ID

44615

Beschrijving

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

Trefwoorden

  1. 01-08-13 01-08-13 -
  2. 27-09-21 27-09-21 -
Geüploaded op

27 september 2021

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0 Legacy

Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

quality management ADT-autopsy cancer

quality management

  1. StudyEvent: quality management
    1. quality management
Patient data
Beschrijving

Patient data

patient number
Beschrijving

Patientenidentifikationsnummer

Datatype

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
Beschrijving

Krankenkasse

Datatype

string

Alias
UMLS CUI-1
C0021682
Patient telephone number
Beschrijving

Telefon

Datatype

string

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

Name

Datatype

string

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

Geburtsname

Datatype

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
Beschrijving

Vorname

Datatype

string

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

Geschlecht

Datatype

integer

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

Geburtsdatum

Datatype

date

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

Staatsangehörigkeit

Datatype

string

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

Patient address

Street Address
Beschrijving

Straße

Datatype

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
Beschrijving

PLZ

Datatype

integer

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

Ort

Datatype

string

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

Autopsy

Date of Autopsy
Beschrijving

Datum der Autopsie

Datatype

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
Beschrijving

TNM Finding

Generic tumor staging descriptor
Beschrijving

Tumorstaging-Symbole

Datatype

integer

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

Ausbreitung des Primärtumors (T)

Datatype

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
Beschrijving

Ausbreitung der regionären Lymphknotenmetastasen (N)

Datatype

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
Beschrijving

Fernmetastasen (M)

Datatype

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
Beschrijving

Ann Arbor Klassifikation

Datatype

string

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

Sonstige Klassifikation

Datatype

string

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

Stadium

Datatype

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
Beschrijving

Bitte Klartext, falls nicht oben verschlüsselt

Datatype

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
Beschrijving

Cancer Histology

General pathology department
Beschrijving

Pathologisches Institut

Datatype

string

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

Histologie - Datum

Datatype

date

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

Histologie ICD-0-3

Datatype

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
Beschrijving

Grading G

Datatype

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
Beschrijving

Anzahl untersuchter Lymphknoten

Datatype

integer

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

Anzahl befallene Lymphknoten

Datatype

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
Beschrijving

Lymph vessel invasion

Lymph vessel invasion
Beschrijving

Lymphgefäßinvasion

Datatype

integer

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

Venous Invasion

Venous Invasion
Beschrijving

Veneninvasion

Datatype

integer

Alias
UMLS CUI-1
C1710625
Tumor Expansion
Beschrijving

Tumor Expansion

Primary Neoplasm
Beschrijving

Primärtumor

Datatype

integer

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

regionäre LK

Datatype

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
Beschrijving

distant metastasis

distant metastasis
Beschrijving

Fernmetastasen

Datatype

boolean

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

Fern LK

Datatype

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
Beschrijving

Lunge

Datatype

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
Beschrijving

Leber

Datatype

integer

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

Hirn

Datatype

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
Beschrijving

Pleura

Datatype

integer

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

Haut

Datatype

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
Beschrijving

Knochen

Datatype

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
Beschrijving

Nebenniere

Datatype

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
Beschrijving

Peritoneum

Datatype

integer

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

Milz

Datatype

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
Beschrijving

Ovar

Datatype

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
Beschrijving

Knochenmark

Datatype

integer

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

Andere

Datatype

integer

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

Andere, welche?

Datatype

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
Beschrijving

Datum Arzt

Datatype

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
Beschrijving

Unterschrift Arzt

Datatype

string

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

Datum Dokumentar

Datatype

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
Beschrijving

Unterschrift Dokumentar

Datatype

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

Similar models

quality management

  1. StudyEvent: quality management
    1. quality management
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial