ID

42340

Description

HIS form ORBIS. with friendly permission form urology (Prof. Semjonow) and medical informatics department (Dr. Breil)

Keywords

Versions (3)
  1. 8/7/13 8/7/13 -
  2. 3/15/21 3/15/21 - Dr. rer. medic Philipp Neuhaus
  3. 6/18/21 6/18/21 -
Copyright Holder

University Hospital Münster (Urology, Medical Informatics)

Uploaded on

June 18, 2021

DOI

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License

Creative Commons BY-NC 4.0
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HIS finding prostate biopsy prostate 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
Urologische Daten
Description

Urologische Daten

primary case
Description

Primärfall

Data type

boolean

Alias
Code-1
Primary
UMLS CUI-1
CL414904
Code-2
Case - situation (qualifier value)
UMLS CUI-2
C0868928
SNOMED CT-2
398241000
Date of Report
Description

Bericht am:

Data type

date

Alias
UMLS CUI-1
C1302584
SNOMED CT-1
99651003
Number of Pages
Description

Anzahl Seiten

Data type

integer

Alias
Code-1
Page
UMLS CUI-1
C1704732
Code-2
Count of entities (property) (qualifier value)
UMLS CUI-2
C0449788
SNOMED CT-2
410681005
Fax Number
Description

Fax-Nr.

Data type

integer

Alias
UMLS CUI-1
C1549619
Primary Care Physician
Description

Hausarzt

Data type

string

Alias
Code-1
Primary Care Physicians
UMLS CUI-1
C0033131
SNOMED CT-1
446050000
HL7 V3-1
PCP
Date of Biopsy
Description

Biopsie-Datum

Data type

date

Alias
Code-1
Biopsy
UMLS CUI-1
C0005558
SNOMED CT-1
86273004
MedDRA-1
10004720
LOINC-1
MTHU028106
Code-2
Date in time
UMLS CUI-2
C0011008
SNOMED CT-2
410671006
LOINC-2
MTHU021546
Date PSA
Description

Datum PSA

Data type

date

Alias
Code-1
Date in time
UMLS CUI-1
C0011008
SNOMED CT-1
410671006
LOINC-1
MTHU021546
Code-2
Prostate-Specific Antigen
UMLS CUI-2
C0138741
SNOMED CT-2
102687007
LOINC-2
MTHU001466
Prostate-Specific Antigen
Description

PSA (ng/ml)

Data type

integer

Alias
Item-Info
ng/ml
UMLS CUI-1
C0138741
SNOMED CT-1
102687007
LOINC-1
MTHU001466
free prostate specific antigen level
Description

freies PSA ng/ml = %Hyb-kalib.Access

Data type

string

Alias
Item-Info
ng/ml
Code-1
Free prostate specific antigen level (procedure)
UMLS CUI-1
C1273437
SNOMED CT-1
395145001
Volume Prostate
Description

Prostatavolumen ccm

Data type

integer

Alias
Item-Info
ccm
Code-1
Prostate
UMLS CUI-1
C0033572
SNOMED CT-1
41216001
LOINC-1
MTHU004957
Code-2
Volume
UMLS CUI-2
C0449468
SNOMED CT-2
118565006
LOINC-2
MTHU003070
Volume Transitional zone
Description

Übergangszone ccm

Data type

integer

Alias
Item-Info
ccm
Code-1
Transitional zone of prostate (body structure)
UMLS CUI-1
C1261214
SNOMED CT-1
399384005
Code-2
Volume
UMLS CUI-2
C0449468
SNOMED CT-2
118565006
LOINC-2
MTHU003070
Family History of Prostate Cancer
Description

familiäre Vorbelastung

Data type

integer

Alias
Code-1
Family history of prostate cancer (situation)
UMLS CUI-1
C1532320
SNOMED CT-1
414205003
ICD-10-CM-1
Z80.42
ICD-9-CM-1
V16.42
Body Weight
Description

Körpergewicht

Data type

string

Alias
Code-1
Body Weight
UMLS CUI-1
C0005910
SNOMED CT-1
27113001
LOINC-1
MTHU001885
Length of body
Description

Größe cm

Data type

string

Alias
Item-Info
cm
Code-1
Length of body (observable entity)
UMLS CUI-1
C0221097
SNOMED CT-1
248334005
BMI
Description

BMI

Data type

string

Alias
Code-1
Body mass index
UMLS CUI-1
C1305855
SNOMED CT-1
60621009
LOINC-1
MTHU017351
Finding by palpation
Description

Tastbefund

Data type

integer

Alias
Code-1
Finding by palpation (finding)
UMLS CUI-1
C1290912
SNOMED CT-1
118242002
TRUS
Description

TRUS

Data type

integer

Alias
Code-1
Transrectal Ultrasound
UMLS CUI-1
C0373345
Investigator
Description

Untersucher

Data type

string

Alias
Code-1
Investigator Name
UMLS CUI-1
C2826892
International prostate symptom score
Description

IPSS

Data type

string

Alias
UMLS CUI-1
C1998280
SNOMED CT-1
428433009
Quality of life
Description

QoL

Data type

string

Alias
Code-1
Quality of life scale (assessment scale)
UMLS CUI-1
C0451401
SNOMED CT-1
273725009
International index of erectile function score
Description

IIEF

Data type

string

Alias
UMLS CUI-1
C2959364
SNOMED CT-1
445930007
Pathologic findings
Description

Pathologic findings

Biopsy Site
Description

Ort der Stanze

Data type

integer

Alias
UMLS CUI-1
C1301128
SNOMED CT-1
396991001
Length of Specimen
Description

Länge gesamt mm

Data type

integer

Alias
Code-1
Length of specimen (observable entity)
UMLS CUI-1
C1273729
SNOMED CT-1
384606002
LOINC-1
MTHU015561
percentage of tissue involved by carcinoma
Description

Basis (re/li) %

Data type

integer

Alias
Code-1
Percentage of prostatic tissue, obtained by needle biopsy, involved by carcinoma (observable entity)
UMLS CUI-1
C1272841
SNOMED CT-1
385396009
Primary Gleason Pattern
Description

Gleason 1

Data type

integer

Alias
Code-1
Primary Gleason Pattern
UMLS CUI-1
C1273604
SNOMED CT-1
384994009
LOINC-1
MTHU020049
Secondary Gleason Pattern
Description

