ID
6459
Description
Documentation standard - breast cancer - gynecology, with friendly permission (Dr. Tio) - kooperatives Brustzentrum Münster, Bereich Senologie an der Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe - Leitung: Dr. med. Joke Tio
Keywords
Versions (2)
- 5/15/13 5/15/13 -
- 12/23/14 12/23/14 - Martin Dugas
Uploaded on
December 23, 2014
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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EHR breast cancer
EHR breast cancer
- StudyEvent: HIS
Description
Anamnesebogen
Alias
- UMLS CUI-1
- C0262926
Description
Anamnese erhoben durch
Data type
string
Alias
- Code-1
- Responsible Person
- UMLS CUI-1
- C1273518
- SNOMED CT-1
- 394851003
- Code-2
- Medical History
- UMLS CUI-2
- C0262926
- SNOMED CT-2
- 417662000
- LOINC-2
- MTHU027722
Description
Zuweisender Arzt
Data type
string
Alias
- Code-1
- Referring Physician
- UMLS CUI-1
- C1709880
Description
FFA
Data type
string
Alias
- Code-1
- Gynecologist
- UMLS CUI-1
- C0237419
- SNOMED CT-1
- 83685006
- HL7 V3-1
- 207VG0400X
Description
Überweisungsgrund
Data type
string
Alias
- Code-1
- Referring
- UMLS CUI-1
- C0205543
- Code-2
- Indication of (contextual qualifier)
- UMLS CUI-2
- C0392360
- SNOMED CT-2
- 410666004
- LOINC-2
- MTHU008862
Description
Grund des Arztbesuches
Data type
integer
Alias
- Code-1
- Reason for patient visit
- UMLS CUI-1
- C1704447
- SNOMED CT-1
- 103324002
- LOINC-1
- MTHU013910
Description
Anamnese
Data type
string
Alias
- Code-1
- Medical History
- UMLS CUI-1
- C0262926
- SNOMED CT-1
- 417662000
- LOINC-1
- MTHU027722
Description
Menopausenstatus
Data type
integer
Alias
- Code-1
- Menopause finding (finding)
- UMLS CUI-1
- C0455962
- SNOMED CT-1
- 276477006
Description
Schwangerschaften
Data type
integer
Alias
- Code-1
- Finding of quantity of pregnancy (finding)
- UMLS CUI-1
- C0566634
- SNOMED CT-1
- 289204008
Description
Stillzeit (Monate)
Data type
integer
Alias
- Code-1
- Months of breast feeding
- UMLS CUI-1
- C3172259
Description
Akuelle Medikamente
Data type
integer
Alias
- Code-1
- Pharmaceutical Preparations
- UMLS CUI-1
- C0013227
- SNOMED CT-1
- 410942007
Description
Pille
Data type
boolean
Alias
- Code-1
- Contraceptives, Oral
- UMLS CUI-1
- C0009905
- SNOMED CT-1
- 423938009
Description
HRT
Data type
boolean
Alias
- Code-1
- Hormone replacement therapy
- UMLS CUI-1
- C0282402
- SNOMED CT-1
- 266717002
- MedDRA-1
- 10020388
Description
ASS
Data type
boolean
Alias
- Code-1
- Aspirin
- UMLS CUI-1
- C0004057
- SNOMED CT-1
- 387458008
Description
Marcumar
Data type
boolean
Alias
- Code-1
- Phenprocoumon
- UMLS CUI-1
- C0031444
- SNOMED CT-1
- 59488002
- LOINC-1
- MTHU016364
Description
Allergien
Data type
string
Alias
- Code-1
- Allergic Reaction
- UMLS CUI-1
- C1527304
- SNOMED CT-1
- 106190000
- MedDRA-1
- 10020751
- ICD-10-CM-1
- T78.40
- CTCAE-1
- E11248
- HL7 V3-1
- ALG
Description
Nikotin
Data type
boolean
Alias
- Code-1
- Tobacco smoking behavior
- UMLS CUI-1
- C0453996
- SNOMED CT-1
- 365981007
Description
Zig./die
Data type
integer
Alias
- Code-1
- How many cigarettes per day do, or did, you smoke
- UMLS CUI-1
- C3169451
- LOINC-1
- MTHU037005
Description
Alkohol
Data type
boolean
Alias
- Code-1
- Alcohol consumption
- UMLS CUI-1
- C0001948
- SNOMED CT-1
- 160573003
- MedDRA-1
- 10048921
Description
Alkohol
Data type
string
Alias
- Code-1
- Details of drinking behavior
- UMLS CUI-1
- C1285666
- SNOMED CT-1
- 363905002
Data type
text
Alias
- UMLS CUI-1
- C0241889
Description
Pre-existing Condition
Description
Vorerkrankungen/Voroperationen
Data type
boolean
Alias
- Code-1
- Pre-existing Condition
- UMLS CUI-1
- C0521987
- SNOMED CT-1
- 102478008
Description
Thrombose
Data type
boolean
Alias
- Code-1
- Thrombosis
