ID

44213

Description

documentation standard - breast cancer - gynecology, with friendly permission (Dr. Tio) - kooperatives Brustzentrum Münster, Bereich Senologie an der Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe - Leitung: Dr. med. Joke Tio

Keywords

  1. 8/7/13 8/7/13 -
  2. 4/13/21 4/13/21 - Dr. rer. medic Philipp Neuhaus
  3. 9/20/21 9/20/21 -
Uploaded on

September 20, 2021

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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HIS Checklist - interdisciplinary breast team breast cancer

  1. StudyEvent: HIS
    1. HIS
Patienteninformation
Description

Patienteninformation

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 date of birth
Description

Geburtsdatum

Data type

date

Alias
UMLS CUI-1
C0421451
SNOMED CT-1
184099003
Patient Identification Number
Description

Pat-Nr.

Data type

integer

Alias
Code-1
Patients
UMLS CUI-1
C0030705
SNOMED CT-1
116154003
Code-2
Identification number
UMLS CUI-2
C1300638
SNOMED CT-2
396278008
Referring Physician
Description

Überweiser

Data type

string

Alias
Code-1
Referring Physician
UMLS CUI-1
C1709880
Medical History
Description

Medical History

patient age
Description

Alter Patientin

Data type

integer

Alias
Item-Info
Jahre
Code-1
patient age
UMLS CUI-1
CL386174
Body Weight
Description

Gewicht

Data type

integer

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

Größe

Data type

integer

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

Alter Menarche

Data type

integer

Alias
Code-1
Age at menarche
UMLS CUI-1
C1314691
SNOMED CT-1
364314008
LOINC-1
MTHU018825
Menopause Status
Description

Klimakterium

Data type

integer

Alias
Code-1
Menopause finding (finding)
UMLS CUI-1
C0455962
SNOMED CT-1
276477006
Age at menopause
Description

Alter Menopause

Data type

integer

Alias
Code-1
Age at menopause
UMLS CUI-1
C1629609
Hormone preparation
Description

Einnahme Hormonpräparat

Data type

integer

Alias
Code-1
Hormone preparation (product)
UMLS CUI-1
C0019932
SNOMED CT-1
22091006
Hormone replacement therapy
Description

HET

Data type

boolean

Alias
Code-Info
changed_datatype
Code-1
Hormone replacement therapy
UMLS CUI-1
C0282402
SNOMED CT-1
266717002
MedDRA-1
10020388
not_coded
Description

HAK

Data type

boolean

Alias
Code-Info
changed_datatype
Duration of therapy
Description

Einnahmezeitraum

Data type

integer

Alias
Code-1
Duration of therapy (qualifier value)
UMLS CUI-1
C0444921
SNOMED CT-1
261773006
Parity
Description

Parität

Data type

integer

Alias
Code-1
Parity
UMLS CUI-1
C0030563
SNOMED CT-1
118212000
MedDRA-1
10033997
LOINC-1
MTHU001904
quantity of pregnancy
Description

Anzahl Parität

Data type

integer

Alias
Code-1
Finding of quantity of pregnancy (finding)
UMLS CUI-1
C0566634
SNOMED CT-1
289204008
Age Primiparity
Description

Alter bei Erstparität

Data type

integer

Alias
Code-1
Primiparity
UMLS CUI-1
C0033150
SNOMED CT-1
14209008
MedDRA-1
10036758
Code-2
patient age
UMLS CUI-2
CL386174
Breast Feeding
Description

Laktation

Data type

integer

Alias
Code-1
Breast Feeding
UMLS CUI-1
C0006147
SNOMED CT-1
169741004
MedDRA-1
10006247
Months of breast feeding
Description

Gesamtdauer

Data type

integer

Alias
Item-Info
Monate
Code-1
Months of breast feeding
UMLS CUI-1
C3172259
Family history of neoplasm of breast
Description

Mammakarzinom in der Familie

Data type

integer

Alias
Code-1
Family history of neoplasm of breast (situation)
UMLS CUI-1
C0455356
SNOMED CT-1
313102001
Age at onset of illness
Description

Alter bei Erkrankungsbeginn

Data type

integer

Alias
Code-1
Onset of illness
UMLS CUI-1
C0277793
SNOMED CT-1
217315002
Code-2
Age
UMLS CUI-2
C0001779
SNOMED CT-2
424144002
LOINC-2
MTHU010047
Code-3
Family history of neoplasm of breast (situation)
UMLS CUI-3
C0455356
SNOMED CT-3
313102001
pre-existing malignant neoplasm
Description

Frühere andere maligne Tumore

Data type

integer

Alias
Code-1
Pre-existing Condition
UMLS CUI-1
C0521987
SNOMED CT-1
102478008
Code-2
Malignant Neoplasms
UMLS CUI-2
C0006826
SNOMED CT-2
363346000
MedDRA-2
10007050
LOINC-2
MTHU010328
ICD-10-CM-2
C80
ICD-9-CM-2
199
General pathology department
Description

Untersuchendes Institut

Data type

string

Alias
UMLS CUI-1
C0587490
SNOMED CT-1
309953001
Code-2
Pre-existing Condition
UMLS CUI-2
C0521987
SNOMED CT-2
102478008
Histopathology-number
Description

E-Nr.

Data type

integer

Alias
Code-1
Histopathology
UMLS CUI-1
C0677043
SNOMED CT-1
394597005
Code-2
Identifier
UMLS CUI-2
C0600091
SNOMED CT-2
118522005
LOINC-2
MTHU003116
Code-3
Pre-existing Condition
UMLS CUI-3
C0521987
SNOMED CT-3
102478008
Multiple Neoplasm
Description

Synchrone andere maligne Tumoren

Data type

integer

Alias
Code-1
Neoplasms, Multiple Primary
UMLS CUI-1
C0027663
General pathology department
Description

Untersuchendes Institut

Data type

string

Alias
UMLS CUI-1
C0587490
SNOMED CT-1
309953001
Histopathology-number
Description

E-Nr.

Data type

integer

Alias
Code-1
Histopathology
UMLS CUI-1
C0677043
SNOMED CT-1
394597005
Code-2
Identifier
UMLS CUI-2
C0600091
SNOMED CT-2
118522005
LOINC-2
MTHU003116
Lokalbefund des Tumors
Description

Lokalbefund des Tumors

Site of finding
Description

betroffene Brust

Data type

integer

Alias
Code-1
Side
UMLS CUI-1
C0441987
SNOMED CT-1
182353008
LOINC-1
MTHU014973
Count of entities - Tumor
Description

Anzahl der Tumoren

Data type

integer

Alias
Code-1
Tumor Mass
UMLS CUI-1
CL432397
Code-2
Count of entities (property) (qualifier value)
UMLS CUI-2
C0449788
SNOMED CT-2
410681005
Count of entities
Description

Anzahl der Tumoren

Data type

integer

Alias
Code-1
Count of entities (property) (qualifier value)
UMLS CUI-1
C0449788
SNOMED CT-1
410681005
Code-2
Tumor Mass
UMLS CUI-2
CL432397
Palpatory diagnosis
Description