Gleason 2

Data type

integer

Alias
Code-1
Secondary Gleason Pattern
UMLS CUI-1
C1273605
SNOMED CT-1
384995005
LOINC-1
MTHU020050
Total Gleason Score for Prostate Cancer
Description

Gleason Summe

Data type

integer

Alias
UMLS CUI-1
C1273607
SNOMED CT-1
384997002
Number of Biopsie
Description

Anzahl Biospiezylinder

Data type

integer

Alias
Code-1
Count of entities (property) (qualifier value)
UMLS CUI-1
C0449788
SNOMED CT-1
410681005
Code-2
Biopsy
UMLS CUI-2
C0005558
SNOMED CT-2
86273004
MedDRA-2
10004720
LOINC-2
MTHU028106
Number of positve Biopsies
Description

Anzahl positive Biopsiezylinder

Data type

integer

Alias
Code-1
Count of entities (property) (qualifier value)
UMLS CUI-1
C0449788
SNOMED CT-1
410681005
Code-2
Biopsy
UMLS CUI-2
C0005558
SNOMED CT-2
86273004
MedDRA-2
10004720
LOINC-2
MTHU028106
Code-3
Positive Finding
UMLS CUI-3
C1446409
SNOMED CT-3
10828004
no malignancy
Description

keine Malignität

Data type

boolean

Alias
Code-1
No evidence of malignant neoplasm (finding)
UMLS CUI-1
C0391857
SNOMED CT-1
110396000
high grade PIN
Description

high grade PIN

Data type

boolean

Alias
Code-1
High Grade Prostatic Intraepithelial Neoplasia
UMLS CUI-1
C1168327
SNOMED CT-1
446711009
MedDRA-1
10059859
Adenocarcinoma
Description

Adenokarzinom

Data type

boolean

Alias
Code-1
Prostate Adenocarcinoma
UMLS CUI-1
C0007112
SNOMED CT-1
399490008
Site Adenocarcinoma
Description

Adenokarzinom-Lokalisation

Data type

string

Alias
Code-1
Tumor site
UMLS CUI-1
C0475445
SNOMED CT-1
263591006
LOINC-1
MTHU015562
Code-2
Prostate Adenocarcinoma
UMLS CUI-2
C0007112
SNOMED CT-2
399490008
Total Gleason Score for Prostate Cancer
Description

Gleason Summe

Data type

integer

Alias
UMLS CUI-1
C1273607
SNOMED CT-1
384997002
Code-2
Biopsy
UMLS CUI-2
C0005558
SNOMED CT-2
86273004
MedDRA-2
10004720
LOINC-2
MTHU028106
not_coded
Description

Malignitätsgrad (Helpap)

Data type

integer

Perineural Invasion
Description

Perineurale Invasion

Data type

boolean

Alias
Code-1
Perineural invasion finding
UMLS CUI-1
C1300724
SNOMED CT-1
396394004
Perineural Invasion - free text
Description

Perineurale Invasion

Data type

string

Alias
Code-1
Perineural invasion finding
UMLS CUI-1
C1300724
SNOMED CT-1
396394004
Code-2
Free Text Format
UMLS CUI-2
C2348713
Extracapsular Extension (ECE)
Description

Extrakapsuläres Wachstum

Data type

boolean

Alias
Code-1
T3a: Prostate tumor with extracapsular extension (unilateral or bilateral) (finding)
UMLS CUI-1
C1276489
SNOMED CT-1
369838003
Extracapsular Extension (ECE) - free text
Description

Extrakapsuläres Wachstum

Data type

string

Alias
Code-1
T3a: Prostate tumor with extracapsular extension (unilateral or bilateral) (finding)
UMLS CUI-1
C1276489
SNOMED CT-1
369838003
Code-2
Free Text Format
UMLS CUI-2
C2348713
prostatitis
Description

Prostatitis

Data type

integer

Alias
UMLS CUI-1
C0033581
SNOMED CT-1
9713002
MedDRA-1
10036978
ICD-10-CM-1
N41.9
ICD-9-CM-1
601.9
chronic
Description

chronisch

Data type

integer

Alias
Code-1
Chronic Prostatitis
UMLS CUI-1
C0085696
SNOMED CT-1
19905009
MedDRA-1
10009109
ICD-10-CM-1
N41.1
ICD-9-CM-1
601.1
acute
Description

floride

Data type

integer

Alias
Code-1
Acute Prostatitis
UMLS CUI-1
C0149524
SNOMED CT-1
79411002
MedDRA-1
10001021
ICD-10-CM-1
N41.0
ICD-9-CM-1
601.0
Comments on pathology specimen
Description

Kommentar Pathologie

Data type

string

Alias
Code-1
Narrative comments on pathology specimen (observable entity)
UMLS CUI-1
C1444069
SNOMED CT-1
409770001
Date of pathology report
Description

Datum Patho

Data type

date

Alias
Code-1
Date of pathology report (observable entity)
UMLS CUI-1
C1302659
SNOMED CT-1
399737008
Name Pathologist
Description

Name Pathologe

Data type

string

Alias
Code-1
Pathologist name:Patient number:Point in time:Provider:Nominal
UMLS CUI-1
C0802065
LOINC-1
19139-5
Klinik
Description

Klinik

Comment Urologist
Description

Kommentar Urologe

Data type

string

Alias
Code-1
Comment
UMLS CUI-1
C0947611
LOINC-1
MTHU013736
Code-2
Urologist
UMLS CUI-2
C0260314
SNOMED CT-2
24590004
Prostate Specific Antigen Measurement
Description

PSA-Verlauf / Vorgeschichte

Data type

string

Alias
Code-1
Prostate Specific Antigen Measurement
UMLS CUI-1
C0201544
SNOMED CT-1
63476009
MedDRA-1
10050704
Aufnahmedaten
Description

Aufnahmedaten

oncologic psychotherapy
Description

Psycho-Onkologische Betreuung

Data type

integer

Alias
Code-1
Psychotherapy/sociotherapy (regime/therapy)
UMLS CUI-1
C0204577
SNOMED CT-1
266744007
Code-2
Oncologic (qualifier value)
UMLS CUI-2
C0205478
SNOMED CT-2
3428006
Social Work
Description

