Informationen:
Fehler:
ID
42340
Beschreibung
HIS form ORBIS. with friendly permission form urology (Prof. Semjonow) and medical informatics department (Dr. Breil)
Stichworte
Versionen (3)
- 07.08.13 07.08.13 -
- 15.03.21 15.03.21 - Dr. rer. medic Philipp Neuhaus
- 18.06.21 18.06.21 -
Rechteinhaber
University Hospital Münster (Urology, Medical Informatics)
Hochgeladen am
18. Juni 2021
DOI
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Lizenz
Creative Commons BY-NC 4.0
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HIS finding prostate biopsy prostate cancer
Ähnliche Modelle
HIS
- StudyEvent: HIS
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Aufnahmedatum
Item
Admission date
date
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)
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)
184100006 (SNOMED CT-1)
Nachname
Item
Patient surname
string
C0421448 (UMLS CUI-1)
184096005 (SNOMED CT-1)
184096005 (SNOMED CT-1)
Vorname
Item
Patient forename
string
C0421447 (UMLS CUI-1)
184095009 (SNOMED CT-1)
184095009 (SNOMED CT-1)
Geburtsdatum
Item
Patient date of birth
date
C0421451 (UMLS CUI-1)
184099003 (SNOMED CT-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)
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)
C0809949 (UMLS CUI-1)
Physicians (Code-2)
C0031831 (UMLS CUI-2)
112247003 (SNOMED CT-2)
MTHU010489 (LOINC-2)
PHYS (HL7 V3-2)
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)
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)
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)
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)
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)
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)
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
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)
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)
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)
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)
C1532320 (UMLS CUI-1)
414205003 (SNOMED CT-1)
Z80.42 (ICD-10-CM-1)
V16.42 (ICD-9-CM-1)
CL Item
Yes (Ja)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
373066001 (SNOMED CT-1)
CL Item
No (Nein)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
373067005 (SNOMED CT-1)
CL Item
not specified (keine Angabe)
Unspecified (Code-1)
C0205370 (UMLS CUI-1)
10003008 (SNOMED CT-1)
C0205370 (UMLS CUI-1)
10003008 (SNOMED CT-1)
Körpergewicht
Item
Body Weight
string
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)
Length of body (observable entity) (Code-1)
C0221097 (UMLS CUI-1)
248334005 (SNOMED CT-1)
BMI
Item
BMI
string
Item
Finding by palpation
integer
Finding by palpation (finding) (Code-1)
C1290912 (UMLS CUI-1)
118242002 (SNOMED CT-1)
C1290912 (UMLS CUI-1)
118242002 (SNOMED CT-1)
CL Item
Normal (Normal)
Normal (Code-1)
C0205307 (UMLS CUI-1)
17621005 (SNOMED CT-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)
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)
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)
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)
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)
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)
C0205370 (UMLS CUI-1)
10003008 (SNOMED CT-1)
CL Item
normal (Normal)
Normal (Code-1)
C0205307 (UMLS CUI-1)
17621005 (SNOMED CT-1)
C0205307 (UMLS CUI-1)
17621005 (SNOMED CT-1)
CL Item
equivocal (dubios)
Equivocal (Code-1)
C0332241 (UMLS CUI-1)
42425007 (SNOMED CT-1)
C0332241 (UMLS CUI-1)
42425007 (SNOMED CT-1)
CL Item
suspect (suspekt)
Suspected (Code-1)
C0750491 (UMLS CUI-1)
415684004 (SNOMED CT-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)
C0205370 (UMLS CUI-1)
10003008 (SNOMED CT-1)
Untersucher
Item
Investigator
string
Investigator Name (Code-1)
C2826892 (UMLS CUI-1)
C2826892 (UMLS CUI-1)
IPSS
Item
International prostate symptom score
string
C1998280 (UMLS CUI-1)
428433009 (SNOMED CT-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)
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)
445930007 (SNOMED CT-1)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
C1272841 (UMLS CUI-1)
385396009 (SNOMED CT-1)
Gleason 1
Item
Primary Gleason Pattern
integer
Gleason 2
Item
Secondary Gleason Pattern
integer
Secondary Gleason Pattern (Code-1)
C1273605 (UMLS CUI-1)
384995005 (SNOMED CT-1)
MTHU020050 (LOINC-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)
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)
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)
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)
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)
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)
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)
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)
384997002 (SNOMED CT-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
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)
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)
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)
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)
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)
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)
9713002 (SNOMED CT-1)
10036978 (MedDRA-1)
N41.9 (ICD-10-CM-1)
601.9 (ICD-9-CM-1)
CL Item
none (keine)
None (Code-1)
C0549184 (UMLS CUI-1)
260413007 (SNOMED CT-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)
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)
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)
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
Minor (gering)
Minor (Code-1)
C0205165 (UMLS CUI-1)
