ID

42597

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 (2)
  1. 8/7/13 8/7/13 -
  2. 9/17/21 9/17/21 -
Uploaded on

September 17, 2021

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Creative Commons BY-NC 3.0 Legacy
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HIS surgery complication 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
Komplikationsbogen
Description

Komplikationsbogen

Cancer Diagnosis
Description

Tumordiagnose (ICD-10)

Data type

string

Alias
Code-1
Tumor finding (finding)
UMLS CUI-1
C1274082
SNOMED CT-1
395557000
Code-2
Diagnosis ICD code
UMLS CUI-2
C2598420
Date of diagnosis
Description

Diagnose-Datum

Data type

date

Alias
UMLS CUI-1
C2316983
SNOMED CT-1
432213005
Code-2
Tumor finding (finding)
UMLS CUI-2
C1274082
SNOMED CT-2
395557000
Date of surgery
Description

Datum

Data type

date

Alias
Code-1
Date in time
UMLS CUI-1
C0011008
SNOMED CT-1
410671006
LOINC-1
MTHU021546
Code-2
Operative Surgical Procedures
UMLS CUI-2
C0886765
SNOMED CT-2
387713005
Postoperative Wound Infection
Description

Postoperative Wound Infection

Postoperative Wound Infection
Description

kam es zu einer postoperativen Wundinfektion?

Data type

boolean

Alias
Item-Info
must_have
UMLS CUI-1
CL354174
Case Identifier
Description

IFU-Fallnummer

Data type

string

Alias
Code-1
Case - situation (qualifier value)
UMLS CUI-1
C0868928
SNOMED CT-1
398241000
Postoperative Revisionseingriffe
Description

Postoperative Revisionseingriffe

Surgical Revision
Description

Kam es zu einer Revisionsoperation?

Data type

boolean

Alias
Item-Info
must_have
Code-1
Repeated Surgical Procedure
UMLS CUI-1
C0035110
SNOMED CT-1
261554009
MedDRA-1
10038579
what Revision surgery
Description

falls ja, welche Revisionsoperation

Data type

integer

Alias
Code-1
Repeated Surgical Procedure
UMLS CUI-1
C0035110
SNOMED CT-1
261554009
MedDRA-1
10038579
Other
Description

Wenn Sonstiges

Data type

string

Alias
UMLS CUI-1
C0205394
SNOMED CT-1
74964007
Code-2
Free Text Format
UMLS CUI-2
C2348713
not_coded
Description

not_coded

not_coded
Description

Clavien-Dindo Klassifikation

Data type

integer

not_coded
Description

Grad V - Tod durch Komplikationen hervorgerufen

Data type

integer

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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
Komplikationsbogen
Tumordiagnose (ICD-10)
Item
Cancer Diagnosis
string
Tumor finding (finding) (Code-1)
C1274082 (UMLS CUI-1)
395557000 (SNOMED CT-1)
Diagnosis ICD code (Code-2)
C2598420 (UMLS CUI-2)
Diagnose-Datum
Item
Date of diagnosis
date
C2316983 (UMLS CUI-1)
432213005 (SNOMED CT-1)
Tumor finding (finding) (Code-2)
C1274082 (UMLS CUI-2)
395557000 (SNOMED CT-2)
Datum
Item
Date of surgery
date
Date in time (Code-1)
C0011008 (UMLS CUI-1)
410671006 (SNOMED CT-1)
MTHU021546 (LOINC-1)
Operative Surgical Procedures (Code-2)
C0886765 (UMLS CUI-2)
387713005 (SNOMED CT-2)
Item Group
Postoperative Wound Infection
kam es zu einer postoperativen Wundinfektion?
Item
Postoperative Wound Infection
boolean
must_have (Item-Info)
CL354174 (UMLS CUI-1)
IFU-Fallnummer
Item
Case Identifier
string
Case - situation (qualifier value) (Code-1)
C0868928 (UMLS CUI-1)
398241000 (SNOMED CT-1)
Item Group
Postoperative Revisionseingriffe
Kam es zu einer Revisionsoperation?
Item
Surgical Revision
boolean
must_have (Item-Info)
Repeated Surgical Procedure (Code-1)
C0035110 (UMLS CUI-1)
261554009 (SNOMED CT-1)
10038579 (MedDRA-1)
Item
what Revision surgery
integer
Repeated Surgical Procedure (Code-1)
C0035110 (UMLS CUI-1)
261554009 (SNOMED CT-1)
10038579 (MedDRA-1)
falls ja, welche Revisionsoperation
Code List
what Revision surgery
CL Item
drainage of lymphocele - surgery (operativ: Lymphozelendrainage/Lymphozelenfenster)
Lymphocele (Code-1)
C0024248 (UMLS CUI-1)
234109007 (SNOMED CT-1)
10048642 (MedDRA-1)
Drainage (Code-2)
C0013103 (UMLS CUI-2)
129289008 (SNOMED CT-2)
Operative Surgical Procedure (Code-3)
C0543467 (UMLS CUI-3)
387713003 (SNOMED CT-3)
10042609 (MedDRA-3)
MTHU007597 (LOINC-3)
CL Item
drainage of lymphocele - outpatient (ambulante Lymphozelendrainage)
Lymphocele (Code-1)
C0024248 (UMLS CUI-1)
234109007 (SNOMED CT-1)
10048642 (MedDRA-1)
Drainage (Code-2)
C0013103 (UMLS CUI-2)
129289008 (SNOMED CT-2)
Ambulatory Surgical Procedure (Code-3)
C0002428 (UMLS CUI-3)
110468005 (SNOMED CT-3)
CL Item
Hemorrhage (Hämatom)
C0019080 (UMLS CUI-1)
131148009 (SNOMED CT-1)
10005103 (MedDRA-1)
R58 (ICD-10-CM-1)
459.0 (ICD-9-CM-1)
CL Item
Other (Sonstiges)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Wenn Sonstiges
Item
Other
string
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
Item Group
not_coded
Item
not_coded
integer
Clavien-Dindo Klassifikation
Code List
not_coded
CL Item
not_coded (Grad I - Abweichung vom normalen postoperativen Verlauf ohne die Notwendigkeit einer Intervention)
CL Item
not_coded (Grad II - Leichte Komplikationen, die einer medikamentösen Intervention, Bluttransfusion oder parenteralen Ernährung bedürfen)
CL Item
not_coded (Grad III - Komplikationen, bei denen eine chirurgische, endoskopische oder radiologische Intervention notwendig ist)
CL Item
not_coded (Grad IIIa - wie zuvor jedoch ohne Vollnarkose)
CL Item
not_coded (Grad IIIb - wie zuvor jedoch mit Vollnarkose)
CL Item
not_coded (Grad IV - Lebensbedrohliche Komplikation, die eine intensivmedizinische Behandlung verlangten)
CL Item
not_coded (Grad IVa - Versagen eines Organs)
CL Item
not_coded (Grad IVb - Versagen mehrerer Organe)
CL Item
not_coded (Grad V - Tod durch Komplikationen hervorgerufen)
Grad V - Tod durch Komplikationen hervorgerufen
Code List
not_coded
CL Item
not_coded (vermeidbar)
CL Item
not_coded (schicksalhaft = unvermeidbar)
CL Item
not_coded (individuell)
CL Item
not_coded (systemisch)
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