ID

43643

Description

The uniform oncological basic data set of ADT and GEKID was adopted in March 2008 and updated in February, 2014. It applies to all types of cancer and is continuously supplemented by tumor-specific modules. By harmonizing Oncology base record, an instrument has been created which provides a harmonized oncological standard , prevents multiple documentaries and allows comparable acquisition and evaluation of cancer treatments in all clinical structures and federal states . Source: http://www.tumorzentren.de/onkol-basisdatensatz.html

Link

http://www.tumorzentren.de/onkol-basisdatensatz.html

Keywords

Versions (4)
  1. 4/8/16 4/8/16 -
  2. 5/13/16 5/13/16 -
  3. 7/13/17 7/13/17 - Martin Dugas
  4. 9/20/21 9/20/21 -
Uploaded on

September 20, 2021

DOI

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License

Creative Commons BY-NC 3.0
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ADT and Gekid shared uniform oncological basic data set

German English

Uniform oncological basic data set

1 forms  
Reason for report
Description

Reason for report

Reason for report
Description

Consent or objection of patient

Data type

integer

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C0700287
Patient Master Data
Description

Patient Master Data

Alias
UMLS CUI-1
C1320722
Health Insurance number
Description

Unique health insurance number of patient, as to private health insurance you may use the insurance and/or contract number. With health assistance there is still clarification needed.

Data type

integer

Alias
UMLS CUI [1]
C0021682
Insurance company number
Description

Unique identification of an insurance company or health insurance company. It may be unknown

Data type

integer

Alias
UMLS CUI [1]
C1547687
Patient Name
Description

Current family name of the patient at the day of reporting

Data type

text

Alias
UMLS CUI [1]
C1299487
Patient title
Description

Any academic title of a patient, all abbreviated and separated by "space". Examples: I.E; B.S; MD;Prof.; etc

Data type

text

Alias
UMLS CUI [1]
C0421450
Patient name suffix
Description

Any suffix to a patient name. Examples: Baron of ; Lady; Baronesse; of; van; etc

Data type

text

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C1718089
Patient given name
Description

Given names of a patient. More than one given name may be separated by "space"

Data type

text

Alias
UMLS CUI [1]
C1443235
Patient birth name
Description

Family name of patient at birth

Data type

text

Alias
UMLS CUI [1]
C1549652
Patient previous names
Description

Any previous names of a patient, maybe separated by "space"

Data type

text

Alias
UMLS CUI [1,1]
C0205156
UMLS CUI [1,2]
C0027365
Patient gender
Description

Differentiation of a person by sexual characteristics

Data type

integer

Alias
UMLS CUI [1]
C0079399
Patient Birth Date
Description

Day month and year of a patient´s birth according to gregorian calendar

Data type

date

Alias
UMLS CUI [1]
C0421451
Street Adress of patient
Description

Current adress of a patient at the day of diagnosis or reporting

Data type

text

Alias
UMLS CUI [1]
C1301826
Patient residence number
Description

Number of the house or apartement the patient lives at. Alphanumerical with any suffix (a,b,c...)

Data type

text

Alias
UMLS CUI [1]
C1549669
Country of Residence
Description

Current country of a patient´s residence at the day of diagnosis and reporting

Data type

text

Alias
UMLS CUI [1]
C1562954
Postal Code (Patient Residence)
Description

Current postal code of a patient´s residence at the day of diagnosis and reporting

Data type

integer

Alias
UMLS CUI [1]
C0421454
City of residence
Description

Current city of a patient´s residence at the day of diagnosis and reporting

Data type

text

Alias
UMLS CUI [1]
C2316883
Master data of reporting institution
Description

Master data of reporting institution

Alias
UMLS CUI-1
C0018704
Reporting institution ID
Description

Random but unique identification key given by a cancer registry responsible for the institution

Data type

text

Alias
UMLS CUI [1,1]
C0700287
UMLS CUI [1,2]
C0018704
Name of reporting hospital and hospital ward or (part of name of) doctor´s office
Description

Reporting Institution name

Data type

text

Alias
UMLS CUI [1,1]
C0018704
UMLS CUI [1,2]
C0027365
Reporting physician name
Description

Name and given name of reporting physician

Data type

text

Alias
UMLS CUI [1]
C2361125
Reporting institution adress
Description

Street, house number and suffix of reporting institution

Data type

text

Alias
UMLS CUI [1,1]
C0700287
UMLS CUI [1,2]
C0018704
UMLS CUI [1,3]
C1442065
Institution postal code
Description

Postal code of the (german) reporting institution. Solely postal codes of 5 digits for Germany from 01001 to 99996 with prefixed zero

Data type

integer

Alias
UMLS CUI [1,1]
C0018704
UMLS CUI [1,2]
C1514254
City Institution is located
Description

City where the (german) reporting institution is located

Data type

text

Alias
UMLS CUI [1,1]
C0018704
UMLS CUI [1,2]
C0008848
Reporting date
Description

Date the report has been delivered dd.mm.yyyy

Data type

date

Alias
UMLS CUI [1]
C1302584
Bank name
Description

Bank name of health care provider´s bank account

Data type

text

Alias
UMLS CUI [1,1]
C4042872
UMLS CUI [1,2]
C0027365
Name of account owner
Description

Name of health care provider who owns the bank account

Data type

text

Alias
UMLS CUI [1,1]
C2981730
UMLS CUI [1,2]
C1704784
BIC of health care provider
Description

Bank identifier code of health care provider´s account

Data type

text

Alias
UMLS CUI [1]
C1549682
IBAN of healthcare provider
Description

International bank account number of healthcare provider´s account

Data type

text

Alias
UMLS CUI [1]
C1549682
Diagnosis
Description

Diagnosis

Alias
UMLS CUI-1
C0011900
Primary tumor ICD-Code
Description

Coding of a notifiable disease according to current ICD-GM Version

Data type

integer

Alias
UMLS CUI [1,1]
C0677930
UMLS CUI [1,2]
C1136256
Primary tumor ICD Version
Description

Designation of ICD Version used for coding

Data type

integer

Alias
UMLS CUI [1,1]
C0677930
UMLS CUI [1,2]
C1137110
UMLS CUI [1,3]
C0808391
Primary tumor diagnosis
Description

Definition of a notifiable disease free text

Data type

text

Alias
UMLS CUI [1,1]
C0677930
UMLS CUI [1,2]
C0011900
Primary tumor topography ICD-O
Description

Definition of the topography of a disease according to the current ICD-O Version(Currently 2013-O3 Version)

Data type

integer

Alias
UMLS CUI [1,1]
C0677930
UMLS CUI [1,2]
C0376559
Primary tumor ICD-O Version
Description

Designation of ICD-O version used for coding. Example: Edition O3; first Edition 2003

Data type

text

Alias
UMLS CUI [1,1]
C0677930
UMLS CUI [1,2]
C1512892
UMLS CUI [1,3]
C0808391
Date of diagnosis
Description

Date specified in day, month and year on which the reportable diagnosis was first clinically or microscopically diagnosed by a physician. DD.MM.YYYY. Date unknown: Insert 00 unknown day and month: Insert 00:00

Data type

date

Alias
UMLS CUI [1,1]
C0006826
UMLS CUI [1,2]
C2316983
Neoplasm diagnosis confirmation
Description

Highest reached diagnostic accuracy at the date of diagnosis:see also ICD-O,page 60 One digit,numerical

Data type

integer

Alias
UMLS CUI [1,1]
C0750484
UMLS CUI [1,2]
C0441942
Side of tumor localization
Description

Organ-specific indication of the affected side

Data type

integer

Alias
UMLS CUI [1,1]
C0441987
UMLS CUI [1,2]
C0475264
Earlier neoplastic diseases
Description

Neoplastic diseases that have been diagnosed or treated at an earlier time in the patients medical history Free text or ICD-10 diagnosis and indication of year of diagnosis YYYY

Data type

text

Alias
UMLS CUI [1,1]
C1882062
UMLS CUI [1,2]
C0455458
Histology
Description

Histology

Date of Histology
Description

Date specified in day, month and year on which the reportable diagnosis was microscopically diagnosed. DD.MM.YYYY. Date unknown: Insert 00 unknown day and month: Insert 00:00

Data type

date

Alias
UMLS CUI [1]
C1302659
Histology specimen number
Description

An alphanumeric identifier assigned by a receiving lab to specimens that have been received. Unique allocation which preparation was studied, for reference purposes.