255606000 (SNOMED CT-1)
C0205165 (UMLS CUI-1)
255606000 (SNOMED CT-1)
CL Item
Medium (mittel)
Medium (Code-1)
C0439536 (UMLS CUI-1)
255508009 (SNOMED CT-1)
C0439536 (UMLS CUI-1)
255508009 (SNOMED CT-1)
CL Item
Strong (stark)
Strong (Code-1)
C0442821 (UMLS CUI-1)
260404005 (SNOMED CT-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)
C0149524 (UMLS CUI-1)
79411002 (SNOMED CT-1)
10001021 (MedDRA-1)
N41.0 (ICD-10-CM-1)
601.0 (ICD-9-CM-1)
CL Item
Minor (gering)
Minor (Code-1)
C0205165 (UMLS CUI-1)
255606000 (SNOMED CT-1)
C0205165 (UMLS CUI-1)
255606000 (SNOMED CT-1)
CL Item
Medium (mittel)
Medium (Code-1)
C0439536 (UMLS CUI-1)
255508009 (SNOMED CT-1)
C0439536 (UMLS CUI-1)
255508009 (SNOMED CT-1)
CL Item
Strong (stark)
Strong (Code-1)
C0442821 (UMLS CUI-1)
260404005 (SNOMED CT-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)
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)
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)
C0802065 (UMLS CUI-1)
19139-5 (LOINC-1)
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)
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)
C0201544 (UMLS CUI-1)
63476009 (SNOMED CT-1)
10050704 (MedDRA-1)
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)
C0204577 (UMLS CUI-1)
266744007 (SNOMED CT-1)
Oncologic (qualifier value) (Code-2)
C0205478 (UMLS CUI-2)
3428006 (SNOMED CT-2)
CL Item
offered (angeboten)
Offered (qualifier value) (Code-1)
C1444648 (UMLS CUI-1)
410527000 (SNOMED CT-1)
C1444648 (UMLS CUI-1)
410527000 (SNOMED CT-1)
CL Item
accepted (angenommen)
Accepted (Code-1)
C1272684 (UMLS CUI-1)
385645004 (SNOMED CT-1)
C1272684 (UMLS CUI-1)
385645004 (SNOMED CT-1)
Item
Social Work
integer
Social Work (discipline) (Code-1)
C0037441 (UMLS CUI-1)
C0037441 (UMLS CUI-1)
CL Item
offered (angeboten)
Offered (qualifier value) (Code-1)
C1444648 (UMLS CUI-1)
410527000 (SNOMED CT-1)
C1444648 (UMLS CUI-1)
410527000 (SNOMED CT-1)
CL Item
accepted (angenommen)
Accepted (Code-1)
C1272684 (UMLS CUI-1)
385645004 (SNOMED CT-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)
C0034991 (UMLS CUI-1)
52052004 (SNOMED CT-1)
10057374 (MedDRA-1)
CL Item
offered (angeboten)
Offered (qualifier value) (Code-1)
C1444648 (UMLS CUI-1)
410527000 (SNOMED CT-1)
C1444648 (UMLS CUI-1)
410527000 (SNOMED CT-1)
CL Item
accepted (angenommen)
Accepted (Code-1)
C1272684 (UMLS CUI-1)
385645004 (SNOMED CT-1)
C1272684 (UMLS CUI-1)
385645004 (SNOMED CT-1)
Item
Interdisciplinary Communication
integer
Interdisciplinary Communication (Code-1)
C0079631 (UMLS CUI-1)
C0079631 (UMLS CUI-1)
CL Item
offered (angeboten)
Offered (qualifier value) (Code-1)
C1444648 (UMLS CUI-1)
410527000 (SNOMED CT-1)
C1444648 (UMLS CUI-1)
410527000 (SNOMED CT-1)
CL Item
accepted (angenommen)
Accepted (Code-1)
C1272684 (UMLS CUI-1)
385645004 (SNOMED CT-1)
C1272684 (UMLS CUI-1)
385645004 (SNOMED CT-1)
CL Item
offered (angeboten)
Offered (qualifier value) (Code-1)
C1444648 (UMLS CUI-1)
410527000 (SNOMED CT-1)
C1444648 (UMLS CUI-1)
410527000 (SNOMED CT-1)
CL Item
accepted (angenommen)
Accepted (Code-1)
C1272684 (UMLS CUI-1)
385645004 (SNOMED CT-1)
C1272684 (UMLS CUI-1)
385645004 (SNOMED CT-1)
CL Item
desired (erwünscht)
desire (Code-1)
C0871633 (UMLS CUI-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)
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)
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)
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)
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)
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)
C0034606 (UMLS CUI-1)
399019003 (SNOMED CT-1)
10061478 (MedDRA-1)
Finding (Code-2)
C1285578 (UMLS CUI-2)
363787002 (SNOMED CT-2)
CL Item
Positive Finding (positiv)
Positive Finding (Code-1)
C1446409 (UMLS CUI-1)
10828004 (SNOMED CT-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)
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)
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)
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)
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)
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)
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)
C0001641 (UMLS CUI-1)
373275009 (SNOMED CT-1)
Einnahme Gerinnungshemmer
Item
Anticoagulants
boolean
Anticoagulants (Code-1)
C0003280 (UMLS CUI-1)
372862008 (SNOMED CT-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)
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)
C1290912 (UMLS CUI-1)
118242002 (SNOMED CT-1)
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)
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)
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)
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)
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
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)
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)
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)
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)
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)
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)
C1275854 (UMLS CUI-1)
399374009 (SNOMED CT-1)
Percentage unit (qualifier value) (Code-2)
C1532336 (UMLS CUI-2)
415067009 (SNOMED CT-2)
Vorerkrankungen
Item
Pre-existing Condition
string
Pre-existing Condition (Code-1)
C0521987 (UMLS CUI-1)
102478008 (SNOMED CT-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)
Comorbidity Index (Code-1)
C1516737 (UMLS CUI-1)
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)
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)
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)
C2826892 (UMLS CUI-1)