ID

44615

Description

base-dataset from ADT - autopsy, ODM derived from http://www.tumorzentren.de/tl_files/dokumente/adt_basis.pdf

Link

http://www.tumorzentren.de/tl_files/dokumente/adt_basis.pdf

Keywords

Versions (2)
  1. 8/1/13 8/1/13 -
  2. 9/27/21 9/27/21 -
Uploaded on

September 27, 2021

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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quality management ADT-autopsy cancer

German English

quality management

1 forms  
  1. StudyEvent: quality management
    1. quality management
Patient data
Description

Patient data

patient number
Description

Patientenidentifikationsnummer

Data type

string

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

Krankenkasse

Data type

string

Alias
UMLS CUI-1
C0021682
Patient telephone number
Description

Telefon

Data type

string

Alias
UMLS CUI-1
C0421455
SNOMED CT-1
184103008
Patient surname
Description

Name

Data type

string

Alias
UMLS CUI-1
C0421448
SNOMED CT-1
184096005
Maiden Name
Description

Geburtsname

Data type

string

Alias
UMLS CUI-1
C0806887
SNOMED CT-1
423203003
LOINC-1
MTHU010481
Code-2
Patients
UMLS CUI-2
C0030705
SNOMED CT-2
116154003
Patient forename
Description

Vorname

Data type

string

Alias
UMLS CUI-1
C0421447
SNOMED CT-1
184095009
Patient sex
Description

Geschlecht

Data type

integer

Alias
UMLS CUI-1
C0150831
SNOMED CT-1
184100006
Patient date of birth
Description

Geburtsdatum

Data type

date

Alias
UMLS CUI-1
C0421451
SNOMED CT-1
184099003
Ethnicity / related nationality data
Description

Staatsangehörigkeit

Data type

string

Alias
UMLS CUI-1
C0438960
SNOMED CT-1
186034007
Code-2
Patients
UMLS CUI-2
C0030705
SNOMED CT-2
116154003
Patient address
Description

Patient address

Street Address
Description

Straße

Data type

string

Alias
UMLS CUI-1
C1301826
SNOMED CT-1
398099009
Code-2
Patient address
UMLS CUI-2
C0421449
SNOMED CT-2
184097001
Patient postal code
Description

PLZ

Data type

integer

Alias
UMLS CUI-1
C0421454
SNOMED CT-1
184102003
City of residence
Description

Ort

Data type

string

Alias
UMLS CUI-1
C2316883
SNOMED CT-1
433178008
Code-2
Patient address
UMLS CUI-2
C0421449
SNOMED CT-2
184097001
Autopsy
Description

Autopsy

Date of Autopsy
Description

Datum der Autopsie

Data type

date

Alias
Code-1
Date in time
UMLS CUI-1
C0011008
SNOMED CT-1
410671006
LOINC-1
MTHU021546
Code-2
Autopsy
UMLS CUI-2
C0004398
SNOMED CT-2
29240004
MedDRA-2
10050117
ICD-10-CM-2
89.8
TNM Finding
Description

TNM Finding

Generic tumor staging descriptor
Description

Tumorstaging-Symbole

Data type

integer

Alias
Code-Info
for_compare
Code-1
Generic tumor staging descriptor (tumor staging)
UMLS CUI-1
C0475266
SNOMED CT-1
258233007
T Stage
Description

Ausbreitung des Primärtumors (T)

Data type

string

Alias
UMLS CUI-1
C0475455
SNOMED CT-1
260878002
Code-2
a - At autopsy (tumor staging)
UMLS CUI-2
C0456886
SNOMED CT-2
277646006
N - Regional lymph node stage
Description

Ausbreitung der regionären Lymphknotenmetastasen (N)

Data type

string

Alias
Code-1
N category (observable entity)
UMLS CUI-1
C0456532
SNOMED CT-1
277206009
Code-2
a - At autopsy (tumor staging)
UMLS CUI-2
C0456886
SNOMED CT-2
277646006
M Stage
Description

Fernmetastasen (M)

Data type

string

Alias
UMLS CUI-1
C0456533
SNOMED CT-1
77208005
Code-2
a - At autopsy (tumor staging)
UMLS CUI-2
C0456886
SNOMED CT-2
277646006
Ann Arbor Lymphoma Staging System
Description