Data type

text

Alias
UMLS CUI [1,1]
C0019638
UMLS CUI [1,2]
C2985948
Morphology code
Description

Indicates the histology of a neoplasm. Alphanumerical, according to ICD-O Morphology (Current version)

Data type

text

Alias
UMLS CUI [1]
C3889986
Morphology ICD-O-Version
Description

Designation of ICD-O version used for coding. Example: Edition O3, first edition 2003

Data type

text

Alias
UMLS CUI [1,1]
C0332437
UMLS CUI [1,2]
C1512892
UMLS CUI [1,3]
C0808391
Morphology: free text
Description

Indicates original designation of a morphological diagnosis, alphanumerical

Data type

text

Alias
UMLS CUI [1]
C0332437
Grading
Description

Indicates the grade of differentiation of a neoplasm. The histopathologic grading of neoplasms is conducted to obtain evidence relating to their aggressiveness and to indicate to prognosis and treatment. The grading should follow recommendations of the WHO classification for malignant tumors. During classification all relevant provisions of literature (TNM) have to be followed.

Data type

text

Alias
UMLS CUI [1]
C0919553
Number of lymph nodes examined
Description

Indicates how many lymph nodes have been examined,including sentinel

Data type

integer

Alias
UMLS CUI [1]
C2733494
Number of positive lymph nodes
Description

Indicates how many lymph nodes have been affected,including sentinel

Data type

integer

Alias
UMLS CUI [1]
C0746319
Number of sentinel lymph nodes examined
Description

Indicates how many sentinel lymph nodes have been examined

Data type

integer

Alias
UMLS CUI [1]
C2733493
Number of positive sentinel lymph nodes
Description

Indicates how many sentinel lymph nodes have been affected

Data type

integer

Alias
UMLS CUI [1,1]
C0750480
UMLS CUI [1,2]
C1522495
TNM Classification
Description

TNM Classification

Alias
UMLS CUI-1
C0809869
Date of TNM
Description

Indicates the date when the TNM classification was performed. dd.mm.yyyy

Data type

date

Alias
UMLS CUI [1]
C0011008
TNM Version
Description

Indicates the version used for TNM classification. Example: 6= 6th edition; 7= 7th edition...

Data type

integer

Alias
UMLS CUI [1]
C0804705
TNM y-Symbol
Description

Indicates whether classification was performed during or after multimodal treatment

Data type

text

Alias
UMLS CUI [1,1]
C0475284
UMLS CUI [1,2]
C0009429
TNM r-Symbol
Description

Indicates whether the classification relates to a recurrent disease

Data type

text

Alias
UMLS CUI [1]
C1709870
TNM a-Symbol
Description

Indicates whether classification was performed during autopsy

Data type

text

Alias
UMLS CUI [1]
C1706864
TNM c/p/u-Präfix T
Description

Indicates whether clinical or pathological staging was performed

Data type

text

Alias
UMLS CUI [1]
C1707417
UMLS CUI [2]
C1319019
UMLS CUI [3]
C0842794
TNM c/p/u-Präfix N
Description

Indicates whether clinical or pathological staging was performed

Data type

text

Alias
UMLS CUI [1]
C1707417
UMLS CUI [2]
C1319019
UMLS CUI [3]
C0842794
TNM c/p/u-Präfix M
Description

Indicates whether clinical or pathological staging was performed

Data type

text

Alias
UMLS CUI [1]
C1707417
UMLS CUI [2]
C1319019
UMLS CUI [3]
C0842794
TNM T-Category
Description

Spread of the primary tumor, tumor entity according to TNM and TNM Supplement. Entity specific also see to TNM general comments

Data type

text

Alias
UMLS CUI [1]
C3258249
TNM m-Symbol
Description

Indicates presence of multiple primary neoplasms in the same area

Data type

text

Alias
UMLS CUI [1]
C1272456
TNM N-Category
Description

Spread of the primary tumor, tumor entity according to TNM and TNM Supplement. Entity specific also see to TNM general comments

Data type

text

Alias
UMLS CUI [1]
C3258248
UMLS CUI [2]
C3258251
TNM M-Category
Description

Spread of the primary tumor, tumor entity according to TNM and TNM Supplement. Can be entity specific, including additional comments like (i+/-) and mol+/-)

Data type

text

Alias
UMLS CUI [1]
C3260343
UMLS CUI [2]
C3260347
TNM L-Category
Description

lymphatic invasion

Data type

text

Alias
UMLS CUI [1]
C0475285
TNM V-Category
Description

venous invasion

Data type

text

Alias
UMLS CUI [1]
C0475755
TNM Pn-Category
Description

Perineural invasion

Data type

text

Alias
UMLS CUI [1]
C1269968
TNM S-Category
Description

serum tumor marker S1–S3 =at least one serum tumor marker increased

Data type

text

Alias
UMLS CUI [1]
C0730483
Other classifications
Description

Other classifications

Alias
UMLS CUI-1
C0008902
UMLS CUI-2
C0205394
Hemato-oncological and other classifications Name
Description

Name of hematological or other classification. Type of classification and characteristics.Not standardized at this point,but is part of existing and modules to be defined. Example: Ann-Arbor WHO-neoplasms of the brain AJCC

Data type

text

Alias
UMLS CUI [1,1]
C0920410
UMLS CUI [1,2]
C0027365
Hemato-oncological and other classifications stage
Description

Classification according to the hematologic or other classifications

Data type

text

Alias
UMLS CUI [1,1]
C0920410
UMLS CUI [1,2]
C1306673
Hemato-oncological and other classifications date
Description

Hemato-oncological and other classifications date

Data type

date

Alias
UMLS CUI [1]
C0011008
Residual status
Description

Residual status

Assessment of local Residual status after surgery
Description

Local assessment of residual classification after resection refers to the usually primary tumor which was resected, but i. E. also liver metastases

Data type

text

Alias
UMLS CUI [1,1]
C0220825
UMLS CUI [1,2]
C0544722
Overall assessment of residual status after primary therapy
Description

Overall assessment of residual classification of the disease including any distant metastases

Data type

text

Alias
UMLS CUI [1,1]
C0220825
UMLS CUI [1,2]
C0475286
UMLS CUI [1,3]
C1708063
Distant metastases
Description

Distant metastases

Localization of distant metastases
Description

Localization of distant metastase(s)

Data type

text

Alias
UMLS CUI [1,1]
C0475264
UMLS CUI [1,2]
C0027627
Date of diagnostic confirmation of distant metastases
Description

Indicates when distant metastases have been diagnosed:dd.mm.yyyy

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0750484
UMLS CUI [1,3]
C0027627
Performance Status
Description

ECOG Performance Status

Data type

integer

Alias
UMLS CUI [1]
C1520224
Surgery
Description

Surgery

Alias
UMLS CUI-1
C0543467
Intention of surgery
Description

Indicates the objective of surgery

Data type

text

Alias
UMLS CUI [1]
C1292734
Date of surgery
Description

dd.mm.yyyy

Data type

date

Alias
UMLS CUI [1]
C1628561
OPS-Code
Description

Indicates what kind of procedure has been performed.Example: OPS (5-##.##)

Data type

text

Alias
UMLS CUI [1]
C0543467
OPS Version
Description

Indicates after which version (year) of the OPS the procedure was classified: OPS and book edition Version 2013 Version 2014 ...

Data type

text

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0808391
Complications
Description

Complications

Surgical complications
Description

Indicates whether or not complications have occurred and if yes, what kind of complication If yes, then list the complications encountered by complication key

Data type

text

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0009566
Radiotherapy
Description

Radiotherapy

Intention of radiotherapy
Description

Indicates what the radiotherapy is aiming at. Unique classification of the intention of radiotherapy.

Data type

text

Alias
UMLS CUI [1,1]
C1522449
UMLS CUI [1,2]
C0162425
Radiotherapy in relation to surgery
Description

Indicates what relation the radiotherapy has to any surgical procedure

Data type

text

Alias
UMLS CUI [1,1]
C1704675
UMLS CUI [1,2]
C1522449
UMLS CUI [1,3]
C0543467
Radiotherapy target:Central nervous system
Description

Indicates the target of radiation

Data type

integer

Alias
UMLS CUI [1]
C0205918
Radiotherapy target: Head,neck with or without lymph nodes (In conjunction with respective tumor)
Description

Indicates the target of radiation

Data type

integer

Alias
UMLS CUI [1]
C0205918
Radiotherapy target: thorax with or without regional lymph nodes (in conjunction with respective tumor)
Description

Indicates the target of radiation

Data type

integer

Alias
UMLS CUI [1]
C0205918
Radiotherapy target: abdomen (without pelvis) with or without regional lymph nodes
Description

Indicates the target of radiation

Data type

integer

Alias
UMLS CUI [1]
C0205918
Radiotherapy target: pelvis with or without regional lymph nodes
Description

Indicates the target of radiation

Data type

integer

Alias
UMLS CUI [1]
C0205918
Radiotherapy target: supportive / musculoskeletal system
Description

Indicates the target of radiation

Data type

integer

Alias
UMLS CUI [1]
C0205918
Radiotherapy target: supportive / musculoskeletal system of upper extremity
Description

Indicates the target of radiation

Data type

integer

Alias
UMLS CUI [1]
C0205918
Radiotherapy target: supportive / musculoskeletal system of lower extremity
Description

Indicates the target of radiation

Data type

integer

Alias
UMLS CUI [1]
C0205918
Radiotherapy target: skin
Description

Indicates the target of radiation

Data type

integer

Alias
UMLS CUI [1]
C0205918
Radiotherapy target: other
Description

Indicates the target of radiation

Data type

integer

Alias
UMLS CUI [1]
C0205918
Radiotherapy target side
Description

Indicates the side of approach of targeted radiotherapy

Data type

text

Alias
UMLS CUI [1,1]
C0205918
UMLS CUI [1,2]
C0449646
Radiotherapy start date
Description

Indicates when radiotherapy was started. dd.mm.yyyy

Data type

date

Alias
UMLS CUI [1,1]
C0808070
UMLS CUI [1,2]
C1522449
Radiotherapy end date
Description

Indicates when radiotherapy was stopped. dd.mm.yyyy

Data type

date

Alias
UMLS CUI [1,1]
C1522449
UMLS CUI [1,2]
C0806020
Radiotherapy way of application
Description

Indicates the technique used for application of radiotherapy

Data type

text

Alias
UMLS CUI [1,1]
C1522449
UMLS CUI [1,2]
C0185125
Radiotherapy application: If "P", please specify
Description

Indicates the technique used for application of radiotherapy

Data type

text

Alias
UMLS CUI [1,1]
C1522449
UMLS CUI [1,2]
C0185125
Radiotherapy application: If "K" or "I", please specify
Description

Indicates the technique used for application of radiotherapy

Data type

text

Alias
UMLS CUI [1,1]
C1522449
UMLS CUI [1,2]
C0185125
Radiotherapy application: If "M" ,please specify
Description

Indicates the technique used for application of radiotherapy

Data type

text

Alias
UMLS CUI [1,1]
C1522449
UMLS CUI [1,2]
C0185125
Radiotherapy total dose
Description

Indicates the total dose the target was radiated with. Numerical with unit Gy or GBq

Data type

integer

Alias
UMLS CUI [1]
C2919490
Radiotherapy single dose
Description

Indicates the single dose the target was radiated with. The single dose refers to the prescribed iso dose. Numerical with unit Gy or GBq

Data type

integer

Alias
UMLS CUI [1]
C0454210
Reason for end of radiotherapy
Description

Indicates the reason for stopping radiotherapy

Data type

text

Alias
UMLS CUI [1,1]
C0436384
UMLS CUI [1,2]
C0566251
Radiotherapy Side effects
Description

Radiotherapy Side effects

CTC Grade radiotherapy side effects
Description

Indicates severity of side effects, during irradiation (so-called acute side effects until the 90th day after the start of irradiation) Type of side effect by CTC + Severity

Data type

text

Alias
UMLS CUI [1]
C1706735
Radiotherapy type of side effect according to CTC
Description

Indicates what kind of side effects occurred during irradiation (so-called acute side effects until the 90th day after the start of irradiation)

Data type

text

Alias
UMLS CUI [1]
C1706735
Radiotherapy CTCAE Version
Description

Indicates the version of CTCAE used to account for side effects.

Data type

integer

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C0333052
Systemic therapy
Description

Systemic therapy

Intention of systemic therapy
Description

Indicates what the systemic therapy is aiming at

Data type

text

Alias
UMLS CUI [1,1]
C0162425
UMLS CUI [1,2]
C1515119
Systemic therapy in relation to surgery
Description

Indicates what relation the systemic therapy has to any surgical procedure

Data type

text

Alias
UMLS CUI [1,1]
C1515119
UMLS CUI [1,2]
C1704675
UMLS CUI [1,3]
C0543467
Systemic therapy protocol. Please give the name of protocol in usual abbreviations.
Description

Indicates the protocol used for systemic treatment.

Data type

text

Alias
UMLS CUI [1]
C0949634
Systemic therapy start date
Description

Indicates when the systemic treatment was started. dd.mm.yyyy

Data type

date

Alias
UMLS CUI [1]
C3173309
Systemic therapy substance. Trade name or active ingredient
Description

Indicates the substance used for systemic treatment.

Data type

text

Alias
UMLS CUI [1]
C0439861
Reason systemic therapy was discontinued
Description

Indicates the reason why systemic therapy was stopped

Data type

text

Alias
UMLS CUI [1]
C0558681
Systemic therapy end date
Description

Indicates the date systemic therapy was stopped. dd.mm.yyyy

Data type

date

Alias
UMLS CUI [1]
C1531784
Systemic or expectant treatment
Description

Systemic or expectant treatment

Kind of systemic or expectant therapy
Description

Indicates what kind of systemic or expectant therapy has been performed. Multiple entries possible

Data type

text

Alias
UMLS CUI [1,1]
C1515119
UMLS CUI [1,2]
C1617848
Systemic therapy side effects
Description

Systemic therapy side effects

CTC grade systemic therapy side effects
Description

Indicates severity of side effects, during systemic therapy

Data type

text

Alias
UMLS CUI [1]
C1706735
Systemic therapy type of side effect according to CTC
Description

Indicates what kind of side effects occurred during systemic therapy

Data type

text

Alias
UMLS CUI [1]
C1706735
Systemic therapy CTCAE version
Description

Indicates the version of CTCAE used to account for side effects.

Data type

integer

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C0333052
Follow-Up
Description

Follow-Up

Date of follow up
Description

The date on which the final examination was carried out leading to the estimation of tumor status. dd.mm.yyyy

Data type

date

Alias
UMLS CUI [1]
C3694716
Evaluation of tumor status
Description

Overall disease evaluation taking into account all manifestations.

Data type

text

Alias
UMLS CUI [1,1]
C0475752
UMLS CUI [1,2]
C0220825
Primary tumor status
Description

Assessment of the situation in the area of primary malignancy

Data type

text

Alias
UMLS CUI [1,1]
C0677930
UMLS CUI [1,2]
C0475752
Tumor status of lymph nodes
Description

Assessment of regional lymph nodes

Data type

text

Alias
UMLS CUI [1,1]
C0475752
UMLS CUI [1,2]
C0807728
Distant metastases status
Description

Assessment of situation in the area of distant metastases

Data type

text

Alias
UMLS CUI [1]
C1302548
Tumor conference
Description

Tumor conference

Alias
UMLS CUI-1
C2985541
Date of tumor board
Description

Date the tumor board took place. dd.mm.yyyy

Data type

date

Alias
UMLS CUI [1]
C2985541
Tumor board type
Description

Indicates the point in treatment the tumor board review took place

Data type

text

Alias
UMLS CUI [1]
C2985541
Death
Description

Death

Alias
UMLS CUI-1
C0011065
Date of death
Description

Date the patient died. dd.mm.yyyy

Data type

date

Alias
UMLS CUI [1]
C1148348
Cause of death related to malignancy
Description

Indicates if the death was related to the malignancy

Data type

text

Alias
UMLS CUI [1]
C0007465
Cause of death
Description

Cause of death according to ICD

Data type

text

Alias
UMLS CUI [1]
C0007465
Further comments
Description

Any further facts that are represented imprecisely in the coding of this document or go beyond, can be clarified here.