Tastbefund

Data type

integer

Alias
Code-1
Palpatory diagnosis (qualifier value)
UMLS CUI-1
C1562881
SNOMED CT-1
416400009
Code-2
Breast
UMLS CUI-2
C0006141
SNOMED CT-2
76752008
Topography palpatory finding
Description

Topografie des Tastbefundes

Data type

integer

Alias
Code-1
Topography, Medical
UMLS CUI-1
C0376559
Code-2
Palpatory diagnosis (qualifier value)
UMLS CUI-2
C1562881
SNOMED CT-2
416400009
Breast size
Description

Brustgröße

Data type

integer

Alias
Code-1
Breast size (observable entity)
UMLS CUI-1
C0425782
SNOMED CT-1
248808008
extension to chest wall or skin
Description

Ausdehnung auf Brustwand oder Haut

Data type

integer

Alias
Code-1
Breast Cancer pT4 TNM Finding
UMLS CUI-1
C1707033
Code-2
Tumor-node-metastasis (TNM) classification of malignant tumor before any treatment (observable entity)
UMLS CUI-2
C0332369
SNOMED CT-2
106248000
Skin structure of breast
Description

Haut

Data type

integer

Alias
Code-Info
for_compare
Code-1
Skin structure of breast
UMLS CUI-1
C0149538
SNOMED CT-1
82038008
Inflammatory Breast Carcinoma
Description

entzündlich (inflammatorisches) Karzinom

Data type

boolean

Alias
Code-Info
changed_datatype
Code-1
Inflammatory Breast Carcinoma
UMLS CUI-1
C0278601
SNOMED CT-1
254840009
MedDRA-1
10021980
Secondary malignant neoplasm of axillary lymph nodes
Description

Axilläre Lymphknotenmetastasen

Data type

integer

Alias
Code-1
Secondary malignant neoplasm of axillary lymph nodes (disorder)
UMLS CUI-1
C0686665
SNOMED CT-1
94181007
Distant Metastasis
Description

Fernmetastasen

Data type

integer

Alias
Code-1
Distant Metastasis
UMLS CUI-1
CL278860
Site of distant metastasis
Description

Lokalisation Fernmetastasen

Data type

string

Alias
Code-1
Site of distant metastasis (observable entity)
UMLS CUI-1
C0807944
SNOMED CT-1
385421009
LOINC-1
MTHU010380
Medical Examination Distant Mestasis
Description

Methode der Diagnostik

Data type

string

Alias
Code-1
Medical Examination
UMLS CUI-1
C0582103
SNOMED CT-1
225886003
Code-2
Distant Metastasis
UMLS CUI-2
CL278860
Histopathology-number
Description

E-Nr. der histologischen Untersuchung

Data type

integer

Alias
Code-1
Histopathology
UMLS CUI-1
C0677043
SNOMED CT-1
394597005
Code-2
Identifier
UMLS CUI-2
C0600091
SNOMED CT-2
118522005
LOINC-2
MTHU003116
Code-3
Distant Metastasis
UMLS CUI-3
CL278860
Medical Imaging
Description

Medical Imaging

Mammography
Description

Mammography

Mammography
Description

Mammografie

Data type

boolean

Alias
Code-Info
for_compare
Code-1
Mammography
UMLS CUI-1
C0024671
SNOMED CT-1
71651007
MedDRA-1
10026735
Lesion
Description

Herd

Data type

integer

Alias
Code-1
Lesion
UMLS CUI-1
C0221198
Code-2
Mammography
UMLS CUI-2
C0024671
SNOMED CT-2
71651007
MedDRA-2
10026735
Lesion size
Description

Größe Herd

Data type

integer

Alias
Item-Info
mm
Code-1
Lesion size (observable entity)
UMLS CUI-1
C0449453
SNOMED CT-1
246116008
Code-2
Mammography
UMLS CUI-2
C0024671
SNOMED CT-2
71651007
MedDRA-2
10026735
Margin
Description

Begrenzung

Data type

integer

Alias
Code-1
Margin
UMLS CUI-1
C0205284
SNOMED CT-1
112233002
Code-2
Mammography
UMLS CUI-2
C0024671
SNOMED CT-2
71651007
MedDRA-2
10026735
Microcalcification
Description

Mikrokalk

Data type

integer

Alias
Code-1
Microcalcification
UMLS CUI-1
C0521174
SNOMED CT-1
12747003
LOINC-1
MTHU020083
Diameter Microcalcification
Description

Areal

Data type

integer

Alias
Item-Info
mm
Code-1
Microcalcification
UMLS CUI-1
C0521174
SNOMED CT-1
12747003
LOINC-1
MTHU020083
Code-2
Diameter (qualifier value)
UMLS CUI-2
C1301886
SNOMED CT-2
81827009
LOINC-2
MTHU002654
Form of Microcalcification
Description

Form

Data type

integer

Alias
Code-1
Form (attribute)
UMLS CUI-1
C0348078
SNOMED CT-1
246176004
Code-2
Microcalcification
UMLS CUI-2
C0521174
SNOMED CT-2
12747003
LOINC-2
MTHU020083
Arrangement
Description

Anordnung

Data type

integer

Alias
Code-1
Arrangement
UMLS CUI-1
C0449830
SNOMED CT-1
103377007
Size Microcalcification
Description

Größe der Verkalkungen

Data type

integer

Alias
Code-1
Microcalcification
UMLS CUI-1
C0521174
SNOMED CT-1
12747003
LOINC-1
MTHU020083
Code-2
size
UMLS CUI-2
C0456389
SNOMED CT-2
277049003
LOINC-2
MTHU010347
Course
Description

Verlauf

Data type

integer

Alias
Code-1
Course
UMLS CUI-1
C0750729
SNOMED CT-1
288524001
BI-RADS mammo terms
Description

Mammographischer Dignitätsscore

Data type

integer

Alias
Code-1
set of BI-RADS mammo terms
UMLS CUI-1
CL426926
Sonography
Description

Sonography

Sonography
Description

Sonografie

Data type

boolean

Alias
Code-Info
for_compare
Code-1
Ultrasonography, Mammary
UMLS CUI-1
C0080264
SNOMED CT-1
47079000
HL7 V3-1
12
Lesion
Description

Herd

Data type

integer

Alias
Code-1
Lesion
UMLS CUI-1
C0221198
Code-2
Ultrasonography, Mammary
UMLS CUI-2
C0080264
SNOMED CT-2
47079000
HL7 V3-2
12
Lesion size
Description

Größe Herd

Data type

integer

Alias
Code-1
Lesion size (observable entity)
UMLS CUI-1
C0449453
SNOMED CT-1
246116008
Code-2
Ultrasonography, Mammary
UMLS CUI-2
C0080264
SNOMED CT-2
47079000
HL7 V3-2
12
Margin
Description

Abgrenzung

Data type

integer

Alias
Code-1
Margin
UMLS CUI-1
C0205284
SNOMED CT-1
112233002
Code-2
Ultrasonography, Mammary
UMLS CUI-2
C0080264
SNOMED CT-2
47079000
HL7 V3-2
12
BI-RADS ultrasound terms
Description