Ann Arbor Klassifikation

Data type

string

Alias
UMLS CUI-1
C0432516
SNOMED CT-1
254372002
other Classification
Description

Sonstige Klassifikation

Data type

string

Alias
Code-1
Staging System
UMLS CUI-1
C0449394
SNOMED CT-1
246231009
Stage
Description

Stadium

Data type

integer

Alias
Code-1
Stage
UMLS CUI-1
C1300072
SNOMED CT-1
371508000
Code-2
Staging System
UMLS CUI-2
C0449394
SNOMED CT-2
246231009
Classification/Stage Freetext
Description

Bitte Klartext, falls nicht oben verschlüsselt

Data type

string

Alias
Code-1
Free Text Format
UMLS CUI-1
C2348713
Code-2
Stage
UMLS CUI-2
C1300072
SNOMED CT-2
371508000
Code-3
Staging System
UMLS CUI-3
C0449394
SNOMED CT-3
246231009
Cancer Histology
Description

Cancer Histology

General pathology department
Description

Pathologisches Institut

Data type

string

Alias
UMLS CUI-1
C0587490
SNOMED CT-1
309953001
Date of pathology report
Description

Histologie - Datum

Data type

date

Alias
Code-1
Date of pathology report (observable entity)
UMLS CUI-1
C1302659
SNOMED CT-1
399737008
Histology ICD-O-3
Description

Histologie ICD-0-3

Data type

string

Alias
Code-1
ICDO3 Morphology Axis
UMLS CUI-1
CL364362
Code-2
Autopsy
UMLS CUI-2
C0004398
SNOMED CT-2
29240004
MedDRA-2
10050117
ICD-10-CM-2
89.8
Histologic Grade
Description

Grading G

Data type

string

Alias
UMLS CUI-1
C0919553
SNOMED CT-1
371469007
Code-2
Autopsy
UMLS CUI-2
C0004398
SNOMED CT-2
29240004
MedDRA-2
10050117
ICD-10-CM-2
89.8
Number of lymph nodes examined
Description

Anzahl untersuchter Lymphknoten

Data type

integer

Alias
UMLS CUI-1
C2733494
SNOMED CT-1
444025001
Number of lymph nodes involved by malignant neoplasm
Description

Anzahl befallene Lymphknoten

Data type

integer

Alias
Code-1
Number of lymph nodes involved by malignant neoplasm (observable entity)
UMLS CUI-1
C2732750
SNOMED CT-1
443527007
Lymph vessel invasion
Description

Lymph vessel invasion

Lymph vessel invasion
Description

Lymphgefäßinvasion

Data type

integer

Alias
Code-1
Lymphatic (small vessel) tumor invasion finding (finding)
UMLS CUI-1
C1272791
SNOMED CT-1
385414009
Venous Invasion
Description

Venous Invasion

Venous Invasion
Description

Veneninvasion

Data type

integer

Alias
UMLS CUI-1
C1710625
Tumor Expansion
Description

Tumor Expansion

Primary Neoplasm
Description

Primärtumor

Data type

integer

Alias
Code-1
Primary Malignant Neoplasm
UMLS CUI-1
C1306459
SNOMED CT-1
372087000
Metastatic Malignant Neoplasm to the regional Lymph Nodes
Description

regionäre LK

Data type

integer

Alias
UMLS CUI-1
C0686619
SNOMED CT-1
94392001
MedDRA-1
10027459
ICD-10-CM-1
C77.9
ICD-9-CM-1
196.9
Code-2
Local-Regional
UMLS CUI-2
C0205276
SNOMED CT-2
255470001
distant metastasis
Description

distant metastasis

distant metastasis
Description

Fernmetastasen

Data type

boolean

Alias
Code-Info
for_compare
Code-1
Distant Metastasis
UMLS CUI-1
CL278860
Metastatic Malignant Neoplasm to distant Lymph Nodes
Description

Fern LK

Data type

integer

Alias
UMLS CUI-1
C0686619
SNOMED CT-1
94392001
MedDRA-1
10027459
ICD-10-CM-1
C77.9
ICD-9-CM-1
196.9
Code-2
Distant
UMLS CUI-2
C0443203
SNOMED CT-2
261007001
Metastatic Malignant Neoplasm to the Lung
Description