- UMLS CUI-1
- C0040053
- SNOMED CT-1
- 439127006
- MedDRA-1
- 10043607
Description
Erkrankungen/Operationen
Data type
string
Alias
- Code-1
- Pre-existing Condition
- UMLS CUI-1
- C0521987
- SNOMED CT-1
- 102478008
Description
Datum/Jahr
Data type
date
Alias
- Code-1
- Date in time
- UMLS CUI-1
- C0011008
- SNOMED CT-1
- 410671006
- LOINC-1
- MTHU021546
- Code-2
- Pre-existing Condition
- UMLS CUI-2
- C0521987
- SNOMED CT-2
- 102478008
Description
Therapie
Data type
string
Alias
- Code-1
- Therapeutic procedure
- UMLS CUI-1
- C0087111
- SNOMED CT-1
- 277132007
- MedDRA-1
- 10053757
- LOINC-1
- MTHU008880
- Code-2
- Pre-existing Condition
- UMLS CUI-2
- C0521987
- SNOMED CT-2
- 102478008
Description
External Result
Description
Mammografie
Data type
boolean
Alias
- Code-1
- Mammography
- UMLS CUI-1
- C0024671
- SNOMED CT-1
- 71651007
- MedDRA-1
- 10026735
Description
Mammografie
Data type
date
Alias
- Code-1
- Mammography
- UMLS CUI-1
- C0024671
- SNOMED CT-1
- 71651007
- MedDRA-1
- 10026735
- Code-2
- Date in time
- UMLS CUI-2
- C0011008
- SNOMED CT-2
- 410671006
- LOINC-2
- MTHU021546
Description
Seite Befund
Data type
integer
Alias
- Code-Info
- for_compare
- Code-1
- Side
- UMLS CUI-1
- C0441987
- SNOMED CT-1
- 182353008
- LOINC-1
- MTHU014973
- Code-2
- Imaging, Medical
- UMLS CUI-2
- C0025086
Description
BIRADS
Data type
integer
Alias
- Code-Info
- merged_coding
- Code-1
- set of BI-RADS mammo terms
- UMLS CUI-1
- CL426926
Description
Sonografie
Data type
boolean
Alias
- Code-1
- Ultrasonography, Mammary
- UMLS CUI-1
- C0080264
- SNOMED CT-1
- 47079000
Description
Sonografie
Data type
date
Alias
- Code-1
- Ultrasonography, Mammary
- UMLS CUI-1
- C0080264
- SNOMED CT-1
- 47079000
- Code-2
- Date in time
- UMLS CUI-2
- C0011008
- SNOMED CT-2
- 410671006
- LOINC-2
- MTHU021546
Description
BIRADSanalog
Data type
integer
Alias
- Code-Info
- merged_coding
- Code-1
- set of BI-RADS ultrasound terms
- UMLS CUI-1
- CL426924
Description
MR-MG
Data type
boolean
Alias
- Code-1
- Magnetic resonance imaging of breast (procedure)
- UMLS CUI-1
- C0344104
- SNOMED CT-1
- 241615005
Description
MR-MG
Data type
date
Alias
- Code-1
- Magnetic resonance imaging of breast (procedure)
- UMLS CUI-1
- C0344104
- SNOMED CT-1
- 241615005
- Code-2
- Date in time
- UMLS CUI-2
- C0011008
- SNOMED CT-2
- 410671006
- LOINC-2
- MTHU021546
Description
MR-BIRADS
Data type
integer
Alias
- Code-1
- set of BI-RADS MRI terms
- UMLS CUI-1
- CL426925
Description
Histologie
Data type
boolean
Alias
- Code-1
- Histopathology
- UMLS CUI-1
- C0677043
- SNOMED CT-1
- 394597005
Description
Sonstiges
Data type
boolean
Alias
- Code-1
- Other
- UMLS CUI-1
- C0205394
- SNOMED CT-1
- 74964007
- Code-2
- Result
- UMLS CUI-2
- C1274040
- SNOMED CT-2
- 394617004
Description
Physical Examination
Description
Körbchengröße
Data type
integer
Alias
- Code-1
- Breast size (observable entity)
- UMLS CUI-1
- C0425782
- SNOMED CT-1
- 248808008
Description
Ptosis
Data type
integer
Alias
- Code-1
- Ptosis of breast
- UMLS CUI-1
- C2233848
- ICD-10-CM-1
- N64.81
- ICD-9-CM-1
- 611.81
Description
Symmetrie
Data type
integer
Alias
- Code-1
- Symmetry of breasts (observable entity)
- UMLS CUI-1
- C0425778
Description
Sekretion
Data type
integer
Alias
- Code-1
- nipple discharge
- UMLS CUI-1
- C0149741
- SNOMED CT-1
- 54302000
- MedDRA-1
- 10006223
- LOINC-1
- MTHU007943
- ICD-10-CM-1
- N64.52
Description
Haut
Data type
integer
Alias
- Code-1
- Skin structure of breast
- UMLS CUI-1
- C0149538
- SNOMED CT-1
- 82038008
Description
intradermale Knoten
Data type
boolean
Alias
- Code-1
- Intradermal
- UMLS CUI-1
- C0150647
- Code-2
- Node
- UMLS CUI-2
- C0746922
Description
inflammatorisch
Data type
boolean
Alias
- Code-1
- Inflammatory Breast Carcinoma