Data type

text

Alias
UMLS CUI [1]
C1830770
Name of surgeon
Description

Indicates who performed the surgery. Depending on collaboration agreement and state law admissibility

Data type

text

Alias
UMLS CUI [1,1]
C0582175
UMLS CUI [1,2]
C2361125
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Similar models

Uniform oncological basic data set

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Reason for report
Item
Reason for report
integer
C0566251 (UMLS CUI [1,1])
C0700287 (UMLS CUI [1,2])
Reason for report
Code List
Reason for report
CL Item
Patient has been informed and did not object (1)
CL Item
Exception: Patient information omitted due to possible disadvantage in patient health (2)
CL Item
Report by physician without immediate contact to patient (3)
CL Item
Patient objected to personalized data storage (4)
CL Item
Deceased (5)
Item Group
Patient Master Data
C1320722 (UMLS CUI-1)
Health Insurance
Item
Health Insurance number
integer
C0021682 (UMLS CUI [1])
Insurance company number
Item
Insurance company number
integer
C1547687 (UMLS CUI [1])
Patient Name
Item
Patient Name
text
C1299487 (UMLS CUI [1])
Patient title
Item
Patient title
text
C0421450 (UMLS CUI [1])
Patient name suffix
Item
Patient name suffix
text
C0030705 (UMLS CUI [1,1])
C1718089 (UMLS CUI [1,2])
Given name
Item
Patient given name
text
C1443235 (UMLS CUI [1])
Birth name
Item
Patient birth name
text
C1549652 (UMLS CUI [1])
Previous names
Item
Patient previous names
text
C0205156 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
Item
Patient gender
integer
C0079399 (UMLS CUI [1])
Patient gender
Code List
Patient gender
CL Item
male (1)
C0086582 (UMLS CUI-1)
CL Item
female (2)
C0086287 (UMLS CUI-1)
CL Item
other/intersexual (3)
C0205394 (UMLS CUI-1)
CL Item
unknown (4)
C0439673 (UMLS CUI-1)
Birth Date
Item
Patient Birth Date
date
C0421451 (UMLS CUI [1])
Street Adress
Item
Street Adress of patient
text
C1301826 (UMLS CUI [1])
Residence number
Item
Patient residence number
text
C1549669 (UMLS CUI [1])
Country of Residence
Item
Country of Residence
text
C1562954 (UMLS CUI [1])
Postal Code
Item
Postal Code (Patient Residence)
integer
C0421454 (UMLS CUI [1])
City of residence
Item
City of residence
text
C2316883 (UMLS CUI [1])
Item Group
Master data of reporting institution
C0018704 (UMLS CUI-1)
Reporting institution ID
Item
Reporting institution ID
text
C0700287 (UMLS CUI [1,1])
C0018704 (UMLS CUI [1,2])
Reporting Institution name
Item
Name of reporting hospital and hospital ward or (part of name of) doctor´s office
text
C0018704 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
Physician name
Item
Reporting physician name
text
C2361125 (UMLS CUI [1])
Reporting institution adress
Item
Reporting institution adress
text
C0700287 (UMLS CUI [1,1])
C0018704 (UMLS CUI [1,2])
C1442065 (UMLS CUI [1,3])
Institution postal code
Item
Institution postal code
integer
C0018704 (UMLS CUI [1,1])
C1514254 (UMLS CUI [1,2])
Institution City
Item
City Institution is located
text
C0018704 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
Reporting date
Item
Reporting date
date
C1302584 (UMLS CUI [1])
Bank name
Item
Bank name
text
C4042872 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
Name of account owner
Item
Name of account owner
text
C2981730 (UMLS CUI [1,1])
C1704784 (UMLS CUI [1,2])
BIC of health care provider
Item
BIC of health care provider
text
C1549682 (UMLS CUI [1])
IBAN of healthcare provider
Item
IBAN of healthcare provider
text
C1549682 (UMLS CUI [1])
Item Group
Diagnosis
C0011900 (UMLS CUI-1)
Item
Primary tumor ICD-Code
integer
C0677930 (UMLS CUI [1,1])
C1136256 (UMLS CUI [1,2])
Primary tumor ICD-Code
Code List
Primary tumor ICD-Code
CL Item
C00.0 – C96.9 Malignant neoplasms; except C77.*, C78.* and C79.*(secondary malignant neoplasms, report primary tumor) Malignant neoplasms as primary tumor at multiple sites must be reported separately. (1)
CL Item
D00.0 – D09.9 In situ neoplasms (2)
CL Item
D32.0 Benign neoplasm of meninges (3)
CL Item
D32.1 Benign neoplasm of spinal meninges (4)
CL Item
D32.9 Benign neoplasm of meninges unspecified (5)
CL Item
D33.0 Benign neoplasm of brain, supratentorial (6)
CL Item
D33.1 Benign neoplasm of brain, infratentorial (7)
CL Item
D33.2 Benign neoplasm of brain, unspecified (8)
CL Item
D33.3 Benign neoplasm of cerebral nerves (9)
CL Item
D33.4 Benign neoplasm of spinal marrow (10)
CL Item
D33.7 Benign neoplasm of other specified parts of the central nervous system (11)
CL Item
D33.9 Benign neoplasm of the central nervous system unspecified (12)
CL Item
D35.2 Benign neoplasm of pituitary gland (13)
CL Item
D35.3 Benign neoplasm of the ductus craniopharyngealis (14)
CL Item
D35.4 Benign neoplasm of the epiphysis (15)
CL Item
D37.- Neoplasm of uncertain or unknown behavior of oral cavity and digestive organs (16)
CL Item
D38.- Neoplasm of uncertain or unknown behavior of middle ear, respiratory organs and intrathoracic organs (17)
CL Item
D39.- Neoplasm of uncertain or unknown behavior of female genital organs (18)
CL Item
D40.- Neoplasm of uncertain or unknown behavior of male genital organs (19)
CL Item
D41.- Neoplasm of uncertain behavior of the urinary system (20)
CL Item
D42.- Neoplasm of uncertain behavior of meninges (21)
CL Item
D43.- Neoplasm of uncertain or unknown behavior of brain and central nervous system (22)
CL Item
D44.- Neoplasm of uncertain behavior of endocrine glands (23)
CL Item
D45 polycythemia vera (24)
CL Item
D46.- Myelodysplastic syndromes (25)
CL Item
D47.- Other neoplasms of uncertain or unknown behavior of lymphoid, haematopoietic and related tissue (26)
CL Item
 (27)
Item
Primary tumor ICD Version
integer
C0677930 (UMLS CUI [1,1])
C1137110 (UMLS CUI [1,2])
C0808391 (UMLS CUI [1,3])
Primary tumor ICD Version
Code List
Primary tumor ICD Version
CL Item
ICD 10 Version 2013 (1)
CL Item
ICD 10 Version 2014 (2)
CL Item
ICD 10 Version 2015 (3)
Primary tumor diagnosis
Item
Primary tumor diagnosis
text
C0677930 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Primary tumor topography ICD-O
integer
C0677930 (UMLS CUI [1,1])
C0376559 (UMLS CUI [1,2])
Primary tumor topography
Code List
Primary tumor topography ICD-O
CL Item
C00-C14 Lips, mouth and pharynx (1)
CL Item
C15-C26 Intestines (2)
CL Item
