ID

4111

Beskrivning

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

Nyckelord

Versioner (1)
  1. 2013-08-07 2013-08-07 -
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7 augusti 2013

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HIS trial form prostate cancer

Tysk Engelsk

HIS

1 Formulär  
  1. StudyEvent: HIS
    1. HIS
Admininstrative Daten
Beskrivning

Admininstrative Daten

Patient surname
Beskrivning

Name

Datatyp

string

Alias
UMLS CUI-1
C0421448
SNOMED CT-1
184096005
Patient forename
Beskrivning

Vorname

Datatyp

string

Alias
UMLS CUI-1
C0421447
SNOMED CT-1
184095009
Patient title
Beskrivning

Titel

Datatyp

string

Alias
Code-1
Patient title (observable entity)
UMLS CUI-1
C0421450
SNOMED CT-1
184098006
former Patient name
Beskrivning

früherer Name

Datatyp

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
Beskrivning

Geburtsdatum

Datatyp

date

Alias
UMLS CUI-1
C0421451
SNOMED CT-1
184099003
patient age
Beskrivning

Alter

Datatyp

integer

Alias
Code-1
patient age
UMLS CUI-1
CL386174
Ethnicity / related nationality data
Beskrivning

Nationalität

Datatyp

string

Alias
UMLS CUI-1
C0438960
SNOMED CT-1
186034007
Code-2
Patients
UMLS CUI-2
C0030705
SNOMED CT-2
116154003
Street Address
Beskrivning

Adresse

Datatyp

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
Beskrivning

PLZ

Datatyp

integer

Alias
UMLS CUI-1
C0421454
SNOMED CT-1
184102003
City of residence
Beskrivning

Stadt

Datatyp

string

Alias
UMLS CUI-1
C2316883
SNOMED CT-1
433178008
Code-2
Patient address
UMLS CUI-2
C0421449
SNOMED CT-2
184097001
Case Identifier
Beskrivning

Fallnummer

Datatyp

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
Beskrivning

Studienbogen

trial name
Beskrivning

Name der Studie

Datatyp

string

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

Therapieart

Datatyp

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
Beskrivning

Einschluss in die Studie

Datatyp

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
Beskrivning

geplante Zyklen

Datatyp

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
Beskrivning

tatsächliche Zyklen

Datatyp

integer

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

letztes Follow-Up

Datatyp

date

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

Status

Datatyp

integer

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

Staging am

Datatyp

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
Beskrivning

Ergebnis Staging

Datatyp

string

Alias
Code-1
disease stage
UMLS CUI-1
C0699749
Code-2
Result
UMLS CUI-2
C1274040
SNOMED CT-2
394617004
Tillbaka till toppen

Similar models

HIS

1 Formulär
  1. StudyEvent: HIS
    1. HIS
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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)
Tillbaka till toppen 

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