- UMLS CUI-1
- C0278601
- SNOMED CT-1
- 254840009
- MedDRA-1
- 10021980
Description
Brustkonsistenz
Data type
integer
Alias
- Code-1
- Consistency of breast (observable entity)
- UMLS CUI-1
- C1286084
- SNOMED CT-1
- 364373009
Description
Seite Befund
Data type
integer
Alias
- Code-Info
- for_compare
- Code-1
- Side
- UMLS CUI-1
- C0441987
- SNOMED CT-1
- 182353008
- LOINC-1
- MTHU014973
- Code-2
- Finding
- UMLS CUI-2
- C1285578
- SNOMED CT-2
- 363787002
Description
auffälliger Tastbefund
Data type
integer
Alias
- Code-Info
- merged_coding
- Code-1
- Palpatory diagnosis (qualifier value)
- UMLS CUI-1
- C1562881
- SNOMED CT-1
- 416400009
- Code-2
- Breast
- UMLS CUI-2
- C0006141
- SNOMED CT-2
- 76752008
- LOINC-2
- MTHU011382
Description
Anzahl
Data type
string
Alias
- Code-Info
- merged_coding
- Code-1
- Count of entities (property) (qualifier value)
- UMLS CUI-1
- C0449788
- SNOMED CT-1
- 410681005
- Code-2
- Palpatory diagnosis (qualifier value)
- UMLS CUI-2
- C1562881
- SNOMED CT-2
- 416400009
- Code-3
- Breast
- UMLS CUI-3
- C0006141
- SNOMED CT-3
- 76752008
- LOINC-3
- MTHU011382
Description
Uhr
Data type
integer
Alias
- Code-Info
- merged_coding
- Code-1
- Clockface position (qualifier value)
- UMLS CUI-1
- C0442310
- SNOMED CT-1
- 272485000
- Code-3
- Clinical
- UMLS CUI-3
- C0205210
- SNOMED CT-3
- 58147004
Description
Größe
Data type
integer
Alias
- Code-Info
- merged_coding
- Code-1
- On examination - breast lump size (finding
- UMLS CUI-1
- C0437115
- SNOMED CT-1
- 163474006
- Code-3
- Clinical
- UMLS CUI-3
- C0205210
- SNOMED CT-3
- 58147004
Description
Suspekt
Data type
boolean
Alias
- Code-Info
- merged_coding
- Code-1
- Suspected
- UMLS CUI-1
- C0750491
- SNOMED CT-1
- 415684004
- Code-3
- Clinical
- UMLS CUI-3
- C0205210
- SNOMED CT-3
- 58147004
Description
Seite Lymphknoten
Data type
integer
Alias
- Code-Info
- for_compare
- Code-1
- Site of lymph node (observable entity)
- UMLS CUI-1
- C1302572
- SNOMED CT-1
- 399635006
Description
Lymphknoten
Data type
integer
Alias
- Code-1
- lymph nodes
- UMLS CUI-1
- C0024204
- SNOMED CT-1
- 59441001
- LOINC-1
- MTHU015050
- Code-2
- Clinical
- UMLS CUI-2
- C0205210
- SNOMED CT-2
- 58147004
Description
"Zeichnung klin."
Data type
string
Alias
- Code-1
- Drawings (art)
- UMLS CUI-1
- C0013113
Description
Ultrasonography
Description
"Zeichnung Sono"
Data type
string
Alias
- Code-1
- Drawings (art)
- UMLS CUI-1
- C0013113
- Code-2
- Ultrasonography, Mammary
- UMLS CUI-2
- C0080264
- SNOMED CT-2
- 47079000
- HL7 V3-2
- 12
Description
Seite Sono
Data type
integer
Alias
- Code-Info
- for_compare
- Code-1
- Side
- UMLS CUI-1
- C0441987
- SNOMED CT-1
- 182353008
- LOINC-1
- MTHU014973
- Code-2
- Ultrasonography, Mammary
- UMLS CUI-2
- C0080264
- SNOMED CT-2
- 47079000
Description
Nr.
Data type
integer
Alias
- Code-1
- Numbers
- UMLS CUI-1
- C0237753
- SNOMED CT-1
- 260299005
- LOINC-1
- MTHU024869
Description
Uhr
Data type
integer
Alias
- Code-1
- Clockface position (qualifier value)
- UMLS CUI-1
- C0442310
- SNOMED CT-1
- 272485000
- Code-2
- Ultrasonography, Mammary
- UMLS CUI-2
- C0080264
- SNOMED CT-2
- 47079000
- HL7 V3-2
- 12
Description
Metrik
Data type
string
Alias
- Code-1
- Lesion size (observable entity)
- UMLS CUI-1
- C0449453
- SNOMED CT-1
- 246116008
- Code-2
- Ultrasonography, Mammary
- UMLS CUI-2
- C0080264
- SNOMED CT-2
- 47079000
Description
Dignität (BIRADS I-V)
Data type
string
Alias
- Code-1
- set of BI-RADS ultrasound terms
- UMLS CUI-1
- CL426924
Description
Lymphknoten
Data type
integer
Alias
- Code-1
- lymph nodes
- UMLS CUI-1
- C0024204
- SNOMED CT-1
- 59441001
- LOINC-1
- MTHU015050
- Code-2
- Ultrasonography, Mammary
- UMLS CUI-2
- C0080264
- SNOMED CT-2
- 47079000
- HL7 V3-2
- 12
Description
Target Nr.
