ID

4111

Description

HIS form from Soarian. Urologie Erlangen" with friendly permission of the urology Erlangen (Prof. Wullich) and the medical informatics department Erlangen (PD Dr. Bürkle)

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 trial form prostate cancer

German English

HIS

1 forms  
  1. 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
Case Identifier
Description

Fallnummer

Data type

integer

Alias
Code-1
Case - situation (qualifier value)
UMLS CUI-1
C0868928
SNOMED CT-1
398241000
Code-2
Identifier
UMLS CUI-2
C0600091
SNOMED CT-2
118522005
Studienbogen
Description

Studienbogen

trial name
Description

Name der Studie

Data type

string

Alias
Code-1
Trial name
UMLS CUI-1
C1629065
LOINC-1
MTHU019350
Intent Therapy
Description

Therapieart

Data type

integer

Alias
Code-1
Intent
UMLS CUI-1
C1283828
SNOMED CT-1
367565008
Code-2
Therapeutic procedure
UMLS CUI-2
C0087111
SNOMED CT-2
277132007
MedDRA-2
10053757
LOINC-2
MTHU008880
date of inclusion
Description

Einschluss in die Studie

Data type

date

Alias
Code-1
Date in time
UMLS CUI-1
C0011008
SNOMED CT-1
410671006
LOINC-1
MTHU021546
Code-2
Inclusion Criteria
UMLS CUI-2
C1512693
planned cycles
Description

geplante Zyklen

Data type

integer

Alias
Code-1
Plan
UMLS CUI-1
C1301732
SNOMED CT-1
397943006
Code-2
Chemotherapy cycle (procedure)
UMLS CUI-2
C1302181
SNOMED CT-2
399042005
executed cycles
Description

tatsächliche Zyklen

Data type

integer

Alias
Code-1
Execution
UMLS CUI-1
C1705848
Code-2
Chemotherapy cycle (procedure)
UMLS CUI-2
C1302181
SNOMED CT-2
399042005
last contact
Description

letztes Follow-Up

Data type

date

Alias
Code-1
Date last contact
UMLS CUI-1
C0805839
LOINC-1
MTHU010432
Vital Status
Description

Status

Data type

integer

Alias
Code-1
Vital Status
UMLS CUI-1
C1148433
date disease stage
Description

Staging am

Data type

date

Alias
Code-1
disease stage
UMLS CUI-1
C0699749
Code-2
Date in time
UMLS CUI-2
C0011008
SNOMED CT-2
410671006
LOINC-2
MTHU021546
result Staging
Description

Ergebnis Staging

Data type

string

Alias
Code-1
disease stage
UMLS CUI-1
C0699749
Code-2
Result
UMLS CUI-2
C1274040
SNOMED CT-2
394617004
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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
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)
Fallnummer
Item
Case Identifier
integer
Case - situation (qualifier value) (Code-1)
C0868928 (UMLS CUI-1)
398241000 (SNOMED CT-1)
Identifier (Code-2)
C0600091 (UMLS CUI-2)
118522005 (SNOMED CT-2)
Item Group
Studienbogen
Name der Studie
Item
trial name
string
Trial name (Code-1)
C1629065 (UMLS CUI-1)
MTHU019350 (LOINC-1)
Item
Intent Therapy
integer
Intent (Code-1)
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Therapeutic procedure (Code-2)
C0087111 (UMLS CUI-2)
277132007 (SNOMED CT-2)
10053757 (MedDRA-2)
MTHU008880 (LOINC-2)
Therapieart
Code List
Intent Therapy
CL Item
Neo-adjuvant - intent (neoadjuvant)
Neo-adjuvant - intent (qualifier value) (Code-1)
C1298676 (UMLS CUI-1)
373847000 (SNOMED CT-1)
CL Item
Adjuvant - intent (adjuvant)
Adjuvant - intent (qualifier value) (Code-1)
C1298675 (UMLS CUI-1)
373846009 (SNOMED CT-1)
CL Item
Palliative - procedure intent  (palliativ)
Palliative - procedure intent (qualifier value) (Code-1)
C1285530 (UMLS CUI-1)
363676003 (SNOMED CT-1)
Einschluss in die Studie
Item
date of inclusion
date
Date in time (Code-1)
C0011008 (UMLS CUI-1)
410671006 (SNOMED CT-1)
MTHU021546 (LOINC-1)
Inclusion Criteria (Code-2)
C1512693 (UMLS CUI-2)
geplante Zyklen
Item
planned cycles
integer
Plan (Code-1)
C1301732 (UMLS CUI-1)
397943006 (SNOMED CT-1)
Chemotherapy cycle (procedure) (Code-2)
C1302181 (UMLS CUI-2)
399042005 (SNOMED CT-2)
tatsächliche Zyklen
Item
executed cycles
integer
Execution (Code-1)
C1705848 (UMLS CUI-1)
Chemotherapy cycle (procedure) (Code-2)
C1302181 (UMLS CUI-2)
399042005 (SNOMED CT-2)
letztes Follow-Up
Item
last contact
date
Date last contact (Code-1)
C0805839 (UMLS CUI-1)
MTHU010432 (LOINC-1)
Item
Vital Status
integer
Vital Status (Code-1)
C1148433 (UMLS CUI-1)
Status
Code List
Vital Status
CL Item
unknown (unknown)
Unknown (Code-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
CL Item
alive (alive)
Alive (finding) (Code-1)
C2584946 (UMLS CUI-1)
438949009 (SNOMED CT-1)
CL Item
Patient died (dead)
Patient died (finding) (Code-1)
C1306577 (UMLS CUI-1)
397709008 (SNOMED CT-1)
10011906 (MedDRA-1)
Staging am
Item
date disease stage
date
disease stage (Code-1)
C0699749 (UMLS CUI-1)
Date in time (Code-2)
C0011008 (UMLS CUI-2)
410671006 (SNOMED CT-2)
MTHU021546 (LOINC-2)
Ergebnis Staging
Item
result Staging
string
disease stage (Code-1)
C0699749 (UMLS CUI-1)
Result (Code-2)
C1274040 (UMLS CUI-2)
394617004 (SNOMED CT-2)
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