C30-C39 respiratory tract and intrathoracic organs  (3)
CL Item
C40-C41 bones, joints and cartilage (4)
CL Item
C42-C42 Hematopoitic und retikuloendothelial system (5)
CL Item
C44-C44 skin (6)
CL Item
C47-C47 Peripheral Nervs und autonomic Nervous sytem (7)
CL Item
C48-C48 Retroperitoneum und Peritoneum (8)
CL Item
C49-C49 connective tissue, Subcutaneous tissue and other soft tissue (9)
CL Item
C50-C50 Breast [Mammae] (10)
CL Item
C51-C58 female genitals (11)
CL Item
C60-C63 male genitals (12)
CL Item
C64-C68 urinary tract (13)
CL Item
C69-C72 Eyes, brain and other parts of the central nervous system (14)
CL Item
C73-C75 thyroid gland and other endocrine glands (15)
CL Item
C76-C80 other or insufficiently designated location (16)
Primary tumor ICD-O Version
Item
Primary tumor ICD-O Version
text
C0677930 (UMLS CUI [1,1])
C1512892 (UMLS CUI [1,2])
C0808391 (UMLS CUI [1,3])
Tumor diagnosis date
Item
Date of diagnosis
date
C0006826 (UMLS CUI [1,1])
C2316983 (UMLS CUI [1,2])
Item
Neoplasm diagnosis confirmation
integer
C0750484 (UMLS CUI [1,1])
C0441942 (UMLS CUI [1,2])
Neoplasm diagnosis confirmation
Code List
Neoplasm diagnosis confirmation
CL Item
specific tumor markers (3)
CL Item
cytology: examination of cells from primary localizations including liquid aspirations by endoscopies or needles. Includes microscopic examination of peripheral blood smears and smears of iliac crest aspiration  (4)
CL Item
Histology of metastasis (5)
CL Item
Histology of the primary tumor: Histological examination of tissue of the primary tumor, including all cutting techniques and bone marrow biopsies. This includes samples of the primary tumor from autopsies. Histological examination of the tissue from a metastasis, including at autopsy. (6)
CL Item
 (1)
CL Item
 (2)
Item
Side of tumor localization
integer
C0441987 (UMLS CUI [1,1])
C0475264 (UMLS CUI [1,2])
Side of tumor localization
Code List
Side of tumor localization
CL Item
left (1)
C0205091 (UMLS CUI-1)
CL Item
right (2)
C0205090 (UMLS CUI-1)
CL Item
both sides (should with certain tumors result in 2 reports) (3)
C0238767 (UMLS CUI-1)
CL Item
Center line/centered (4)
C0549183 (UMLS CUI-1)
CL Item
unknown (5)
C0439673 (UMLS CUI-1)
CL Item
not applicable (indication of the side not useful,including systemic disease) (6)
C3843507 (UMLS CUI-1)
Earlier neoplastic diseases
Item
Earlier neoplastic diseases
text
C1882062 (UMLS CUI [1,1])
C0455458 (UMLS CUI [1,2])
Item Group
Histology
Date of Histology
Item
Date of Histology
date
C1302659 (UMLS CUI [1])
Histology specimen number
Item
Histology specimen number
text
C0019638 (UMLS CUI [1,1])
C2985948 (UMLS CUI [1,2])
Morphology code
Item
Morphology code
text
C3889986 (UMLS CUI [1])
Morphology ICD-O-Version
Item
Morphology ICD-O-Version
text
C0332437 (UMLS CUI [1,1])
C1512892 (UMLS CUI [1,2])
C0808391 (UMLS CUI [1,3])
Morphology
Item
Morphology: free text
text
C0332437 (UMLS CUI [1])
Item
Grading
text
C0919553 (UMLS CUI [1])
Grading
Code List
Grading
CL Item
malignant melanoma of conjunctiva (0)
CL Item
well differentiated (1)
CL Item
moderately differentiated (2)
CL Item
poorly differentiated (3)
CL Item
undifferentiated (4)
CL Item
can not be determined (X)
CL Item
low grade (G1 oder G2) (L)
CL Item
intermediate (G2 oder G3) (M)
CL Item
high grade (G3 oder G4) (H)
CL Item
Borderline (B)
CL Item
unknown (U)
CL Item
not applicable (T)
Number of lymph nodes examined
Item
Number of lymph nodes examined
integer
C2733494 (UMLS CUI [1])
Number of positive lymph nodes
Item
Number of positive lymph nodes
integer
C0746319 (UMLS CUI [1])
Number of sentinel lymph nodes examined
Item
Number of sentinel lymph nodes examined
integer
C2733493 (UMLS CUI [1])
Number of positive sentinel lymph nodes
Item
Number of positive sentinel lymph nodes
integer
C0750480 (UMLS CUI [1,1])
C1522495 (UMLS CUI [1,2])
Item Group
TNM Classification
C0809869 (UMLS CUI-1)
Date
Item
Date of TNM
date
C0011008 (UMLS CUI [1])
TNM Version
Item
TNM Version
integer
C0804705 (UMLS CUI [1])
Item
TNM y-Symbol
text
C0475284 (UMLS CUI [1,1])
C0009429 (UMLS CUI [1,2])
TNM y-Symbol
Code List
TNM y-Symbol
CL Item
classification was performed during or after Combined Modality Therapy (y)
CL Item
 (empty)
Item
TNM r-Symbol
text
C1709870 (UMLS CUI [1])
TNM r-Symbol
Code List
TNM r-Symbol
CL Item
classification relates to a recurrent disease (r)
CL Item
 (empty)
Item
TNM a-Symbol
text
C1706864 (UMLS CUI [1])
TNM a-Symbol
Code List
TNM a-Symbol
CL Item
classification was performed during autopsy (a)
CL Item
 (empty)
Item
TNM c/p/u-Präfix T
text
C1707417 (UMLS CUI [1])
C1319019 (UMLS CUI [2])
C0842794 (UMLS CUI [3])
TNM c/p/u-Präfix T
Code List
TNM c/p/u-Präfix T
CL Item
Determination of the grade was made by histopathologic examination, with what even the highest grade in each category could be determined (p)
CL Item
Detecting by ultrasound (subcategory of c with special diagnostic relevance, i.e. for rectal cancer) (u)
CL Item
 (c oder (empty)
Item
TNM c/p/u-Präfix N
text
C1707417 (UMLS CUI [1])
C1319019 (UMLS CUI [2])
C0842794 (UMLS CUI [3])
TNM c/p/u-Präfix N
Code List
TNM c/p/u-Präfix N
CL Item
Determination of the grade was made by histopathologic examination, with what even the highest grade in each category could be determined (p)
CL Item
Detecting by ultrasound (subcategory of c with special diagnostic relevance, i.e. for rectal cancer) (u)
CL Item
 (c oder (empty)
Item
TNM c/p/u-Präfix M
text
C1707417 (UMLS CUI [1])
C1319019 (UMLS CUI [2])
C0842794 (UMLS CUI [3])
TNM c/p/u-Präfix M
Code List
TNM c/p/u-Präfix M
CL Item
Determination of the grade was made by histopathologic examination, with what even the highest grade in each category could be determined (p)
CL Item
Detecting by ultrasound (subcategory of c with special diagnostic relevance, i.e. for rectal cancer) (u)
CL Item
 (c oder (empty)
TNM T-Category
Item
TNM T-Category
text
C3258249 (UMLS CUI [1])
Item
TNM m-Symbol
text
C1272456 (UMLS CUI [1])
TNM m-Symbol
Code List
TNM m-Symbol
CL Item
 (m)
CL Item
 (Zahl)
CL Item
 (leer)
TNM N-Category
Item
TNM N-Category
text
C3258248 (UMLS CUI [1])
C3258251 (UMLS CUI [2])
TNM M-Category
Item
TNM M-Category
text
C3260343 (UMLS CUI [1])
C3260347 (UMLS CUI [2])
Item
TNM L-Category
text
C0475285 (UMLS CUI [1])
TNM L-Category
Code List
TNM L-Category
