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44652
Description
quality management forms, with friendly permission, (http://www.sqg.de/downloads/2013/SR3/Dokumentationsboegen/18-1.pdf) AQUA - Institut für angewandte Qualitätsförderung und Forschung im Gesundheitswesen GmbH
Link
http://www.sqg.de/downloads/2013/SR3/Dokumentationsboegen/18-1.pdf
Keywords
Versions (2)
- 8/7/13 8/7/13 -
- 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 AQUA breast surgery breast cancer
quality management
- StudyEvent: quality management
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quality management
- StudyEvent: quality management
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Institutionskennzeichen
Item
Registration office/authority
string
Registration Authority (Code-1)
C2699022 (UMLS CUI-1)
C2699022 (UMLS CUI-1)
Betriebstätten-Nr
Item
not_useful_for_research
integer
Fachabteilung
Item
Institution
integer
C0021622 (UMLS CUI-1)
Identifikationsnummer der Patientin
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)
C0030705 (UMLS CUI-1)
116154003 (SNOMED CT-1)
Identification number (Code-2)
C1300638 (UMLS CUI-2)
396278008 (SNOMED CT-2)
Geburtsdatum
Item
Patient date of birth
date
C0421451 (UMLS CUI-1)
184099003 (SNOMED CT-1)
184099003 (SNOMED CT-1)
CL Item
Male gender (1 = männlich)
C0086582 (UMLS CUI-1)
10052007 (SNOMED CT-1)
10052007 (SNOMED CT-1)
CL Item
Female (2 = weiblich)
C0086287 (UMLS CUI-1)
1086007 (SNOMED CT-1)
1086007 (SNOMED CT-1)
Aufnahmedatum Krankenhaus
Item
Admission date
date
Aufnahmediagnose
Item
Admitting Diagnosis
string
ADMITTING DIAGNOSIS (Code-1)
C0332133 (UMLS CUI-1)
52870002 (SNOMED CT-1)
C0332133 (UMLS CUI-1)
52870002 (SNOMED CT-1)
Item
ASA physical status
integer
Finding of American Society of Anesthesiologists physical status classification (finding) (Code-1)
C1531480 (UMLS CUI-1)
413347006 (SNOMED CT-1)
C1531480 (UMLS CUI-1)
413347006 (SNOMED CT-1)
CL Item
ASA physical status 1 (1)
American Society of Anesthesiologists physical status class 1 (finding) (Code-1)
C1531504 (UMLS CUI-1)
413495001 (SNOMED CT-1)
C1531504 (UMLS CUI-1)
413495001 (SNOMED CT-1)
CL Item
ASA physical status 2 (2)
American Society of Anesthesiologists physical status class 2 (finding) (Code-1)
C1531505 (UMLS CUI-1)
413496000 (SNOMED CT-1)
C1531505 (UMLS CUI-1)
413496000 (SNOMED CT-1)
CL Item
ASA physical status 3 (3)
American Society of Anesthesiologists physical status class 3 (finding) (Code-1)
C1531506 (UMLS CUI-1)
413497009 (SNOMED CT-1)
C1531506 (UMLS CUI-1)
413497009 (SNOMED CT-1)
CL Item
ASA physical status 4 (4)
American Society of Anesthesiologists physical status class 4 (finding) (Code-1)
C1531507 (UMLS CUI-1)
413498004 (SNOMED CT-1)
C1531507 (UMLS CUI-1)
413498004 (SNOMED CT-1)
CL Item
ASA physical status 5 (5)
American Society of Anesthesiologists physical status class 5 (finding) (Code-1)
C1531508 (UMLS CUI-1)
413499007 (SNOMED CT-1)
C1531508 (UMLS CUI-1)
413499007 (SNOMED CT-1)
Item
Side
integer
C0441987 (UMLS CUI-1)
182353008 (SNOMED CT-1)
MTHU014973 (LOINC-1)
Tumor site (Code-2)
C0475445 (UMLS CUI-2)
263591006 (SNOMED CT-2)
MTHU015562 (LOINC-2)
182353008 (SNOMED CT-1)
MTHU014973 (LOINC-1)
Tumor site (Code-2)
C0475445 (UMLS CUI-2)
263591006 (SNOMED CT-2)
MTHU015562 (LOINC-2)
CL Item
Right (1 = rechts)
C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)
24028007 (SNOMED CT-1)
CL Item
Left (2 = links)
C0205091 (UMLS CUI-1)
7771000 (SNOMED CT-1)
7771000 (SNOMED CT-1)
Item
Stage
integer
Stage (Code-1)
C1300072 (UMLS CUI-1)
371508000 (SNOMED CT-1)
C1300072 (UMLS CUI-1)
371508000 (SNOMED CT-1)
CL Item
primary neoplasm (1 = Primärerkrankung)
Primary Malignant Neoplasm (Code-1)
C1306459 (UMLS CUI-1)
372087000 (SNOMED CT-1)
C1306459 (UMLS CUI-1)
372087000 (SNOMED CT-1)
CL Item
local recurrence (2 = lokoregionäres Rezidiv nach BET)
Neoplasm Recurrence, Local (Code-1)
C0027643 (UMLS CUI-1)
Breast Conservation Treatment (Code-2)
C0917927 (UMLS CUI-2)
C0027643 (UMLS CUI-1)
Breast Conservation Treatment (Code-2)
C0917927 (UMLS CUI-2)
CL Item
local recurrence (3 = lokoregionäres Rezidiv nach Mastektomie)
Neoplasm Recurrence, Local (Code-1)
C0027643 (UMLS CUI-1)
Mastectomy (Code-2)
C0024881 (UMLS CUI-2)
10026878 (MedDRA-2)
85.4 (ICD-9-CM-2)
