46106-1 Medical record number [Identifier]

Fully-Specified Name

Component
Medical record number
Property
ID
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
ADMIN.PATIENT.ID
Type
Clinical
First Released
Version 2.17
Last Updated
Version 2.66 (MIN)
Change Reason
Removed method of MDS and copyright information since this is not an MDS-specific concept. Also change scale from narrative to nominal since this is not a narrative concept.; Changed CLASS from SURVEY.MDS to ADMIN
Order vs. Observation
Observation

HL7® Attributes

HL7® Field ID
PID-3

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer
45981-8Deprecated MDS full assessment form - version 2.0
46102-0Deprecated MDS quarterly assessment form - version 2.0
46103-8Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
86870-3Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6Deprecated Minimum Data Set - version 3.0
104608-5MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
74495-3Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
62949-3PhenX domain - Gastrointestinal
100997-6Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Αριθμός ιατρικού αρχείου:Αναγνωριστικό:Pt:^Ασθενής:Nom:
Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.ID Nom Pt Αναγνωριστικό Αριθμός Αριθμός ιατρικού αρχείου Ασθενής
es-MXSpanish (Mexico)Numero de historia CLINICA:ID:Punto temporal:^ Paciente:Nominal:
it-ITItalian (Italy)Numero di cartella clinica:ID:Pt:^Paziente:Nom:
Synonyms: Amministrativo Identificatore Numero di identificazione del paziente paziente Punto nel tempo (episodio)
zh-CNChinese (China)病历编号:标识符:时间点:^患者:名义型:
Synonyms: 个数;数目 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 时刻;随机;随意;瞬间 标志 标志符 标识 标识;身份标识符;身份标识 标识符 标识符(Identifier,ID) 病历号;病案编号;病案号;病案号码;病历号码;医疗记录编号;医疗记录号;医疗记录蛤蟆;医疗档案编号;医疗档案号;医疗档案号码 皮下 皮下的 皮内 皮内(Intradermal,ID) 皮内的 皮层内 皮层内的 真皮下 真皮下的 真皮内的 行政;管理;施行;执行;经营 行政管理(行政、管理、施行、执行、经营).患者(病人、病患、病号、伤病员) 行政管理(行政、管理、施行、执行、经营).患者(病人、病患、病号、伤病员).标识号(ID、身份标识符、身份标识) 识别 识别符

45397-7 Medicare or comparable number

Fully-Specified Name

Component
Medicare or comparable number
Property
ID
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
ADMIN.PATIENT.ID
Type
Clinical
First Released
Version 2.17
Last Updated
Version 2.66 (MIN)
Change Reason
Changed CLASS to ADMIN
Order vs. Observation
Both

HL7® Attributes

HL7® Field ID
PID-3

Member of these Panels

LOINCLong Common Name
76464-7American Physical Therapy Association registry panel
84908-3Cancer pathology panel - Prostate cancer
103991-6CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6Deprecated MDS basic assessment tracking form - version 2.0
86870-3Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6Deprecated Minimum Data Set - version 3.0
46462-8Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7ESRD patient information panel
106623-2Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
104608-5MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
88373-6Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
100997-6Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Medicare ή ανάλογος αριθμός:Αναγνωριστικό:Pt:^Ασθενής:Nom:
Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.ID Medicare ή ανάλογος αριθμός Nom Pt Αναγνωριστικό Αριθμός Ασθενής
es-MXSpanish (Mexico)Medicare o número comparable:ID:Punto temporal:^ Paciente:Nominal:
it-ITItalian (Italy)Medicare o numero equivalente:ID:Pt:^Paziente:Nom:
Synonyms: Amministrativo Assistenza medica o numero equivalente Identificatore Numero di identificazione del paziente paziente Punto nel tempo (episodio)
zh-CNChinese (China)医疗保险或类似编号:标识符:时间点:^患者:名义型:
Synonyms: 个数;数目 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗保险或类似(同类、可比)编号;医疗保险或类似号码;Medicare 或类似编号 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 时刻;随机;随意;瞬间 标志 标志符 标识 标识;身份标识符;身份标识 标识符 标识符(Identifier,ID) 皮下 皮下的 皮内 皮内(Intradermal,ID) 皮内的 皮层内 皮层内的 真皮下 真皮下的 真皮内的 行政;管理;施行;执行;经营 行政管理(行政、管理、施行、执行、经营).患者(病人、病患、病号、伤病员) 行政管理(行政、管理、施行、执行、经营).患者(病人、病患、病号、伤病员).标识号(ID、身份标识符、身份标识) 识别 识别符

42071-1 Accession number and class of case and sequence number override flag Cancer case

Term Description

Some computer edits identify errors. Others indicate possible errors that require manual review for resolution. To eliminate the need to review the same cases repeatedly, over-ride flags have been developed to indicate that data in a record (or records) have been reviewed and, while unusual, are correct.

