ID

4081

Description

documentation standard - breast cancer - gynecology, with friendly permission (Dr. Tio) - kooperatives Brustzentrum Münster, Bereich Senologie an der Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe - Leitung: Dr. med. Joke Tio

Keywords

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

August 7, 2013

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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HIS cancer conference after surgery breast cancer

German English

HIS

1 forms  
  1. StudyEvent: HIS
    1. HIS
Patientenaufkleber groß
Description

Patientenaufkleber groß

Admission date
Description

Aufnahmedatum

Data type

date

Alias
Code-1
Date of admission
UMLS CUI-1
C1302393
SNOMED CT-1
399423000
LOINC-1
MTHU029790
Patient Identification Number
Description

PatientenID

Data type

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
Patient sex
Description

Geschlecht

Data type

string

Alias
UMLS CUI-1
C0150831
SNOMED CT-1
184100006
Patient surname
Description

Nachname

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 date of birth
Description

Geburtsdatum

Data type

date

Alias
UMLS CUI-1
C0421451
SNOMED CT-1
184099003
Admission hour
Description

Aufnahmezeit

Data type

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
Physician admission
Description

E-Arzt

Data type

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
Postoperative MDT
Description

Postoperative MDT

Date of cancer conference
Description

vom

Data type

date

Alias
Code-1
Date in time
UMLS CUI-1
C0011008
SNOMED CT-1
410671006
LOINC-1
MTHU021546
Histologic Type
Description

Histologischer Typ

Data type

integer

Alias
Code-1
Histologic Type
UMLS CUI-1
C0449574
SNOMED CT-1
263541007
LOINC-1
MTHU020048
Code-2
Operative Surgical Procedures
UMLS CUI-2
C0543467
SNOMED CT-2
387713003
MedDRA-2
10042609
LOINC-2
MTHU007597
other histopathology
Description

sonstige Histologie

Data type

string

Alias
Code-1
Other
UMLS CUI-1
C0205394
SNOMED CT-1
74964007
Code-2
Histologic Type
UMLS CUI-2
C0449574
SNOMED CT-2
263541007
LOINC-2
MTHU020048
Tumor size
Description

Tumorgröße

Data type

integer

Alias
Item-Info
mm
Code-1
Tumor size (observable entity)
UMLS CUI-1
C0475440
SNOMED CT-1
263605001
size of non infiltrating intraductal carcinoma
Description

DCIS Größe

Data type

integer

Alias
Item-Info
mm
Code-1
size
UMLS CUI-1
C0456389
SNOMED CT-1
246115007
LOINC-1
MTHU010347
Code-2
Noninfiltrating Intraductal Carcinoma
UMLS CUI-2
C0007124
SNOMED CT-2
86616005
MedDRA-2
10013806
ICD-10-CM-2
D05.1
Histologic Grade
Description

Grading

Data type

integer

Alias
UMLS CUI-1
C0919553
SNOMED CT-1
371469007
Code-2
Operative Surgical Procedures
UMLS CUI-2
C0543467
SNOMED CT-2
387713003
MedDRA-2
10042609
LOINC-2
MTHU007597
nuclear grade
Description

Kernmalignitätsgrad

Data type

integer

Alias
Code-1
Nuclear grade finding (finding)
UMLS CUI-1
C1273709
SNOMED CT-1
384736003
Code-2
Operative Surgical Procedures
UMLS CUI-2
C0543467
SNOMED CT-2
387713003
MedDRA-2
10042609
LOINC-2
MTHU007597
Estrogen Receptor
Description

ER

Data type

integer

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

% positiv

Data type

integer

Alias
Code-1
Percentage unit (qualifier value)
UMLS CUI-1
C1532336
SNOMED CT-1
415067009
Code-2
Estrogen receptor positive tumor (disorder)
UMLS CUI-2
C1562312
SNOMED CT-2
416053008
progesterone receptor
Description

PR

Data type

integer

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

% positiv

Data type

integer

Alias
Code-1
Percentage unit (qualifier value)
UMLS CUI-1
C1532336
SNOMED CT-1
415067009
Code-2
Progesterone receptor positive tumor (disorder)
UMLS CUI-2
C1562928
SNOMED CT-2
416561008
Her-2/neu
Description