C0027643 (UMLS CUI-1)
Mastectomy (Code-2)
C0024881 (UMLS CUI-2)
10026878 (MedDRA-2)
85.4 (ICD-9-CM-2)
Aufnahme zum ersten offenen Eingriff an dieser Brust wegen Primärerkrankung
Item
First surgery - Primary Malignant Neoplasm
boolean
First (Code-1)
C0205435 (UMLS CUI-1)
255216001 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
Primary Malignant Neoplasm (Code-3)
C1306459 (UMLS CUI-3)
372087000 (SNOMED CT-3)
C0205435 (UMLS CUI-1)
255216001 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
Primary Malignant Neoplasm (Code-3)
C1306459 (UMLS CUI-3)
372087000 (SNOMED CT-3)
tastbarer Mammabefund
Item
palpatory breast diagnosis
boolean
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)
MTHU011382 (LOINC-2)
C1562881 (UMLS CUI-1)
416400009 (SNOMED CT-1)
Breast (Code-2)
C0006141 (UMLS CUI-2)
76752008 (SNOMED CT-2)
MTHU011382 (LOINC-2)
Item
Reason for patient visit
integer
Reason for patient visit (Code-1)
C1704447 (UMLS CUI-1)
103324002 (SNOMED CT-1)
MTHU013910 (LOINC-1)
C1704447 (UMLS CUI-1)
103324002 (SNOMED CT-1)
MTHU013910 (LOINC-1)
CL Item
Yes (ja)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
373066001 (SNOMED CT-1)
CL Item
No (nein)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
373067005 (SNOMED CT-1)
CL Item
Self-Examination (Selbstuntersuchung)
C0080142 (UMLS CUI-1)
409978001 (SNOMED CT-1)
409978001 (SNOMED CT-1)
CL Item
Screening for cancer (Früherkennung)
C0199230 (UMLS CUI-1)
15886004 (SNOMED CT-1)
15886004 (SNOMED CT-1)
CL Item
Screening procedure (Mammografie-Screening)
C0220908 (UMLS CUI-1)
275926002 (SNOMED CT-1)
275926002 (SNOMED CT-1)
CL Item
tumor symptoms (Tumorsymptomatik)
Symptoms (Code-1)
C1457887 (UMLS CUI-1)
MTHU021540 (LOINC-1)
780-789,99 (ICD-9-CM-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)
C1457887 (UMLS CUI-1)
MTHU021540 (LOINC-1)
780-789,99 (ICD-9-CM-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)
CL Item
Aftercare (Nachsorge)
C0001758 (UMLS CUI-1)
413467001 (SNOMED CT-1)
413467001 (SNOMED CT-1)
CL Item
Unspecified examination (sonstiges)
C0260880 (UMLS CUI-1)
V72.9 (ICD-9-CM-1)
V72.9 (ICD-9-CM-1)
prätherapeutische histologische Diagnostik
Item
pre-therapeutic histological finding
boolean
Histological finding (Code-1)
C0449575 (UMLS CUI-1)
263540008 (SNOMED CT-1)
Prior (Code-2)
C0332152 (UMLS CUI-2)
288556008 (SNOMED CT-2)
Therapeutic procedure (Code-3)
C0087111 (UMLS CUI-3)
277132007 (SNOMED CT-3)
10053757 (MedDRA-3)
MTHU008880 (LOINC-3)
C0449575 (UMLS CUI-1)
263540008 (SNOMED CT-1)
Prior (Code-2)
C0332152 (UMLS CUI-2)
288556008 (SNOMED CT-2)
Therapeutic procedure (Code-3)
C0087111 (UMLS CUI-3)
277132007 (SNOMED CT-3)
10053757 (MedDRA-3)
MTHU008880 (LOINC-3)
Item
Histopathology
integer
Histologic Type (Code-1)
C0449574 (UMLS CUI-1)
263541007 (SNOMED CT-1)
MTHU020048 (LOINC-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
C0449574 (UMLS CUI-1)
263541007 (SNOMED CT-1)
MTHU020048 (LOINC-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
CL Item
normal breast tissue (1 = nicht verwertbar oder ausschließlich Normalgewebe)
Mammary Gland Tissue (Code-1)
C1521747 (UMLS CUI-1)
C1521747 (UMLS CUI-1)
CL Item
benign (2 = benigne / entzündliche Veränderung)
Benign (Code-1)
C0205183 (UMLS CUI-1)
30807003 (SNOMED CT-1)
C0205183 (UMLS CUI-1)
30807003 (SNOMED CT-1)
CL Item
uncertain whether benign or malignant (3 = benigne, aber mit unsicherem biologischem Potential)
Neoplasm, Uncertain Whether Benign or Malignant (Code-1)
C0677041 (UMLS CUI-1)
86251006 (SNOMED CT-1)
C0677041 (UMLS CUI-1)
86251006 (SNOMED CT-1)
CL Item
suspected malignancy (4 = malignitätsverdächtig)
Suspected malignancy (situation) (Code-1)
C0581833 (UMLS CUI-1)
162572001 (SNOMED CT-1)
C0581833 (UMLS CUI-1)
162572001 (SNOMED CT-1)
CL Item
Noninfiltrating Intraductal Carcinoma (B5a)
extended_coding (Code-Info)
Noninfiltrating Intraductal Carcinoma (Code-1)
C0007124 (UMLS CUI-1)
86616005 (SNOMED CT-1)
10013806 (MedDRA-1)
D05.1 (ICD-10-CM-1)
Noninfiltrating Intraductal Carcinoma (Code-1)
C0007124 (UMLS CUI-1)
86616005 (SNOMED CT-1)
10013806 (MedDRA-1)
D05.1 (ICD-10-CM-1)
CL Item
Invasive Breast Carcinoma (B5b)
extended_coding (Code-Info)
Invasive Breast Carcinoma (Code-1)
C0853879 (UMLS CUI-1)
10006190 (MedDRA-1)
Invasive Breast Carcinoma (Code-1)