Lunge

Data type

integer

Alias
UMLS CUI-1
C0153676
SNOMED CT-1
94391008
MedDRA-1
10027473
ICD-10-CM-1
C78.0
ICD-9-CM-1
197
Metastatic Malignant Neoplasm to the Liver
Description

Leber

Data type

integer

Alias
UMLS CUI-1
C0494165
SNOMED CT-1
94381002
MedDRA-1
10027457
Metastatic malignant neoplasm to brain
Description

Hirn

Data type

integer

Alias
UMLS CUI-1
C0220650
SNOMED CT-1
94225005
MedDRA-1
10027453
ICD-10-CM-1
C79.31
Metastatic Malignant Neoplasm to the Pleura
Description

Pleura

Data type

integer

Alias
UMLS CUI-1
C0153678
SNOMED CT-1
94493005
MedDRA-1
10035608
ICD-10-CM-1
C78.2
Secondary malignant neoplasm of skin
Description

Haut

Data type

integer

Alias
UMLS CUI-1
C0153687
SNOMED CT-1
94579000
MedDRA-1
10027465
ICD-10-CM-1
C79.2
Metastatic Malignant Neoplasm to the Bone
Description

Knochen

Data type

integer

Alias
UMLS CUI-1
C0153690
SNOMED CT-1
94222008
MedDRA-1
10027452
ICD-10-CM-1
C79.5
Metastatic Malignat Neoplasm to the adrenal gland
Description

Nebenniere

Data type

integer

Alias
Code-1
secondary malignant neoplasm of adrenal gland (disorder)
UMLS CUI-1
C0153691
SNOMED CT-1
94161006
MedDRA-1
10039870
ICD-10-CM-1
C79.7
Metastatic Malignant Neoplasm to the Peritoneum
Description

Peritoneum

Data type

integer

Alias
UMLS CUI-1
C0346989
SNOMED CT-1
94627008
MedDRA-1
10051676
Metastatic Malignant Neoplasm to the Spleen
Description

Milz

Data type

integer

Alias
Code-1
Secondary malignant neoplasm of spleen (disorder)
UMLS CUI-1
C0346977
SNOMED CT-1
94603006
MedDRA-1
10051682
Metastatic Malignant Neoplasm to the Ovary
Description

Ovar

Data type

integer

Alias
Code-1
Metastatic Malignant Neoplasm to the Ovary
UMLS CUI-1
C0022790
SNOMED CT-1
94455000
MedDRA-1
10027462
Metastatic Malignant Neoplasm to the Bone Marrow
Description

Knochenmark

Data type

integer

Alias
UMLS CUI-1
C0346979
SNOMED CT-1
94217008
MedDRA-1
10051662
ICD-10-CM-1
C79.52
Distant metastasis (other organs)
Description

Andere

Data type

integer

Alias
Code-1
Distant Metastasis
UMLS CUI-1
CL278860
Code-2
Other
UMLS CUI-2
C0205394
SNOMED CT-2
74964007
other organ, which?
Description

Andere, welche?

Data type

string

Alias
Code-1
Distant Metastasis
UMLS CUI-1
CL278860
Code-2
Other
UMLS CUI-2
C0205394
SNOMED CT-2
74964007
Code-3
Free Text Format
UMLS CUI-3
C2348713
date physician
Description

Datum Arzt

Data type

date

Alias
Code-1
Signature of responsible attending physician on file
UMLS CUI-1
C0807938
Code-2
Date in time
UMLS CUI-2
C0011008
SNOMED CT-2
410671006
LOINC-2
MTHU021546
signature physician
Description

Unterschrift Arzt

Data type

string

Alias
Code-1
Signature of responsible attending physician on file
UMLS CUI-1
C0807938
date documentation officer
Description

Datum Dokumentar

Data type

date

Alias
Code-1
Documentation procedure (procedure)
UMLS CUI-1
C01756361
SNOMED CT-1
23745001
Code-2
Responsible Person
UMLS CUI-2
C1273518
SNOMED CT-2
394851003
Code-3
Date in time
UMLS CUI-3
C0011008
SNOMED CT-3
410671006
LOINC-3
MTHU021546
Signature documentation officer
Description