CL Item
 (LX)
CL Item
 (L0)
CL Item
 (L1)
Item
TNM V-Category
text
C0475755 (UMLS CUI [1])
TNM V-Category
Code List
TNM V-Category
CL Item
 (VX)
CL Item
 (V0)
CL Item
 (V1)
CL Item
 (V2)
Item
TNM Pn-Category
text
C1269968 (UMLS CUI [1])
TNM Pn-Category
Code List
TNM Pn-Category
CL Item
perineural Invasion undetermined (PnX)
CL Item
No perineural Invasion (Pn0)
CL Item
Perineural Invasion (Pn1)
Item
TNM S-Category
text
C0730483 (UMLS CUI [1])
TNM S-Category
Code List
TNM S-Category
CL Item
Values of serum tumor markers unavailable or appropriate investigations not taken  (SX)
CL Item
serum tumor marker within normal range (S0)
CL Item
< 1,5N LDH and < 5000 HCG and < 1000AFP (S1)
CL Item
1,5 – 10N LDH or 5000 – 50000 HCG or 1000 – 10000 AFP (S2)
CL Item
> 10N LDH or > 50000 HCG or > 10000 AFP (S3)
CL Item
ULN (N)
Item Group
Other classifications
C0008902 (UMLS CUI-1)
C0205394 (UMLS CUI-2)
Hemato-oncological and other classifications Name
Item
Hemato-oncological and other classifications Name
text
C0920410 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
Hemato-oncological and other classifications stage
Item
Hemato-oncological and other classifications stage
text
C0920410 (UMLS CUI [1,1])
C1306673 (UMLS CUI [1,2])
Hemato-oncological and other classifications date
Item
date
C0011008 (UMLS CUI [1])
Item Group
Residual status
Item
Assessment of local Residual status after surgery
text
C0220825 (UMLS CUI [1,1])
C0544722 (UMLS CUI [1,2])
Assessment of local Residual status after surgery
Code List
Assessment of local Residual status after surgery
CL Item
No residue (R0)
CL Item
Microsopic residue (R1)
CL Item
Macroscopic residue (R2)
CL Item
presence of residue undetermined (RX)
CL Item
 (R1 (is)
CL Item
 (R1(cy)
Item
Overall assessment of residual status after primary therapy
text
C0220825 (UMLS CUI [1,1])
C0475286 (UMLS CUI [1,2])
C1708063 (UMLS CUI [1,3])
Assessment of local Residual status after surgery
Code List
Overall assessment of residual status after primary therapy
CL Item
No residue (R0)
CL Item
Microsopic residue (R1)
CL Item
Macroscopic residue (R2)
CL Item
presence of residue undetermined (RX)
CL Item
 (R1 (is)
CL Item
 (R1(cy)
Item Group
Distant metastases
Item
Localization of distant metastases
text
C0475264 (UMLS CUI [1,1])
C0027627 (UMLS CUI [1,2])
Localization of distant metastases
Code List
Localization of distant metastases
CL Item
Pulmonary (PUL)
CL Item
Osseous (OSS)
CL Item
Hepatic (HEP)
CL Item
Brain (BRA)
CL Item
Lymphnodes (LYM)
CL Item
Bone marrow (MAR)
CL Item
Pleura (PLE)
CL Item
Peritoneum (PER)
CL Item
adrenal glands (ADR)
CL Item
Skin (SKI)
CL Item
Other organs (OTH)
CL Item
Generalized metastasis (GEN)
Date of diagnostic confirmation
Item
Date of diagnostic confirmation of distant metastases
date
C0011008 (UMLS CUI [1,1])
C0750484 (UMLS CUI [1,2])
C0027627 (UMLS CUI [1,3])
Item
Performance Status
integer
C1520224 (UMLS CUI [1])
ECOG Performance Status
Code List
Performance Status
CL Item
Fully Active, Able To Carry On All Pre-disease Performance Without Restriction. (Karnofsky 90-100%) (0)
CL Item
Restricted In Physically Strenuous Activity But Ambulatory And Able To Carry Out Work Of A Light Or Sedentary Nature, E.g., Light Housework, Office Work. (Karnofsky 70-80%) (1)
CL Item
Ambulatory And Capable Of All Selfcare But Unable To Carry Out Any Work Activities. Up And About More Than 50% Of Waking Hours. (Karnofsky 50-60%) (2)
CL Item
Capable Of Only Limited Selfcare, Confined To Bed Or Chair More Than 50% Of Waking Hours. (Karnofsky 30-40%) (3)
CL Item
Completely Disabled. Cannot Carry On Any Selfcare. Totally Confined To Bed Or Chair. (Karnofsky 10-20%) (4)
CL Item
Unknown (5)
Item Group
Surgery
C0543467 (UMLS CUI-1)
Item
Intention of surgery
text
C1292734 (UMLS CUI [1])
Intention of surgery
Code List
Intention of surgery
CL Item
curative (K)
CL Item
palliative (P)
CL Item
diagnostic (D)
CL Item
Revision/complication (R)
CL Item
other (S)
CL Item
unknown (X)
Surgery Date
Item
Date of surgery
date
C1628561 (UMLS CUI [1])
OPS-Code
Item
OPS-Code
text
C0543467 (UMLS CUI [1])
OPS Version
Item
OPS Version
text
C0543467 (UMLS CUI [1,1])
C0808391 (UMLS CUI [1,2])
Item Group
Complications
Item
Surgical complications
text
C0543467 (UMLS CUI [1,1])
C0009566 (UMLS CUI [1,2])
Surgical complications
Code List
Surgical complications
CL Item
Acute kidney failure (ANI)
CL Item
Disseminated intravascular coagulopathy (DIC)
CL Item
drug withdrawal psychosis (DEP)
CL Item
Pressure and positioning damage, i. e. pressure ulcer (DLU)
CL Item
Duodenal stump insufficiency (DSI)
CL Item
Enteral Fistula (ENF)
CL Item
Coagulation disorder (GER)
CL Item
Hematemesis (HEM)
CL Item
Hematury (HUR)
CL Item
Hemorrhagic Shock (HAE)
CL Item
Urinary fistula (HFI)
CL Item
Skin nekrosis in the area of surgery (HNK)
CL Item
cardiac insufficiency (HZI)
CL Item
Arrhythmia (HRS)
CL Item
Cranial nerve deficits (HNA)
CL Item
Organic psychosyndrome (i. e. „transition syndrome“) (HOP)
CL Item
Hyperbilirubinemia (HYB)
CL Item
Hypopharynx fistula (HYF)
CL Item
Ileofemoric venous thrombosis (IFV)
CL Item
cardiogenic shock (KAS)
CL Item
complications of ostomy (KES)
CL Item
complication of implant (vessel prosthesis, Total endoprosthesis, catheter),i. e. Dislocation (KIM)
CL Item
seizure (KRA)
CL Item
short bowel syndrome (KDS)
CL Item
liver failure (LEV)
CL Item
pulmonary edema (LOE)
CL Item
lymphatic fistula (LYF)
CL Item
Lymphocele (LYE)
CL Item
gastric voiding disorder (MES)
CL Item
Mechanical Ileus (MIL)
CL Item
Mediastinitis (MED)
CL Item
Mesentery artery- oder -venous thrombosis (MAT)
CL Item
Myocardial infarction (MYI)
CL Item
Bleeding, requiring revision, not mentioned elsewhere (RNB)
CL Item
Bleeding, not requiring revision, not mentioned elsewhere (NAB)
CL Item
suture insufficiency, not mentioned elsewhere (NIN)
CL Item
Esophagitis (OES)
CL Item
Osteitis, Osteomyelitis (OSM)
CL Item
Pancreatic fistula (PAF)
CL Item
Pancreatitis (PIT)
CL Item
Perianal Bleeding (PAB)
CL Item
Peripheral Paresis (PPA)
CL Item
Peripheral arterial occlusion (Emboly, Thrombosis) (PAV)
CL Item
Peritonitis (PER)
CL Item
Wound dehiscence of laparotomy wound (PLB)
CL Item
Pleuraempyem (PEY)
CL Item
pleural effusion (PLE)
CL Item
Pneumonia (PMN)
CL Item
Pneumothorax (PNT)
CL Item