This over-ride is used with the following edit in the NAACCR Metafile of the EDITS software:
Accession Number, Class of Case, Seq Number (COC)... NAACCR Data Standards and Data Dictionary Version 11

Fully-Specified Name

Component
Accession number & class of case & sequence number override flag
Property
Arb
Time
Pt
System
Cancer case.XXX
Scale
Ord
Method

Basic Attributes

Class
TUMRRGT
Type
Clinical
First Released
Version 2.16
Last Updated
Version 2.73 (MIN)
Common Test Rank Get Info
16584

Normative Answer List LL152-0

AnswerCodeScoreAnswer ID
Reviewed1LA4354-2
Not reviewedBlankLA4694-1

Member of these Panels

LOINCLong Common Name
84907-5Cancer pathology panel - Colorectal cancer specimen
84908-3Cancer pathology panel - Prostate cancer
49083-9North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 11 panel
59852-4North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 12 panel

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Σήμανση παράκαμψης αριθμού εγγραφής & κατηγορίας υπόθεσης & αύξοντος αριθμού:Arb:Pt:Περιστατικό καρκίνου.XXX:Ord:
Synonyms: Arb Ord Pt TUMRRGT XXX Αριθμός Αριθμός πρόσβασης Καρκίνος Κατηγορία Περιστατικό καρκίνου.XXX Σήμανση παράκαμψης αριθμού εγγραφής & κατηγορίας υπόθεσης & αύξοντος αριθμού
es-MXSpanish (Mexico)Número de acceso y clase de caso y indicador de anulación del número de secuencia:Arb:Punto temporal:Caso de cáncer XXX:Ordinal:
it-ITItalian (Italy)Numero di ammissione & classe di caso & numero di sequenza, flag ignorato:Arb:Pt:Cancro, caso.XXX:Ord:
Synonyms: Arbitrario Caso di cancro XXX Caso di neoplasia maligna XXX Flag ignorato per numero di ammissione e classe di Neoplasia maligna Punto nel tempo (episodio) Registro tumori
ru-RURussian (Russian Federation)Инвентарный номер & класс случая & порядковый номер переопределение флаг:Произв:ТчкВрм:Рак случай.XXX:Пор:
Synonyms: Порядковый Произвольный Случай рака XXX Точка во времени;Момент
zh-CNChinese (China)登录号与案例类别与序号重写标志:任意型:时间点:癌症病例.XXX:序数型:
Synonyms: NAACCR 肿瘤登记;癌症登记中心北美协会肿瘤登记;肿瘤注册;肿瘤登记(NAACCR);肿瘤登记(癌症登记中心北美协会);癌症登记中心北美协会;North American Association of Central Cancer Registries;NAACCR 不明的;其他;将在相应消息内其他部分之中加以详细说明;未作详细说明的;未作说明的;未做说明的标本;未加规定的;未加说明的标本;杂项 不明的癌症个案;不明的癌症案例;不明的癌症病例;未作说明的癌症个案;未作说明的癌症案例;未作说明的癌症病例;癌症个案.XXX;癌症个案.不明;癌症个案.未作说明的;癌症案例.XXX;癌症案例.不明;癌症案例.未作说明的;癌症病例.不明;癌症病例.未作说明的;此处未作说明的癌症病例 个数;数目 任意;任意的;人工型 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 族;种类;等;类;类别;级;纲;组 时刻;随机;随意;瞬间 癌 癌症个案 癌症案例 登录号与案例类别与序号覆盖标记;登录号与案例类别与序号重写标志;登录号与病案分类与顺序号重写标志;登录号与病历分类与序列号重写标志 记录号;编录号;入藏号;索取号;序列号

63907-0 Clinician-diagnosed illness [PhenX]

Fully-Specified Name

Component
Clinician-diagnosed illness
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
PhenX

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.65 (MIN)
Change Reason
Updated the PhenX ID from "PhenX.<ID>" to "PX<ID>" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.

Normative Answer List LL1116-4

AnswerCodeScoreAnswer ID
Myocardial infarction Copyright http://snomed.info/sct ID:22298006 Myocardial infarction (disorder)1LA14274-7
Angina pectoris Copyright http://snomed.info/sct ID:194828000 Angina (disorder)2LA14275-4
Coronary bypass3LA14276-2
Angioplasty or stent4LA14277-0
Transient ischemic attack - TIA5LA14278-8
Stroke (CVA) or TIA6LA12362-2
Deep vein thrombosis7LA7425-7
Pulmonary embolism8LA7468-7
Melanoma9LA14279-6
Basal cell skin cancer10LA14280-4
Squamous cell (epidermoid) carcinoma11LA15445-2
Fibrocystic or other benign breast disease12LA14282-0
Breast cancer13LA14283-8
Other cancer14LA14284-6
Colon or rectal polyp - benign15LA14285-3
Ulcerative colitis or Crohn's16LA14286-1
Gastric or duodenal ulcer17LA14287-9
Barrett's Esophagus18LA14288-7
Gallstones19LA14289-5
Cholecystectomy20LA14290-3
Diabetes mellitus21LA14291-1
Elevated cholesterol22LA14292-9
High blood pressure23LA14293-7
Endometriosis - 1st diagnosis24LA14294-5
Uterine fibroids - 1st diagnosis25LA14295-2
Premenstrual syndrome - PMS26LA14296-0
Kidney stones27LA14297-8
Multiple Sclerosis28LA14298-6
Asthma, doctor diagnosed29LA14299-4
Emphysema or chronic bronchitis, doctor diagnosis30LA14300-0
Pneumonia, x-ray confirmed31LA14301-8
Graves' Disease - hyperthyroidism32LA14302-6
Hypothyroidism33LA14303-4
Thyroid nodule (benign)34LA14304-2
Gout35LA14305-9
SLE (systemic lupus)36LA14306-7
Rheumatoid arthritis, doctor diagnosis37LA14307-5
Other arthritis38LA14308-3
Depression, clinician diagnosis39LA14309-1
Other major illness or surgery40LA14310-9