Sono-Dignität

Data type

integer

Alias
Code-1
set of BI-RADS ultrasound terms
UMLS CUI-1
CL426924
MRI
Description

MRI

Magnetic resonance imaging of breast
Description

MRT

Data type

boolean

Alias
Code-Info
for_compare
Code-1
Magnetic resonance imaging of breast (procedure)
UMLS CUI-1
C0344104
SNOMED CT-1
241615005
BI-RADS MRI terms
Description

MRT

Data type

integer

Alias
Code-1
set of BI-RADS MRI terms
UMLS CUI-1
CL426925
BI-RADS term
Description

Gesamt-radiologischer Dignitätsscore: Handlungskategorien

Data type

integer

Alias
Code-1
set of BI-RADS terms
UMLS CUI-1
CL426923
radiologic suspected disease
Description

radiologische Verdachtsdiagnose

Data type

string

Alias
Code-1
Disease suspected (situation)
UMLS CUI-1
C0277540
SNOMED CT-1
41769001
Code-2
Clinical/Radiologic
UMLS CUI-2
C1516626
drawing
Description

Skizze zur Lokalisation

Data type

string

Alias
Code-1
Drawings (art)
UMLS CUI-1
C0013113
Side
Description

Lokalisation

Data type

integer

Alias
Code-1
Side
UMLS CUI-1
C0441987
SNOMED CT-1
182353008
LOINC-1
MTHU014973
Topography
Description

Topografie

Data type

integer

Alias
Code-1
Topography, Medical
UMLS CUI-1
C0376559
Code-2
Imaging, Medical
UMLS CUI-2
C0025086
Biopsy
Description

Biopsy

bo biopsy
Description

noch keine Biopsie

Data type

boolean

Alias
Code-Info
changed_datatype
Code-1
None
UMLS CUI-1
C0549184
SNOMED CT-1
260413007
Code-2
Biopsy
UMLS CUI-2
C0005558
SNOMED CT-2
86273004
MedDRA-2
10004720
LOINC-2
MTHU028106
Biopsy with Mammography
Description

Stanzbiopsie mammographisch

Data type

boolean

Alias
Code-Info
changed_datatype
Code-1
Mammography and biopsy (procedure)
UMLS CUI-1
C1636774
SNOMED CT-1
418378007
Ultrasound-guided Biopsy
Description

Stanzbiopsie sonographisch

Data type

boolean

Alias
Code-Info
changed_datatype
Code-1
Ultrasound-guided Biopsy
UMLS CUI-1
C0456900
SNOMED CT-1
277667006
Biopsy
Description

Stanzbiopsie klinisch

Data type

boolean

Alias
Code-Info
changed_datatype
Code-1
Biopsy
UMLS CUI-1
C0005558
SNOMED CT-1
86273004
MedDRA-1
10004720
LOINC-1
MTHU028106
Mammotome
Description

Mammotome

Data type

boolean

Alias
Code-1
Mammotome
UMLS CUI-1
CL429698
Biopsy Site
Description

bioptierte Areale

Data type

integer

Alias
Code-1
Biopsy Site
UMLS CUI-1
C1301128
SNOMED CT-1
396991001
count of Punches
Description

Zahl der Zylinder

Data type

integer

Alias
Code-1
Punch biopsy (procedure)
UMLS CUI-1
C0184924
SNOMED CT-1
68660007
Code-2
Count of entities (property) (qualifier value)
UMLS CUI-2
C0449788
SNOMED CT-2
410681005
Distance between biopsies
Description

Distanz zwischen Biopsien

Data type

integer

Alias
Code-1
Distance
UMLS CUI-1
C0012751
SNOMED CT-1
246132006
Code-2
Between
UMLS CUI-2
CL426201
Code-3
Biopsy
UMLS CUI-3
C0005558
SNOMED CT-3
86273004
MedDRA-3
10004720
LOINC-3
MTHU028106
Calcification in Mammotome
Description

Mammotome: Kalk enthatlten in

Data type

integer

Alias
Code-1
Calcification
UMLS CUI-1
C1533591
SNOMED CT-1
10006958
Code-2
Mammotome
UMLS CUI-2
CL429698
Microcalcification in biopsy
Description

Mikrokalk in Biopsie

Data type

integer

Alias
Code-1
Microcalcification
UMLS CUI-1
C0521174
SNOMED CT-1
44771000
LOINC-1
MTHU020083
Code-2
Biopsy
UMLS CUI-2
C0005558
SNOMED CT-2
86273004
MedDRA-2
10004720
LOINC-2
MTHU028106