C0853879 (UMLS CUI-1)
10006190 (MedDRA-1)
CL Item
Tumor invasion cannot be assessed (B5c)
extended_coding (Code-Info)
Tumor invasion cannot be assessed (finding) (Code-1)
C1276687 (UMLS CUI-1)
370048007 (SNOMED CT-1)
Tumor invasion cannot be assessed (finding) (Code-1)
C1276687 (UMLS CUI-1)
370048007 (SNOMED CT-1)
CL Item
other neoplasm (B5d)
extended_coding (Code-Info)
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Malignant Neoplasms (Code-2)
C0006826 (UMLS CUI-2)
363346000 (SNOMED CT-2)
10028997 (MedDRA-2)
MTHU010328 (LOINC-2)
C00-C96 (ICD-10-CM-2)
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Malignant Neoplasms (Code-2)
C0006826 (UMLS CUI-2)
363346000 (SNOMED CT-2)
10028997 (MedDRA-2)
MTHU010328 (LOINC-2)
C00-C96 (ICD-10-CM-2)
maligne Neoplasie
Item
Histology ICD-O-3
string
ICDO3 Morphology Axis (Code-1)
CL364362 (UMLS CUI-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
CL364362 (UMLS CUI-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
Datum (Ausgang Pathologie) des prätherapeutischen histologischen Befundes
Item
Date of pathology report
date
Date of pathology report (observable entity) (Code-1)
C1302659 (UMLS CUI-1)
399737008 (SNOMED CT-1)
C1302659 (UMLS CUI-1)
399737008 (SNOMED CT-1)
Item
Cancer conference
integer
changed_datatype (Code-Info)
Cancer conference (Code-1)
C0805438 (UMLS CUI-1)
MTHU010336 (LOINC-1)
Type - attribute (Code-2)
C0332307 (UMLS CUI-2)
410656007 (SNOMED CT-2)
MTHU013727 (LOINC-2)
Cancer conference (Code-1)
C0805438 (UMLS CUI-1)
MTHU010336 (LOINC-1)
Type - attribute (Code-2)
C0332307 (UMLS CUI-2)
410656007 (SNOMED CT-2)
MTHU013727 (LOINC-2)
CL Item
pre-therapeutic (prätherapeutisch)
changed_datatype (Code-Info)
Prior (Code-1)
C0332152 (UMLS CUI-1)
288556008 (SNOMED CT-1)
Therapeutic procedure (Code-2)
C0087111 (UMLS CUI-2)
277132007 (SNOMED CT-2)
10053757 (MedDRA-2)
MTHU008880 (LOINC-2)
Prior (Code-1)
C0332152 (UMLS CUI-1)
288556008 (SNOMED CT-1)
Therapeutic procedure (Code-2)
C0087111 (UMLS CUI-2)
277132007 (SNOMED CT-2)
10053757 (MedDRA-2)
MTHU008880 (LOINC-2)
Datum der Therapieplanung
Item
Date of cancer conference
date
Cancer conference:Time Stamp -- Date and Time:Point in time:Cancer.To be specified in another part of the message:Quantitative (Code-1)
C0804663 (UMLS CUI-1)
21875-0 (LOINC-1)
C0804663 (UMLS CUI-1)
21875-0 (LOINC-1)
Item
pre-surgery therapy
integer
changed_datatype (Code-Info)
Therapeutic procedure (Code-1)
C0087111 (UMLS CUI-1)
277132007 (SNOMED CT-1)
10053757 (MedDRA-1)
MTHU008880 (LOINC-1)
Prior (Code-2)
C0332152 (UMLS CUI-2)
288556008 (SNOMED CT-2)
Operative Surgical Procedures (Code-3)
C0543467 (UMLS CUI-3)
387713003 (SNOMED CT-3)
10042609 (MedDRA-3)
MTHU007597 (LOINC-3)
Therapeutic procedure (Code-1)
C0087111 (UMLS CUI-1)
277132007 (SNOMED CT-1)
10053757 (MedDRA-1)
MTHU008880 (LOINC-1)
Prior (Code-2)
C0332152 (UMLS CUI-2)
288556008 (SNOMED CT-2)
Operative Surgical Procedures (Code-3)
C0543467 (UMLS CUI-3)
387713003 (SNOMED CT-3)
10042609 (MedDRA-3)
MTHU007597 (LOINC-3)
CL Item
Chemotherapy Regimen (systemische Chemotherapie)
changed_datatype (Code-Info)
C0392920 (UMLS CUI-1)
69960004 (SNOMED CT-1)
10061758 (MedDRA-1)
C0392920 (UMLS CUI-1)
69960004 (SNOMED CT-1)
10061758 (MedDRA-1)
CL Item
Endocrine Therapy (endokrine Therapie)
changed_datatype (Code-Info)
C0279025 (UMLS CUI-1)
169413002 (SNOMED CT-1)
10065646 (MedDRA-1)
C0279025 (UMLS CUI-1)
169413002 (SNOMED CT-1)
10065646 (MedDRA-1)
CL Item
Immunotherapy (spezifische Antikörpertherapie)
changed_datatype (Code-Info)
C0021083 (UMLS CUI-1)
76334006 (SNOMED CT-1)
C0021083 (UMLS CUI-1)
76334006 (SNOMED CT-1)
CL Item
Therapeutic radiology procedure (Strahlentherapie)
changed_datatype (Code-Info)
C1522449 (UMLS CUI-1)
108290001 (SNOMED CT-1)
10037794 (MedDRA-1)
C1522449 (UMLS CUI-1)
108290001 (SNOMED CT-1)
10037794 (MedDRA-1)
CL Item
Other therapy (sonstige)
changed_datatype (Code-Info)
Other Therapy (Code-1)
C0418967 (UMLS CUI-1)
Other Therapy (Code-1)
C0418967 (UMLS CUI-1)
wievielter mammachirurgischer Eingriff während dieses Aufenthaltes
Item
count of surgerys
integer
Count of entities (property) (qualifier value) (Code-1)
C0449788 (UMLS CUI-1)
410681005 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
Hospitalization) (Code-3)