Her-2-Status

Data type

integer

Alias
Code-1
Her2/Neu Status
UMLS CUI-1
C1512413
Fluorescent in Situ Hybridization
Description

FISH/SISH

Data type

integer

Alias
Code-1
Fluorescent in Situ Hybridization
UMLS CUI-1
C0162789
SNOMED CT-1
426329006
MedDRA-1
10066931
margin of safety
Description

margin of safety

margin of safety
Description

Ort

Data type

integer

Alias
Code-1
margin of safety
UMLS CUI-1
C0243168
safety margin Invasive Carcinoma
Description

invasiv

Data type

string

Alias
Code-1
Invasive Breast Carcinoma
UMLS CUI-1
C0853879
MedDRA-1
10006190
Code-2
margin of safety
UMLS CUI-2
C0243168
safety margin Noninfiltrating Intraductal Carcinoma
Description

DCIS

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
Repeated Surgical Procedure
Description

NR notwendig

Data type

boolean

Alias
UMLS CUI-1
C0035110
SNOMED CT-1
261554009
MedDRA-1
10038579
Sentinel Lymph Node
Description

Sentinel Lymph Node

Number of sentinel lymph nodes examined
Description

Anzahl

Data type

integer

Alias
UMLS CUI-1
C2733493
SNOMED CT-1
444411008
finding sentinel lymph node
Description

Befund

Data type

integer

Alias
Code-1
Finding
UMLS CUI-1
C1285578
SNOMED CT-1
363787002
Code-2
Sentinel Lymph Node
UMLS CUI-2
C0677944
SNOMED CT-2
330469005
Axillary Lymph Node Dissection
Description

Axillary Lymph Node Dissection

Axillary Lymph Node Dissection
Description

Axilladissektion

Data type

boolean

Alias
Code-Info
for_compare
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

Data type

integer

Alias
UMLS CUI-1
C2733494
SNOMED CT-1
444025001
Number of lymph nodes involved by malignant neoplasm
Description

davon befallen

Data type

integer

Alias
Code-1
Number of lymph nodes involved by malignant neoplasm (observable entity)
UMLS CUI-1
C2732750
SNOMED CT-1
443527007
Cancer conference Decision
Description

Cancer conference Decision

Date of cancer conference
Description

vom

Data type

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
Operative Surgical Procedures
Description

operative Therapie abgeschlossen

Data type

boolean

Alias
UMLS CUI-1
C0543467
SNOMED CT-1
387713003
MedDRA-1
10042609
LOINC-1
MTHU007597
secondary lymph node excision
Description

sek. LNE

Data type

boolean

Alias
Code-1
Excision of regional lymph nodes (procedure)
UMLS CUI-1
C0337383
SNOMED CT-1
21525004
Code-2
Secondary
UMLS CUI-2
C0175668
SNOMED CT-2
2603003
Repeated Surgical Procedure
Description

Nachresektion

Data type

boolean

Alias
UMLS CUI-1
C0035110
SNOMED CT-1
261554009
MedDRA-1
10038579
secondary total mastectomy
Description

sek. ME

Data type

boolean

Alias
Code-1
Simple mastectomy
UMLS CUI-1
C0024886
SNOMED CT-1
172043006
MedDRA-1
10040700
ICD-9-CM-1
85.41
Code-2
Secondary
UMLS CUI-2
C0175668
SNOMED CT-2
2603003
Pathological staging
Description

Pathological staging

pT stage
Description

pT

Data type

string

Alias
Code-1
pT category finding (finding)
UMLS CUI-1
C1272834
SNOMED CT-1
385385001
pN Stage
Description

pN

Data type

string

Alias
Code-1
pN category finding (finding)
UMLS CUI-1
C1272833
SNOMED CT-1
385381005
Lymph vessel invasion
Description

L

Data type

string

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

V

Data type

string

Alias
UMLS CUI-1
C1710625
cM Stage
Description

cM

Data type

string

Alias
Code-1
cM category (observable entity)
UMLS CUI-1
C1275856
SNOMED CT-1
399387003
Histologic Grade
Description

G

Data type

integer

Alias
UMLS CUI-1
C0919553
SNOMED CT-1
371469007
Signature
Description

Unterschrift

Data type

string

Alias
Code-1
Signature of responsible attending physician on file
UMLS CUI-1
C0807938
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Similar models