Konsil Sozialdienst

Data type

integer

Alias
Code-1
Social Work (discipline)
UMLS CUI-1
C0037441
Rehabilitation therapy
Description

Anschlussheilbehandlung

Data type

integer

Alias
Code-1
Rehabilitation therapy
UMLS CUI-1
C0034991
SNOMED CT-1
52052004
MedDRA-1
10057374
Interdisciplinary Communication
Description

Interdisziplinäre Gespräche

Data type

integer

Alias
Code-1
Interdisciplinary Communication
UMLS CUI-1
C0079631
Second Opinion
Description

Zweitmeinung

Data type

integer

Alias
Code-1
Second Opinion
UMLS CUI-1
C0036524
Nerve-Sparing
Description

Nerverhalt

Data type

integer

Alias
Code-1
Nerve-Sparing Prostatectomy
UMLS CUI-1
C1514120
Advice with Guideline Adherence
Description

Der Patient wurde gemäß Leitlinien beraten

Data type

boolean

Alias
Code-1
Guideline Adherence
UMLS CUI-1
C0525059
Code-2
Advising
UMLS CUI-2
C1828381
SNOMED CT-2
424900004
Desire Telephone Call with physician
Description

Der Patient wünscht Anruf bei:

Data type

string

Alias
Code-1
Telephone call by physician to patient or for consultation (procedure)
UMLS CUI-1
C0199339
SNOMED CT-1
11797002
Code-2
desire
UMLS CUI-2
C0871633
Radionuclide Imaging
Description

Szinitgramm durchgeführt

Data type

boolean

Alias
Code-1
Radionuclide Imaging
UMLS CUI-1
C0034606
SNOMED CT-1
399019003
MedDRA-1
10061478
date scintigraphy
Description

Datum Szintigramm

Data type

date

Alias
Code-1
Radionuclide Imaging
UMLS CUI-1
C0034606
SNOMED CT-1
399019003
MedDRA-1
10061478
Code-2
Date in time
UMLS CUI-2
C0011008
SNOMED CT-2
410671006
LOINC-2
MTHU021546
Finding Scintigraphy
Description

Ergebnis Szintigramm

Data type

integer

Alias
Code-1
Radionuclide Imaging
UMLS CUI-1
C0034606
SNOMED CT-1
399019003
MedDRA-1
10061478
Code-2
Finding
UMLS CUI-2
C1285578
SNOMED CT-2
363787002
Finding Scintigraphy
Description

Befund Szintigramm

Data type

string

Alias
Code-1
Radionuclide Imaging
UMLS CUI-1
C0034606
SNOMED CT-1
399019003
MedDRA-1
10061478
Code-2
Finding
UMLS CUI-2
C1285578
SNOMED CT-2
363787002
Code-3
Free Text Format
UMLS CUI-3
C2348713
prior treatment Endocrine Therapy
Description

Hormonelle Vorbehandlung erfolgt

Data type

boolean

Alias
Code-1
Endocrine Therapy
UMLS CUI-1
C0279025
SNOMED CT-1
169413002
Code-2
Prior Therapy
UMLS CUI-2
C1514463
Start prior treatment Endocrine Therapy
Description

Beginn Hormonelle Vorbehandlung

Data type

date

Alias
Code-1
Date treatment started (observable entity)
UMLS CUI-1
C3173309
SNOMED CT-1
413946009
Code-2
Endocrine Therapy
UMLS CUI-2
C0279025
SNOMED CT-2
169413002
Code-3
Prior Therapy
UMLS CUI-3
C1514463
5-alpha Reductase Inhibitor
Description

5-Alpha-Reduktase Hemmer

Data type

boolean

Alias
Code-1
5-alpha Reductase Inhibitor [EPC]
UMLS CUI-1
C1318898
SNOMED CT-1
406757009
alpha-Antagonists
Description

Alpha-Blocker

Data type

boolean

Alias
Code-1
Adrenergic alpha-Antagonists
UMLS CUI-1
C0001641
SNOMED CT-1
373275009
Anticoagulants
Description

Einnahme Gerinnungshemmer

Data type

boolean

Alias
Code-1
Anticoagulants
UMLS CUI-1
C0003280
SNOMED CT-1
372862008
Anticoagulants
Description

Gerinnungshemmer

Data type

string

Alias
Code-1
Anticoagulants
UMLS CUI-1
C0003280
SNOMED CT-1
372862008
Code-2
Free Text Format
UMLS CUI-2
C2348713
Finding by palpation
Description

Tastbefund

Data type

integer

Alias
Code-1
Finding by palpation (finding)
UMLS CUI-1
C1290912
SNOMED CT-1
118242002
Discharge date
Description

Entlassdatum

Data type

date

Alias
UMLS CUI-1
C2361123
SNOMED CT-1
442864001
LOINC-1
MTHU028123
duration hospitalisation
Description

Liegezeit

Data type

integer

Alias
Code-1
Hospitalization
UMLS CUI-1
C0019993
SNOMED CT-1
394656005
MedDRA-1
10054112
Code-2
Duration (temporal concept)
UMLS CUI-2
C0449238
SNOMED CT-2
272116003
LOINC-2
MTHU001938
Partin Nomograms
Description

Partin Nomograms

Organ confined in percent
Description

Organbegrenzte Erkrankung (in %)

Data type

integer

Alias
Code-1
pT2: Organ confined (prostate) (finding)
UMLS CUI-1
C1273595
SNOMED CT-1
384983005
Code-2
Percentage unit (qualifier value)
UMLS CUI-2
C1532336
SNOMED CT-2
415067009
Seminal vesicle invasion present in percent
Description

Samenblasenbefall (in %)

Data type

integer

Alias
Code-1
Seminal vesicle invasion by tumor present (finding)
UMLS CUI-1
C1268952
SNOMED CT-1
372294007
Code-2
Percentage unit (qualifier value)
UMLS CUI-2
C1532336
SNOMED CT-2
415067009
Extraprostatic extension present in percent
Description

Kapseldurchbruch (in %)

Data type

integer

Alias
Code-1
Extraprostatic extension of tumor present (finding)
UMLS CUI-1
C1276734
SNOMED CT-1
372306004
Code-2
Percentage unit (qualifier value)
UMLS CUI-2
C1532336
SNOMED CT-2
415067009
Regional lymph node metastasis present in percent
Description

Lymphknotenbefall (in %)