C0019993 (UMLS CUI-3)
394656005 (SNOMED CT-3)
10054112 (MedDRA-3)
C0449788 (UMLS CUI-1)
410681005 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
Hospitalization) (Code-3)
C0019993 (UMLS CUI-3)
394656005 (SNOMED CT-3)
10054112 (MedDRA-3)
Item
pre-biopsy localization using wire
integer
Pre-biopsy localization of breast lesion using self retaining wire (procedure) (Code-1)
C0473516 (UMLS CUI-1)
237381006 (SNOMED CT-1)
C0473516 (UMLS CUI-1)
237381006 (SNOMED CT-1)
Code List
pre-biopsy localization using wire
CL Item
Plain X-Ray (Mammographie) (Mammographie )
Plain X-ray guided wire localization of breast lesion (procedure) (Code-1)
C1997063 (UMLS CUI-1)
428907005 (SNOMED CT-1)
C1997063 (UMLS CUI-1)
428907005 (SNOMED CT-1)
CL Item
Ultrasound (Sonographie)
Insertion of guide wire into breast using ultrasound guidance (procedure) (Code-1)
C2315526 (UMLS CUI-1)
433222002 (SNOMED CT-1)
C2315526 (UMLS CUI-1)
433222002 (SNOMED CT-1)
CL Item
Magnetic Resonance Imaging (MRT)
Magnetic resonance imaging guidance (procedure) (Code-1)
C0442974 (UMLS CUI-1)
258177008 (SNOMED CT-1)
C0442974 (UMLS CUI-1)
258177008 (SNOMED CT-1)
intraoperatives Präparatröntgen
Item
intraoperative X-Ray of specimen
boolean
Specimen mammography (procedure) (Code-1)
C0203031 (UMLS CUI-1)
80865008 (SNOMED CT-1)
Intraoperative (Code-2)
C0456904 (UMLS CUI-2)
277671009 (SNOMED CT-2)
C0203031 (UMLS CUI-1)
80865008 (SNOMED CT-1)
Intraoperative (Code-2)
C0456904 (UMLS CUI-2)
277671009 (SNOMED CT-2)
OP-Datum
Item
Date of surgery
date
Operation
Item
Surgical and medical procedures
string
Surgical and medical procedures (Code-1)
C1948041 (UMLS CUI-1)
71388002 (SNOMED CT-1)
MTHU006237 (LOINC-1)
C1948041 (UMLS CUI-1)
71388002 (SNOMED CT-1)
MTHU006237 (LOINC-1)
Sentinel-Lymphknoten-Biopsie bei diesem Eingriff durchgeführt
Item
Sentinel Lymph Node Biopsy
boolean
Sentinel Lymph Node Biopsy (Code-1)
C0796693 (UMLS CUI-1)
396487001 (SNOMED CT-1)
C0796693 (UMLS CUI-1)
396487001 (SNOMED CT-1)
perioperative Antibiotikaprophylaxe
Item
prophylactic antibiotics
boolean
changed_datatype (Code-Info)
antibiotics; administration, prophylactic (Code-1)
C1388076 (UMLS CUI-1)
Perioperative (Code-2)
C1518988 (UMLS CUI-2)
antibiotics; administration, prophylactic (Code-1)
C1388076 (UMLS CUI-1)
Perioperative (Code-2)
C1518988 (UMLS CUI-2)
behandlungsbedürftige postoperative chirurgische Komplikationen
Item
postoperative complications with repeated surgery
boolean
changed_datatype (Code-Info)
Postoperative Complications (Code-1)
C0032787 (UMLS CUI-1)
385486001 (SNOMED CT-1)
10058018 (MedDRA-1)
Repeated Surgical Procedure (Code-2)
C0035110 (UMLS CUI-2)
261554009 (SNOMED CT-2)
10038579 (MedDRA-2)
Postoperative Complications (Code-1)
C0032787 (UMLS CUI-1)
385486001 (SNOMED CT-1)
10058018 (MedDRA-1)
Repeated Surgical Procedure (Code-2)
C0035110 (UMLS CUI-2)
261554009 (SNOMED CT-2)
10038579 (MedDRA-2)
Wundinfektion
Item
Postoperative Wound Infection
boolean
changed_datatype (Code-Info)
CL354174 (UMLS CUI-1)
CL354174 (UMLS CUI-1)
Nachblutung/Hämatom
Item
Hemorrhage
boolean
changed_datatype (Code-Info)
C0019080 (UMLS CUI-1)
131148009 (SNOMED CT-1)
10005103 (MedDRA-1)
R58 (ICD-10-CM-1)
459.0 (ICD-9-CM-1)
C0019080 (UMLS CUI-1)
131148009 (SNOMED CT-1)
10005103 (MedDRA-1)
R58 (ICD-10-CM-1)
459.0 (ICD-9-CM-1)
Serom
Item
Serom
boolean
changed_datatype (Code-Info)
Postoperative seroma (disorder) (Code-1)
C1998103 (UMLS CUI-1)
429494008 (SNOMED CT-1)
Postoperative seroma (disorder) (Code-1)
C1998103 (UMLS CUI-1)
429494008 (SNOMED CT-1)
sonstige
Item
Other
boolean
changed_datatype (Code-Info)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Complication (Code-2)
C0009566 (UMLS CUI-2)
116223007 (SNOMED CT-2)
MTHU008883 (LOINC-2)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Complication (Code-2)
C0009566 (UMLS CUI-2)
116223007 (SNOMED CT-2)
MTHU008883 (LOINC-2)
Item
Histopathology
integer
Histopathology (Code-1)
C0677043 (UMLS CUI-1)
394597005 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
C0677043 (UMLS CUI-1)
394597005 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
CL Item
normal breast tissue (ausschließlich Normalgewebe)
Mammary Gland Tissue (Code-1)
C1521747 (UMLS CUI-1)
C1521747 (UMLS CUI-1)
CL Item
benign (benigne / entzündliche Veränderung)
