C0027552 (UMLS CUI-2)
410525008 (SNOMED CT-2)
Therapie Freitext
Item
Therapie Freitext
string
Therapeutic procedure (Code-1)
C0087111 (UMLS CUI-1)
277132007 (SNOMED CT-1)
10053757 (MedDRA-1)
MTHU008880 (LOINC-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
Datum
Item
Datum der Arzt-Unterschrift
date
Signature of responsible attending physician on file (Code-1)
C0807938 (UMLS CUI-1)
112247003 (SNOMED CT-1)
Date in time (Code-2)
C0011008 (UMLS CUI-2)
410671006 (SNOMED CT-2)
MTHU021546 (LOINC-2)
Unterschrift Arzt
Item
Arzt-Unterschrift
string
Signature of responsible attending physician on file (Code-1)
C0807938 (UMLS CUI-1)
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

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