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)
Patientin informiert
Item
date
date
Visit Date (Code-1)
C1320303 (UMLS CUI-1)
406543005 (SNOMED CT-1)
durch Dr.
Item
responsible person
string
Responsible Person (Code-1)
C1273518 (UMLS CUI-1)
394851003 (SNOMED CT-1)
mit Empfehlung einverstanden
Item
Informed consent for decision cancer conference obtained
boolean
Informed consent obtained (Code-1)
C0514044 (UMLS CUI-1)
MTHU008888 (LOINC-1)
Cancer conference (Code-2)
C0805438 (UMLS CUI-2)
MTHU010336 (LOINC-2)
Decision (Code-3)
C0679006 (UMLS CUI-3)
wenn nein, folgende Abweichungen
Item
change of cancer conference decision
string
Change (Code-1)
C0392747 (UMLS CUI-1)
243326001 (SNOMED CT-1)
Decision (Code-2)
C0679006 (UMLS CUI-2)
Cancer conference (Code-3)
C0805438 (UMLS CUI-3)
MTHU010336 (LOINC-3)
Item
planned procedures
integer
Therapeutic procedure (Code-1)
C0087111 (UMLS CUI-1)
277132007 (SNOMED CT-1)
10053757 (MedDRA-1)
MTHU008880 (LOINC-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Code List
planned procedures
CL Item
external therapy (nein, da weitere Therapie extern)
Extrinsic (Code-1)
C0205101 (UMLS CUI-1)
261074009 (SNOMED CT-1)
Therapeutic procedure (Code-2)
C0087111 (UMLS CUI-2)
277132007 (SNOMED CT-2)
10053757 (MedDRA-2)
MTHU008880 (LOINC-2)
CL Item
not required (nicht erforderlich)
Requirement (Code-1)
C1514873 (UMLS CUI-1)
Negation (Code-2)
C1518422 (UMLS CUI-2)
CL Item
Yes (ja)
Yes (Code-1)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
Aufklärung über Systemtherapie
Item
Patient informed systemic therapy
boolean
Informing patient (procedure) (Code-1)
C0588446 (UMLS CUI-1)
310866003 (SNOMED CT-1)
Systemic Therapy (Code-2)
C1515119 (UMLS CUI-2)
Aufklärung über Systemtherapie: endokrine Therapie
Item
Patient informed endocrin therapy
boolean
Informing patient (procedure) (Code-1)
C0588446 (UMLS CUI-1)
310866003 (SNOMED CT-1)
Endocrine Therapy (Code-2)
C0279025 (UMLS CUI-2)
169413002 (SNOMED CT-2)
10065646 (MedDRA-2)
Aufklärung über Systemtherapie: Chemotherapie
Item
Patient informed chemotherapy
boolean
Informing patient (procedure) (Code-1)
C0588446 (UMLS CUI-1)
310866003 (SNOMED CT-1)
Chemotherapy Regimen (Code-2)
C0392920 (UMLS CUI-2)
69960004 (SNOMED CT-2)
10061758 (MedDRA-2)
Aufklärung über Systemtherapie: Herceptin
Item
Patient informed immunotherapy
boolean
Informing patient (procedure) (Code-1)
C0588446 (UMLS CUI-1)
310866003 (SNOMED CT-1)
Immunotherapy (Code-2)
C0021083 (UMLS CUI-2)
76334006 (SNOMED CT-2)
Rp. Antihormonelle Therapie
Item
Prescriptions endocrine therapy
boolean
Drug Prescriptions (Code-1)
C0033081 (UMLS CUI-1)
182817000 (SNOMED CT-1)
MTHU035094 (LOINC-1)
Endocrine Therapy (Code-2)
C0279025 (UMLS CUI-2)
169413002 (SNOMED CT-2)
10065646 (MedDRA-2)
Infobogen endokrine Therapie ausgehändigt
Item
Information endocrine therapy
boolean
Information (Code-1)
CL414911 (UMLS CUI-1)
Endocrine Therapy (Code-2)
C0279025 (UMLS CUI-2)
169413002 (SNOMED CT-2)
10065646 (MedDRA-2)
Organisation Portanlage
Item
Insertion Portacath
boolean
Portacath insertion (Code-1)
C1868856 (UMLS CUI-1)
Termin onkologische Tagesklinik
Item
Appointment day hospital
boolean
Appointment date (finding) (Code-1)
C0585085 (UMLS CUI-1)
185353001 (SNOMED CT-1)
Day hospital (environment) (Code-2)
C0587438 (UMLS CUI-2)
274516006 (SNOMED CT-2)
Oncologic (qualifier value) (Code-3)
C0205478 (UMLS CUI-3)
3428006 (SNOMED CT-3)
Termin in Strahlentherapie
Item
Appointment radiation therapy
boolean
Appointment date (finding) (Code-1)
C0585085 (UMLS CUI-1)
185353001 (SNOMED CT-1)
Therapeutic radiology procedure (Code-2)
C1522449 (UMLS CUI-2)
108290001 (SNOMED CT-2)
10037794 (MedDRA-2)
Info über DMP erfolgt
Item
Information DMP
boolean
Information (Code-1)
CL414911 (UMLS CUI-1)
Disease management program (regime/therapy) (Code-2)
C1303150 (UMLS CUI-2)
401173007 (SNOMED CT-2)
Sonstiges
Item
other
string
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Datum
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)
Unterschrift
Item
signature
string
Signature of responsible attending physician on file (Code-1)
C0807938 (UMLS CUI-1)