Data type

integer

Alias
Code-1
Regional lymph node metastasis present (finding)
UMLS CUI-1
C1275854
SNOMED CT-1
399374009
Code-2
Percentage unit (qualifier value)
UMLS CUI-2
C1532336
SNOMED CT-2
415067009
Pre-existing Condition
Description

Pre-existing Condition

Pre-existing Condition
Description

Vorerkrankungen

Data type

string

Alias
Code-1
Pre-existing Condition
UMLS CUI-1
C0521987
SNOMED CT-1
102478008
Comorbidity Index
Description

CCS - Charlson Comorbidity Score

Data type

integer

Alias
Code-Info
corrected_item
Code-1
Comorbidity Index
UMLS CUI-1
C1516737
Cancer conference
Description

Cancer conference

Date cancer conference
Description

In der Tumorkonferenz vorgestellt am

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
not_coded
Description

Datum aus TuKo übernehmen

Data type

boolean

complete data
Description

Daten vollständig

Data type

boolean

Alias
Code-1
Complete
UMLS CUI-1
C0205197
SNOMED CT-1
255594003
Code-2
Data
UMLS CUI-2
C1511726
Investigator
Description

Untersucher

Data type

string

Alias
Code-1
Investigator Name
UMLS CUI-1
C2826892
Comment
Description

weitere Ergänzungen

Data type

string

Alias
Code-1
Comment
UMLS CUI-1
C0947611
LOINC-1
MTHU013736
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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
Urologische Daten
Primärfall
Item
primary case
boolean
Primary (Code-1)
CL414904 (UMLS CUI-1)
Case - situation (qualifier value) (Code-2)
C0868928 (UMLS CUI-2)
398241000 (SNOMED CT-2)
Bericht am:
Item
Date of Report
date
C1302584 (UMLS CUI-1)
99651003 (SNOMED CT-1)
Anzahl Seiten
Item
Number of Pages
integer
Page (Code-1)
C1704732 (UMLS CUI-1)
Count of entities (property) (qualifier value) (Code-2)
C0449788 (UMLS CUI-2)
410681005 (SNOMED CT-2)
Fax-Nr.
Item
Fax Number
integer
C1549619 (UMLS CUI-1)
Hausarzt
Item
Primary Care Physician
string
Primary Care Physicians (Code-1)
C0033131 (UMLS CUI-1)
446050000 (SNOMED CT-1)
PCP (HL7 V3-1)
Biopsie-Datum
Item
Date of Biopsy
date
Biopsy (Code-1)
C0005558 (UMLS CUI-1)
86273004 (SNOMED CT-1)
10004720 (MedDRA-1)
MTHU028106 (LOINC-1)
Date in time (Code-2)
C0011008 (UMLS CUI-2)
410671006 (SNOMED CT-2)
MTHU021546 (LOINC-2)
Datum PSA
Item
Date PSA
date
Date in time (Code-1)
C0011008 (UMLS CUI-1)
410671006 (SNOMED CT-1)
MTHU021546 (LOINC-1)
Prostate-Specific Antigen (Code-2)
C0138741 (UMLS CUI-2)
102687007 (SNOMED CT-2)
MTHU001466 (LOINC-2)
PSA (ng/ml)
Item
Prostate-Specific Antigen
integer
ng/ml (Item-Info)
C0138741 (UMLS CUI-1)
102687007 (SNOMED CT-1)
MTHU001466 (LOINC-1)
freies PSA ng/ml = %Hyb-kalib.Access
Item
free prostate specific antigen level
string
ng/ml (Item-Info)
Free prostate specific antigen level (procedure) (Code-1)
C1273437 (UMLS CUI-1)
395145001 (SNOMED CT-1)
Prostatavolumen ccm
Item
Volume Prostate
integer
ccm (Item-Info)
Prostate (Code-1)
C0033572 (UMLS CUI-1)
41216001 (SNOMED CT-1)
MTHU004957 (LOINC-1)
Volume (Code-2)
C0449468 (UMLS CUI-2)
118565006 (SNOMED CT-2)
MTHU003070 (LOINC-2)
Übergangszone ccm
Item
Volume Transitional zone
integer
ccm (Item-Info)
Transitional zone of prostate (body structure) (Code-1)
C1261214 (UMLS CUI-1)
399384005 (SNOMED CT-1)
Volume (Code-2)
C0449468 (UMLS CUI-2)
118565006 (SNOMED CT-2)
MTHU003070 (LOINC-2)
Item
Family History of Prostate Cancer
integer
Family history of prostate cancer (situation) (Code-1)
C1532320 (UMLS CUI-1)
414205003 (SNOMED CT-1)
Z80.42 (ICD-10-CM-1)
V16.42 (ICD-9-CM-1)
familiäre Vorbelastung
Code List
Family History of Prostate Cancer
CL Item
Yes (Ja)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
CL Item
No (Nein)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
CL Item
not specified (keine Angabe)
Unspecified (Code-1)
C0205370 (UMLS CUI-1)
10003008 (SNOMED CT-1)
Körpergewicht
Item
Body Weight
string
Body Weight (Code-1)
C0005910 (UMLS CUI-1)
27113001 (SNOMED CT-1)
MTHU001885 (LOINC-1)
Größe cm
Item
Length of body
string
cm (Item-Info)
Length of body (observable entity) (Code-1)
C0221097 (UMLS CUI-1)
248334005 (SNOMED CT-1)
BMI
Item
BMI
string
Body mass index (Code-1)
C1305855 (UMLS CUI-1)
60621009 (SNOMED CT-1)
MTHU017351 (LOINC-1)
Item
Finding by palpation
integer
Finding by palpation (finding) (Code-1)
C1290912 (UMLS CUI-1)
118242002 (SNOMED CT-1)
Tastbefund
Code List
Finding by palpation
CL Item
Normal (Normal)
Normal (Code-1)
C0205307 (UMLS CUI-1)
17621005 (SNOMED CT-1)
CL Item
equivocal unilateral (dubios einseitig)
Equivocal (Code-1)
C0332241 (UMLS CUI-1)
42425007 (SNOMED CT-1)
Unilateral (Code-2)