Data type
integer
Alias
- Code-1
- Lesion Number
- UMLS CUI-1
- C0449791
- SNOMED CT-1
- 246206008
Description
Seite Läsion
Data type
integer
Alias
- Code-Info
- for_compare
- Code-1
- Side
- UMLS CUI-1
- C0441987
- SNOMED CT-1
- 182353008
- LOINC-1
- MTHU014973
- Code-2
- Lesion
- UMLS CUI-2
- C0221198
- SNOMED CT-2
- 49755003
Description
Form
Data type
integer
Alias
- Code-1
- Form (attribute)
- UMLS CUI-1
- C0348078
- SNOMED CT-1
- 246176004
- Code-2
- Lesion
- UMLS CUI-2
- C0221198
- SNOMED CT-2
- 49755003
Description
Achse
Data type
integer
Alias
- Code-1
- Axis
- UMLS CUI-1
- C1522496
Description
Begrenzung
Data type
integer
Alias
- Code-Info
- merged_coding
- Code-1
- Margin
- UMLS CUI-1
- C0205284
- SNOMED CT-1
- 112233002
- Code-2
- Ultrasonography, Mammary
- UMLS CUI-2
- C0080264
- SNOMED CT-2
- 47079000
- HL7 V3-2
- 12
Description
Echogenität
Data type
integer
Alias
- Code-1
- Ultrasonographic echogenicity (observable entity)
- UMLS CUI-1
- C1719852
- SNOMED CT-1
- 421222001
Description
Echostruktur
Data type
integer
Alias
- Code-1
- echotexture
- UMLS CUI-1
- CL427892
Description
zentrale Schalverstärkung
Data type
boolean
Alias
- Code-Info
- changed_datatype
- Code-1
- posterior acoustic enhancement
- UMLS CUI-1
- CL427825
Description
Zentralschatten
Data type
boolean
Alias
- Code-Info
- changed_datatype
- Code-1
- posterior acoustic shadowing
- UMLS CUI-1
- CL427967
Description
unilat. Schallauslöschung
Data type
boolean
Alias
- Code-Info
- changed_datatype
- Code-1
- Acoustic shadowing of mass (observable entity)
- UMLS CUI-1
- C1719833
- SNOMED CT-1
- 420527001
- Code-2
- Unilateral
- UMLS CUI-2
- C0205092
- SNOMED CT-2
- 66459002
Description
bilaterale Schallauslöschung
Data type
boolean
Alias
- Code-Info
- changed_datatype
- Code-1
- Acoustic shadowing of mass (observable entity)
- UMLS CUI-1
- C1719833
- SNOMED CT-1
- 420527001
- Code-2
- Bilateral
- UMLS CUI-2
- C0238767
- SNOMED CT-2
- 51440002
Description
Destruktionsphänomen
Data type
integer
Description
Komprimierbarkeit
Data type
integer
Description
Gefäße
Data type
integer
Alias
- Code-1
- Blood Vessels
- UMLS CUI-1
- C0005847
- SNOMED CT-1
- 59820001
- LOINC-1
- MTHU001441
Description
Biopsie/Punktion durchgeführt
Data type
boolean
Alias
- Code-1
- Biopsy
- UMLS CUI-1
- C0005558
- SNOMED CT-1
- 86273004
- MedDRA-1
- 10004720
- LOINC-1
- MTHU028106
Description
Ultraschallgestütze Stanzbiopsie
Data type
boolean
Alias
- Code-1
- Ultrasound-guided Biopsy
- UMLS CUI-1
- C0456900
- SNOMED CT-1
- 277667006
Description
Cystenpunktion
Data type
boolean
Alias
- Code-1
- Puncture and aspiration of cyst (procedure)
- UMLS CUI-1
- C2733030
- SNOMED CT-1
- 443803004
Description
Herdbefund Nr.
Data type
integer
Alias
- Code-1
- Lesion Number
- UMLS CUI-1
- C0449791
- SNOMED CT-1
- 246206008
Description
Anzahl der Stanzen
Data type
integer
Alias
- Code-1
- Punch biopsy (procedure)
- UMLS CUI-1
- C0184924
- SNOMED CT-1
- 68660007
- Code-2
- Count of entities (property) (qualifier value)
- UMLS CUI-2
- C0449788
- SNOMED CT-2
- 410681005
Description
Herd nach Stanze verändert
Data type
integer
Description
Fotodokumentation
Data type
boolean
Alias
- Code-1
- Photo documentation
- UMLS CUI-1
- C0946283
- LOINC-1
- MTHU013840
Description
Datum
Data type
date
Alias
- Code-1
- Date in time
- UMLS CUI-1
- C0011008
- SNOMED CT-1
- 410671006
- LOINC-1
- MTHU021546
- Code-2
- Signature of responsible attending physician on file
- UMLS CUI-2
- C0807938
Description
Unterschrift
Data type
string
Alias
- Code-1
- Signature of responsible attending physician on file
- UMLS CUI-1
- C0807938
Description
procedures