Similar models

  1. StudyEvent: HIS
    1. HIS
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patienteninformation
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)
Geburtsdatum
Item
Patient date of birth
date
C0421451 (UMLS CUI-1)
184099003 (SNOMED CT-1)
Pat-Nr.
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)
Überweiser
Item
Referring Physician
string
Referring Physician (Code-1)
C1709880 (UMLS CUI-1)
Item Group
Medical History
Alter Patientin
Item
patient age
integer
Jahre (Item-Info)
patient age (Code-1)
CL386174 (UMLS CUI-1)
Gewicht
Item
Body Weight
integer
kg (Item-Info)
Body Weight (Code-1)
C0005910 (UMLS CUI-1)
27113001 (SNOMED CT-1)
MTHU001885 (LOINC-1)
Größe
Item
Length of body
integer
cm (Item-Info)
Length of body (observable entity) (Code-1)
C0221097 (UMLS CUI-1)
248334005 (SNOMED CT-1)
Alter Menarche
Item
Age at menarche
integer
Age at menarche (Code-1)
C1314691 (UMLS CUI-1)
364314008 (SNOMED CT-1)
MTHU018825 (LOINC-1)
Item
Menopause Status
integer
Menopause finding (finding) (Code-1)
C0455962 (UMLS CUI-1)
276477006 (SNOMED CT-1)
Code List
Menopause Status
CL Item
No (nein)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
CL Item
Premenopause (Prämenopause)
Premenopausal state (finding) (Code-1)
C0232969 (UMLS CUI-1)
22636003 (SNOMED CT-1)
CL Item
Postmenopause (Postmenopause)
Postmenopausal (Code-1)
C0232970 (UMLS CUI-1)
76498008 (SNOMED CT-1)
CL Item
Senescence  (Senium)
Senescence (Code-1)
CL415057 (UMLS CUI-1)
49808004 (SNOMED CT-1)
Alter Menopause
Item
Age at menopause
integer
Age at menopause (Code-1)
C1629609 (UMLS CUI-1)
Item
Hormone preparation
integer
Hormone preparation (product) (Code-1)
C0019932 (UMLS CUI-1)
22091006 (SNOMED CT-1)
Code List
Hormone preparation
CL Item
No (nein)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
CL Item
Yes (ja)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
HET
Item
Hormone replacement therapy
boolean
changed_datatype (Code-Info)
Hormone replacement therapy (Code-1)
C0282402 (UMLS CUI-1)
266717002 (SNOMED CT-1)
10020388 (MedDRA-1)
HAK
Item
not_coded
boolean
changed_datatype (Code-Info)
Einnahmezeitraum
Item
Duration of therapy
integer
Duration of therapy (qualifier value) (Code-1)
C0444921 (UMLS CUI-1)
261773006 (SNOMED CT-1)
Item
Parity
integer
Parity (Code-1)
C0030563 (UMLS CUI-1)
118212000 (SNOMED CT-1)
10033997 (MedDRA-1)
MTHU001904 (LOINC-1)
Code List
Parity
CL Item
No (nein)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
CL Item
Yes (ja)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
Anzahl Parität
Item
quantity of pregnancy
integer
Finding of quantity of pregnancy (finding) (Code-1)
C0566634 (UMLS CUI-1)
289204008 (SNOMED CT-1)
Alter bei Erstparität
Item
Age Primiparity
integer
Primiparity (Code-1)
C0033150 (UMLS CUI-1)
14209008 (SNOMED CT-1)
10036758 (MedDRA-1)
patient age (Code-2)
CL386174 (UMLS CUI-2)
Item
Breast Feeding
integer
Breast Feeding (Code-1)
C0006147 (UMLS CUI-1)
169741004 (SNOMED CT-1)
10006247 (MedDRA-1)
Code List
Breast Feeding
CL Item
No (nein)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
CL Item
Yes (ja)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
Gesamtdauer
Item
Months of breast feeding
integer
Monate (Item-Info)
Months of breast feeding (Code-1)
C3172259 (UMLS CUI-1)
Item
Family history of neoplasm of breast
integer
Family history of neoplasm of breast (situation) (Code-1)
C0455356 (UMLS CUI-1)
313102001 (SNOMED CT-1)
Code List
Family history of neoplasm of breast
CL Item
No (nein)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
CL Item
Mother (ja, Mutter)
Mother (person) (Code-1)
C0026591 (UMLS CUI-1)
72705000 (SNOMED CT-1)
MTHU035602 (LOINC-1)
MTH (HL7 V3-1)
CL Item
Sister (ja, Schwester)
Sister (Code-1)
C0337514 (UMLS CUI-1)
27733009 (SNOMED CT-1)
MTHU014541 (LOINC-1)
SIS (HL7 V3-1)
CL Item
maternal Grandmother (ja, Großmutter (mütterlicherseits))
Grandmother (Code-1)
C0337474 (UMLS CUI-1)
113157001 (SNOMED CT-1)
GRMTH (HL7 V3-1)
Maternal (Code-2)
CL420231 (UMLS CUI-2)
CL Item
Yes (ja, andere)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
Alter bei Erkrankungsbeginn
Item
Age at onset of illness
integer
Onset of illness (Code-1)
C0277793 (UMLS CUI-1)
217315002 (SNOMED CT-1)
Age (Code-2)
C0001779 (UMLS CUI-2)
424144002 (SNOMED CT-2)
MTHU010047 (LOINC-2)
Family history of neoplasm of breast (situation) (Code-3)
C0455356 (UMLS CUI-3)
313102001 (SNOMED CT-3)
Item
pre-existing malignant neoplasm
integer
Pre-existing Condition (Code-1)
C0521987 (UMLS CUI-1)
102478008 (SNOMED CT-1)
Malignant Neoplasms (Code-2)
C0006826 (UMLS CUI-2)
363346000 (SNOMED CT-2)
10007050 (MedDRA-2)
MTHU010328 (LOINC-2)
C80 (ICD-10-CM-2)
199 (ICD-9-CM-2)
Code List
pre-existing malignant neoplasm
CL Item
No (keine)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
CL Item
breast same side (ja, Mamma, gleichseitig)
Malignant neoplasm of breast (Code-1)
C0006142 (UMLS CUI-1)
254837009 (SNOMED CT-1)
10006187 (MedDRA-1)
C50 (ICD-10-CM-1)
Same (Code-2)
C0445247 (UMLS CUI-2)
262126009 (SNOMED CT-2)
Side (Code-3)
C0441987 (UMLS CUI-3)
182353008 (SNOMED CT-3)
MTHU014973 (LOINC-3)
CL Item
breast of other side (ja, Mamma, gegenseitig)
Malignant neoplasm of breast (Code-1)
C0006142 (UMLS CUI-1)
254837009 (SNOMED CT-1)
10006187 (MedDRA-1)
C50 (ICD-10-CM-1)
Other (Code-2)
C0205394 (UMLS CUI-2)
74964007 (SNOMED CT-2)
Side (Code-3)
C0441987 (UMLS CUI-3)
182353008 (SNOMED CT-3)
MTHU014973 (LOINC-3)
CL Item
other organs (ja, in anderen Organen)