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer
62557-4PhenX domain - Cancer

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Ασθένεια που διαγιγνώσκεται από τον κλινικό ιατρό:Εύρεση:Pt:^Ασθενής:Nom:PhenX
Synonyms: - Nom PHENX Pt Ασθένεια που διαγιγνώσκεται από τον κλινικό ιατρό Ασθενής Εύρεση
es-MXSpanish (Mexico)Enfermedad diagnosticada por un médico:Tipo:Punto temporal:^ Paciente:Nominal:PhenX
it-ITItalian (Italy)Malattia diagnosticata dal medico:Osservazione:Pt:^Paziente:Nom:PhenX
Synonyms: Osservazione paziente PhenX Punto nel tempo (episodio)
ru-RURussian (Russian Federation)Клинически-диагностированное заболевание:Находка:ТчкВрм:^Пациент:Ном:PhenX
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CNChinese (China)临床医师诊断的疾病:发现:时间点:^患者:名义型:PhenX
Synonyms: Consensus measures for Phenotypes and eXposures;PhenX;暴露;接触;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 Consensus measures for Phenotypes and eXposures;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 临床医生诊断的疾病 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标,并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型,而对于叙述型文本之中所报告的发现,则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间

29306-8 Surgery procedure

Fully-Specified Name

Component
Surgery procedure
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.03
Last Updated
Version 2.29 (MIN)

Member of these Panels

LOINCLong Common Name
98249-6Cancer pathology panel - Endometrial cancer specimen
84908-3Cancer pathology panel - Prostate cancer
55169-7Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9Data Elements for Emergency Department Systems (DEEDS) Release 1.1
62863-6PhenX domain - Infectious diseases and immunity

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Χειρουργική διαδικασία:Type:Pt:^Ασθενής:Nom:
Synonyms: - H&P.PX Nom Pt Type Ασθενής Διαδικασία Χειρουργική διαδικασία Χειρουργική επέμβαση
es-ARSpanish (Argentina)procedimiento quirúrgico:tipo:punto en el tiempo:^paciente:Nominal:
es-MXSpanish (Mexico)Procedimiento de cirugia:Tipo:Punto temporal:^ Paciente:Nominal:
it-ITItalian (Italy)Procedura chirurgica:Tipo:Pt:^Paziente:Nom:
Synonyms: Esame obbiettivo Operazione chirurgica paziente Punto nel tempo (episodio)
pt-BRPortuguese (Brazil)Procedimento cirúrgico:Tipo:Pt:^Paciente:Nom:
Synonyms: Typ; Point in time; Random; Nominal
ru-RURussian (Russian Federation)Хирургическое вмешательство:Тип:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Процедура Точка во времени;Момент
zh-CNChinese (China)外科手术操作:类型:时间点:^患者:名义型:
Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查小节 型 外科操作;手术操作;外科手术操作项目 手术;外科;外科学;手术室 操作;程序;手续;步骤;规程;程序流程 时刻;随机;随意;瞬间 病史与体格检查

2857-1 Prostate specific Ag [Mass/volume] in Serum or Plasma

Part Descriptions

LP18193-0   Prostate specific Ag
Prostate-specific antigen is a glycoprotein and occurs in three forms in the blood: 1) PSA complexed with the serine protease inhibitor or alpha-1-antichymotrypsin, 2) free or uncomplexed PSA, and 3) PSA complexed with alpha-2 macroglobulin. The first two are detectable and the third is undectectable in conventional immunoassay. Elevated levels of PSA in serum or plasma indicate a pathological condition of the prostate (e.g. carcinoma, benign prostatic hyperplasia (BPH), or prostatitis). Inflammation or trauma to the prostate, such as following a biopsy or colonoscopy, can result in PSA elevations. PSA levels are also checked to monitor therapy in patients with prostate cancer. Source: Regenstrief LOINC

Fully-Specified Name

Component
Prostate specific Ag
Property
MCnc
Time
Pt
System
Ser/Plas
Scale
Qn
Method

Basic Attributes

Class
CHEM
Type
Laboratory
First Released
Version 1.0
Last Updated
Version 2.73 (MIN)
Order vs. Observation
Both
Common Test Rank Get Info
177

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer
75868-0HEDIS 2015 Value Sets
79544-3HEDIS 2016 Value Sets
82955-6HEDIS 2017 Value Sets
87625-0HEDIS 2018 Value Sets
90766-7HEDIS 2019 Value Sets
94137-7HEDIS 2020 Value Sets
96068-2HEDIS MY 2020 Value Sets
53764-7Prostate specific Ag panel - Serum or Plasma

Member of these Groups Get Info

LOINC GroupGroup Name
LG11034-2Prostate specific Ag|MCnc|Pt|ANYBldSerPl
LG47752-7Prostate specific Ag|Pt|Ser/Plas