Description
Weiterführende Bildgebung
Data type
boolean
Alias
- Code-1
- Additional
- UMLS CUI-1
- C1524062
- LOINC-1
- MTHU013802
- Code-2
- Imaging, Medical
- UMLS CUI-2
- C0025086
Description
Mammografie
Data type
boolean
Alias
- UMLS CUI-1
- C0024671
- SNOMED CT-1
- 71651007
- MedDRA-1
- 10026735
- Code-2
- Plan
- UMLS CUI-2
- C1301732
- SNOMED CT-2
- 397943006
Description
Mammografie
Data type
date
Alias
- UMLS CUI-1
- C0024671
- SNOMED CT-1
- 71651007
- MedDRA-1
- 10026735
- Code-2
- Date in time
- UMLS CUI-2
- C0011008
- SNOMED CT-2
- 410671006
- LOINC-2
- MTHU021546
Description
Sonografie
Data type
boolean
Alias
- Code-1
- Ultrasonography, Mammary
- UMLS CUI-1
- C0080264
- SNOMED CT-1
- 47079000
- HL7 V3-1
- 12
- Code-2
- Plan
- UMLS CUI-2
- C1301732
- SNOMED CT-2
- 397943006
Description
Sonografie
Data type
date
Alias
- Code-1
- Ultrasonography, Mammary
- UMLS CUI-1
- C0080264
- SNOMED CT-1
- 47079000
- HL7 V3-1
- 12
- Code-2
- Date in time
- UMLS CUI-2
- C0011008
- SNOMED CT-2
- 410671006
- LOINC-2
- MTHU021546
Description
Sonstige
Data type
boolean
Alias
- Code-1
- Other
- UMLS CUI-1
- C0205394
- SNOMED CT-1
- 74964007
- Code-2
- Imaging, Medical
- UMLS CUI-2
- C0025086
- Code-3
- Plan
- UMLS CUI-3
- C1301732
- SNOMED CT-3
- 397943006
Description
Sonstige
Data type
date
Alias
- Code-1
- Other
- UMLS CUI-1
- C0205394
- SNOMED CT-1
- 74964007
- Code-2
- Imaging, Medical
- UMLS CUI-2
- C0025086
- Code-3
- Date in time
- UMLS CUI-3
- C0011008
- SNOMED CT-3
- 410671006
- LOINC-3
- MTHU021546
Description
Anmeldung TuKo
Data type
boolean
Alias
- Code-1
- Registration
- UMLS CUI-1
- C1514821
- Code-2
- Cancer conference
- UMLS CUI-2
- C0805438
Description
TuKo
Data type
date
Alias
- Code-1
- Cancer conference:Time Stamp -- Date and Time:Point in time:Cancer.To be specified in another part of the message:Quantitative
- UMLS CUI-1
- C0804663
- LOINC-1
- 21875-0
Description
reguläre weitere Vorsorge
Data type
boolean
Alias
- UMLS CUI-1
- C0001758
- SNOMED CT-1
- 413467001
Description
Wiedervorstellung
Data type
boolean
Alias
- Code-1
- Follow-up visit (procedure)
- UMLS CUI-1
- C0589121
- SNOMED CT-1
- 185389009
Description
Wiedervorstellung
Data type
date
Alias
- Code-1
- Follow-up visit (procedure)
- UMLS CUI-1
- C0589121
- SNOMED CT-1
- 185389009
- Code-2
- Date in time
- UMLS CUI-2
- C0011008
- SNOMED CT-2
- 410671006
- LOINC-2
- MTHU021546
Description
Freitext
Data type
string
Alias
- Code-1
- Free Text Format
- UMLS CUI-1
- C2348713
Description
Datum
Data type
date
Alias
- Code-1
- Date in time
- UMLS CUI-1
- C0011008
- SNOMED CT-1
- 410671006
- LOINC-1
- MTHU021546
- Code-2
- Signature of responsible attending physician on file
- UMLS CUI-2
- C0807938
Description
Unterschrift
Data type
string
Alias
- Code-1
- Signature of responsible attending physician on file
- UMLS CUI-1
- C0807938
Similar models
EHR breast cancer
- StudyEvent: HIS
52463-7 (LOINC-1)
C2706086 (UMLS CUI-1)
C0150831 (UMLS CUI-1)
C1301584 (UMLS CUI-1)
C1443235 (UMLS CUI-1)
C0421451 (UMLS CUI-1)
399423000 (SNOMED CT-1)
MTHU029790 (LOINC-1)
Hour (Code-2)
258702006 (SNOMED CT-2)
HR (HL7 V3-2)
C2215405 (UMLS CUI-1)
Physicians (Code-2)
112247003 (SNOMED CT-2)
MTHU010489 (LOINC-2)
PHYS (HL7 V3-2)
C1709880 (UMLS CUI-1)
C1273518 (UMLS CUI-1)
394851003 (SNOMED CT-1)
Medical History (Code-2)
C0262926 (UMLS CUI-2)
417662000 (SNOMED CT-2)
MTHU027722 (LOINC-2)
C1709880 (UMLS CUI-1)
C0237419 (UMLS CUI-1)
83685006 (SNOMED CT-1)
207VG0400X (HL7 V3-1)
C0205543 (UMLS CUI-1)
Indication of (contextual qualifier) (Code-2)
C0392360 (UMLS CUI-2)
410666004 (SNOMED CT-2)
MTHU008862 (LOINC-2)