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Organ (Code-2)
C0178784 (UMLS CUI-2)
MTHU020170 (LOINC-2)
Untersuchendes Institut
Item
General pathology department
string
C0587490 (UMLS CUI-1)
309953001 (SNOMED CT-1)
Pre-existing Condition (Code-2)
C0521987 (UMLS CUI-2)
102478008 (SNOMED CT-2)
E-Nr.
Item
Histopathology-number
integer
Histopathology (Code-1)
C0677043 (UMLS CUI-1)
394597005 (SNOMED CT-1)
Identifier (Code-2)
C0600091 (UMLS CUI-2)
118522005 (SNOMED CT-2)
MTHU003116 (LOINC-2)
Pre-existing Condition (Code-3)
C0521987 (UMLS CUI-3)
102478008 (SNOMED CT-3)
Item
Multiple Neoplasm
integer
Neoplasms, Multiple Primary (Code-1)
C0027663 (UMLS CUI-1)
Code List
Multiple Neoplasm
CL Item
No (keine)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
CL Item
breast of other side (ja, Mamma der Gegenseite)
Malignant neoplasm of breast (Code-1)
C0006142 (UMLS CUI-1)
254837009 (SNOMED CT-1)
10006187 (MedDRA-1)
C50 (ICD-10-CM-1)
Other (Code-2)
C0205394 (UMLS CUI-2)
74964007 (SNOMED CT-2)
Side (Code-3)
C0441987 (UMLS CUI-3)
182353008 (SNOMED CT-3)
MTHU014973 (LOINC-3)
CL Item
other organs (ja, in anderen Organen)
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Organ (Code-2)
C0178784 (UMLS CUI-2)
MTHU020170 (LOINC-2)
CL Item
breast of other side and other organs (ja, Mamma Gegenseite und andere Organe)
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Organ (Code-2)
C0178784 (UMLS CUI-2)
MTHU020170 (LOINC-2)
Malignant neoplasm of breast (Code-3)
C0006142 (UMLS CUI-3)
254837009 (SNOMED CT-3)
10006187 (MedDRA-3)
C50 (ICD-10-CM-3)
Side (Code-4)
C0441987 (UMLS CUI-4)
182353008 (SNOMED CT-4)
MTHU014973 (LOINC-4)
Untersuchendes Institut
Item
General pathology department
string
C0587490 (UMLS CUI-1)
309953001 (SNOMED CT-1)
E-Nr.
Item
Histopathology-number
integer
Histopathology (Code-1)
C0677043 (UMLS CUI-1)
394597005 (SNOMED CT-1)
Identifier (Code-2)
C0600091 (UMLS CUI-2)
118522005 (SNOMED CT-2)
MTHU003116 (LOINC-2)
Item Group
Lokalbefund des Tumors
Item
Site of finding
integer
Side (Code-1)
C0441987 (UMLS CUI-1)
182353008 (SNOMED CT-1)
MTHU014973 (LOINC-1)
Code List
Site of finding
CL Item
right (rechts)
Right (Code-1)
C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)
CL Item
left (links)
Left (Code-1)
C0205091 (UMLS CUI-1)
7771000 (SNOMED CT-1)
Item
Count of entities - Tumor
integer
Tumor Mass (Code-1)
CL432397 (UMLS CUI-1)
Count of entities (property) (qualifier value) (Code-2)
C0449788 (UMLS CUI-2)
410681005 (SNOMED CT-2)
Code List
Count of entities - Tumor
CL Item
Single  (solitär)
Single (Code-1)
C0205171 (UMLS CUI-1)
50607009 (SNOMED CT-1)
CL Item
Multiple (multiple)
Multiple (Code-1)
C0439064 (UMLS CUI-1)
255204007 (SNOMED CT-1)
Anzahl der Tumoren
Item
Count of entities
integer
Count of entities (property) (qualifier value) (Code-1)
C0449788 (UMLS CUI-1)
410681005 (SNOMED CT-1)
Tumor Mass (Code-2)
CL432397 (UMLS CUI-2)
Item
Palpatory diagnosis
integer
Palpatory diagnosis (qualifier value) (Code-1)
C1562881 (UMLS CUI-1)
416400009 (SNOMED CT-1)
Breast (Code-2)
C0006141 (UMLS CUI-2)
76752008 (SNOMED CT-2)
Code List
Palpatory diagnosis
CL Item
No (kein)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
CL Item
Yes (ja)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
CL Item
clinical suspected (klinisch suspekt)
Suspected (Code-1)
C0750491 (UMLS CUI-1)
415684004 (SNOMED CT-1)
Clinical (Code-2)
C0205210 (UMLS CUI-2)
58147004 (SNOMED CT-2)
CL Item
clinical normal (klinisch nicht suspekt)
Normal (Code-1)
C0205307 (UMLS CUI-1)
17621005 (SNOMED CT-1)
Clinical (Code-2)
C0205210 (UMLS CUI-2)
58147004 (SNOMED CT-2)
Item
Topography palpatory finding
integer
Topography, Medical (Code-1)
C0376559 (UMLS CUI-1)
Palpatory diagnosis (qualifier value) (Code-2)
C1562881 (UMLS CUI-2)
416400009 (SNOMED CT-2)
Code List
Topography palpatory finding
CL Item
Nipples (Mamille)
Nipples (Code-1)
C0028109 (UMLS CUI-1)
24142002 (SNOMED CT-1)
CL Item
Central  (zentraler Anteil)
Central (Code-1)
C0205099 (UMLS CUI-1)
26216008 (SNOMED CT-1)
CL Item
Upper-Inner Quadrant of the Breast  (innerer oberer Quadrant)
Upper-Inner Quadrant of the Breast (Code-1)
C0222596 (UMLS CUI-1)
77831004 (SNOMED CT-1)
CL Item
Lower-Inner Quadrant of the Breast  (innerer unterer Quadrant)
Lower-Inner Quadrant of the Breast (Code-1)
C0222597 (UMLS CUI-1)
19100000 (SNOMED CT-1)
CL Item
Upper-Outer Quadrant of the Breast (äußerer oberer Quadrant)
Upper-Outer Quadrant of the Breast (Code-1)
C0222598 (UMLS CUI-1)
76365002 (SNOMED CT-1)
CL Item
Lower-Outer Quadrant of the Breast (äußerer unterer Quadrant)
Lower-Outer Quadrant of the Breast (Code-1)
C0222599 (UMLS CUI-1)
33564002 (SNOMED CT-1)
CL Item
Axilla (axillärer Anteil)
Axilla (Code-1)
C0004454 (UMLS CUI-1)
91470000 (SNOMED CT-1)
MTHU024430 (LOINC-1)
Item
Breast size
integer
Breast size (observable entity) (Code-1)
C0425782 (UMLS CUI-1)
248808008 (SNOMED CT-1)
Code List
Breast size
CL Item
not_coded (A)
CL Item
not_coded (B)
CL Item
not_coded (C)
CL Item
not_coded (D)
Item
extension to chest wall or skin
integer
Breast Cancer pT4 TNM Finding (Code-1)
C1707033 (UMLS CUI-1)
Tumor-node-metastasis (TNM) classification of malignant tumor before any treatment (observable entity) (Code-2)
C0332369 (UMLS CUI-2)
106248000 (SNOMED CT-2)
Code List
extension to chest wall or skin
CL Item
No (keine (im Sinne der TNM))
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
CL Item
extension to the chest wall (Brustwand)
Breast Cancer pT4a TNM Finding (Code-1)
C1707034 (UMLS CUI-1)
CL Item