Benign (Code-1)
C0205183 (UMLS CUI-1)
30807003 (SNOMED CT-1)
C0205183 (UMLS CUI-1)
30807003 (SNOMED CT-1)
CL Item
uncertain whether benign or malignant (Risikoläsion)
Neoplasm, Uncertain Whether Benign or Malignant (Code-1)
C0677041 (UMLS CUI-1)
86251006 (SNOMED CT-1)
C0677041 (UMLS CUI-1)
86251006 (SNOMED CT-1)
CL Item
suspected malignancy (B4)
extended_coding (Code-Info)
Suspected malignancy (situation) (Code-1)
C0581833 (UMLS CUI-1)
162572001 (SNOMED CT-1)
Suspected malignancy (situation) (Code-1)
C0581833 (UMLS CUI-1)
162572001 (SNOMED CT-1)
CL Item
Noninfiltrating Intraductal Carcinoma (B5a)
extended_coding (Code-Info)
Noninfiltrating Intraductal Carcinoma (Code-1)
C0007124 (UMLS CUI-1)
86616005 (SNOMED CT-1)
10013806 (MedDRA-1)
D05.1 (ICD-10-CM-1)
Noninfiltrating Intraductal Carcinoma (Code-1)
C0007124 (UMLS CUI-1)
86616005 (SNOMED CT-1)
10013806 (MedDRA-1)
D05.1 (ICD-10-CM-1)
CL Item
Invasive Breast Carcinoma (B5b)
extended_coding (Code-Info)
Invasive Breast Carcinoma (Code-1)
C0853879 (UMLS CUI-1)
10006190 (MedDRA-1)
Invasive Breast Carcinoma (Code-1)
C0853879 (UMLS CUI-1)
10006190 (MedDRA-1)
CL Item
Tumor invasion cannot be assessed (B5c)
extended_coding (Code-Info)
Tumor invasion cannot be assessed (finding) (Code-1)
C1276687 (UMLS CUI-1)
370048007 (SNOMED CT-1)
Tumor invasion cannot be assessed (finding) (Code-1)
C1276687 (UMLS CUI-1)
370048007 (SNOMED CT-1)
CL Item
other neoplasm (B5d)
extended_coding (Code-Info)
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Malignant Neoplasms (Code-2)
C0006826 (UMLS CUI-2)
363346000 (SNOMED CT-2)
10028997 (MedDRA-2)
MTHU010328 (LOINC-2)
C00-C96 (ICD-10-CM-2)
Other (Code-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Malignant Neoplasms (Code-2)
C0006826 (UMLS CUI-2)
363346000 (SNOMED CT-2)
10028997 (MedDRA-2)
MTHU010328 (LOINC-2)
C00-C96 (ICD-10-CM-2)
maligne Neoplasie
Item
Histology ICD-O-3
string
ICDO3 Morphology Axis (Code-1)
CL364362 (UMLS CUI-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
CL364362 (UMLS CUI-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
primär-operative Therapie abgeschlossen
Item
completed primal therapy
boolean
Complete (qualifier value) (Code-1)
C0205197 (UMLS CUI-1)
255594003 (SNOMED CT-1)
Primal therapy (regime/therapy) (Code-2)
C0221296 (UMLS CUI-2)
439741009 (SNOMED CT-2)
C0205197 (UMLS CUI-1)
255594003 (SNOMED CT-1)
Primal therapy (regime/therapy) (Code-2)
C0221296 (UMLS CUI-2)
439741009 (SNOMED CT-2)
weitere Therapieempfehlung
Item
other Advice
boolean
changed_datatype (Code-Info)
Advising (Code-1)
C1828381 (UMLS CUI-1)
424900004 (SNOMED CT-1)
Other (Code-2)
C0205394 (UMLS CUI-2)
74964007 (SNOMED CT-2)
Advising (Code-1)
C1828381 (UMLS CUI-1)
424900004 (SNOMED CT-1)
Other (Code-2)
C0205394 (UMLS CUI-2)
74964007 (SNOMED CT-2)
1 = Empfehlung zur Nachresektion
Item
Repeated Surgical Procedure
boolean
changed_datatype (Code-Info)
C0035110 (UMLS CUI-1)
261554009 (SNOMED CT-1)
10038579 (MedDRA-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
C0035110 (UMLS CUI-1)
261554009 (SNOMED CT-1)
10038579 (MedDRA-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
2 = Empfehlung zur Mastektomie
Item
mastectomy
boolean
changed_datatype (Code-Info)
Mastectomy (Code-1)
C0024881 (UMLS CUI-1)
10026878 (MedDRA-1)
85.4 (ICD-9-CM-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Mastectomy (Code-1)
C0024881 (UMLS CUI-1)
10026878 (MedDRA-1)
85.4 (ICD-9-CM-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
3 = Empfehlung zur Sentinel-Lymphknoten-Biopsie
Item
Sentinel Lymph Node Biopsy
boolean
changed_datatype (Code-Info)
Sentinel Lymph Node Biopsy (Code-1)
C0796693 (UMLS CUI-1)
396487001 (SNOMED CT-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Sentinel Lymph Node Biopsy (Code-1)
C0796693 (UMLS CUI-1)
396487001 (SNOMED CT-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
4 = Empfehlung zur Axilladissektion
Item
Axillary Lymph Node Dissection
boolean
changed_datatype (Code-Info)
Axillary Lymph Node Dissection (Code-1)
C0193867 (UMLS CUI-1)
234254000 (SNOMED CT-1)
10068477 (MedDRA-1)
40.23 (ICD-9-CM-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Axillary Lymph Node Dissection (Code-1)
C0193867 (UMLS CUI-1)
234254000 (SNOMED CT-1)
10068477 (MedDRA-1)