HIS

1 forms
  1. StudyEvent: HIS
    1. HIS
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patientenaufkleber groß
Aufnahmedatum
Item
Admission date
date
Date of admission (Code-1)
C1302393 (UMLS CUI-1)
399423000 (SNOMED CT-1)
MTHU029790 (LOINC-1)
PatientenID
Item
Patient Identification Number
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
Patient sex
string
C0150831 (UMLS CUI-1)
184100006 (SNOMED CT-1)
Nachname
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)
Geburtsdatum
Item
Patient date of birth
date
C0421451 (UMLS CUI-1)
184099003 (SNOMED CT-1)
Aufnahmezeit
Item
Admission hour
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
Physician admission
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
Postoperative MDT
vom
Item
Date of cancer conference
date
Date in time (Code-1)
C0011008 (UMLS CUI-1)
410671006 (SNOMED CT-1)
MTHU021546 (LOINC-1)
Item
Histologic Type
integer
Histologic Type (Code-1)
C0449574 (UMLS CUI-1)
263541007 (SNOMED CT-1)
MTHU020048 (LOINC-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
Histologischer Typ
Code List
Histologic Type
CL Item
Not Otherwise Specified  (NOS)
Not Otherwise Specified (Code-1)
C1518425 (UMLS CUI-1)
CL Item
Invasive Lobular Breast Carcinoma (IL)
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)
CL Item
Lobular carcinoma in situ of breast  (CLIS ext. Type)
Lobular carcinoma in situ of breast (Code-1)
C0279563 (UMLS CUI-1)
109888004 (SNOMED CT-1)
10024744 (MedDRA-1)
D05.0 (ICD-10-CM-1)
CL Item
other histologic type (sonstige)
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
sonstige Histologie
Item
other histopathology
string
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Histologic Type (Code-2)
C0449574 (UMLS CUI-2)
263541007 (SNOMED CT-2)
MTHU020048 (LOINC-2)
Tumorgröße
Item
Tumor size
integer
mm (Item-Info)
Tumor size (observable entity) (Code-1)
C0475440 (UMLS CUI-1)
263605001 (SNOMED CT-1)
DCIS Größe
Item
size of non infiltrating intraductal carcinoma
integer
mm (Item-Info)
size (Code-1)
C0456389 (UMLS CUI-1)
246115007 (SNOMED CT-1)
MTHU010347 (LOINC-1)
Noninfiltrating Intraductal Carcinoma (Code-2)
C0007124 (UMLS CUI-2)
86616005 (SNOMED CT-2)
10013806 (MedDRA-2)
D05.1 (ICD-10-CM-2)
Item
Histologic Grade
integer
C0919553 (UMLS CUI-1)
371469007 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
Grading
Code List
Histologic Grade
CL Item
G1 grade  (G1)
G1 grade (finding) (Code-1)
C0475269 (UMLS CUI-1)
54102005 (SNOMED CT-1)
CL Item
G2 grade (G2)
G2 grade (finding) (Code-1)
C0475270 (UMLS CUI-1)
1663004 (SNOMED CT-1)
CL Item
G3 grade (G3)
G3 grade (finding) (Code-1)
C0475271 (UMLS CUI-1)
61026006 (SNOMED CT-1)
Item
nuclear grade
integer
Nuclear grade finding (finding) (Code-1)
C1273709 (UMLS CUI-1)
384736003 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
Kernmalignitätsgrad
Code List
nuclear grade
CL Item
Low Grade  (low)
Low Grade (Code-1)
C1282907 (UMLS CUI-1)
CL Item
Intermediate Grade  (intermediate)
Intermediate Grade (Code-1)
C1512863 (UMLS CUI-1)
CL Item
High Grade  (high)
High Grade (Code-1)
CL378245 (UMLS CUI-1)
Item
Estrogen Receptor
integer