ulceration and/or ipsilateral satellite nodules and/or edema (including peau d'orange) of the skin (Hautödem / Ulzeration / Hautsatelliten)
Breast Cancer pT4b TNM Finding (Code-1)
C1707035 (UMLS CUI-1)
CL Item
extension to the chest wall, not including the pectoralis muscle, and with edema (including peau d'orange) or ulceration of the skin of the breast or satellite skin nodules (Brustwand, Hautödem, Ulzeration, Hautsatelliten)
Breast Cancer pT4c TNM Finding (Code-1)
C1707036 (UMLS CUI-1)
CL Item
Inflammatory Breast Carcinoma (entzündlich (inflammatorisches) Karzinom)
Breast Cancer pT4d TNM Finding (Code-1)
C1707037 (UMLS CUI-1)
Item
Skin structure of breast
integer
for_compare (Code-Info)
Skin structure of breast (Code-1)
C0149538 (UMLS CUI-1)
82038008 (SNOMED CT-1)
Code List
Skin structure of breast
CL Item
breast edema (Hautödem)
extended_coding (Code-Info)
BREAST EDEMA (Code-1)
C0235649 (UMLS CUI-1)
290077003 (SNOMED CT-1)
10006294 (MedDRA-1)
CL Item
Ulceration of breast  (Ulzeration)
extended_coding (Code-Info)
Ulceration of breast (finding) (Code-1)
C0425793 (UMLS CUI-1)
248818003 (SNOMED CT-1)
CL Item
Secondary malignant neoplasm of skin (Hautsatelliten)
extended_coding (Code-Info)
Secondary malignant neoplasm of skin (Code-1)
C0153687 (UMLS CUI-1)
94579000 (SNOMED CT-1)
10027465 (MedDRA-1)
C79.2 (ICD-10-CM-1)
198.2 (ICD-9-CM-1)
entzündlich (inflammatorisches) Karzinom
Item
Inflammatory Breast Carcinoma
boolean
changed_datatype (Code-Info)
Inflammatory Breast Carcinoma (Code-1)
C0278601 (UMLS CUI-1)
254840009 (SNOMED CT-1)
10021980 (MedDRA-1)
Item
Secondary malignant neoplasm of axillary lymph nodes
integer
Secondary malignant neoplasm of axillary lymph nodes (disorder) (Code-1)
C0686665 (UMLS CUI-1)
94181007 (SNOMED CT-1)
Code List
Secondary malignant neoplasm of axillary lymph nodes
CL Item
None (klinisch keine)
None (Code-1)
C0549184 (UMLS CUI-1)
260413007 (SNOMED CT-1)
CL Item
sliding (klinisch ja, verschieblich)
Sliding (qualifier value) (Code-1)
C0332246 (UMLS CUI-1)
7988003 (SNOMED CT-1)
CL Item
fixed (klinisch ja, fixiiert)
Fixed (qualifier value) (Code-1)
C0443218 (UMLS CUI-1)
261010008 (SNOMED CT-1)
Item
Distant Metastasis
integer
Distant Metastasis (Code-1)
CL278860 (UMLS CUI-1)
Code List
Distant Metastasis
CL Item
preoperative no information (präoperativ keine Angabe)
Preoperative (Code-1)
C0445204 (UMLS CUI-1)
262068006 (SNOMED CT-1)
No Information Available (Code-2)
C1546437 (UMLS CUI-2)
CL Item
No (keine)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
CL Item
Yes (ja)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
Lokalisation Fernmetastasen
Item
Site of distant metastasis
string
Site of distant metastasis (observable entity) (Code-1)
C0807944 (UMLS CUI-1)
385421009 (SNOMED CT-1)
MTHU010380 (LOINC-1)
Methode der Diagnostik
Item
Medical Examination Distant Mestasis
string
Medical Examination (Code-1)
C0582103 (UMLS CUI-1)
225886003 (SNOMED CT-1)
Distant Metastasis (Code-2)
CL278860 (UMLS CUI-2)
E-Nr. der histologischen Untersuchung
Item
Histopathology-number
integer
Histopathology (Code-1)
C0677043 (UMLS CUI-1)
394597005 (SNOMED CT-1)
Identifier (Code-2)
C0600091 (UMLS CUI-2)
118522005 (SNOMED CT-2)
MTHU003116 (LOINC-2)
Distant Metastasis (Code-3)
CL278860 (UMLS CUI-3)
Item Group
Medical Imaging
Item Group
Mammography
Mammografie
Item
Mammography
boolean
for_compare (Code-Info)
Mammography (Code-1)
C0024671 (UMLS CUI-1)
71651007 (SNOMED CT-1)
10026735 (MedDRA-1)
Item
Lesion
integer
Lesion (Code-1)
C0221198 (UMLS CUI-1)
Mammography (Code-2)
C0024671 (UMLS CUI-2)
71651007 (SNOMED CT-2)
10026735 (MedDRA-2)
Code List
Lesion
CL Item
Yes (ja)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
CL Item
No (nein)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
CL Item
Consolidation Side dissimilar (seitendifferente Verdichtung bzw. Gefügestörung)
Consolidation (morphologic abnormality) (Code-1)
C0702116 (UMLS CUI-1)
9656002 (SNOMED CT-1)
Side (Code-2)
C0441987 (UMLS CUI-2)
182353008 (SNOMED CT-2)
MTHU014973 (LOINC-2)
Dissimilar (Code-3)
C0443202 (UMLS CUI-3)
263740005 (SNOMED CT-3)
CL Item
Cannot Be Assessed (nicht beurteilbar, (Überlagerung))
Cannot Be Assessed (Code-1)
C1707258 (UMLS CUI-1)
Größe Herd
Item
Lesion size
integer
mm (Item-Info)
Lesion size (observable entity) (Code-1)
C0449453 (UMLS CUI-1)
246116008 (SNOMED CT-1)
Mammography (Code-2)
C0024671 (UMLS CUI-2)
71651007 (SNOMED CT-2)
10026735 (MedDRA-2)
Item
Margin
integer
Margin (Code-1)
C0205284 (UMLS CUI-1)
112233002 (SNOMED CT-1)
Mammography (Code-2)
C0024671 (UMLS CUI-2)
71651007 (SNOMED CT-2)
10026735 (MedDRA-2)
Code List
Margin
CL Item
Smooth  (glatt)
Smooth (Code-1)
C0205357 (UMLS CUI-1)
82280004 (SNOMED CT-1)
CL Item
not_coded (lobuliert)
CL Item
irregular (unregelmäßig)
Irregular (Code-1)
C0205271 (UMLS CUI-1)
49608001 (SNOMED CT-1)
CL Item
radial extension (strahlige Ausläufer)
Circumpennate (Code-1)
C0920847 (UMLS CUI-1)
261173001 (SNOMED CT-1)
Extension (Code-2)
C0231448 (UMLS CUI-2)
255536004 (SNOMED CT-2)
MTHU010348 (LOINC-2)
CL Item
stellate structure disturbance (sternförmige Gefügestörung)
Stellate (Code-1)
C0205141 (UMLS CUI-1)
50362007 (SNOMED CT-1)
Structure (Code-2)
C0678594 (UMLS CUI-2)
Disturbance (Code-3)
C2699787 (UMLS CUI-3)
CL Item
Cannot Be Assessed (nicht beurteilbar, (Überlagerung))
Cannot Be Assessed (Code-1)
C1707258 (UMLS CUI-1)
Item
Microcalcification
integer
Microcalcification (Code-1)
C0521174 (UMLS CUI-1)
12747003 (SNOMED CT-1)
MTHU020083 (LOINC-1)
Code List
Microcalcification