C0205092 (UMLS CUI-2)
66459002 (SNOMED CT-2)
CL Item
equivocal bilateral (dubios zweiseitig)
Equivocal (Code-1)
C0332241 (UMLS CUI-1)
42425007 (SNOMED CT-1)
Bilateral (Code-2)
C0238767 (UMLS CUI-2)
51440002 (SNOMED CT-2)
CL Item
suspect unilateral (suspekt einseitig)
Suspected (Code-1)
C0750491 (UMLS CUI-1)
415684004 (SNOMED CT-1)
Unilateral (Code-2)
C0205092 (UMLS CUI-2)
66459002 (SNOMED CT-2)
CL Item
suspect bilateral (suspekt zweiseitig)
Suspected (Code-1)
C0750491 (UMLS CUI-1)
415684004 (SNOMED CT-1)
Bilateral (Code-2)
C0238767 (UMLS CUI-2)
51440002 (SNOMED CT-2)
CL Item
suspected extracapsular extension (V.a. Organüberschreitung)
Suspected (Code-1)
C0750491 (UMLS CUI-1)
415684004 (SNOMED CT-1)
T3a: Prostate tumor with extracapsular extension (unilateral or bilateral) (finding) (Code-2)
C1276489 (UMLS CUI-2)
369838003 (SNOMED CT-2)
CL Item
not specified (keine Angabe)
Unspecified (Code-1)
C0205370 (UMLS CUI-1)
10003008 (SNOMED CT-1)
Item
TRUS
integer
Transrectal Ultrasound (Code-1)
C0373345 (UMLS CUI-1)
TRUS
Code List
TRUS
CL Item
normal (Normal)
Normal (Code-1)
C0205307 (UMLS CUI-1)
17621005 (SNOMED CT-1)
CL Item
equivocal (dubios)
Equivocal (Code-1)
C0332241 (UMLS CUI-1)
42425007 (SNOMED CT-1)
CL Item
suspect (suspekt)
Suspected (Code-1)
C0750491 (UMLS CUI-1)
415684004 (SNOMED CT-1)
CL Item
not specified (keine Angabe)
Unspecified (Code-1)
C0205370 (UMLS CUI-1)
10003008 (SNOMED CT-1)
Untersucher
Item
Investigator
string
Investigator Name (Code-1)
C2826892 (UMLS CUI-1)
IPSS
Item
International prostate symptom score
string
C1998280 (UMLS CUI-1)
428433009 (SNOMED CT-1)
QoL
Item
Quality of life
string
Quality of life scale (assessment scale) (Code-1)
C0451401 (UMLS CUI-1)
273725009 (SNOMED CT-1)
IIEF
Item
International index of erectile function score
string
C2959364 (UMLS CUI-1)
445930007 (SNOMED CT-1)
Item Group
Pathologic findings
Item
Biopsy Site
integer
C1301128 (UMLS CUI-1)
396991001 (SNOMED CT-1)
Ort der Stanze
Code List
Biopsy Site
CL Item
right apical (Apex rechts)
Right (Code-1)
C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)
Apical (Code-2)
C0205111 (UMLS CUI-2)
43674008 (SNOMED CT-2)
CL Item
left apical (Apex links)
Left (Code-1)
C0205092 (UMLS CUI-1)
7771001 (SNOMED CT-1)
Apical (Code-2)
C0205112 (UMLS CUI-2)
43674009 (SNOMED CT-2)
CL Item
Transitional zone right (Übergangszone rechts)
Transitional zone of prostate (body structure) (Code-1)
C1261214 (UMLS CUI-1)
399384005 (SNOMED CT-1)
Right (Code-2)
C0205090 (UMLS CUI-2)
24028007 (SNOMED CT-2)
CL Item
Transitional zone left (Übergangszone links)
Transitional zone of prostate (body structure) (Code-1)
C1261214 (UMLS CUI-1)
399384005 (SNOMED CT-1)
Left (Code-2)
C0205092 (UMLS CUI-2)
7771001 (SNOMED CT-2)
CL Item
right concentric medial (Mitte rechts medial)
Right (Code-1)
C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)
Concentric (Code-2)
C0439744 (UMLS CUI-2)
Medial (Code-3)
C0205098 (UMLS CUI-3)
255561001 (SNOMED CT-3)
CL Item
right concentric lateral (Mitte rechts lateral)
Right (Code-1)
C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)
Concentric (Code-2)
C0439745 (UMLS CUI-2)
Lateral (Code-3)
C0205093 (UMLS CUI-3)
49370004 (SNOMED CT-3)
CL Item
right basal lateral (Basis rechts lateral)
Right (Code-1)
C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)
Basal (Code-2)
C0205113 (UMLS CUI-2)
57195006 (SNOMED CT-2)
Lateral (Code-3)
C0205093 (UMLS CUI-3)
49370004 (SNOMED CT-3)
CL Item
left concentric medial (Mitte links medial)
Left (Code-1)
C0205093 (UMLS CUI-1)
7771002 (SNOMED CT-1)
Concentric (Code-2)
C0439744 (UMLS CUI-2)
Medial (Code-3)
C0205098 (UMLS CUI-3)
255561001 (SNOMED CT-3)
CL Item
left concentric lateral (Mitte links lateral)
Left (Code-1)
C0205094 (UMLS CUI-1)
7771003 (SNOMED CT-1)
Concentric (Code-2)
C0439745 (UMLS CUI-2)
Lateral (Code-3)
C0205093 (UMLS CUI-3)
49370004 (SNOMED CT-3)
CL Item
left basal lateral (Basis links lateral)
Left (Code-1)
C0205096 (UMLS CUI-1)
7771005 (SNOMED CT-1)
Basal (Code-2)
C0205113 (UMLS CUI-2)
57195006 (SNOMED CT-2)
Lateral (Code-3)
C0205093 (UMLS CUI-3)
49370004 (SNOMED CT-3)
CL Item
Add right (Zusatz rechts)
Right (Code-1)
C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)
Additional (Code-2)
C1524062 (UMLS CUI-2)
MTHU013802 (LOINC-2)
CL Item
Add left (Zusatz links)
Left (Code-1)
C0205096 (UMLS CUI-1)
7771005 (SNOMED CT-1)
Additional (Code-2)
C1524062 (UMLS CUI-2)
MTHU013802 (LOINC-2)
Länge gesamt mm
Item
Length of Specimen
integer
Length of specimen (observable entity) (Code-1)