Unterschrift Dokumentar

Data type

string

Alias
Code-1
Signature
UMLS CUI-1
C1519316
Code-2
Documentation procedure (procedure)
UMLS CUI-2
C01756361
SNOMED CT-2
23745001
Code-3
Responsible Person
UMLS CUI-3
C1273518
SNOMED CT-3
394851003
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Similar models

quality management

1 forms
  1. StudyEvent: quality management
    1. quality management
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient data
Patientenidentifikationsnummer
Item
patient number
string
Patients (Code-1)
C0030705 (UMLS CUI-1)
116154003 (SNOMED CT-1)
Identification number (Code-2)
C1300638 (UMLS CUI-2)
396278008 (SNOMED CT-2)
Krankenkasse
Item
Health Insurance
string
C0021682 (UMLS CUI-1)
Telefon
Item
Patient telephone number
string
C0421455 (UMLS CUI-1)
184103008 (SNOMED CT-1)
Name
Item
Patient surname
string
C0421448 (UMLS CUI-1)
184096005 (SNOMED CT-1)
Geburtsname
Item
Maiden Name
string
C0806887 (UMLS CUI-1)
423203003 (SNOMED CT-1)
MTHU010481 (LOINC-1)
Patients (Code-2)
C0030705 (UMLS CUI-2)
116154003 (SNOMED CT-2)
Vorname
Item
Patient forename
string
C0421447 (UMLS CUI-1)
184095009 (SNOMED CT-1)
Item
Patient sex
integer
C0150831 (UMLS CUI-1)
184100006 (SNOMED CT-1)
Geschlecht
Code List
Patient sex
CL Item
Female (weiblich)
C0086287 (UMLS CUI-1)
1086007 (SNOMED CT-1)
CL Item
Male gender (männlich)
C0086582 (UMLS CUI-1)
10052007 (SNOMED CT-1)
Geburtsdatum
Item
Patient date of birth
date
C0421451 (UMLS CUI-1)
184099003 (SNOMED CT-1)
Staatsangehörigkeit
Item
Ethnicity / related nationality data
string
C0438960 (UMLS CUI-1)
186034007 (SNOMED CT-1)
Patients (Code-2)
C0030705 (UMLS CUI-2)
116154003 (SNOMED CT-2)
Item Group
Patient address
Straße
Item
Street Address
string
C1301826 (UMLS CUI-1)
398099009 (SNOMED CT-1)
Patient address (Code-2)
C0421449 (UMLS CUI-2)
184097001 (SNOMED CT-2)
PLZ
Item
Patient postal code
integer
C0421454 (UMLS CUI-1)
184102003 (SNOMED CT-1)
Ort
Item
City of residence
string
C2316883 (UMLS CUI-1)
433178008 (SNOMED CT-1)
Patient address (Code-2)
C0421449 (UMLS CUI-2)
184097001 (SNOMED CT-2)
Item Group
Autopsy
Datum der Autopsie
Item
Date of Autopsy
date
Date in time (Code-1)
C0011008 (UMLS CUI-1)
410671006 (SNOMED CT-1)
MTHU021546 (LOINC-1)
Autopsy (Code-2)
C0004398 (UMLS CUI-2)
29240004 (SNOMED CT-2)
10050117 (MedDRA-2)
89.8 (ICD-10-CM-2)
Item Group
TNM Finding
Item
Generic tumor staging descriptor
integer
for_compare (Code-Info)
Generic tumor staging descriptor (tumor staging) (Code-1)
C0475266 (UMLS CUI-1)
258233007 (SNOMED CT-1)
Tumorstaging-Symbole
Code List
Generic tumor staging descriptor
CL Item
neoadjuvant therapy (y) (nach Neoadjuvanter Therapie (y))
changed_datatype, merged_coding (Code-Info)
Tumor staging descriptor y (tumor staging) (Code-1)
C0439147 (UMLS CUI-1)
421755005 (SNOMED CT-1)
CL Item
relapse stage (r)  (Rezidiv)
changed_datatype, merged_coding (Code-Info)
Tumor staging descriptor r (tumor staging) (Code-1)
C1704239 (UMLS CUI-1)
421188008 (SNOMED CT-1)
Ausbreitung des Primärtumors (T)
Item
T Stage
string
C0475455 (UMLS CUI-1)
260878002 (SNOMED CT-1)
a - At autopsy (tumor staging) (Code-2)
C0456886 (UMLS CUI-2)
277646006 (SNOMED CT-2)
Ausbreitung der regionären Lymphknotenmetastasen (N)
Item