Language Variants Get Info

TagLanguageTranslation
ar-JOArabic (Jordan)مستضد البروستات النوعي في المصل أو البلازما ( بتقنية الكتلة / الحجم )
cs-CZCzech (Czechia)Prostatický specifický Ag:Hmotnostní koncentrace:Časový bod:Sérum/plazma:Kvantitativní:
de-ATGerman (Austria)Synonyms: PSA(Prostata-spezifisches Antigen)
de-DEGerman (Germany)Prostataspezifisches Ag:Massenkonzentration:Zeitpunkt:Serum oder Plasma:Quantitativ:
Synonyms: PSA; Gesamt-PSA
el-GRGreek (Greece)Ειδικό προστατικό Αντιγόνο:MCnc:Pt:Ορός/Πλάσμα:Qn:
Synonyms: CHEM MCnc Pt Qn Αντιγόνο Ειδικό προστατικό Ορός Ορός/Πλάσμα Πλάσμα
es-ARSpanish (Argentina)[antígeno] prostático específico [Ag]:concentración de masa:punto en el tiempo:suero:cuantitativo:
es-ESSpanish (Spain)Prostático específico Antígeno:Concentración de masa:Punto temporal:Suero o Plasma:Qn:
Synonyms: Cuantitativo
es-MXSpanish (Mexico)Ag específico de próstata:Concentración de masa:Punto temporal:Suero o Plasma:Cuantitativo:
fr-CAFrench (Canada)Spécifique à la prostate, Ag:Concentration de masse:Temps ponctuel:Sérum/Plasma:Quantitatif:
fr-FRFrench (France)Prostate spécifique Ag:Masse/Volume:Ponctuel:Sérum/Plasma:Numérique:
fr-BEFrench (Belgium)Spécifique de la prostate Ag:Concentration de masse:Temps ponctuel:Sérum/Plasma:Quantitatif:
Synonyms: Antigène
it-ITItalian (Italy)Prostatico specifico, Ag:MCnc:Pt:Siero/Plasma:Qn:
Synonyms: Chimica Concentrazione di Massa Plasma Punto nel tempo (episodio) Siero Siero o Plasma
ko-KRKorean (Korea, Republic Of)전립선 특이 항원:질량농도:검사시점:혈청/혈장:정량:
nl-NLDutch (Netherlands)prostaatspecifiek Ag:massa/volume:moment:serum of plasma:kwantitatief:
Synonyms: antigeen
pl-PLPolish (Poland)Swoisty sterczowy Ag:stężenie masowe:punkt w czasie:surowica lub osocze:ilościowy:
pt-BRPortuguese (Brazil)Prostático Específico Ag:MCnc:Pt:Sor/Plas:Qn:
Synonyms: ; PSA; Kallikrein 3; Mass concentration; Level; Point in time; Random; SerPl; SerPlas; SerP; Serum; SR; Plasma; Pl; Plsm; Quantitative; QNT; Quant; Quan; Antigen; Antigens; Spec; Chemistry
ru-RURussian (Russian Federation)Простат специфический Аг:МассКонц:ТчкВрм:Сыв/Плаз:Колич:
Synonyms: Количественный Массовая концентрация Плазма Сыворотка Сыворотка или Плазма Точка во времени;Момент
tr-TRTurkish (Turkey)Prostat spesifik Ag:KütlKons:Zmlı:Ser/Plaz:Kant:
Synonyms: Antijen
uk-UAUkrainian (Ukraine)Простат-специфічний антиген:Масова Концентрація:МоментЧасу:Сироватка/Плазма:Кількісно:
Synonyms: Antigen; Antigens; Chemistry; Genitourinary; GU; Kallikrein 3; Level; Mass concentration; Oncology; P-30 antigen; Pl; Plasma; Plsm; Point in time; PS; PSA; QNT; Quan; Quant; Quantitative; Random; Seminin; SerP; SerPl; SerPlas; Serum; Serum or plasma; Spec; SR; Tumor marker; UniversalLabOrders; URO; Urology
zh-CNChinese (China)前列腺特异性 抗原:质量浓度:时间点:血清/血浆:定量型:
Synonyms: Ag Kallikrein 3 PSA 前列腺特异 前列腺特异性抗原(Prostate Specific Antigen,PSA) 前列腺特异抗原 化学;化学检验项目;化学检验项目类;化学类;化学试验;非刺激耐受型化学检验项目;非刺激耐受型化学检验项目类;非刺激耐受型化学试验;非刺激耐受型化学试验类 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 水平;浓度;质量浓度(单位体积) 激肽释放酶 3 特异 特异性的 特异的 血清或血浆 血管舒缓素 3

Example Units

UnitSource
ng/mLExample UCUM Units
ug/LeCHN

55752-0 Clinical information

Term Description

A section containing clinical details about the case such as presenting signs and symptoms, onset date of symptoms, the specific diagnosis/condition names (e.g Ulceroglandular tularemia), who made the diagnosis, their contact information , when the diagnosis was made etc., past clinical hx, the overall condition of the patient, etc.