C1273729 (UMLS CUI-1)
384606002 (SNOMED CT-1)
MTHU015561 (LOINC-1)
Basis (re/li) %
Item
percentage of tissue involved by carcinoma
integer
Percentage of prostatic tissue, obtained by needle biopsy, involved by carcinoma (observable entity) (Code-1)
C1272841 (UMLS CUI-1)
385396009 (SNOMED CT-1)
Gleason 1
Item
Primary Gleason Pattern
integer
Primary Gleason Pattern (Code-1)
C1273604 (UMLS CUI-1)
384994009 (SNOMED CT-1)
MTHU020049 (LOINC-1)
Gleason 2
Item
Secondary Gleason Pattern
integer
Secondary Gleason Pattern (Code-1)
C1273605 (UMLS CUI-1)
384995005 (SNOMED CT-1)
MTHU020050 (LOINC-1)
Gleason Summe
Item
Total Gleason Score for Prostate Cancer
integer
C1273607 (UMLS CUI-1)
384997002 (SNOMED CT-1)
Anzahl Biospiezylinder
Item
Number of Biopsie
integer
Count of entities (property) (qualifier value) (Code-1)
C0449788 (UMLS CUI-1)
410681005 (SNOMED CT-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
Anzahl positive Biopsiezylinder
Item
Number of positve Biopsies
integer
Count of entities (property) (qualifier value) (Code-1)
C0449788 (UMLS CUI-1)
410681005 (SNOMED CT-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
Positive Finding (Code-3)
C1446409 (UMLS CUI-3)
10828004 (SNOMED CT-3)
keine Malignität
Item
no malignancy
boolean
No evidence of malignant neoplasm (finding) (Code-1)
C0391857 (UMLS CUI-1)
110396000 (SNOMED CT-1)
high grade PIN
Item
high grade PIN
boolean
High Grade Prostatic Intraepithelial Neoplasia (Code-1)
C1168327 (UMLS CUI-1)
446711009 (SNOMED CT-1)
10059859 (MedDRA-1)
Adenokarzinom
Item
Adenocarcinoma
boolean
Prostate Adenocarcinoma (Code-1)
C0007112 (UMLS CUI-1)
399490008 (SNOMED CT-1)
Adenokarzinom-Lokalisation
Item
Site Adenocarcinoma
string
Tumor site (Code-1)
C0475445 (UMLS CUI-1)
263591006 (SNOMED CT-1)
MTHU015562 (LOINC-1)
Prostate Adenocarcinoma (Code-2)
C0007112 (UMLS CUI-2)
399490008 (SNOMED CT-2)
Gleason Summe
Item
Total Gleason Score for Prostate Cancer
integer
C1273607 (UMLS CUI-1)
384997002 (SNOMED CT-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
Item
not_coded
integer
Malignitätsgrad (Helpap)
Code List
not_coded
CL Item
not_coded (Ia)
CL Item
not_coded (Ib)
CL Item
not_coded (Iia)
CL Item
not_coded (Iib)
CL Item
not_coded (IIIa)
CL Item
not_coded (IIIb)
CL Item
not specified (keine Angabe)
Unspecified (Code-1)
C0205370 (UMLS CUI-1)
10003008 (SNOMED CT-1)
Perineurale Invasion
Item
Perineural Invasion
boolean
Perineural invasion finding (Code-1)
C1300724 (UMLS CUI-1)
396394004 (SNOMED CT-1)
Perineurale Invasion
Item
Perineural Invasion - free text
string
Perineural invasion finding (Code-1)
C1300724 (UMLS CUI-1)
396394004 (SNOMED CT-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
Extrakapsuläres Wachstum
Item
Extracapsular Extension (ECE)
boolean
T3a: Prostate tumor with extracapsular extension (unilateral or bilateral) (finding) (Code-1)
C1276489 (UMLS CUI-1)
369838003 (SNOMED CT-1)
Extrakapsuläres Wachstum
Item
Extracapsular Extension (ECE) - free text
string
T3a: Prostate tumor with extracapsular extension (unilateral or bilateral) (finding) (Code-1)
C1276489 (UMLS CUI-1)
369838003 (SNOMED CT-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
Item
prostatitis
integer
C0033581 (UMLS CUI-1)
9713002 (SNOMED CT-1)
10036978 (MedDRA-1)
N41.9 (ICD-10-CM-1)
601.9 (ICD-9-CM-1)
Prostatitis
Code List
prostatitis
CL Item
none (keine)
None (Code-1)
C0549184 (UMLS CUI-1)
260413007 (SNOMED CT-1)
CL Item
chronic (chronisch)
Chronic Prostatitis (Code-1)
C0085696 (UMLS CUI-1)
19905009 (SNOMED CT-1)
10009109 (MedDRA-1)
N41.1 (ICD-10-CM-1)
601.1 (ICD-9-CM-1)
CL Item
acute (floride)
Acute Prostatitis (Code-1)
C0149524 (UMLS CUI-1)
79411002 (SNOMED CT-1)
10001021 (MedDRA-1)
N41.0 (ICD-10-CM-1)
601.0 (ICD-9-CM-1)
Item
chronic
integer
Chronic Prostatitis (Code-1)
C0085696 (UMLS CUI-1)
19905009 (SNOMED CT-1)
10009109 (MedDRA-1)
N41.1 (ICD-10-CM-1)
601.1 (ICD-9-CM-1)
chronisch
Code List
chronic
CL Item
Minor  (gering)
Minor (Code-1)
C0205165 (UMLS CUI-1)
255606000 (SNOMED CT-1)
CL Item
Medium  (mittel)
Medium (Code-1)
C0439536 (UMLS CUI-1)
255508009 (SNOMED CT-1)
CL Item
Strong (stark)
Strong (Code-1)
C0442821 (UMLS CUI-1)
260404005 (SNOMED CT-1)
Item
acute
integer
Acute Prostatitis (Code-1)
C0149524 (UMLS CUI-1)
79411002 (SNOMED CT-1)
10001021 (MedDRA-1)
N41.0 (ICD-10-CM-1)
601.0 (ICD-9-CM-1)
floride
Code List
acute
CL Item
Minor  (gering)
Minor (Code-1)
C0205165 (UMLS CUI-1)
255606000 (SNOMED CT-1)
CL Item
Medium  (mittel)
Medium (Code-1)
C0439536 (UMLS CUI-1)
