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HIS pathology report - organ prostate cancer - HIS

- 9/20/21 - 1 form, 10 itemgroups, 60 items, 2 languages
Itemgroups: Admininstrative Daten, Tumordiagnose, Tumorhistologie, Histologie, Gleason-Score, verschiedene Kriterien, Pathologischer TNM, Gewebeprobe Anzahl, Größe der Tumorprobe, Lokalisation von Fernmetastasen
HIS form from Soarian. Urologie Erlangen" with friendly permission of the urology Erlangen (Prof. Wullich) and the medical informatics department Erlangen (PD Dr. Bürkle)

HIS surgery complication prostate cancer - HIS

- 9/17/21 - 1 form, 5 itemgroups, 21 items, 2 languages
Itemgroups: Admininstrative Daten, Komplikationsbogen, Postoperativer Wundinfekt, Postoperative Revisionseingriffe, Clavien-Dindo Klassifikation
HIS form from Soarian. Urologie Erlangen" with friendly permission of the urology Erlangen (Prof. Wullich) and the medical informatics department Erlangen (PD Dr. Bürkle)

HIS autopsy form prostate cancer - HIS

- 9/17/21 - 1 form, 7 itemgroups, 47 items, 2 languages
Itemgroups: Admininstrative Daten, Tumordiagnose, Autopsiedaten, Tumorausbreitung, Fernmetastasen, TNM-Klassifikation, Tumorhistologie
HIS form from Soarian. Urologie Erlangen" with friendly permission of the urology Erlangen (Prof. Wullich) and the medical informatics department Erlangen (PD Dr. Bürkle)

HIS finding prostate biopsy prostate cancer - HIS

- 6/18/21 - 1 form, 8 itemgroups, 87 items, 2 languages
Itemgroups: Patientenaufkleber groß, Urologische Daten, Pathobefund, Klinik, Aufnahmedaten, Partin Tabellen, Vorerkrankungen, Tumorkonferenz
HIS form ORBIS. with friendly permission form urology (Prof. Semjonow) and medical informatics department (Dr. Breil)

HIS surgery report prostate cancer - HIS

- 4/13/21 - 1 form, 5 itemgroups, 24 items, 2 languages
Itemgroups: Kopfzeile, Patientendaten, OP-Personal, Weitere Angaben für Urologie-Ops, Intraoperativ
HIS form ORBIS. with friendly permission form urology (Prof. Semjonow) and medical informatics department (Dr. Breil)

HIS medical history - prostate prostate cancer - HIS

- 4/13/21 - 1 form, 7 itemgroups, 39 items, 2 languages
Itemgroups: Admininstrative Daten, Organspezifisch Prostata, Gewebebanking Einwilligung, Tumorspezifische Daten, Patientenbefragung, Score, EORTC Fragen
HIS form from Soarian. Urologie Erlangen" with friendly permission of the urology Erlangen (Prof. Wullich) and the medical informatics department Erlangen (PD Dr. Bürkle)

dataset CPCTR CDE Prostata Cancer prostate cancer - dataset

- 3/15/21 - 1 form, 24 itemgroups, 94 items, 2 languages
Itemgroups: Demographics, Clinical History, Prostatic specific Antigen (PSA), Diagnostic PSA, PSA Matrix, Histological Characteristics of Prostatectomy, Prostatectomy: Primary Gleason Grade, Prostatectomy: Secondary Gleason Grade, Prostatectomy: Gleason Sum Score, Histological Characteristics of Prostatectomy II, Regional Lymph node status at the time of Prostatectomy, Recurrence/Metastasis Status, Clinical verified tissue recurrence/metastasis, Staging, Pathological staging, Clinical Staging, Vital Status/Follow Up Date, Therapy Matrix, Type of Therapy, Overall Needle Biopsy Attributes, Biopsy: Primary Gleason Grade, Biopsy: Secondary Gleason Grade, Biopsy: Gleason Sum Score, Overall Needle Biopsy Attributes II
with friendly permission, ODM derived from PDFs attached to the paper: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1236914/

HIS systemic therapy - form prostate cancer - HIS

- 3/15/21 - 1 form, 10 itemgroups, 80 items, 2 languages
Itemgroups: Admininstrative Daten, Tumordiagnose, Systemische Therapie, Therapieart, Unterbrechung, Protokoll, Zyklen, Substanzen, Begleitmedikation, Nebenwirkungen
HIS form from Soarian. Urologie Erlangen" with friendly permission of the urology Erlangen (Prof. Wullich) and the medical informatics department Erlangen (PD Dr. Bürkle)

aftercare status prostate cancer - HIS

- 3/15/21 - 1 form, 6 itemgroups, 62 items, 2 languages
Itemgroups: Patientenaufkleber groß, Anamnese, PSA, Kontinenz, Potenz, Nebentherapie
HIS form ORBIS. with friendly permission form urology (Prof. Semjonow) and medical informatics department (Dr. Breil)

KBV Early Detection of Cancer Template 40

- 9/14/17 - 1 form, 3 itemgroups, 29 items, 1 language
Itemgroups: Header, Medical History, Finding
Muster 40 - Krebsfrüherkennung - Männer (Freigabe 01.09.2014). Formulare für die vertragsärztliche Versorgung - Freigabe durch Dezernat 4 - Ärztliche Leistungen und Versorgungsstruktur Geschäftsbereich Sicherstellung und Versorgungsstruktur Abteilung Sicherstellung Herbert-Lewin-Platz 2 10623 Berlin Tel: + 49 (0) 30 - 4005 -1418 Fax: + 49 (0) 30 - 4005 - 271418 Email: SJohn@KBV.de Web: www.kbv.de Quelle: http://www.kbv.de/html/formulare.php --- Template 40 - Early Detection of Cancer (Released 09-01-2014). Released by Department 4 - Medical treatment and structure of supply, division ensurance and structure of supply, department ensurance Herbert-Lewin-Platz 2 10623 Berlin Tel: + 49 (0) 30 - 4005 -1418 Fax: + 49 (0) 30 - 4005 - 271418 Email: SJohn@KBV.de Web: www.kbv.de Source: http://www.kbv.de/html/formulare.php

Prostate biopsy report University Hospital Muenster (UKM)

- 10/21/16 - 1 form, 4 itemgroups, 55 items, 1 language
Itemgroups: Demographic Information, General urological information, Gleason Score, Pathology report
Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: Prostatahistologie MS Prostata Biopsie Bericht

Tumor Conference University Hospital Muenster (UKM)

- 9/15/16 - 1 form, 3 itemgroups, 21 items, 1 language
Itemgroups: Tumor Conference, Specialized Division, Patient Information
Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: Tumorkonferenz MS.

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