Fully-Specified Name

Component
Clinical information
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Basic Attributes

Class
PUBLICHEALTH
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.73 (MIN)
Common Test Rank Get Info
1702

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer
87416-4Diagnostic imaging report - recommended DICOM PS3.20 sections
81186-9Gastric cancer pathology panel

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Κλινικές πληροφορίες:Εύρεση:Pt:^Ασθενής:Nar:
Synonyms: - Nar Pt PUBLICHEALTH Ασθενής Εύρεση Κλινικές πληροφορίες
es-MXSpanish (Mexico)Información clínica:Tipo:Punto temporal:^ Paciente:Narrativo:
fr-FRFrench (France)Informations cliniques:Recherche:Ponctuel:^patient:Résultat textuel:
it-ITItalian (Italy)Informazioni cliniche:Osservazione:Pt:^Paziente:Nar:
Synonyms: Osservazione paziente Punto nel tempo (episodio) Sanità pubblica
ru-RURussian (Russian Federation)Клиническая информация:Находка:ТчкВрм:^Пациент:Опис:
Synonyms: Описательный Точка во времени;Момент
zh-CNChinese (China)临床信息:发现:时间点:^患者:叙述型:
Synonyms: 临床资料;临床资讯 公共健康;公众健康;大众健康 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标,并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型,而对于叙述型文本之中所报告的发现,则可能是叙述型。;发现物;所见;结果;结论 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 时刻;随机;随意;瞬间

21908-9 Stage group.clinical Cancer

Term Description

Detailed site-specific codes for the clinical stage group as defined by AJCC and recorded by the physician. Pathologic, clinical, and other stage data are given three separate areas in the NAACCR Data Exchange Record Layout.

COC requires that AJCC TNM staging be used in its approved cancer programs. AJCC developed its staging system for evaluating trends in the treatment and control of cancer. This staging is used by physicians to estimate prognosis, to plan treatment, to evaluate new types of therapy, to analyze outcome, to design follow-up strategies, and to assess early detection results... NAACCR Data Standards and Data Dictionary Version 11

Fully-Specified Name

Component
Stage group.clinical
Property
Class
Time
Pt
System
Cancer.XXX
Scale
Nom
Method

Basic Attributes

Class
TUMRRGT
Type
Clinical
First Released
Version 1.0m
Last Updated
Version 2.32 (MIN)

Normative Answer List LL240-3

AnswerCodeScoreAnswer ID
Stage IVB4BLA3649-6
Stage IVA4ALA3650-4
Stage IV4LA3651-2
Stage IIIC3CLA3654-6
Stage IIIB3BLA3655-3
Stage IIIA3ALA3656-1
Stage III3LA3657-9
Stage IIC2CLA3658-7
Stage IIB2BLA3659-5
Stage IIA2ALA3660-3
Stage II2LA3661-1
Stage IA1ALA3663-7
Stage I1LA3664-5
Stage T1A2A2LA4284-1
Stage IVC4CLA4314-6
Stage IC1CLA4316-1
Stage 0is0SLA4321-1
Stage 0A0ALA4322-9
Stage 00LA4323-7
Stage T1B1BLA4371-6
Recurrent, unstaged, unknown, Stage X99LA4391-4
Stage T1A1A1LA4401-1
Stage T1B2B2LA4484-7
Stage T1B1B1LA4485-4
Not applicable (no AJCC staging scheme)88LA4703-0
OccultOCLA4744-4
Stage IE1ELA21791-1
Stage IS1SLA4315-3
Stage IIA12A1LA21844-8
Stage IIA22A2LA21845-5
Stage IIE2ELA21794-5
Stage IIS2SLA21847-1
Stage IIIC13C1LA21848-9
Stage IIIC23C2LA21871-1
Stage IIIE3ELA3652-0
Stage IIIS3SLA21800-0
Stage IVA14A1LA21872-9
Stage IVA24A2LA21850-5
Stage IVE4ELA21802-6
Stage IVS4SLA3648-8

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer
49083-9North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 11 panel
59852-4North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 12 panel
75620-5TNM clinical staging before treatment panel Cancer

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Ομάδα σταδίου.κλινική:Κατηγορία:Pt:Καρκίνος.XXX:Nom:
Synonyms: Nom Pt TUMRRGT XXX Καρκίνος Καρκίνος.XXX Κατηγορία Ομάδα σταδίου.κλινική Στάδιο
es-ARSpanish (Argentina)grupo de estadio.clínico:clase:punto en el tiempo:cáncer.XXX:Nominal:
es-MXSpanish (Mexico)Grupo de estadio clínico:Clase:Punto temporal:Cancer.XXX:Nominal:
it-ITItalian (Italy)Stadio, gruppo.clinico:Classe:Pt:Cancro.XXX:Nom:
Synonyms: Cancro XXX Fase Neoplasia maligna Punto nel tempo (episodio) Registro tumori
ru-RURussian (Russian Federation)Стадия группа.клинический:Класс:ТчкВрм:Рак.XXX:Ном:
Synonyms: Группа стадий.клиническая Номинальный;Именной Точка во времени;Момент
zh-CNChinese (China)期别.临床:分类:时间点:癌.XXX:名义型:
Synonyms: NAACCR 肿瘤登记;癌症登记中心北美协会肿瘤登记;肿瘤注册;肿瘤登记(NAACCR);肿瘤登记(癌症登记中心北美协会);癌症登记中心北美协会;North American Association of Central Cancer Registries;NAACCR 不明癌;不明癌症;未作说明的癌;未作说明的癌症;癌.不明;癌.未作说明的;癌症.XXX;癌症.不明;癌症.未作说明的;此处未作说明的癌 不明的;其他;将在相应消息内其他部分之中加以详细说明;未作详细说明的;未作说明的;未做说明的标本;未加规定的;未加说明的标本;杂项 分期.临床;分期组别.临床 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 分级;阶段;时期 族;种类;等;类;类别;级;纲;组 时刻;随机;随意;瞬间 癌