40.23 (ICD-9-CM-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
6 = Empfehlung zur BET
Item
Breast Conservation Treatment
boolean
changed_datatype (Code-Info)
Breast Conservation Treatment (Code-1)
C0917927 (UMLS CUI-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Breast Conservation Treatment (Code-1)
C0917927 (UMLS CUI-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
pTpN
Item
Pathological staging
boolean
for_compare (Code-Info)
Tumor-node-metastasis (TNM) classification of malignant tumor after operation (observable entity) (Code-1)
C1264753 (UMLS CUI-1)
106249008 (SNOMED CT-1)
Tumor-node-metastasis (TNM) classification of malignant tumor after operation (observable entity) (Code-1)
C1264753 (UMLS CUI-1)
106249008 (SNOMED CT-1)
pT
Item
pT stage
string
pT category finding (finding) (Code-1)
C1272834 (UMLS CUI-1)
385385001 (SNOMED CT-1)
C1272834 (UMLS CUI-1)
385385001 (SNOMED CT-1)
pN
Item
pN Stage
string
pN category finding (finding) (Code-1)
C1272833 (UMLS CUI-1)
385381005 (SNOMED CT-1)
C1272833 (UMLS CUI-1)
385381005 (SNOMED CT-1)
Anzahl histologisch untersuchter regionärer Lymphknoten
Item
Number of lymph nodes examined
integer
C2733494 (UMLS CUI-1)
444025001 (SNOMED CT-1)
444025001 (SNOMED CT-1)
Anzahl histologisch untersuchter regionärer Lymphknoten - unbekannt
Item
Number of lymph nodes examined
boolean
C2733494 (UMLS CUI-1)
444025001 (SNOMED CT-1)
Unknown (Code-2)
C0439673 (UMLS CUI-2)
261665006 (SNOMED CT-2)
444025001 (SNOMED CT-1)
Unknown (Code-2)
C0439673 (UMLS CUI-2)
261665006 (SNOMED CT-2)
Item
Histologic Grade
integer
C0919553 (UMLS CUI-1)
371469007 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
371469007 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
CL Item
G1 grade (G1)
G1 grade (finding) (Code-1)
C0475269 (UMLS CUI-1)
54102005 (SNOMED CT-1)
C0475269 (UMLS CUI-1)
54102005 (SNOMED CT-1)
CL Item
G2 grade (G2)
G2 grade (finding) (Code-1)
C0475270 (UMLS CUI-1)
1663004 (SNOMED CT-1)
C0475270 (UMLS CUI-1)
1663004 (SNOMED CT-1)
CL Item
G3 grade (G3)
G3 grade (finding) (Code-1)
C0475271 (UMLS CUI-1)
61026006 (SNOMED CT-1)
C0475271 (UMLS CUI-1)
61026006 (SNOMED CT-1)
CL Item
Grade cannot be determined (GX)
Grade cannot be determined (finding) (Code-1)
C1273714 (UMLS CUI-1)
384741006 (SNOMED CT-1)
C1273714 (UMLS CUI-1)
384741006 (SNOMED CT-1)
Gesamttumorgröße
Item
Tumor size
integer
mm (Item-Info)
Tumor size (observable entity) (Code-1)
C0475440 (UMLS CUI-1)
263605001 (SNOMED CT-1)
Tumor size (observable entity) (Code-1)
C0475440 (UMLS CUI-1)
263605001 (SNOMED CT-1)
Item
Estrogen Receptor
integer
extended_coding (Code-Info)
Status of estrogen receptors of neoplasm (observable entity) (Code-1)
C2919271 (UMLS CUI-1)
445028008 (SNOMED CT-1)
Status of estrogen receptors of neoplasm (observable entity) (Code-1)
C2919271 (UMLS CUI-1)
445028008 (SNOMED CT-1)
CL Item
Weakly positive (schwach positiv)
Weakly positive (qualifier value) (Code-1)
C0442730 (UMLS CUI-1)
260408008 (SNOMED CT-1)
C0442730 (UMLS CUI-1)
260408008 (SNOMED CT-1)
CL Item
positive (positiv)
extended_coding (Code-Info)
Estrogen receptor positive tumor (disorder) (Code-1)
C1562312 (UMLS CUI-1)
416053008 (SNOMED CT-1)
Estrogen receptor positive tumor (disorder) (Code-1)
C1562312 (UMLS CUI-1)
416053008 (SNOMED CT-1)
CL Item
negative (negativ)
extended_coding (Code-Info)
Estrogen receptor negative neoplasm (disorder) (Code-1)
C2584629 (UMLS CUI-1)
441117001 (SNOMED CT-1)
Estrogen receptor negative neoplasm (disorder) (Code-1)
C2584629 (UMLS CUI-1)
441117001 (SNOMED CT-1)
CL Item
unknown (unbekannt)
Unknown (Code-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
CL Item
only_in_connection_with_ER (only_in_connection_with_ER)
Item
progesterone receptor
integer
extended_coding (Code-Info)
Status of progesterone receptors of neoplasm (observable entity) (Code-1)
C2919590 (UMLS CUI-1)
445029000 (SNOMED CT-1)
Status of progesterone receptors of neoplasm (observable entity) (Code-1)
C2919590 (UMLS CUI-1)
445029000 (SNOMED CT-1)
CL Item
Weakly positive (schwach positiv)
Weakly positive (qualifier value) (Code-1)
C0442730 (UMLS CUI-1)
260408008 (SNOMED CT-1)
C0442730 (UMLS CUI-1)
260408008 (SNOMED CT-1)
CL Item
positive (positiv)
extended_coding (Code-Info)