Status of estrogen receptors of neoplasm (observable entity) (Code-1)
C2919271 (UMLS CUI-1)
445028008 (SNOMED CT-1)
ER
Code List
Estrogen Receptor
CL Item
negative (negativ)
Estrogen receptor negative neoplasm (disorder) (Code-1)
C2584629 (UMLS CUI-1)
441117001 (SNOMED CT-1)
CL Item
positive (positiv)
Estrogen receptor positive tumor (disorder) (Code-1)
C1562312 (UMLS CUI-1)
416053008 (SNOMED CT-1)
% positiv
Item
percentage positiv
integer
Percentage unit (qualifier value) (Code-1)
C1532336 (UMLS CUI-1)
415067009 (SNOMED CT-1)
Estrogen receptor positive tumor (disorder) (Code-2)
C1562312 (UMLS CUI-2)
416053008 (SNOMED CT-2)
Item
progesterone receptor
integer
Status of progesterone receptors of neoplasm (observable entity) (Code-1)
C2919590 (UMLS CUI-1)
445029000 (SNOMED CT-1)
PR
Code List
progesterone receptor
CL Item
negative (negativ)
Progesterone receptor negative neoplasm (disorder) (Code-1)
C2584628 (UMLS CUI-1)
441118006 (SNOMED CT-1)
CL Item
positive (positiv)
Progesterone receptor positive tumor (disorder) (Code-1)
C1562928 (UMLS CUI-1)
416561008 (SNOMED CT-1)
% positiv
Item
percentage positiv
integer
Percentage unit (qualifier value) (Code-1)
C1532336 (UMLS CUI-1)
415067009 (SNOMED CT-1)
Progesterone receptor positive tumor (disorder) (Code-2)
C1562928 (UMLS CUI-2)
416561008 (SNOMED CT-2)
Item
Her-2/neu
integer
Her2/Neu Status (Code-1)
C1512413 (UMLS CUI-1)
Her-2-Status
Code List
Her-2/neu
CL Item
negative (0)
HER2-negative breast cancer (Code-1)
CL412283 (UMLS CUI-1)
CL Item
negative (1+)
HER2-negative breast cancer (Code-1)
CL412283 (UMLS CUI-1)
CL Item
Borderline (2+)
Borderline (Code-1)
C0205189 (UMLS CUI-1)
CL Item
positive (3+)
HER2-positive carcinoma of breast (disorder) (Code-1)
C1960398 (UMLS CUI-1)
427685000 (SNOMED CT-1)
Item
Fluorescent in Situ Hybridization
integer
Fluorescent in Situ Hybridization (Code-1)
C0162789 (UMLS CUI-1)
426329006 (SNOMED CT-1)
10066931 (MedDRA-1)
FISH/SISH
Code List
Fluorescent in Situ Hybridization
CL Item
negative (neg.)
Negative Finding (Code-1)
C0205160 (UMLS CUI-1)
260385009 (SNOMED CT-1)
CL Item
postive (pos.)
Positive Finding (Code-1)
C1446409 (UMLS CUI-1)
10828004 (SNOMED CT-1)
Item Group
margin of safety
Item
margin of safety
integer
margin of safety (Code-1)
C0243168 (UMLS CUI-1)
Ort
Code List
margin of safety
CL Item
Nippled (mamillär)
Nippled (qualifier value) (Code-1)
C0457424 (UMLS CUI-1)
278274006 (SNOMED CT-1)
CL Item
Peripheral (peripher)
Peripheral (Code-1)
C0205100 (UMLS CUI-1)
14414005 (SNOMED CT-1)
CL Item
Ventral (ventral)
Ventral (Code-1)
C1704448 (UMLS CUI-1)
255549009 (SNOMED CT-1)
CL Item
Dorsal (dorsal)
Dorsal (Code-1)
C0205095 (UMLS CUI-1)
255554000 (SNOMED CT-1)
CL Item
Cephalad (cranial)
Cephalad (Code-1)
C0205096 (UMLS CUI-1)
66787007 (SNOMED CT-1)
CL Item
Caudal  (caudal)
Caudal (Code-1)
C0205097 (UMLS CUI-1)
3583002 (SNOMED CT-1)
CL Item
Lateral (lateral)
Lateral (Code-1)
C0205093 (UMLS CUI-1)
49370004 (SNOMED CT-1)
CL Item
Medial (medial)
Medial (Code-1)
C0205098 (UMLS CUI-1)
255561001 (SNOMED CT-1)
invasiv
Item
safety margin Invasive Carcinoma
string
Invasive Breast Carcinoma (Code-1)
C0853879 (UMLS CUI-1)
10006190 (MedDRA-1)