CL Item
Yes (ja)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
CL Item
No (nein)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
Areal
Item
Diameter Microcalcification
integer
mm (Item-Info)
Microcalcification (Code-1)
C0521174 (UMLS CUI-1)
12747003 (SNOMED CT-1)
MTHU020083 (LOINC-1)
Diameter (qualifier value) (Code-2)
C1301886 (UMLS CUI-2)
81827009 (SNOMED CT-2)
MTHU002654 (LOINC-2)
Item
Form of Microcalcification
integer
Form (attribute) (Code-1)
C0348078 (UMLS CUI-1)
246176004 (SNOMED CT-1)
Microcalcification (Code-2)
C0521174 (UMLS CUI-2)
12747003 (SNOMED CT-2)
MTHU020083 (LOINC-2)
Code List
Form of Microcalcification
CL Item
Round (rundlich)
Round (Code-1)
C0332490 (UMLS CUI-1)
42700002 (SNOMED CT-1)
CL Item
Oval (überwiegend rundlich)
Oval (Code-1)
C1709367 (UMLS CUI-1)
CL Item
Complex (polymorph)
Complex (Code-1)
C0439855 (UMLS CUI-1)
103360007 (SNOMED CT-1)
CL Item
linear (strichförmig)
Linear (Code-1)
C0205132 (UMLS CUI-1)
50009006 (SNOMED CT-1)
Item
Arrangement
integer
Arrangement (Code-1)
C0449830 (UMLS CUI-1)
103377007 (SNOMED CT-1)
Code List
Arrangement
CL Item
grouped (gruppiert)
Grouped (qualifier value) (Code-1)
C0439745 (UMLS CUI-1)
255504006 (SNOMED CT-1)
CL Item
not_coded (straßenförmig)
CL Item
segmental (segmental)
Segmental (Code-1)
C0205122 (UMLS CUI-1)
62372003 (SNOMED CT-1)
CL Item
Diffuse  (diffus)
Diffuse (Code-1)
C0205219 (UMLS CUI-1)
19648000 (SNOMED CT-1)
Item
Size Microcalcification
integer
Microcalcification (Code-1)
C0521174 (UMLS CUI-1)
12747003 (SNOMED CT-1)
MTHU020083 (LOINC-1)
size (Code-2)
C0456389 (UMLS CUI-2)
277049003 (SNOMED CT-2)
MTHU010347 (LOINC-2)
Code List
Size Microcalcification
CL Item
Fine  (fein)
Fine (Code-1)
C0205232 (UMLS CUI-1)
3082000 (SNOMED CT-1)
CL Item
Coarse (grob)
Coarse (Code-1)
C0205194 (UMLS CUI-1)
46891001 (SNOMED CT-1)
CL Item
fine and coarse (fein und grob)
Coarse (Code-1)
C0205194 (UMLS CUI-1)
46891001 (SNOMED CT-1)
Fine (Code-2)
C0205232 (UMLS CUI-2)
3082000 (SNOMED CT-2)
Item
Course
integer
Course (Code-1)
C0750729 (UMLS CUI-1)
288524001 (SNOMED CT-1)
Code List
Course
CL Item
new (neu aufgetreten)
New (Code-1)
C0205314 (UMLS CUI-1)
7147002 (SNOMED CT-1)
CL Item
Progressive (progredient)
Progressive (Code-1)
CL435401 (UMLS CUI-1)
255314001 (SNOMED CT-1)
CL Item
About The Same (unverändert zu Voruntersuchung)
About The Same (Code-1)
C0442739 (UMLS CUI-1)
260388006 (SNOMED CT-1)
CL Item
no preliminary examination (keine Voruntersuchungen)
Preliminary (qualifier value) (Code-1)
C0439611 (UMLS CUI-1)
261420005 (SNOMED CT-1)
Medical Examination (Code-2)
C0582103 (UMLS CUI-2)
225886003 (SNOMED CT-2)
No (Code-3)
C1298908 (UMLS CUI-3)
373067005 (SNOMED CT-3)
Item
BI-RADS mammo terms
integer
set of BI-RADS mammo terms (Code-1)
CL426926 (UMLS CUI-1)
Code List
BI-RADS mammo terms
CL Item
Mammography assessment (Category 0) - Need additional imaging evaluation (BI-RADS 0 = unauffällig)
Mammography assessment (Category 0) - Need additional imaging evaluation (Code-1)
C1301244 (UMLS CUI-1)
397138000 (SNOMED CT-1)
CL Item
Mammography assessment (Category 1) - Negative (BI-RADS 1 = unauffällig)
Mammography assessment (Category 1) - Negative (Code-1)
C1301245 (UMLS CUI-1)
397140005 (SNOMED CT-1)
CL Item
Mammography assessment (Category 2) - Benign finding (BI-RADS 2 = benigne)
Mammography assessment (Category 2) - Benign finding (Code-1)
C1301246 (UMLS CUI-1)
397141009 (SNOMED CT-1)
CL Item
Mammography assessment (Category 3) - Probably benign finding, short interval follow-up (BI-RADS 3 = wahrscheinlich benigne)
Mammography assessment (Category 3) - Probably benign finding, short interval follow-up (Code-1)
C1301247 (UMLS CUI-1)
397143007 (SNOMED CT-1)
CL Item
Mammography assessment (Category 4) - Suspicious abnormality, biopsy should be considered (BI-RADS 4 = verdächtig)
Mammography assessment (Category 4) - Suspicious abnormality, biopsy should be considered (Code-1)
C1301248 (UMLS CUI-1)
397144001 (SNOMED CT-1)
CL Item
not_coded (BI-RADS 4A)
CL Item
not_coded (BI-RADS 4B)
CL Item
not_coded (BI-RADS 4C)
CL Item
Mammography assessment (Category 5) - Highly suggestive of malignancy (BI-RADS 5 = maligne)
Mammography assessment (Category 5) - Highly suggestive of malignancy (Code-1)
C1301249 (UMLS CUI-1)
397145000 (SNOMED CT-1)
Item Group
Sonography
Sonografie
Item
Sonography
boolean
for_compare (Code-Info)
Ultrasonography, Mammary (Code-1)
C0080264 (UMLS CUI-1)
47079000 (SNOMED CT-1)
12 (HL7 V3-1)
Item
Lesion
integer
Lesion (Code-1)
C0221198 (UMLS CUI-1)
Ultrasonography, Mammary (Code-2)
C0080264 (UMLS CUI-2)
47079000 (SNOMED CT-2)
12 (HL7 V3-2)
Code List
Lesion
CL Item
Yes (ja)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
CL Item
No (nein)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
CL Item
equivocal (fraglich)
Equivocal (Code-1)
C0332241 (UMLS CUI-1)
42425007 (SNOMED CT-1)
CL Item
not_coded (Areal mit Schallauslöschung)
Größe Herd
Item
Lesion size
integer
Lesion size (observable entity) (Code-1)
C0449453 (UMLS CUI-1)
246116008 (SNOMED CT-1)
Ultrasonography, Mammary (Code-2)
C0080264 (UMLS CUI-2)
47079000 (SNOMED CT-2)
12 (HL7 V3-2)
Item
Margin
integer
Margin (Code-1)
C0205284 (UMLS CUI-1)
112233002 (SNOMED CT-1)
Ultrasonography, Mammary (Code-2)
C0080264 (UMLS CUI-2)
47079000 (SNOMED CT-2)
12 (HL7 V3-2)
Code List
Margin
CL Item
circumscribed  (scharf begrenzt)
circumscribed margin (Code-1)
CL381530 (UMLS CUI-1)
CL Item
Diffuse (unscharf begrenzt)
Diffuse (Code-1)
C0205219 (UMLS CUI-1)
19648000 (SNOMED CT-1)