33723-8 Specimen length

Fully-Specified Name

Component
Specimen length
Property
Len
Time
Pt
System
Specimen
Scale
Qn
Method

Basic Attributes

Class
PATH.PROTOCOLS.GENER
Type
Laboratory
First Released
Version 2.09
Last Updated
Version 2.70 (MIN)
Change Reason
Removed Method since this term is not specific to CAP cancer protocols.
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
84907-5Cancer pathology panel - Colorectal cancer specimen
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Vzorek délka:Délka:Časový bod:Vzorek:Kvantitativní:
el-GRGreek (Greece)Μήκος δείγματος:Len:Pt:Δείγμα:Qn:
Synonyms: Len PATH PATH.PROTOCOLS.GENER Pt Qn Δείγμα Μήκος Μήκος δείγματος
es-ARSpanish (Argentina)largo de espécimen:longitud:punto en el tiempo:espécimen:cuantitativo:protocolos de oncología del CAP
es-ESSpanish (Spain)Longitud de la muestra:Longitud:Punto temporal:Especimen:Qn:
Synonyms: Cuantitativo
es-MXSpanish (Mexico)Longitud de la muestra:Largo:Punto temporal:Muestra:Cuantitativo:
it-ITItalian (Italy)Campione, lunghezza:Len:Pt:Campione:Qn:
Synonyms: Lunghezza Lunghezza del campione Patologia Protocolli patologia - generale Punto nel tempo (episodio)
nl-NLDutch (Netherlands)monsterlengte:afmeting:moment:monster:kwantitatief:
Synonyms: lengte
pl-PLPolish (Poland)Długość próbki:długość:punkt w czasie:próbka:ilościowy:
Synonyms: ogólne protokoły stosowane w patomorfologii
pt-BRPortuguese (Brazil)Comprimento da amostra:Comprimento:Pt:Amostra:Qn:Protocolos de cancer do CAP
Synonyms: Point in time; Random; Spec; Quantitative; QNT; Quant; Quan; CAP protocol; PATHOLOGY PROTOCOLS general
ru-RURussian (Russian Federation)Образец длина:Дл:ТчкВрм:Образец:Колич:
Synonyms: Длина Количественный порция;образец;материал для анализа Точка во времени;Момент
tr-TRTurkish (Turkey)Örnek uzunluğu:Uzn:Zmlı:Örnek:Kant:
Synonyms: Spesmen Spesmen uzunluğu Süre
zh-CNChinese (China)标本长度:长度:时间点:标本:定量型:
Synonyms: 一般病理学原始记录;普通病理学原始记录;病理学.原始记录.普通;病理学.方案.一般;病理学.方案.普通;病理学原始记录.一般;病理学原始记录.普通;病理学方案.一般;病理学方案.普通 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 受检物 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 标本(样本、样品、试样) 样品 样本 病理学.方案 病理学原始记录 病理学方案 试样 长;长短

Example Units

UnitSource
cmExample UCUM Units

84894-5 Dimension [Length] of Specimen

Term Description

The size of a specimen may be recorded in two or more linear measurements (dimensions), e.g. length and width. Each dimension can be recorded by repeating this term. Specimen dimensions enable comparison with clinical and imaging estimates of volume. To record only the length of a specimen, use "Specimen length" LOINC 33723-8. This term was created for, but not limited in use to, the Prostate Cancer (Radical Prostatectomy) Structured Reporting Protocol (2nd Edition, 2014) developed by the Royal College of Pathologists of Australasia (RCPA) for structured reporting of prostate cancer.

Fully-Specified Name

Component
Dimension
Property
Len
Time
Pt
System
Specimen
Scale
Qn
Method

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.68 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Rozměr:Délka:Časový bod:Vzorek:Kvantitativní:
el-GRGreek (Greece)Διαστάσεις:Len:Pt:Δείγμα:Qn:
Synonyms: Len PATH Pt Qn Δείγμα Διαστάσεις
es-ESSpanish (Spain)Dimensión:Longitud:Punto temporal:Especimen:Qn:
Synonyms: Cuantitativo
es-MXSpanish (Mexico)Dimensión:Largo:Punto temporal:Muestra:Cuantitativo:
fr-FRFrench (France)Dimension:Longueur:Ponctuel:Prélèvement:Numérique:
it-ITItalian (Italy)Dimensione:Len:Pt:Campione:Qn:
Synonyms: Lunghezza Patologia Punto nel tempo (episodio)
zh-CNChinese (China)尺寸:长度:时间点:标本:定量型:
Synonyms: 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 受检物 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 外形尺寸;外型尺寸;维度;维;大小 时刻;随机;随意;瞬间 样品 样本 试样 长;长短

Example Units

UnitSource
mmExample UCUM Units

84895-2 Seminal vesicles [Presence] in Specimen

Term Description

The presence (partially or completely resected) or absence of seminal vesicles in the specimen. This term was created for, but not limited in use to, the Prostate Cancer (Radical Prostatectomy) Structured Reporting Protocol (2nd Edition, 2014) developed by the Royal College of Pathologists of Australasia (RCPA) for structured reporting of prostate cancer.