margin of safety (Code-2)
C0243168 (UMLS CUI-2)
DCIS
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)
NR notwendig
Item
Repeated Surgical Procedure
boolean
C0035110 (UMLS CUI-1)
261554009 (SNOMED CT-1)
10038579 (MedDRA-1)
Item Group
Sentinel Lymph Node
Anzahl
Item
Number of sentinel lymph nodes examined
integer
C2733493 (UMLS CUI-1)
444411008 (SNOMED CT-1)
Item
finding sentinel lymph node
integer
Finding (Code-1)
C1285578 (UMLS CUI-1)
363787002 (SNOMED CT-1)
Sentinel Lymph Node (Code-2)
C0677944 (UMLS CUI-2)
330469005 (SNOMED CT-2)
Befund
Code List
finding sentinel lymph node
CL Item
No neoplasm (tumorfrei)
No neoplasm (qualifier value) (Code-1)
C0445120 (UMLS CUI-1)
264869003 (SNOMED CT-1)
CL Item
Micrometastasis (Micrometastasen)
Micrometastasis (Code-1)
C1513276 (UMLS CUI-1)
CL Item
Metastasis (Makrometastasen)
Metastasis (Code-1)
C0027627 (UMLS CUI-1)
CL Item
Intraoperative  (intraoperativ festgestellt)
Intraoperative (Code-1)
C0456904 (UMLS CUI-1)
277671009 (SNOMED CT-1)
CL Item
Histopathology (erst in endgültiger Histologie festgestellt)
Histopathology (Code-1)
C0677043 (UMLS CUI-1)
394597005 (SNOMED CT-1)
Item Group
Axillary Lymph Node Dissection
Axilladissektion
Item
Axillary Lymph Node Dissection
boolean
for_compare (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
Item
Number of lymph nodes examined
integer
C2733494 (UMLS CUI-1)
444025001 (SNOMED CT-1)
davon befallen
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)
Item Group
Cancer conference Decision
vom
Item
Date of cancer conference
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)
operative Therapie abgeschlossen
Item
Operative Surgical Procedures
boolean
C0543467 (UMLS CUI-1)
387713003 (SNOMED CT-1)
10042609 (MedDRA-1)
MTHU007597 (LOINC-1)
sek. LNE
Item
secondary lymph node excision
boolean
Excision of regional lymph nodes (procedure) (Code-1)
C0337383 (UMLS CUI-1)
21525004 (SNOMED CT-1)
Secondary (Code-2)
C0175668 (UMLS CUI-2)
2603003 (SNOMED CT-2)
Nachresektion
Item
Repeated Surgical Procedure
boolean
C0035110 (UMLS CUI-1)
261554009 (SNOMED CT-1)
10038579 (MedDRA-1)
sek. ME
Item
secondary total mastectomy
boolean
Simple mastectomy (Code-1)
C0024886 (UMLS CUI-1)
172043006 (SNOMED CT-1)
10040700 (MedDRA-1)
85.41 (ICD-9-CM-1)
Secondary (Code-2)
C0175668 (UMLS CUI-2)
2603003 (SNOMED CT-2)
Item Group
Pathological staging
pT
Item
pT stage
string
pT category finding (finding) (Code-1)
C1272834 (UMLS CUI-1)
385385001 (SNOMED CT-1)
pN
Item
pN Stage
string
pN category finding (finding) (Code-1)
C1272833 (UMLS CUI-1)
385381005 (SNOMED CT-1)
L
Item
Lymph vessel invasion
string
Lymphatic (small vessel) tumor invasion finding (finding) (Code-1)
C1272791 (UMLS CUI-1)
385414009 (SNOMED CT-1)
V
Item
Venous Invasion
string
C1710625 (UMLS CUI-1)
cM
Item
cM Stage
string
cM category (observable entity) (Code-1)
C1275856 (UMLS CUI-1)
399387003 (SNOMED CT-1)
G
Item
Histologic Grade
integer
C0919553 (UMLS CUI-1)
371469007 (SNOMED CT-1)
Unterschrift
Item
Signature
string
Signature of responsible attending physician on file (Code-1)
C0807938 (UMLS CUI-1)
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