C1704447 (UMLS CUI-1)
103324002 (SNOMED CT-1)
MTHU013910 (LOINC-1)
C0679699 (UMLS CUI-1)
315234002 (SNOMED CT-1)
10067625 (MedDRA-1)
C0743997 (UMLS CUI-1)
C0001758 (UMLS CUI-1)
413467001 (SNOMED CT-1)
409978001 (SNOMED CT-1)
275926002 (SNOMED CT-1)
C0455962 (UMLS CUI-1)
276477006 (SNOMED CT-1)
C0232969 (UMLS CUI-1)
22636003 (SNOMED CT-1)
C0232970 (UMLS CUI-1)
76498008 (SNOMED CT-1)
198435007 (SNOMED CT-1)
10062974 (MedDRA-1)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
C0566634 (UMLS CUI-1)
289204008 (SNOMED CT-1)
C3172259 (UMLS CUI-1)
C0013227 (UMLS CUI-1)
410942007 (SNOMED CT-1)
C0009905 (UMLS CUI-1)
423938009 (SNOMED CT-1)
C0282402 (UMLS CUI-1)
266717002 (SNOMED CT-1)
10020388 (MedDRA-1)
C0004057 (UMLS CUI-1)
387458008 (SNOMED CT-1)
C1527304 (UMLS CUI-1)
106190000 (SNOMED CT-1)
10020751 (MedDRA-1)
T78.40 (ICD-10-CM-1)
E11248 (CTCAE-1)
ALG (HL7 V3-1)
C0453996 (UMLS CUI-1)
365981007 (SNOMED CT-1)
C3169451 (UMLS CUI-1)
MTHU037005 (LOINC-1)
C0001948 (UMLS CUI-1)
160573003 (SNOMED CT-1)
10048921 (MedDRA-1)
C1285666 (UMLS CUI-1)
363905002 (SNOMED CT-1)
C0521987 (UMLS CUI-1)
102478008 (SNOMED CT-1)
C0040053 (UMLS CUI-1)
439127006 (SNOMED CT-1)
10043607 (MedDRA-1)
C0521987 (UMLS CUI-1)
102478008 (SNOMED CT-1)
C0011008 (UMLS CUI-1)
410671006 (SNOMED CT-1)
MTHU021546 (LOINC-1)
Pre-existing Condition (Code-2)
C0521987 (UMLS CUI-2)
102478008 (SNOMED CT-2)
C0087111 (UMLS CUI-1)
277132007 (SNOMED CT-1)
10053757 (MedDRA-1)
MTHU008880 (LOINC-1)
Pre-existing Condition (Code-2)
C0521987 (UMLS CUI-2)
102478008 (SNOMED CT-2)
C0024671 (UMLS CUI-1)
71651007 (SNOMED CT-1)
10026735 (MedDRA-1)
C0024671 (UMLS CUI-1)
71651007 (SNOMED CT-1)
10026735 (MedDRA-1)
Date in time (Code-2)
C0011008 (UMLS CUI-2)
410671006 (SNOMED CT-2)
MTHU021546 (LOINC-2)
Side (Code-1)
C0441987 (UMLS CUI-1)
182353008 (SNOMED CT-1)
MTHU014973 (LOINC-1)
Imaging, Medical (Code-2)
C0025086 (UMLS CUI-2)
Right (Code-1)
C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)
Left (Code-1)
C0205091 (UMLS CUI-1)
7771000 (SNOMED CT-1)
set of BI-RADS mammo terms (Code-1)
CL426926 (UMLS CUI-1)
C0080264 (UMLS CUI-1)
47079000 (SNOMED CT-1)
C0080264 (UMLS CUI-1)
47079000 (SNOMED CT-1)
Date in time (Code-2)
C0011008 (UMLS CUI-2)
410671006 (SNOMED CT-2)
MTHU021546 (LOINC-2)
set of BI-RADS ultrasound terms (Code-1)
CL426924 (UMLS CUI-1)
C0344104 (UMLS CUI-1)
241615005 (SNOMED CT-1)
C0344104 (UMLS CUI-1)
241615005 (SNOMED CT-1)
Date in time (Code-2)
C0011008 (UMLS CUI-2)
410671006 (SNOMED CT-2)
MTHU021546 (LOINC-2)
CL426925 (UMLS CUI-1)
C0677043 (UMLS CUI-1)
394597005 (SNOMED CT-1)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Result (Code-2)
C1274040 (UMLS CUI-2)
394617004 (SNOMED CT-2)
C0425782 (UMLS CUI-1)
248808008 (SNOMED CT-1)
C2233848 (UMLS CUI-1)
N64.81 (ICD-10-CM-1)
611.81 (ICD-9-CM-1)
C0549184 (UMLS CUI-1)
260413007 (SNOMED CT-1)
C0439536 (UMLS CUI-1)
255508009 (SNOMED CT-1)
C0522501 (UMLS CUI-1)
46998006 (SNOMED CT-1)
C0425778 (UMLS CUI-1)
C1287869 (UMLS CUI-1)
366348007 (SNOMED CT-1)
C0437091 (UMLS CUI-1)
163438002 (SNOMED CT-1)
C0205091 (UMLS CUI-1)
7771000 (SNOMED CT-1)
Greater (Code-2)
C1704243 (UMLS CUI-2)
263768009 (SNOMED CT-2)
Right (Code-3)
C0205090 (UMLS CUI-3)
24028007 (SNOMED CT-3)
C0205091 (UMLS CUI-1)
7771000 (SNOMED CT-1)
Lesser (Code-2)
C0547044 (UMLS CUI-2)
263796003 (SNOMED CT-2)
Right (Code-3)
C0205090 (UMLS CUI-3)
24028007 (SNOMED CT-3)
C0149741 (UMLS CUI-1)
54302000 (SNOMED CT-1)
10006223 (MedDRA-1)
MTHU007943 (LOINC-1)
N64.52 (ICD-10-CM-1)
C0425813 (UMLS CUI-1)
162165008 (SNOMED CT-1)
C0425812 (UMLS CUI-1)
162166009 (SNOMED CT-1)
C0567521 (UMLS CUI-1)
290110007 (SNOMED CT-1)