N - Regional lymph node stage
string
N category (observable entity) (Code-1)
C0456532 (UMLS CUI-1)
277206009 (SNOMED CT-1)
a - At autopsy (tumor staging) (Code-2)
C0456886 (UMLS CUI-2)
277646006 (SNOMED CT-2)
Fernmetastasen (M)
Item
M Stage
string
C0456533 (UMLS CUI-1)
77208005 (SNOMED CT-1)
a - At autopsy (tumor staging) (Code-2)
C0456886 (UMLS CUI-2)
277646006 (SNOMED CT-2)
Ann Arbor Klassifikation
Item
Ann Arbor Lymphoma Staging System
string
C0432516 (UMLS CUI-1)
254372002 (SNOMED CT-1)
Sonstige Klassifikation
Item
other Classification
string
Staging System (Code-1)
C0449394 (UMLS CUI-1)
246231009 (SNOMED CT-1)
Stadium
Item
Stage
integer
Stage (Code-1)
C1300072 (UMLS CUI-1)
371508000 (SNOMED CT-1)
Staging System (Code-2)
C0449394 (UMLS CUI-2)
246231009 (SNOMED CT-2)
Bitte Klartext, falls nicht oben verschlüsselt
Item
Classification/Stage Freetext
string
Free Text Format (Code-1)
C2348713 (UMLS CUI-1)
Stage (Code-2)
C1300072 (UMLS CUI-2)
371508000 (SNOMED CT-2)
Staging System (Code-3)
C0449394 (UMLS CUI-3)
246231009 (SNOMED CT-3)
Item Group
Cancer Histology
Pathologisches Institut
Item
General pathology department
string
C0587490 (UMLS CUI-1)
309953001 (SNOMED CT-1)
Histologie - Datum
Item
Date of pathology report
date
Date of pathology report (observable entity) (Code-1)
C1302659 (UMLS CUI-1)
399737008 (SNOMED CT-1)
Histologie ICD-0-3
Item
Histology ICD-O-3
string
ICDO3 Morphology Axis (Code-1)
CL364362 (UMLS CUI-1)
Autopsy (Code-2)
C0004398 (UMLS CUI-2)
29240004 (SNOMED CT-2)
10050117 (MedDRA-2)
89.8 (ICD-10-CM-2)
Grading G
Item
Histologic Grade
string
C0919553 (UMLS CUI-1)
371469007 (SNOMED CT-1)
Autopsy (Code-2)
C0004398 (UMLS CUI-2)
29240004 (SNOMED CT-2)
10050117 (MedDRA-2)
89.8 (ICD-10-CM-2)
Anzahl untersuchter Lymphknoten
Item
Number of lymph nodes examined
integer
C2733494 (UMLS CUI-1)
444025001 (SNOMED CT-1)
Anzahl befallene Lymphknoten
Item
Number of lymph nodes involved by malignant neoplasm
integer
Number of lymph nodes involved by malignant neoplasm (observable entity) (Code-1)
C2732750 (UMLS CUI-1)
443527007 (SNOMED CT-1)
Item Group
Lymph vessel invasion
Item
Lymph vessel invasion
integer
Lymphatic (small vessel) tumor invasion finding (finding) (Code-1)
C1272791 (UMLS CUI-1)
385414009 (SNOMED CT-1)
Lymphgefäßinvasion
Code List
Lymph vessel invasion
CL Item
L0 Stage Finding (L0 = keine Lymphgefäßinvasion)
C0441917 (UMLS CUI-1)
44649003 (SNOMED CT-1)
CL Item
L1 Stage Finding (L1)
C0441918 (UMLS CUI-1)
74139005 (SNOMED CT-1)
CL Item
LX Stage Finding (LX = nicht beurteilbar)
C0441916 (UMLS CUI-1)
33419001 (SNOMED CT-1)
Item Group
Venous Invasion
Item
Venous Invasion
integer
C1710625 (UMLS CUI-1)
Veneninvasion
Code List
Venous Invasion
CL Item
V0 Stage Finding (V0 = keine Veneninvasion)
C0441906 (UMLS CUI-1)
40223008 (SNOMED CT-1)
CL Item
V1 Stage Finding  (V1)
C0457422 (UMLS CUI-1)
67302005 (SNOMED CT-1)
CL Item
V2 Stage Finding (V2)
C0457423 (UMLS CUI-1)
50064003 (SNOMED CT-1)
CL Item
VX Stage Finding (VX = nicht beurteilbar)
C0441905 (UMLS CUI-1)
6510002 (SNOMED CT-1)
Item Group
Tumor Expansion
Item
Primary Neoplasm
integer
Primary Malignant Neoplasm (Code-1)
C1306459 (UMLS CUI-1)
372087000 (SNOMED CT-1)
Primärtumor
Code List
Primary Neoplasm