Fully-Specified Name

Component
Seminal vesicles
Property
PrThr
Time
Pt
System
Specimen
Scale
Ord
Method

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Example Answer List LL3950-4

AnswerCodeScoreAnswer ID
Present Copyright http://snomed.info/sct ID:52101004 Present (qualifier value)LA9633-4
Absent Copyright http://snomed.info/sct ID:2667000 Absent (qualifier value)LA9634-2

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Semenné váčky:Přítomnost nebo práh:Časový bod:Vzorek:Ordinální:
el-GRGreek (Greece)Σπερματοδόχες κύστεις:PrThr:Pt:Δείγμα:Ord:
Synonyms: Ord PATH PrThr Pt Δείγμα Σπερματοδόχες κύστεις
es-ESSpanish (Spain)Vesículas seminales:PrThr:Punto temporal:Especimen:Ord:
es-MXSpanish (Mexico)Vesículas seminales:Presencia o umbral:Punto temporal:Muestra:Ordinal:
it-ITItalian (Italy)Vescicole seminali:PrThr:Pt:Campione:Ord:
Synonyms: Patologia Presenza o Soglia Punto nel tempo (episodio)
zh-CNChinese (China)精囊:存在情况或阈值:时间点:标本:序数型:
Synonyms: 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 储精囊;贮精囊;精囊类 受检物 存在情况;存在;存在与否;是否存在;阈值;界值;界限;阀值;临界值;存在情况(存在、存在与否、是否存在)或阈值(界值、界限、阀值、临界值) 时刻;随机;随意;瞬间 样品 样本 试样

84896-0 Lymph node(s) [Presence] in Specimen

Term Description

The presence or absence of lymph nodes in the specimen. This term was created for, but not limited in use to, the Prostate Cancer (Radical Prostatectomy) Structured Reporting Protocol (2nd Edition, 2014) developed by the Royal College of Pathologists of Australasia (RCPA) for structured reporting of prostate cancer.

Fully-Specified Name

Component
Lymph node(s)
Property
PrThr
Time
Pt
System
Specimen
Scale
Ord
Method

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Example Answer List LL3950-4

AnswerCodeScoreAnswer ID
Present Copyright http://snomed.info/sct ID:52101004 Present (qualifier value)LA9633-4
Absent Copyright http://snomed.info/sct ID:2667000 Absent (qualifier value)LA9634-2

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Uzliny lymfatické:Přítomnost nebo práh:Časový bod:Vzorek:Ordinální:
el-GRGreek (Greece)Λεμφαδένας(ες):PrThr:Pt:Δείγμα:Ord:
Synonyms: Ord PATH PrThr Pt S Δείγμα Λεμφαδένας(ες)
es-ESSpanish (Spain)Nódulo(s) linfático(s):PrThr:Punto temporal:Especimen:Ord:
es-MXSpanish (Mexico)Ganglio (s) linfático:Presencia o umbral:Punto temporal:Muestra:Ordinal:
fr-FRFrench (France)Ganglions lymphatiques:Présence/Seuil:Ponctuel:Prélèvement:Qualitatif:
it-ITItalian (Italy)Linfonodo(i):PrThr:Pt:Campione:Ord:
Synonyms: Coinvolgimento del linfonodo Patologia Presenza o Soglia Punto nel tempo (episodio)
nl-NLDutch (Netherlands)lymfeklier(en):aanwezigheid:moment:monster:ordinaal:
zh-CNChinese (China)淋巴结:存在情况或阈值:时间点:标本:序数型:
Synonyms: S 型 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 受检物 存在情况;存在;存在与否;是否存在;阈值;界值;界限;阀值;临界值;存在情况(存在、存在与否、是否存在)或阈值(界值、界限、阀值、临界值) 时刻;随机;随意;瞬间 样品 样本 淋巴结(一个或多个) 累及淋巴结 试样

84897-8 Dominant nodule quadrant [Anatomy] in Prostate tumor

Term Description

The quadrant (e.g. right anterior, right posterior, left anterior or left posterior) in which the dominant (largest) nodule of the tumor is located. To record the quadrant in which the other nodule(s) are located, use LOINC 84900-0. This term was created for, but not limited in use to, the Prostate Cancer (Radical Prostatectomy) Structured Reporting Protocol (2nd Edition, 2014) developed by the Royal College of Pathologists of Australasia (RCPA) for structured reporting of prostate cancer.