255508009 (SNOMED CT-1)
CL Item
Strong (stark)
Strong (Code-1)
C0442821 (UMLS CUI-1)
260404005 (SNOMED CT-1)
Kommentar Pathologie
Item
Comments on pathology specimen
string
Narrative comments on pathology specimen (observable entity) (Code-1)
C1444069 (UMLS CUI-1)
409770001 (SNOMED CT-1)
Datum Patho
Item
Date of pathology report
date
Date of pathology report (observable entity) (Code-1)
C1302659 (UMLS CUI-1)
399737008 (SNOMED CT-1)
Name Pathologe
Item
Name Pathologist
string
Pathologist name:Patient number:Point in time:Provider:Nominal (Code-1)
C0802065 (UMLS CUI-1)
19139-5 (LOINC-1)
Item Group
Klinik
Kommentar Urologe
Item
Comment Urologist
string
Comment (Code-1)
C0947611 (UMLS CUI-1)
MTHU013736 (LOINC-1)
Urologist (Code-2)
C0260314 (UMLS CUI-2)
24590004 (SNOMED CT-2)
PSA-Verlauf / Vorgeschichte
Item
Prostate Specific Antigen Measurement
string
Prostate Specific Antigen Measurement (Code-1)
C0201544 (UMLS CUI-1)
63476009 (SNOMED CT-1)
10050704 (MedDRA-1)
Item Group
Aufnahmedaten
Item
oncologic psychotherapy
integer
Psychotherapy/sociotherapy (regime/therapy) (Code-1)
C0204577 (UMLS CUI-1)
266744007 (SNOMED CT-1)
Oncologic (qualifier value) (Code-2)
C0205478 (UMLS CUI-2)
3428006 (SNOMED CT-2)
Psycho-Onkologische Betreuung
Code List
oncologic psychotherapy
CL Item
offered (angeboten)
Offered (qualifier value) (Code-1)
C1444648 (UMLS CUI-1)
410527000 (SNOMED CT-1)
CL Item
accepted (angenommen)
Accepted (Code-1)
C1272684 (UMLS CUI-1)
385645004 (SNOMED CT-1)
Item
Social Work
integer
Social Work (discipline) (Code-1)
C0037441 (UMLS CUI-1)
Konsil Sozialdienst
Code List
Social Work
CL Item
offered (angeboten)
Offered (qualifier value) (Code-1)
C1444648 (UMLS CUI-1)
410527000 (SNOMED CT-1)
CL Item
accepted (angenommen)
Accepted (Code-1)
C1272684 (UMLS CUI-1)
385645004 (SNOMED CT-1)
Item
Rehabilitation therapy
integer
Rehabilitation therapy (Code-1)
C0034991 (UMLS CUI-1)
52052004 (SNOMED CT-1)
10057374 (MedDRA-1)
Anschlussheilbehandlung
Code List
Rehabilitation therapy
CL Item
offered (angeboten)
Offered (qualifier value) (Code-1)
C1444648 (UMLS CUI-1)
410527000 (SNOMED CT-1)
CL Item
accepted (angenommen)
Accepted (Code-1)
C1272684 (UMLS CUI-1)
385645004 (SNOMED CT-1)
Item
Interdisciplinary Communication
integer
Interdisciplinary Communication (Code-1)
C0079631 (UMLS CUI-1)
Interdisziplinäre Gespräche
Code List
Interdisciplinary Communication
CL Item
offered (angeboten)
Offered (qualifier value) (Code-1)
C1444648 (UMLS CUI-1)
410527000 (SNOMED CT-1)
CL Item
accepted (angenommen)
Accepted (Code-1)
C1272684 (UMLS CUI-1)
385645004 (SNOMED CT-1)
Item
Second Opinion
integer
Second Opinion (Code-1)
C0036524 (UMLS CUI-1)
Zweitmeinung
Code List
Second Opinion
CL Item
offered (angeboten)
Offered (qualifier value) (Code-1)
C1444648 (UMLS CUI-1)
410527000 (SNOMED CT-1)
CL Item
accepted (angenommen)
Accepted (Code-1)
C1272684 (UMLS CUI-1)
385645004 (SNOMED CT-1)
Item
Nerve-Sparing
integer
Nerve-Sparing Prostatectomy (Code-1)
C1514120 (UMLS CUI-1)
Nerverhalt
Code List
Nerve-Sparing
CL Item
desired (erwünscht)
desire (Code-1)
C0871633 (UMLS CUI-1)
CL Item
not indicated (nicht indiziert)
Not indicated (qualifier value) (Code-1)
C1444655 (UMLS CUI-1)
410534003 (SNOMED CT-1)
Der Patient wurde gemäß Leitlinien beraten
Item
Advice with Guideline Adherence
boolean
Guideline Adherence (Code-1)
C0525059 (UMLS CUI-1)
Advising (Code-2)
C1828381 (UMLS CUI-2)
424900004 (SNOMED CT-2)
Der Patient wünscht Anruf bei:
Item
Desire Telephone Call with physician
string
Telephone call by physician to patient or for consultation (procedure) (Code-1)
C0199339 (UMLS CUI-1)
11797002 (SNOMED CT-1)
desire (Code-2)
C0871633 (UMLS CUI-2)
Szinitgramm durchgeführt
Item
Radionuclide Imaging
boolean
Radionuclide Imaging (Code-1)
C0034606 (UMLS CUI-1)
399019003 (SNOMED CT-1)
10061478 (MedDRA-1)
Datum Szintigramm
Item
date scintigraphy
date
Radionuclide Imaging (Code-1)
C0034606 (UMLS CUI-1)
399019003 (SNOMED CT-1)
10061478 (MedDRA-1)
Date in time (Code-2)
C0011008 (UMLS CUI-2)
410671006 (SNOMED CT-2)
MTHU021546 (LOINC-2)
Item
Finding Scintigraphy
integer
Radionuclide Imaging (Code-1)
C0034606 (UMLS CUI-1)
399019003 (SNOMED CT-1)
10061478 (MedDRA-1)
Finding (Code-2)
C1285578 (UMLS CUI-2)
363787002 (SNOMED CT-2)
Ergebnis Szintigramm
Code List
Finding Scintigraphy
CL Item
Positive Finding  (positiv)
Positive Finding (Code-1)
C1446409 (UMLS CUI-1)
10828004 (SNOMED CT-1)
CL Item
Negative Finding  (negativ)
Negative Finding (Code-1)
C0205160 (UMLS CUI-1)
260385009 (SNOMED CT-1)