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm  (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignant Neoplasm to the regional Lymph Nodes
integer
C0686619 (UMLS CUI-1)
94392001 (SNOMED CT-1)
10027459 (MedDRA-1)
C77.9 (ICD-10-CM-1)
196.9 (ICD-9-CM-1)
Local-Regional (Code-2)
C0205276 (UMLS CUI-2)
255470001 (SNOMED CT-2)
regionäre LK
Code List
Metastatic Malignant Neoplasm to the regional Lymph Nodes
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm  (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Item Group
distant metastasis
Fernmetastasen
Item
distant metastasis
boolean
for_compare (Code-Info)
Distant Metastasis (Code-1)
CL278860 (UMLS CUI-1)
Item
Metastatic Malignant Neoplasm to distant Lymph Nodes
integer
C0686619 (UMLS CUI-1)
94392001 (SNOMED CT-1)
10027459 (MedDRA-1)
C77.9 (ICD-10-CM-1)
196.9 (ICD-9-CM-1)
Distant (Code-2)
C0443203 (UMLS CUI-2)
261007001 (SNOMED CT-2)
Fern LK
Code List
Metastatic Malignant Neoplasm to distant Lymph Nodes
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm  (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignant Neoplasm to the Lung
integer
C0153676 (UMLS CUI-1)
94391008 (SNOMED CT-1)
10027473 (MedDRA-1)
C78.0 (ICD-10-CM-1)
197 (ICD-9-CM-1)
Lunge
Code List
Metastatic Malignant Neoplasm to the Lung
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm  (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignant Neoplasm to the Liver
integer
C0494165 (UMLS CUI-1)
94381002 (SNOMED CT-1)
10027457 (MedDRA-1)
Leber
Code List
Metastatic Malignant Neoplasm to the Liver
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm  (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Item
Metastatic malignant neoplasm to brain
integer
C0220650 (UMLS CUI-1)
94225005 (SNOMED CT-1)
10027453 (MedDRA-1)
C79.31 (ICD-10-CM-1)
Hirn
Code List
Metastatic malignant neoplasm to brain
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm  (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignant Neoplasm to the Pleura
integer
C0153678 (UMLS CUI-1)
94493005 (SNOMED CT-1)
10035608 (MedDRA-1)
C78.2 (ICD-10-CM-1)
Pleura
Code List
Metastatic Malignant Neoplasm to the Pleura
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm  (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Item
Secondary malignant neoplasm of skin
integer
C0153687 (UMLS CUI-1)
94579000 (SNOMED CT-1)
10027465 (MedDRA-1)
C79.2 (ICD-10-CM-1)
Haut
Code List
Secondary malignant neoplasm of skin
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm  (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignant Neoplasm to the Bone
integer
C0153690 (UMLS CUI-1)
94222008 (SNOMED CT-1)
10027452 (MedDRA-1)
C79.5 (ICD-10-CM-1)
Knochen
Code List
Metastatic Malignant Neoplasm to the Bone
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm  (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignat Neoplasm to the adrenal gland
integer
secondary malignant neoplasm of adrenal gland (disorder) (Code-1)
C0153691 (UMLS CUI-1)
94161006 (SNOMED CT-1)
10039870 (MedDRA-1)
C79.7 (ICD-10-CM-1)
Nebenniere
Code List
Metastatic Malignat Neoplasm to the adrenal gland
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm  (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignant Neoplasm to the Peritoneum