Progesterone receptor positive tumor (disorder) (Code-1)
C1562928 (UMLS CUI-1)
416561008 (SNOMED CT-1)
Progesterone receptor positive tumor (disorder) (Code-1)
C1562928 (UMLS CUI-1)
416561008 (SNOMED CT-1)
CL Item
negative (negativ)
extended_coding (Code-Info)
Progesterone receptor negative neoplasm (disorder) (Code-1)
C2584628 (UMLS CUI-1)
441118006 (SNOMED CT-1)
Progesterone receptor negative neoplasm (disorder) (Code-1)
C2584628 (UMLS CUI-1)
441118006 (SNOMED CT-1)
CL Item
unknown (unbekannt)
Unknown (Code-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
CL Item
only_in_connection_with_ER (only_in_connection_with_ER)
CL Item
negative (0 = negativ)
HER2-negative breast cancer (Code-1)
CL412283 (UMLS CUI-1)
CL412283 (UMLS CUI-1)
CL Item
positive (1 = positiv)
HER2-positive carcinoma of breast (disorder) (Code-1)
C1960398 (UMLS CUI-1)
427685000 (SNOMED CT-1)
C1960398 (UMLS CUI-1)
427685000 (SNOMED CT-1)
CL Item
unknown (9 = unbekannt)
Unknown (Code-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
histologisch gesicherte Multizentrizität
Item
multilocular
boolean
CL381556 (UMLS CUI-1)
Item
Distance of tumor from closest margin
integer
Distance of tumor from closest surgical margin (breast) (observable entity) (Code-1)
C1268956 (UMLS CUI-1)
373120008 (SNOMED CT-1)
C1268956 (UMLS CUI-1)
373120008 (SNOMED CT-1)
Code List
Distance of tumor from closest margin
CL Item
No (0 = nein)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
373067005 (SNOMED CT-1)
CL Item
Yes (1 = ja)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
373066001 (SNOMED CT-1)
CL Item
in complete remission - neoadjuvant therapy (2 = Vollremission nach neoadjuvanter Therapie)
In complete remission (Code-1)
C0677874 (UMLS CUI-1)
103338009 (SNOMED CT-1)
Neo-adjuvant - intent (qualifier value) (Code-2)
C1298676 (UMLS CUI-2)
373847000 (SNOMED CT-2)
Therapeutic procedure (Code-3)
C0087111 (UMLS CUI-3)
277132007 (SNOMED CT-3)
10053757 (MedDRA-3)
MTHU008880 (LOINC-3)
C0677874 (UMLS CUI-1)
103338009 (SNOMED CT-1)
Neo-adjuvant - intent (qualifier value) (Code-2)
C1298676 (UMLS CUI-2)
373847000 (SNOMED CT-2)
Therapeutic procedure (Code-3)
C0087111 (UMLS CUI-3)
277132007 (SNOMED CT-3)
10053757 (MedDRA-3)
MTHU008880 (LOINC-3)
geringster Abstand des Tumors zum Resektionsrand
Item
Distance of tumor from closest margin
integer
Distance of tumor from closest surgical margin (breast) (observable entity) (Code-1)
C1268956 (UMLS CUI-1)
373120008 (SNOMED CT-1)
C1268956 (UMLS CUI-1)
373120008 (SNOMED CT-1)
Fernmetastasen M nach Vorliegen der Staging - Befunde
Item
M Stage
integer
M Stage (Code-1)
C0456533 (UMLS CUI-1)
77208005 (SNOMED CT-1)
C0456533 (UMLS CUI-1)
77208005 (SNOMED CT-1)
Item
Breast Conservation Treatment
integer
Breast Conservation Treatment (Code-1)
C0917927 (UMLS CUI-1)
C0917927 (UMLS CUI-1)
CL Item
No (0 = nein)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
373067005 (SNOMED CT-1)
CL Item
Yes (1 = ja)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
373066001 (SNOMED CT-1)
CL Item
No (2 = nein (auf Wunsch Patient(in) trotz erfültter Kriterien BET))
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
desire (Code-2)
C0871633 (UMLS CUI-2)
373067005 (SNOMED CT-1)
desire (Code-2)
C0871633 (UMLS CUI-2)
CL Item
Yes (2 = ja (auf Wunsch Patient(in) trotz erfültter Kriterien BET))
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
desire (Code-2)
C0871633 (UMLS CUI-2)
373066001 (SNOMED CT-1)
desire (Code-2)
C0871633 (UMLS CUI-2)
axilläre Lymphknotenentfernung ohne Markierung bei diesem oder vorausgegangenem Aufenthalt durchgeführt
Item
Axillary Lymph Node Dissection
boolean
Axillary Lymph Node Dissection (Code-1)
C0193867 (UMLS CUI-1)
234254000 (SNOMED CT-1)
10068477 (MedDRA-1)
40.23 (ICD-9-CM-1)
C0193867 (UMLS CUI-1)
234254000 (SNOMED CT-1)
10068477 (MedDRA-1)
40.23 (ICD-9-CM-1)
Sentinel-Lymphknoten-Biopsie bei diesem oder vorausgegangenem Aufenthalt durchgeführt
Item
Sentinel Lymph Node Biopsy
boolean
Sentinel Lymph Node Biopsy (Code-1)
C0796693 (UMLS CUI-1)
396487001 (SNOMED CT-1)
C0796693 (UMLS CUI-1)
396487001 (SNOMED CT-1)
CL Item
Radioisotopic Labeling (Radionuklidmarkierung)
Radioisotopic Labeling (Code-1)
C2347885 (UMLS CUI-1)
C2347885 (UMLS CUI-1)
CL Item
Color Labeling (Farbmarkierung)