C0567520 (UMLS CUI-1)
290109002 (SNOMED CT-1)
C0567523 (UMLS CUI-1)
290112004 (SNOMED CT-1)
C0149538 (UMLS CUI-1)
82038008 (SNOMED CT-1)
C0205307 (UMLS CUI-1)
17621005 (SNOMED CT-1)
CL427939 (UMLS CUI-1)
CL427821 (UMLS CUI-1)
C0235649 (UMLS CUI-1)
290077003 (SNOMED CT-1)
10006294 (MedDRA-1)
C0425793 (UMLS CUI-1)
248818003 (SNOMED CT-1)
C0150647 (UMLS CUI-1)
Node (Code-2)
C0746922 (UMLS CUI-2)
C0278601 (UMLS CUI-1)
254840009 (SNOMED CT-1)
10021980 (MedDRA-1)
C1286084 (UMLS CUI-1)
364373009 (SNOMED CT-1)
C0567480 (UMLS CUI-1)
290063001 (SNOMED CT-1)
C0437122 (UMLS CUI-1)
163482006 (SNOMED CT-1)
Side (Code-1)
C0441987 (UMLS CUI-1)
182353008 (SNOMED CT-1)
MTHU014973 (LOINC-1)
Finding (Code-2)
C1285578 (UMLS CUI-2)
363787002 (SNOMED CT-2)
Right (Code-1)
C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)
Left (Code-1)
C0205091 (UMLS CUI-1)
7771000 (SNOMED CT-1)
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)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
C0205171 (UMLS CUI-1)
50607009 (SNOMED CT-1)
C0439064 (UMLS CUI-1)
255204007 (SNOMED CT-1)
Count of entities (property) (qualifier value) (Code-1)
C0449788 (UMLS CUI-1)
410681005 (SNOMED CT-1)
Palpatory diagnosis (qualifier value) (Code-2)
C1562881 (UMLS CUI-2)
416400009 (SNOMED CT-2)
Breast (Code-3)
C0006141 (UMLS CUI-3)
76752008 (SNOMED CT-3)
MTHU011382 (LOINC-3)
Clockface position (qualifier value) (Code-1)
C0442310 (UMLS CUI-1)
272485000 (SNOMED CT-1)
Clinical (Code-3)
C0205210 (UMLS CUI-3)
58147004 (SNOMED CT-3)
On examination - breast lump size (finding (Code-1)
C0437115 (UMLS CUI-1)
163474006 (SNOMED CT-1)
Clinical (Code-3)
C0205210 (UMLS CUI-3)
58147004 (SNOMED CT-3)
Suspected (Code-1)
C0750491 (UMLS CUI-1)
415684004 (SNOMED CT-1)
Clinical (Code-3)
C0205210 (UMLS CUI-3)
58147004 (SNOMED CT-3)
Site of lymph node (observable entity) (Code-1)
C1302572 (UMLS CUI-1)
399635006 (SNOMED CT-1)
Right (Code-1)
C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)
Left (Code-1)
C0205091 (UMLS CUI-1)
7771000 (SNOMED CT-1)
C0024204 (UMLS CUI-1)
59441001 (SNOMED CT-1)
MTHU015050 (LOINC-1)
Clinical (Code-2)
C0205210 (UMLS CUI-2)
58147004 (SNOMED CT-2)
C1518423 (UMLS CUI-1)
Palpable (Code-2)
C0522499 (UMLS CUI-2)
103357000 (SNOMED CT-2)
C0522499 (UMLS CUI-1)
103357000 (SNOMED CT-1)
C0750491 (UMLS CUI-1)
415684004 (SNOMED CT-1)
C0013113 (UMLS CUI-1)
C0013113 (UMLS CUI-1)
Ultrasonography, Mammary (Code-2)
C0080264 (UMLS CUI-2)
47079000 (SNOMED CT-2)
12 (HL7 V3-2)
Side (Code-1)
C0441987 (UMLS CUI-1)
182353008 (SNOMED CT-1)
MTHU014973 (LOINC-1)
Ultrasonography, Mammary (Code-2)
C0080264 (UMLS CUI-2)
47079000 (SNOMED CT-2)
Right (Code-1)
C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)
Left (Code-1)
C0205091 (UMLS CUI-1)
7771000 (SNOMED CT-1)
C0442310 (UMLS CUI-1)
272485000 (SNOMED CT-1)
Ultrasonography, Mammary (Code-2)
C0080264 (UMLS CUI-2)
47079000 (SNOMED CT-2)
12 (HL7 V3-2)
C0449453 (UMLS CUI-1)
246116008 (SNOMED CT-1)
Ultrasonography, Mammary (Code-2)
C0080264 (UMLS CUI-2)
47079000 (SNOMED CT-2)
CL426924 (UMLS CUI-1)
C0024204 (UMLS CUI-1)
59441001 (SNOMED CT-1)
MTHU015050 (LOINC-1)
Ultrasonography, Mammary (Code-2)
C0080264 (UMLS CUI-2)
47079000 (SNOMED CT-2)
12 (HL7 V3-2)
C0205307 (UMLS CUI-1)
17621005 (SNOMED CT-1)
C0750491 (UMLS CUI-1)
415684004 (SNOMED CT-1)
C1521733 (UMLS CUI-1)
29458008 (SNOMED CT-1)
C0449791 (UMLS CUI-1)
246206008 (SNOMED CT-1)
Side (Code-1)
C0441987 (UMLS CUI-1)
182353008 (SNOMED CT-1)
MTHU014973 (LOINC-1)
Lesion (Code-2)
C0221198 (UMLS CUI-2)
49755003 (SNOMED CT-2)
Right (Code-1)
C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)
Left (Code-1)
C0205091 (UMLS CUI-1)