integer
C0346989 (UMLS CUI-1)
94627008 (SNOMED CT-1)
10051676 (MedDRA-1)
Peritoneum
Code List
Metastatic Malignant Neoplasm to the Peritoneum
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm  (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignant Neoplasm to the Spleen
integer
Secondary malignant neoplasm of spleen (disorder) (Code-1)
C0346977 (UMLS CUI-1)
94603006 (SNOMED CT-1)
10051682 (MedDRA-1)
Milz
Code List
Metastatic Malignant Neoplasm to the Spleen
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm  (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignant Neoplasm to the Ovary
integer
Metastatic Malignant Neoplasm to the Ovary (Code-1)
C0022790 (UMLS CUI-1)
94455000 (SNOMED CT-1)
10027462 (MedDRA-1)
Ovar
Code List
Metastatic Malignant Neoplasm to the Ovary
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm  (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Item
Metastatic Malignant Neoplasm to the Bone Marrow
integer
C0346979 (UMLS CUI-1)
94217008 (SNOMED CT-1)
10051662 (MedDRA-1)
C79.52 (ICD-10-CM-1)
Knochenmark
Code List
Metastatic Malignant Neoplasm to the Bone Marrow
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm  (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Item
Distant metastasis (other organs)
integer
Distant Metastasis (Code-1)
CL278860 (UMLS CUI-1)
Other (Code-2)
C0205394 (UMLS CUI-2)
74964007 (SNOMED CT-2)
Andere
Code List
Distant metastasis (other organs)
CL Item
Neoplasm present (T = Tumornachweis)
Neoplasm present (qualifier value) (Code-1)
C0445117 (UMLS CUI-1)
264866005 (SNOMED CT-1)
CL Item
No evidence of neoplasm  (K = Kein Tumornachweis)
No evidence of neoplasm (finding) (Code-1)
C0332651 (UMLS CUI-1)
58899004 (SNOMED CT-1)
CL Item
Recurrent Disease (R = Rezidiv)
C0277556 (UMLS CUI-1)
58184002 (SNOMED CT-1)
CL Item
questionable Result (F = Fraglicher Befund)
Equivocal result (qualifier value) (Code-1)
C0459423 (UMLS CUI-1)
280414007 (SNOMED CT-1)
CL Item
Unknown (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Andere, welche?
Item
other organ, which?
string
Distant Metastasis (Code-1)
CL278860 (UMLS CUI-1)
Other (Code-2)
C0205394 (UMLS CUI-2)
74964007 (SNOMED CT-2)
Free Text Format (Code-3)
C2348713 (UMLS CUI-3)
Datum Arzt
Item
date physician
date
Signature of responsible attending physician on file (Code-1)
C0807938 (UMLS CUI-1)
Date in time (Code-2)
C0011008 (UMLS CUI-2)
410671006 (SNOMED CT-2)
MTHU021546 (LOINC-2)
Unterschrift Arzt
Item
signature physician
string
Signature of responsible attending physician on file (Code-1)
C0807938 (UMLS CUI-1)
Datum Dokumentar
Item
date documentation officer
date
Documentation procedure (procedure) (Code-1)
C01756361 (UMLS CUI-1)
23745001 (SNOMED CT-1)
Responsible Person (Code-2)
C1273518 (UMLS CUI-2)
394851003 (SNOMED CT-2)
Date in time (Code-3)
C0011008 (UMLS CUI-3)
410671006 (SNOMED CT-3)
MTHU021546 (LOINC-3)
Unterschrift Dokumentar
Item
Signature documentation officer
string
Signature (Code-1)
C1519316 (UMLS CUI-1)
Documentation procedure (procedure) (Code-2)
C01756361 (UMLS CUI-2)
23745001 (SNOMED CT-2)
Responsible Person (Code-3)
C1273518 (UMLS CUI-3)
394851003 (SNOMED CT-3)
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