| TEMPLATE ID | oBDS_ST |
|---|---|
| Concept | oBDS_ST |
| Description | Not Specified |
| Purpose | Not Specified |
| References | |
| Authors | date: 2023-08-25 |
| Other Details Language | date: 2023-08-25 |
| Other Details (Language Independent) |
|
| Language used | en |
| Citeable Identifier | 1246.169.3347 |
| Root archetype id | openEHR-EHR-COMPOSITION.report.v1 |
| oBDS_ST | oBDS_ST: Document to communicate information to others, commonly in response to a request from another party. |
| Other Context | |
| Report ID | Report ID: Identification information about the report. |
| Status | Status: The status of the entire report. Note: This is not the status of any of the report components. |
| Modul_Allgemein | Modul_Allgemein: Modul_Allgemein |
| Sozialdienstkontakt | Sozialdienstkontakt: * |
| Psychoonkologiekontakt | Psychoonkologiekontakt: * |
| Studienteilnahme | Studienteilnahme: * |
| Procedure | Procedure: A clinical activity carried out for screening, investigative, diagnostic, curative, therapeutic, evaluative or palliative purposes. |
| Description | |
| Therapieart | Therapieart: Identification of the procedure by name. Coding of the specific procedure with a terminology is preferred, where possible. Default value: Strahlentherapie |
| Meldeanlass | Meldeanlass: The clinical or process-related reason for the procedure. Coding of the indication with a terminology is preferred, where possible. This data element allows multiple occurrences. For example: 'Failed bowel preparation' or 'Bowel cancer screening'.
|
| Ende_Grund | Ende_Grund: Outcome of procedure performed. Coding with a terminology is preferred, where possible. Terminology: end_reason
|
| Intention | Intention: Reason that the activity or care pathway step for the identified procedure was carried out. For example: the reason for the cancellation or suspension of the procedure. Terminology: intention
|
| Protocol | |
| ST_ID | ST_ID: The local ID assigned to the order by the healthcare provider or organisation requesting the service. This is equivalent to Placer Order Number in HL7 v2 specifications.
|
| Relation to the operation | Relation to the operation: To illustrate the relationship between radiation therapy, systemic therapy and/or other therapy and surgical therapy (OP). |
| Position on surgery | Position on surgery: The relationship between radiation therapy, systemic therapy or other therapy to surgical therapy (OP). Terminology: relation_to_op
|
| Irradiation | Irradiation: Detailed information about the irradiation in radiotherapy. |
| Target region | Target region: The target region that was irradiated, e.g. pancreas. The terminology encoding of the target region is preferred. Use this data element to record the pre-identified anatomical location. If it's required to document the targeted region during the time of application, or more complicated modelling is required, such as relative location, then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the SLOT 'Target region details' in this archetype. |
| Start | Start: The date, on which the radiotherapy of the target region was started. |
| End | End: The date, on which the radiotherapy of the target region was ended. |
| Treatment method | Treatment method: Description of the technical procedure. Depending on how the radiation penetrates the body, different methods of irradiation are distinguished.
|
| Application type | Application type: Irradiation technique, as a further classification of the treatment method. The techniques of irradiation are diverse. If possible, encoding with a terminology is preferred. |
| Single dose | Single dose: The single dose used to irradiated the target region. The dose refers to the prescribed isodose (equal energy or ion dose on a line or area). |
| Dose (ED) | Dose (ED): The value of the single dose. Example: When specifying radiation dose 3.0 Gy, the value is '3.0'. 0..999.999 |
| Unit (ED) | Unit (ED): The unit in which the single dose was specified. The individual dose in radiation therapy is usually recorded in grays (Gy) and less frequently in gigabequerels (GBq). For a radiation dose of '3.0 Gy', the unit for the dose is 'Gy'. For a radiation dose of '2.6 GBq', the unit for the dose is 'GBq'.
|
| Total dose | Total dose: The total dose used to irradiate the
target region. The total dose is composed of several individual doses (fractions). For example: 30.0 Gy can be administered in 10 fractions of 3.0 Gy each. |
| Dose (SD) | Dose (SD): The value of the total dose. Example: When indicating radiation dose of 30.0 Gy, the value is '30.0'. 0..999.999 |
| Unit (SD) | Unit (SD): The unit in which the total dose was
specified. The individual dose in radiation therapy is usually recorded in grays (Gy) and less frequently in gigabequerels (GBq). For a radiation dose of '30.0 Gy', the unit for the dose is 'Gy'. For a radiation dose of '26.0 GBq', the unit for the dose is 'GBq'.
|
| Applikationsart | Applikationsart: Applikationsart |
| Perkutan | Perkutan: * |
| Radiochemo | Radiochemo: *
|
| Stereotektisch | Stereotektisch: *
|
| Atemgetriggert | Atemgetriggert: *
|
| Zielgebiet 2021 | Zielgebiet 2021: *
|
| Zielgebiet 2014 | Zielgebiet 2014: *
|
| Seite_Zielgebiet | Seite_Zielgebiet: *
|
| Strahlenart | Strahlenart: *
|
| Boost | Boost: *
|
| Kontakt | Kontakt: * |
| Interstitiell_endokavitaer | Interstitiell_endokavitaer: *
|
| Rate_Type | Rate_Type: *
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| Zielgebiet 2021 | Zielgebiet 2021: *
|
| Zielgebiet 2014 | Zielgebiet 2014: *
|
| Seite_Zielgebiet | Seite_Zielgebiet: *
|
| Strahlenart | Strahlenart: *
|
| Boost | Boost: *
|
| Metabolisch | Metabolisch: * |
| Metabolisch_Typ | Metabolisch_Typ: *
|
| Zielgebiet 2021 | Zielgebiet 2021: *
|
| Zielgebiet 2014 | Zielgebiet 2014: *
|
| Seite_Zielgebiet | Seite_Zielgebiet: *
|
| Strahlenart | Strahlenart: *
|
| Sonstige | Sonstige: * |
| Zielgebiet 2021 | Zielgebiet 2021: *
|
| Zielgebiet 2014 | Zielgebiet 2014: *
|
| Seite_Zielgebiet | Seite_Zielgebiet: *
|
| Common Terminology Criteria for Adverse Events (CTCAE) | Common Terminology Criteria for Adverse Events (CTCAE): A framework for recording the CTCAE classification for an unfavourable and unintended sign, symptom or disease. Formerly known as Common Toxicity Criteria (CTC). |
| Term | Term: The name of the sign, symptom or disease observed, recorded as a MedDRA Lowest Level Term (LLT). This element can be mapped to the corresponding MedDRA code. |
| Grad | Grad: The category representing the severity of the adverse event. The clinical descriptions for each 'Grade category' are documented in the published CTCAE v5.0 specification. Grade 0 has not been in use since CTCAE v2 but allows for the use of all versions of CTCAE.
|
| CTCAE version | CTCAE version: The version of the CTCAE terminology used. Terminology: ctcae_version
|