7771000 (SNOMED CT-1)
C0348078 (UMLS CUI-1)
246176004 (SNOMED CT-1)
Lesion (Code-2)
C0221198 (UMLS CUI-2)
49755003 (SNOMED CT-2)
C0332490 (UMLS CUI-1)
42700002 (SNOMED CT-1)
C1709367 (UMLS CUI-1)
C0439855 (UMLS CUI-1)
103360007 (SNOMED CT-1)
C0205126 (UMLS CUI-1)
24020000 (SNOMED CT-1)
C0205128 (UMLS CUI-1)
33096000 (SNOMED CT-1)
C0332238 (UMLS CUI-1)
54328002 (SNOMED CT-1)
Margin (Code-1)
C0205284 (UMLS CUI-1)
112233002 (SNOMED CT-1)
Ultrasonography, Mammary (Code-2)
C0080264 (UMLS CUI-2)
47079000 (SNOMED CT-2)
12 (HL7 V3-2)
C0205357 (UMLS CUI-1)
82280004 (SNOMED CT-1)
C0205271 (UMLS CUI-1)
49608001 (SNOMED CT-1)
CL381530 (UMLS CUI-1)
C0205219 (UMLS CUI-1)
19648000 (SNOMED CT-1)
CL427901 (UMLS CUI-1)
C1719852 (UMLS CUI-1)
421222001 (SNOMED CT-1)
CL381581 (UMLS CUI-1)
CL381580 (UMLS CUI-1)
CL381582 (UMLS CUI-1)
CL427829 (UMLS CUI-1)
C1881065 (UMLS CUI-1)
C1512426 (UMLS CUI-1)
posterior acoustic enhancement (Code-1)
CL427825 (UMLS CUI-1)
posterior acoustic shadowing (Code-1)
CL427967 (UMLS CUI-1)
Acoustic shadowing of mass (observable entity) (Code-1)
C1719833 (UMLS CUI-1)
420527001 (SNOMED CT-1)
Unilateral (Code-2)
C0205092 (UMLS CUI-2)
66459002 (SNOMED CT-2)
Acoustic shadowing of mass (observable entity) (Code-1)
C1719833 (UMLS CUI-1)
420527001 (SNOMED CT-1)
Bilateral (Code-2)
C0238767 (UMLS CUI-2)
51440002 (SNOMED CT-2)
C0549184 (UMLS CUI-1)
260413007 (SNOMED CT-1)
C0006826 (UMLS CUI-1)
363346000 (SNOMED CT-1)
10007050 (MedDRA-1)
MTHU010328 (LOINC-1)
C80 (ICD-10-CM-1)
199 (ICD-9-CM-1)
Within (Code-2)
C0332285 (UMLS CUI-2)
18720000 (SNOMED CT-2)
C0014406 (UMLS CUI-1)
276339004 (SNOMED CT-1)
MTHU009317 (LOINC-1)
Within (Code-2)
C0332285 (UMLS CUI-2)
18720000 (SNOMED CT-2)
C0005558 (UMLS CUI-1)
86273004 (SNOMED CT-1)
10004720 (MedDRA-1)
MTHU028106 (LOINC-1)
C0456900 (UMLS CUI-1)
277667006 (SNOMED CT-1)
C2733030 (UMLS CUI-1)
443803004 (SNOMED CT-1)
C0449791 (UMLS CUI-1)
246206008 (SNOMED CT-1)
C0184924 (UMLS CUI-1)
68660007 (SNOMED CT-1)
Count of entities (property) (qualifier value) (Code-2)
C0449788 (UMLS CUI-2)
410681005 (SNOMED CT-2)
C0011008 (UMLS CUI-1)
410671006 (SNOMED CT-1)
MTHU021546 (LOINC-1)
Signature of responsible attending physician on file (Code-2)
C0807938 (UMLS CUI-2)
C0807938 (UMLS CUI-1)
C1524062 (UMLS CUI-1)
MTHU013802 (LOINC-1)
Imaging, Medical (Code-2)
C0025086 (UMLS CUI-2)
71651007 (SNOMED CT-1)
10026735 (MedDRA-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
71651007 (SNOMED CT-1)
10026735 (MedDRA-1)
Date in time (Code-2)
C0011008 (UMLS CUI-2)
410671006 (SNOMED CT-2)
MTHU021546 (LOINC-2)
C0080264 (UMLS CUI-1)
47079000 (SNOMED CT-1)
12 (HL7 V3-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
C0080264 (UMLS CUI-1)
47079000 (SNOMED CT-1)
12 (HL7 V3-1)
Date in time (Code-2)
C0011008 (UMLS CUI-2)
410671006 (SNOMED CT-2)
MTHU021546 (LOINC-2)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Imaging, Medical (Code-2)
C0025086 (UMLS CUI-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)
Imaging, Medical (Code-2)
C0025086 (UMLS CUI-2)
Date in time (Code-3)
C0011008 (UMLS CUI-3)
410671006 (SNOMED CT-3)
MTHU021546 (LOINC-3)
C1514821 (UMLS CUI-1)
Cancer conference (Code-2)
C0805438 (UMLS CUI-2)
C0804663 (UMLS CUI-1)
21875-0 (LOINC-1)
413467001 (SNOMED CT-1)
C0589121 (UMLS CUI-1)
185389009 (SNOMED CT-1)
C0589121 (UMLS CUI-1)
185389009 (SNOMED CT-1)
Date in time (Code-2)
C0011008 (UMLS CUI-2)
410671006 (SNOMED CT-2)
MTHU021546 (LOINC-2)
C2348713 (UMLS CUI-1)
C0011008 (UMLS CUI-1)
410671006 (SNOMED CT-1)
MTHU021546 (LOINC-1)
Signature of responsible attending physician on file (Code-2)
C0807938 (UMLS CUI-2)
C0807938 (UMLS CUI-1)