Item
BI-RADS ultrasound terms
integer
set of BI-RADS ultrasound terms (Code-1)
CL426924 (UMLS CUI-1)
Code List
BI-RADS ultrasound terms
CL Item
not_coded (BI-RADS 0)
CL Item
not_coded (BI-RADS I = unauffällig)
CL Item
not_coded (BI-RADS II = benigne)
CL Item
not_coded (BI-RADS III = wahrscheinlich benigne)
CL Item
not_coded (BI-RADS IV = verdächtig)
CL Item
not_coded (BI-RADS V = maligne)
Item Group
MRI
MRT
Item
Magnetic resonance imaging of breast
boolean
for_compare (Code-Info)
Magnetic resonance imaging of breast (procedure) (Code-1)
C0344104 (UMLS CUI-1)
241615005 (SNOMED CT-1)
Item
BI-RADS MRI terms
integer
set of BI-RADS MRI terms (Code-1)
CL426925 (UMLS CUI-1)
Code List
BI-RADS MRI terms
CL Item
not_coded (BI-RADS 0)
CL Item
not_coded (BI-RADS I = unauffällig)
CL Item
not_coded (BI-RADS II = benigne)
CL Item
not_coded (BI-RADS III = wahrscheinlich benigne)
CL Item
not_coded (BI-RADS IV = verdächtig)
CL Item
not_coded (BI-RADS V = maligne)
Item
BI-RADS term
integer
set of BI-RADS terms (Code-1)
CL426923 (UMLS CUI-1)
CL Item
not_coded (AK I - retromamillär ohne Befund)
CL Item
not_coded (AK II - benigne)
CL Item
not_coded (AK III - wahrscheinlich benigne)
CL Item
not_coded (AK IV - verdächtig)
CL Item
not_coded (AK V - maligne (invasiv/DCIS))
radiologische Verdachtsdiagnose
Item
radiologic suspected disease
string
Disease suspected (situation) (Code-1)
C0277540 (UMLS CUI-1)
41769001 (SNOMED CT-1)
Clinical/Radiologic (Code-2)
C1516626 (UMLS CUI-2)
Skizze zur Lokalisation
Item
drawing
string
Drawings (art) (Code-1)
C0013113 (UMLS CUI-1)
Item
Side
integer
Side (Code-1)
C0441987 (UMLS CUI-1)
182353008 (SNOMED CT-1)
MTHU014973 (LOINC-1)
Code List
Side
CL Item
Right (rechts)
Right (Code-1)
C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)
CL Item
Left (links)
Left (Code-1)
C0205091 (UMLS CUI-1)
7771000 (SNOMED CT-1)
Item
Topography
integer
Topography, Medical (Code-1)
C0376559 (UMLS CUI-1)
Imaging, Medical (Code-2)
C0025086 (UMLS CUI-2)
Code List
Topography
CL Item
Nipples (Mamille)
Nipples (Code-1)
C0028109 (UMLS CUI-1)
24142002 (SNOMED CT-1)
CL Item
Central  (zentraler Drüsenkorper)
Central (Code-1)
C0205099 (UMLS CUI-1)
26216008 (SNOMED CT-1)
CL Item
Upper-Inner Quadrant of the Breast  (innerer oberer Quadrant)
Upper-Inner Quadrant of the Breast (Code-1)
C0222596 (UMLS CUI-1)
77831004 (SNOMED CT-1)
CL Item
Lower-Inner Quadrant of the Breast  (innerer unterer Quadrant)
Lower-Inner Quadrant of the Breast (Code-1)
C0222597 (UMLS CUI-1)
19100000 (SNOMED CT-1)
CL Item
Upper-Outer Quadrant of the Breast (äußerer oberer Quadrant)
Upper-Outer Quadrant of the Breast (Code-1)
C0222598 (UMLS CUI-1)
76365002 (SNOMED CT-1)
CL Item
Lower-Outer Quadrant of the Breast (äußerer unterer Quadrant)
Lower-Outer Quadrant of the Breast (Code-1)
C0222599 (UMLS CUI-1)
33564002 (SNOMED CT-1)
CL Item
Axilla (axillärer Anteil)
Axilla (Code-1)
C0004454 (UMLS CUI-1)
91470000 (SNOMED CT-1)
MTHU024430 (LOINC-1)
Item Group
Biopsy
noch keine Biopsie
Item
bo biopsy
boolean
changed_datatype (Code-Info)
None (Code-1)
C0549184 (UMLS CUI-1)
260413007 (SNOMED CT-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
Stanzbiopsie mammographisch
Item
Biopsy with Mammography
boolean
changed_datatype (Code-Info)
Mammography and biopsy (procedure) (Code-1)
C1636774 (UMLS CUI-1)
418378007 (SNOMED CT-1)
Stanzbiopsie sonographisch
Item
Ultrasound-guided Biopsy
boolean
changed_datatype (Code-Info)
Ultrasound-guided Biopsy (Code-1)
C0456900 (UMLS CUI-1)
277667006 (SNOMED CT-1)
Stanzbiopsie klinisch
Item
Biopsy
boolean
changed_datatype (Code-Info)
Biopsy (Code-1)
C0005558 (UMLS CUI-1)
86273004 (SNOMED CT-1)
10004720 (MedDRA-1)
MTHU028106 (LOINC-1)
Mammotome
Item
Mammotome
boolean
Mammotome (Code-1)
CL429698 (UMLS CUI-1)
Item
Biopsy Site
integer
Biopsy Site (Code-1)
C1301128 (UMLS CUI-1)
396991001 (SNOMED CT-1)
Code List
Biopsy Site
CL Item
Lesion Biopsy (abklärungsbedüftige Läsion)
Lesion (Code-1)
C0221198 (UMLS CUI-1)
CL Item
behind nipple (Retromamillärregion)
Dorsal (Code-1)
C0205095 (UMLS CUI-1)
350722008 (SNOMED CT-1)
Nipples (Code-2)
C0028109 (UMLS CUI-2)
24142002 (SNOMED CT-2)
regional (Code-3)
C0205147 (UMLS CUI-3)
410673009 (SNOMED CT-3)
MTHU009053 (LOINC-3)
CL Item
nipple orientated biopsy (mamillenwärts orientierte Biopsie)
Nipples (Code-1)
C0028109 (UMLS CUI-1)
24142002 (SNOMED CT-1)
Orientation (spatial) (Code-2)
C1704322 (UMLS CUI-2)
Zahl der Zylinder
Item
count of Punches
integer
Punch biopsy (procedure) (Code-1)
C0184924 (UMLS CUI-1)
68660007 (SNOMED CT-1)
Count of entities (property) (qualifier value) (Code-2)
C0449788 (UMLS CUI-2)
410681005 (SNOMED CT-2)
Distanz zwischen Biopsien
Item
Distance between biopsies
integer
Distance (Code-1)
C0012751 (UMLS CUI-1)
246132006 (SNOMED CT-1)
Between (Code-2)
CL426201 (UMLS CUI-2)
Biopsy (Code-3)
C0005558 (UMLS CUI-3)
86273004 (SNOMED CT-3)
10004720 (MedDRA-3)
MTHU028106 (LOINC-3)
Mammotome: Kalk enthatlten in
Item
Calcification in Mammotome
integer
Calcification (Code-1)
C1533591 (UMLS CUI-1)
10006958 (SNOMED CT-1)
Mammotome (Code-2)
CL429698 (UMLS CUI-2)
Item
Microcalcification in biopsy
integer
Microcalcification (Code-1)
C0521174 (UMLS CUI-1)
44771000 (SNOMED CT-1)
MTHU020083 (LOINC-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
Code List
Microcalcification in biopsy
CL Item
Yes (ja)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
CL Item
No (nein)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)

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