postoperative Therapieplanung in interdisziplinärer Tumorkonferenz
Item
post-surgery
boolean
Post (Code-1)
C0231290 (UMLS CUI-1)
237679004 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
C0231290 (UMLS CUI-1)
237679004 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
Item
Cancer conference
integer
changed_datatype (Code-Info)
Cancer conference (Code-1)
C0805438 (UMLS CUI-1)
MTHU010336 (LOINC-1)
Type - attribute (Code-2)
C0332307 (UMLS CUI-2)
410656007 (SNOMED CT-2)
MTHU013727 (LOINC-2)
Cancer conference (Code-1)
C0805438 (UMLS CUI-1)
MTHU010336 (LOINC-1)
Type - attribute (Code-2)
C0332307 (UMLS CUI-2)
410656007 (SNOMED CT-2)
MTHU013727 (LOINC-2)
CL Item
post-surgery (postoperative)
Post (Code-1)
C0231290 (UMLS CUI-1)
237679004 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
C0231290 (UMLS CUI-1)
237679004 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
postoperative Therapieplanung mit Patientin besprochen
Item
chat to patient about cancer conference decision
boolean
Had a chat to patient (situation) (Code-1)
C0418830 (UMLS CUI-1)
183093006 (SNOMED CT-1)
Cancer conference (Code-2)
C0805438 (UMLS CUI-2)
MTHU010336 (LOINC-2)
Decision (Code-3)
C0679006 (UMLS CUI-3)
C0418830 (UMLS CUI-1)
183093006 (SNOMED CT-1)
Cancer conference (Code-2)
C0805438 (UMLS CUI-2)
MTHU010336 (LOINC-2)
Decision (Code-3)
C0679006 (UMLS CUI-3)
Datum des Gespräches mit Patientin
Item
date chat to patient about cancer conference decision
date
Had a chat to patient (situation) (Code-1)
C0418830 (UMLS CUI-1)
183093006 (SNOMED CT-1)
Cancer conference (Code-2)
C0805438 (UMLS CUI-2)
MTHU010336 (LOINC-2)
Decision (Code-3)
C0679006 (UMLS CUI-3)
Date in time (Code-4)
C0011008 (UMLS CUI-4)
410671006 (SNOMED CT-4)
MTHU021546 (LOINC-4)
C0418830 (UMLS CUI-1)
183093006 (SNOMED CT-1)
Cancer conference (Code-2)
C0805438 (UMLS CUI-2)
MTHU010336 (LOINC-2)
Decision (Code-3)
C0679006 (UMLS CUI-3)
Date in time (Code-4)
C0011008 (UMLS CUI-4)
410671006 (SNOMED CT-4)
MTHU021546 (LOINC-4)
Erfolgte Meldung an epidemiologische Landeskrebsregister der klinisches Krebsregister
Item
Report cancer registry
boolean
Reporting (Code-1)
C0700287 (UMLS CUI-1)
223458004 (SNOMED CT-1)
MTHU002737 (LOINC-1)
Cancer Registry (Code-2)
C0805443 (UMLS CUI-2)
MTHU010262 (LOINC-2)
C0700287 (UMLS CUI-1)
223458004 (SNOMED CT-1)
MTHU002737 (LOINC-1)
Cancer Registry (Code-2)
C0805443 (UMLS CUI-2)
MTHU010262 (LOINC-2)
Entlassungsdatum Krankenhaus
Item
date Discharge from hospital
date
Discharge from hospital (procedure) (Code-1)
C0586003 (UMLS CUI-1)
308283009 (SNOMED CT-1)
Date in time (Code-2)
C0011008 (UMLS CUI-2)
410671006 (SNOMED CT-2)
MTHU021546 (LOINC-2)
C0586003 (UMLS CUI-1)
308283009 (SNOMED CT-1)
Date in time (Code-2)
C0011008 (UMLS CUI-2)
410671006 (SNOMED CT-2)
MTHU021546 (LOINC-2)
Entlassungsdiagnose
Item
discharge diagnosis
integer
discharge diagnosis - ActCode (Code-1)
C1555319 (UMLS CUI-1)
C1555319 (UMLS CUI-1)
Item
Indication for Disharge
integer
Indication of (contextual qualifier) (Code-1)
C0392360 (UMLS CUI-1)
410666004 (SNOMED CT-1)
MTHU008862 (LOINC-1)
Discharge from hospital (procedure) (Code-2)
C0586003 (UMLS CUI-2)
308283009 (SNOMED CT-2)
C0392360 (UMLS CUI-1)
410666004 (SNOMED CT-1)
MTHU008862 (LOINC-1)
Discharge from hospital (procedure) (Code-2)
C0586003 (UMLS CUI-2)
308283009 (SNOMED CT-2)
CL Item
regular end of therapy (Behandlung regulär beendet )
Regular (Code-1)
C0449581 (UMLS CUI-1)
17854005 (SNOMED CT-1)
End (Code-2)
C1272693 (UMLS CUI-2)
385656004 (SNOMED CT-2)
Therapeutic procedure (Code-3)
C0087111 (UMLS CUI-3)
277132007 (SNOMED CT-3)
10053757 (MedDRA-3)
MTHU008880 (LOINC-3)
C0449581 (UMLS CUI-1)
17854005 (SNOMED CT-1)
End (Code-2)
C1272693 (UMLS CUI-2)
385656004 (SNOMED CT-2)
Therapeutic procedure (Code-3)
C0087111 (UMLS CUI-3)
277132007 (SNOMED CT-3)
10053757 (MedDRA-3)
MTHU008880 (LOINC-3)
CL Item
not_useful_for_research (Behandlung regulär beendet, nachstationäre Behandlung vorgesehen )
CL Item
not_useful_for_research (Behandlung aus sonstigen Gründen beendet )
Sektion erfolgt
Item
Autopsy
boolean
Autopsy (Code-1)
C0004398 (UMLS CUI-1)
29240004 (SNOMED CT-1)
10050117 (MedDRA-1)
89.8 (ICD-10-CM-1)
C0004398 (UMLS CUI-1)
29240004 (SNOMED CT-1)
10050117 (MedDRA-1)
89.8 (ICD-10-CM-1)