CL Item
Equivocal result  (fraglich)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
Befund Szintigramm
Item
Finding Scintigraphy
string
Radionuclide Imaging (Code-1)
C0034606 (UMLS CUI-1)
399019003 (SNOMED CT-1)
10061478 (MedDRA-1)
Finding (Code-2)
C1285578 (UMLS CUI-2)
363787002 (SNOMED CT-2)
Free Text Format (Code-3)
C2348713 (UMLS CUI-3)
Hormonelle Vorbehandlung erfolgt
Item
prior treatment Endocrine Therapy
boolean
Endocrine Therapy (Code-1)
C0279025 (UMLS CUI-1)
169413002 (SNOMED CT-1)
Prior Therapy (Code-2)
C1514463 (UMLS CUI-2)
Beginn Hormonelle Vorbehandlung
Item
Start prior treatment Endocrine Therapy
date
Date treatment started (observable entity) (Code-1)
C3173309 (UMLS CUI-1)
413946009 (SNOMED CT-1)
Endocrine Therapy (Code-2)
C0279025 (UMLS CUI-2)
169413002 (SNOMED CT-2)
Prior Therapy (Code-3)
C1514463 (UMLS CUI-3)
5-Alpha-Reduktase Hemmer
Item
5-alpha Reductase Inhibitor
boolean
5-alpha Reductase Inhibitor [EPC] (Code-1)
C1318898 (UMLS CUI-1)
406757009 (SNOMED CT-1)
Alpha-Blocker
Item
alpha-Antagonists
boolean
Adrenergic alpha-Antagonists (Code-1)
C0001641 (UMLS CUI-1)
373275009 (SNOMED CT-1)
Einnahme Gerinnungshemmer
Item
Anticoagulants
boolean
Anticoagulants (Code-1)
C0003280 (UMLS CUI-1)
372862008 (SNOMED CT-1)
Gerinnungshemmer
Item
Anticoagulants
string
Anticoagulants (Code-1)
C0003280 (UMLS CUI-1)
372862008 (SNOMED CT-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
Item
Finding by palpation
integer
Finding by palpation (finding) (Code-1)
C1290912 (UMLS CUI-1)
118242002 (SNOMED CT-1)
Tastbefund
Code List
Finding by palpation
CL Item
cT1c (cT1c)
T1c Stage Finding (Code-1)
C0475386 (UMLS CUI-1)
261650005 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)
CL Item
cT2 (cT2)
T2 Stage Finding (Code-1)
C0475373 (UMLS CUI-1)
67673008 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)
CL Item
cT3 (cT3)
T3 Stage Finding (Code-1)
C0475374 (UMLS CUI-1)
14410001 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)
CL Item
cT4 (cT4)
T4 Stage Finding (Code-1)
C0475751 (UMLS CUI-1)
65565005 (SNOMED CT-1)
cT category (observable entity) (Code-2)
C1275863 (UMLS CUI-2)
399504009 (SNOMED CT-2)
Entlassdatum
Item
Discharge date
date
C2361123 (UMLS CUI-1)
442864001 (SNOMED CT-1)
MTHU028123 (LOINC-1)
Liegezeit
Item
duration hospitalisation
integer
Hospitalization (Code-1)
C0019993 (UMLS CUI-1)
394656005 (SNOMED CT-1)
10054112 (MedDRA-1)
Duration (temporal concept) (Code-2)
C0449238 (UMLS CUI-2)
272116003 (SNOMED CT-2)
MTHU001938 (LOINC-2)
Item Group
Partin Nomograms
Organbegrenzte Erkrankung (in %)
Item
Organ confined in percent
integer
pT2: Organ confined (prostate) (finding) (Code-1)
C1273595 (UMLS CUI-1)
384983005 (SNOMED CT-1)
Percentage unit (qualifier value) (Code-2)
C1532336 (UMLS CUI-2)
415067009 (SNOMED CT-2)
Samenblasenbefall (in %)
Item
Seminal vesicle invasion present in percent
integer
Seminal vesicle invasion by tumor present (finding) (Code-1)
C1268952 (UMLS CUI-1)
372294007 (SNOMED CT-1)
Percentage unit (qualifier value) (Code-2)
C1532336 (UMLS CUI-2)
415067009 (SNOMED CT-2)
Kapseldurchbruch (in %)
Item
Extraprostatic extension present in percent
integer
Extraprostatic extension of tumor present (finding) (Code-1)
C1276734 (UMLS CUI-1)
372306004 (SNOMED CT-1)
Percentage unit (qualifier value) (Code-2)
C1532336 (UMLS CUI-2)
415067009 (SNOMED CT-2)
Lymphknotenbefall (in %)
Item
Regional lymph node metastasis present in percent
integer
Regional lymph node metastasis present (finding) (Code-1)
C1275854 (UMLS CUI-1)
399374009 (SNOMED CT-1)
Percentage unit (qualifier value) (Code-2)
C1532336 (UMLS CUI-2)
415067009 (SNOMED CT-2)
Item Group
Pre-existing Condition
Vorerkrankungen
Item
Pre-existing Condition
string
Pre-existing Condition (Code-1)
C0521987 (UMLS CUI-1)
102478008 (SNOMED CT-1)
CCS - Charlson Comorbidity Score
Item
Comorbidity Index
integer
corrected_item (Code-Info)
Comorbidity Index (Code-1)
C1516737 (UMLS CUI-1)
Item Group
Cancer conference
In der Tumorkonferenz vorgestellt am
Item
Date 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)
Datum aus TuKo übernehmen
Item
not_coded
boolean
Daten vollständig
Item
complete data
boolean
Complete (Code-1)
C0205197 (UMLS CUI-1)
255594003 (SNOMED CT-1)
Data (Code-2)
C1511726 (UMLS CUI-2)
Untersucher
Item
Investigator
string
Investigator Name (Code-1)
C2826892 (UMLS CUI-1)
weitere Ergänzungen
Item
Comment
string
Comment (Code-1)
C0947611 (UMLS CUI-1)
MTHU013736 (LOINC-1)
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