Protracted intestinal atony (paralytic Ileus) (PDA)
CL Item
Emboly of pulmonary artery (PAE)
CL Item
Recurrent paresis (RPA)
CL Item
Respiratory insufficiency (RIN)
CL Item
Septic complication of an Implant (SKI)
CL Item
Septic Shock (SES)
CL Item
Disorders of fluid, electrolyte and acid base balance (SFH)
CL Item
Ostomy complication (i. e. bleeding, Necrosis, Stenosis) (STK)
CL Item
Thrombocytopenia (TZP)
CL Item
TIA (transitoric ischemic accident) or (TIA)
CL Item
Reversible ischemic neurological Deficit (Rind)
CL Item
Transfusion incident (TRZ)
CL Item
Wound hematoma (konservatively treated) (WUH)
CL Item
impaired wound healing, subcutaneous (WSS)
CL Item
 (N)
CL Item
 (U)
CL Item
 (ABD)
CL Item
 (ABS)
CL Item
 (ASF)
CL Item
 (AEP)
CL Item
 (ALR)
CL Item
 (ANS)
CL Item
 (AEE)
CL Item
 (API)
CL Item
 (BIF)
CL Item
 (BOG)
CL Item
 (BOE)
CL Item
 (BSI)
CL Item
 (CHI)
CL Item
 (DAI)
CL Item
 (DPS)
Item Group
Radiotherapy
Item
Intention of radiotherapy
text
C1522449 (UMLS CUI [1,1])
C0162425 (UMLS CUI [1,2])
Intention of radiotherapy
Code List
Intention of radiotherapy
CL Item
curative (K)
CL Item
palliative (P)
CL Item
Other (S)
CL Item
Unknown (X)
Item
Radiotherapy in relation to surgery
text
C1704675 (UMLS CUI [1,1])
C1522449 (UMLS CUI [1,2])
C0543467 (UMLS CUI [1,3])
Radiotherapy in relation to surgery
Code List
Radiotherapy in relation to surgery
CL Item
without relation to surgical procedure (O)
CL Item
adjuvant (A)
CL Item
neoadjuvant (N)
CL Item
intraoperative (I)
CL Item
other (S)
Item
Radiotherapy target:Central nervous system
integer
C0205918 (UMLS CUI [1])
Radiotherapy target
Code List
Radiotherapy target:Central nervous system
CL Item
whole brain (1)
CL Item
part of the brain (2)
CL Item
Neuraxis (3)
Item
Radiotherapy target: Head,neck with or without lymph nodes (In conjunction with respective tumor)
integer
C0205918 (UMLS CUI [1])
Radiotherapy target
Code List
Radiotherapy target: Head,neck with or without lymph nodes (In conjunction with respective tumor)
CL Item
Orbita (1)
CL Item
Nose/sinuses (2)
CL Item
oral cavitiy (3)
CL Item
ear (4)
CL Item
salivary gland (5)
CL Item
Pharynx (6)
CL Item
Larynx (7)
CL Item
thyroid gland (8)
CL Item
lymph nodes of the neck (without primary neoplasm) (9)
Item
Radiotherapy target: thorax with or without regional lymph nodes (in conjunction with respective tumor)
integer
C0205918 (UMLS CUI [1])
Radiotherapy target
Code List
Radiotherapy target: thorax with or without regional lymph nodes (in conjunction with respective tumor)
CL Item
Mammae as whole breast (1)
CL Item
Mammae as part of breast (2)
CL Item
chest wall (i. e. relapse after ablatio, sarcoma) (3)
CL Item
Lung (4)
CL Item
esophagus (5)
CL Item
Thymus (6)
CL Item
Mediastinal Lymph nodes (without primary neoplasm) (7)
Item
Radiotherapy target: abdomen (without pelvis) with or without regional lymph nodes
integer
C0205918 (UMLS CUI [1])
Radiotherapy target
Code List
Radiotherapy target: abdomen (without pelvis) with or without regional lymph nodes
CL Item
stomach (1)
CL Item
pancreas (2)
CL Item
liver (3)
CL Item
spleen (4)
CL Item
kidney (5)
CL Item
adrenal gland (6)
CL Item
retroperitoneal lymph nodes (without primary neoplasm), (7)
CL Item
retroperitoneum (i. e. Sarcoma) (8)
CL Item
abdominal wall (i. e. Sarcoma) (9)
Item
Radiotherapy target: pelvis with or without regional lymph nodes
integer
C0205918 (UMLS CUI [1])
Radiotherapy target
Code List
Radiotherapy target: pelvis with or without regional lymph nodes
CL Item
rectum (1)
CL Item
anal region (2)
CL Item
urinary bladder (3)
CL Item
prostate (4)
CL Item
testicles (5)
CL Item
penis (6)
CL Item
uterus (7)
CL Item
cervix (8)
CL Item
ovary (9)
CL Item
vulva (10)
CL Item
vagina (11)
CL Item
pelvic wall (12)
CL Item
pelvic lymph nodes (without primary neoplasm) (13)
Item
Radiotherapy target: supportive / musculoskeletal system
integer
C0205918 (UMLS CUI [1])
Radiotherapy target
Code List
Radiotherapy target: supportive / musculoskeletal system
CL Item
cranial bone (1)
CL Item
ribs (2)
CL Item
sternum (3)
CL Item
cervical spine (4)
CL Item
thoracic spine (5)
CL Item
lumbar spine (6)
CL Item
pelvic bone (7)
CL Item
hip (8)
Item
Radiotherapy target: supportive / musculoskeletal system of upper extremity
integer
C0205918 (UMLS CUI [1])
Radiotherapy target
Code List
Radiotherapy target: supportive / musculoskeletal system of upper extremity
CL Item
axilla (1)
CL Item
upper arm (2)
CL Item
forearm (3)
CL Item
hand (4)
Item
Radiotherapy target: supportive / musculoskeletal system of lower extremity
integer
C0205918 (UMLS CUI [1])
Radiotherapy target
Code List
Radiotherapy target: supportive / musculoskeletal system of lower extremity
CL Item
groin (1)
CL Item
thigh (2)
CL Item
lower leg (3)
CL Item
foot (4)
Item
Radiotherapy target: skin
integer
C0205918 (UMLS CUI [1])
Radiotherapy target
Code List
Radiotherapy target: skin
CL Item
primary skin neoplasm (including cutaneous lymphoma) (1)
CL Item
metastases of the skin (2)
Item
Radiotherapy target: other
integer
C0205918 (UMLS CUI [1])
Radiotherapy target
Code List
Radiotherapy target: other
CL Item
whole body radiation (1)
CL Item
mantle field irradiation (2)
Item
Radiotherapy target side
text
C0205918 (UMLS CUI [1,1])
C0449646 (UMLS CUI [1,2])
Radiotherapy target side
Code List
Radiotherapy target side
CL Item
left (L)
CL Item
right (R)
CL Item
both sides (B)
CL Item
median (M)
CL Item
unknown (U)
Radiotherapy start date
Item
Radiotherapy start date
date
C0808070 (UMLS CUI [1,1])
C1522449 (UMLS CUI [1,2])
Radiotherapy end date
Item
Radiotherapy end date
date
C1522449 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Item
Radiotherapy way of application
text
C1522449 (UMLS CUI [1,1])
C0185125 (UMLS CUI [1,2])
Radiotherapy application
Code List
Radiotherapy way of application
CL Item
percutaneous (teletherapy) (P)
CL Item
endocavity contact therapy (brachytherapy) (K)
CL Item
interstitial contact therapy (brachytherapy) (I)
CL Item
metabolic therapy (radionuclides) (M)
CL Item
other (S)
Item
Radiotherapy application: If "P", please specify
text
C1522449 (UMLS CUI [1,1])
C0185125 (UMLS CUI [1,2])
Radiotherapy application
Code List
Radiotherapy application: If "P", please specify
CL Item
radiochemotherapy/sensitizer no (RC n)
CL Item
 (RC j)
Item
Radiotherapy application: If "K" or "I", please specify
text
C1522449 (UMLS CUI [1,1])
C0185125 (UMLS CUI [1,2])
Radiotherapy application
Code List
Radiotherapy application: If "K" or "I", please specify
CL Item
high dose rate therapy (HDR)
CL Item
pulsed dose rate therapy (PDR)
CL Item
low dose rate therapy (LDR)
Item
Radiotherapy application: If "M" ,please specify
text
C1522449 (UMLS CUI [1,1])
C0185125 (UMLS CUI [1,2])
Radiotherapy application
Code List
Radiotherapy application: If "M" ,please specify
CL Item
selektive internal radio-therapy (SIRT)
CL Item
peptide-radio-receptor-therapy (PRRT)
Radiotherapy total dose
Item
Radiotherapy total dose
integer
C2919490 (UMLS CUI [1])
Radiotherapy single dose
Item
Radiotherapy single dose
integer
C0454210 (UMLS CUI [1])
Item
Reason for end of radiotherapy
text
C0436384 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
Reason for end of radiotherapy
Code List
Reason for end of radiotherapy
CL Item
Abbruch wegen Nebenwirkungen (A)
CL Item
reguläres Ende (E)
CL Item
Patient verweigert weitere Therapie (V)
CL Item
reguläres Ende mit Dosisreduktion (R)
CL Item
Abbruch wegen Progress (P)
CL Item
unknown (U)
C0439673 (UMLS CUI-1)
CL Item
Abbruch aus sonstigen Gründen (S)
Item Group
Radiotherapy Side effects
Item
CTC Grade radiotherapy side effects
text
C1706735 (UMLS CUI [1])
CTC Grade
Code List
CTC Grade radiotherapy side effects
CL Item
none or max Grade 2 (K)
CL Item
strong / pronounced (3)
CL Item
life threatening (4)
CL Item
deadly (5)
CL Item
unknown (U)
Radiotherapy side effects
Item
Radiotherapy type of side effect according to CTC
text
C1706735 (UMLS CUI [1])
Item
Radiotherapy CTCAE Version
integer
C1516728 (UMLS CUI [1,1])
C0333052 (UMLS CUI [1,2])
CTCAE version
Code List
Radiotherapy CTCAE Version
CL Item
version 4 (1)
Item Group
Systemic therapy
Item
Intention of systemic therapy
text
C0162425 (UMLS CUI [1,1])
C1515119 (UMLS CUI [1,2])
Intention of radiotherapy
Code List
Intention of systemic therapy
CL Item
curative (K)
CL Item
palliative (P)
CL Item
Other (S)
CL Item
Unknown (X)
Item
Systemic therapy in relation to surgery
text
C1515119 (UMLS CUI [1,1])
C1704675 (UMLS CUI [1,2])
C0543467 (UMLS CUI [1,3])
Radiotherapy in relation to surgery
Code List
Systemic therapy in relation to surgery
CL Item
without relation to surgical procedure (O)
CL Item
adjuvant (A)
CL Item
neoadjuvant (N)
CL Item
intraoperative (I)
CL Item
other (S)
Systemic therapy protocol
Item
Systemic therapy protocol. Please give the name of protocol in usual abbreviations.
text
C0949634 (UMLS CUI [1])
Treatment Start Date
Item
Systemic therapy start date
date
C3173309 (UMLS CUI [1])
Substance
Item
Systemic therapy substance. Trade name or active ingredient
text
C0439861 (UMLS CUI [1])
Item
Reason systemic therapy was discontinued
text
C0558681 (UMLS CUI [1])
Reason for end of radiotherapy
Code List
Reason systemic therapy was discontinued
CL Item
Abbruch wegen Nebenwirkungen (A)
CL Item
reguläres Ende (E)
CL Item
Patient verweigert weitere Therapie (V)
CL Item
reguläres Ende mit Dosisreduktion (R)
CL Item
Abbruch wegen Progress (P)
CL Item
unknown (U)
C0439673 (UMLS CUI-1)
CL Item
Abbruch aus sonstigen Gründen (S)
Treatment End Date
Item
Systemic therapy end date
date
C1531784 (UMLS CUI [1])
Item Group
Systemic or expectant treatment
Item
Kind of systemic or expectant therapy
text
C1515119 (UMLS CUI [1,1])
C1617848 (UMLS CUI [1,2])
Kind of systemic or expectant therapy
Code List
Kind of systemic or expectant therapy
CL Item
Immune- und antibody therapy (IM)
CL Item
Bone marrow transplantation (KM)
CL Item
Wait and see (WS)
CL Item
Active Surveillance (AS)
CL Item
Targeted substance (ZS)
CL Item
Other (SO)
CL Item
Chemotherapy (CH)
CL Item
Hormone therapy (HO)
Item Group
Systemic therapy side effects
Item
CTC grade systemic therapy side effects
text
C1706735 (UMLS CUI [1])
CTC Grade
Code List
CTC grade systemic therapy side effects
CL Item
none or max Grade 2 (K)
CL Item
strong / pronounced (3)
CL Item
life threatening (4)
CL Item
deadly (5)
CL Item
unknown (U)
Systemic therapy side effects
Item
Systemic therapy type of side effect according to CTC
text
C1706735 (UMLS CUI [1])
Item
Systemic therapy CTCAE version
integer
C1516728 (UMLS CUI [1,1])
C0333052 (UMLS CUI [1,2])
CTCAE version
Code List
Systemic therapy CTCAE version
CL Item
version 4 (1)
Item Group
Follow-Up
Date of follow up
Item
Date of follow up
date
C3694716 (UMLS CUI [1])
Item
Evaluation of tumor status
text
C0475752 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
Evaluation of tumor status
Code List
Evaluation of tumor status
CL Item
 (V)
CL Item
 (T)
CL Item
 (K)
CL Item
 (P)
CL Item
 (D)
CL Item
 (B)
CL Item
 (R)
CL Item
 (U)
CL Item
 (X)
Item
Primary tumor status
text
C0677930 (UMLS CUI [1,1])
C0475752 (UMLS CUI [1,2])
Primary tumor status
Code List
Primary tumor status
CL Item
 (K)
CL Item
 (T)
CL Item
 (P)
CL Item
 (N)
CL Item
 (R)
CL Item
 (F)
CL Item
 (U)
CL Item
 (X)
Item
Tumor status of lymph nodes
text
C0475752 (UMLS CUI [1,1])
C0807728 (UMLS CUI [1,2])
Tumor status of lymph nodes
Code List
Tumor status of lymph nodes
CL Item
 (K)
CL Item
 (R)
CL Item
 (T)
CL Item
 (P)
CL Item
 (N)
CL Item
 (F)
CL Item
 (U)
CL Item
 (X)
Item
Distant metastases status
text
C1302548 (UMLS CUI [1])
Distant metastases status
Code List
Distant metastases status
CL Item
 (K)
CL Item
 (M)
CL Item
 (R)
CL Item
 (T)
CL Item
 (P)
CL Item
 (N)
CL Item
 (F)
CL Item
 (U)
CL Item
 (X)
Item Group
Tumor conference
C2985541 (UMLS CUI-1)
Date of tumor board
Item
Date of tumor board
date
C2985541 (UMLS CUI [1])
Item
Tumor board type
text
C2985541 (UMLS CUI [1])
Tumor board
Code List
Tumor board type
CL Item
 (praeth)
CL Item
 (postop)
CL Item
 (postth)
Item Group
Death
C0011065 (UMLS CUI-1)
Date of Death
Item
Date of death
date
C1148348 (UMLS CUI [1])
Item
Cause of death related to malignancy
text
C0007465 (UMLS CUI [1])
Cause of death
Code List
Cause of death related to malignancy
CL Item
 (J)
CL Item
 (N)
CL Item
 (U)
Cause of death
Item
Cause of death
text
C0007465 (UMLS CUI [1])
Further comments
Item
Further comments
text
C1830770 (UMLS CUI [1])
Name of surgeon
Item
Name of surgeon
text
C0582175 (UMLS CUI [1,1])
C2361125 (UMLS CUI [1,2])
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