Fully-Specified Name

Component
Dominant nodule quadrant
Property
Anat
Time
Pt
System
Prostate tumor
Scale
Nom
Method

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Preferred Answer List LL4079-1

AnswerCodeScoreAnswer ID
Right anteriorLA26548-0
Left anteriorLA26550-6
Right posteriorLA26549-8
Left posteriorLA26551-4

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Uzlina dominantní kvadrant:Anatomie:Časový bod:Prostata nádor:Nominální:
el-GRGreek (Greece)Τεταρτημόριο κυρίαρχου οζιδίου:Anat:Pt:Όγκος προστάτη:Nom:
Synonyms: Anat Nom PATH Pt Όγκος Όγκος προστάτη Προστάτης Τεταρτημόριο Τεταρτημόριο κυρίαρχου οζιδίου
es-ESSpanish (Spain)Cuadrante del nódulo dominante:Anatatomia:Punto temporal:Tumor prostático:Nom:
es-MXSpanish (Mexico)Cuadrante de nódulo dominante:Anatomía:Punto temporal:Tumor de próstata:Nominal:
it-ITItalian (Italy)Quadrante del nodulo dominante:Anat:Pt:Tumore della prostata:Nom:
Synonyms: Anatomia Neoplasia Neoplasia prostatica Patologia Punto nel tempo (episodio)
zh-CNChinese (China)优势结节象限:解剖学:时间点:前列腺肿瘤:名义型:
Synonyms: 优势(首要、最大、主要)结节(肿瘤结节、肿瘤病灶、肿瘤灶、病灶)象限 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 圆或其他形状的四分之一;四分之一区域;四分之一圆;四分之一圆周;四分体 摄护腺 时刻;随机;随意;瞬间 瘤;肿块;赘生物 解剖;解剖结构

84898-6 Dominant nodule plane [Anatomy] in Prostate tumor

Term Description

The location of the dominant (largest) nodule by plane (e.g. apex, mid, or base of prostate). This information is important for correlation with needle biopsy findings, imaging results, etc. To record the location of other nodule(s) by plane, use LOINC 84901-8. This term was created for, but not limited in use to, the Prostate Cancer (Radical Prostatectomy) Structured Reporting Protocol (2nd Edition, 2014) developed by the Royal College of Pathologists of Australasia (RCPA) for structured reporting of prostate cancer.

Fully-Specified Name

Component
Dominant nodule plane
Property
Anat
Time
Pt
System
Prostate tumor
Scale
Nom
Method

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Preferred Answer List LL4080-9

AnswerCodeScoreAnswer ID
ApexLA25154-8
MidLA26546-4
BaseLA25152-2

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Uzlina dominantní rovina:Anatomie:Časový bod:Prostata nádor:Nominální:
el-GRGreek (Greece)Επίπεδο κυρίαρχου οζιδίου:Anat:Pt:Όγκος προστάτη:Nom:
Synonyms: Anat Nom PATH Pt Επίπεδο κυρίαρχου οζιδίου Όγκος Όγκος προστάτη Προστάτης
es-ESSpanish (Spain)Plano del nódulo dominate:Anatatomia:Punto temporal:Tumor prostático:Nom:
es-MXSpanish (Mexico)Plano del nódulo dominante:Anatomía:Punto temporal:Tumor de próstata:Nominal:
it-ITItalian (Italy)Piano del nodulo dominante:Anat:Pt:Tumore della prostata:Nom:
Synonyms: Anatomia Neoplasia Neoplasia prostatica Patologia Punto nel tempo (episodio)
zh-CNChinese (China)优势结节平面:解剖学:时间点:前列腺肿瘤:名义型:
Synonyms: 优势(首要、最大、主要)结节(肿瘤结节、肿瘤病灶、肿瘤灶、病灶)平面(面);优势结节平面位置 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 摄护腺 时刻;随机;随意;瞬间 瘤;肿块;赘生物 解剖;解剖结构

84899-4 Other nodules greater than 10mm in diameter [Presence] in Prostate tumor

Term Description

The presence or absence of other nodules greater than 10 mm in diameter in addition to the dominant (largest) nodule in the prostate tumor. This term was created for, but not limited in use to, the Prostate Cancer (Radical Prostatectomy) Structured Reporting Protocol (2nd Edition, 2014) developed by the Royal College of Pathologists of Australasia (RCPA) for structured reporting of prostate cancer.

Fully-Specified Name

Component
Other nodules greater than 10mm in diameter
Property
PrThr
Time
Pt
System
Prostate tumor
Scale
Ord
Method

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Example Answer List LL3950-4

AnswerCodeScoreAnswer ID
Present Copyright http://snomed.info/sct ID:52101004 Present (qualifier value)LA9633-4
Absent Copyright http://snomed.info/sct ID:2667000 Absent (qualifier value)LA9634-2

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Uzliny ostatní větší než 10 mm v průměru:Přítomnost nebo práh:Časový bod:Prostata nádor:Ordinální:
el-GRGreek (Greece)Άλλα οζίδια με διάμετρο μεγαλύτερη από 10 mm:PrThr:Pt:Όγκος προστάτη:Ord:
Synonyms: Ord PATH PrThr Pt Άλλα οζίδια με διάμετρο μεγαλύτερη από 10 mm Διάμετρος Όγκος Όγκος προστάτη Προστάτης
es-ESSpanish (Spain)Otros nódulos mayores de 10 mm de diámetro:PrThr:Punto temporal:Tumor prostático:Ord:
es-MXSpanish (Mexico)Otros nódulos de más de 10 mm de diámetro:Presencia o umbral:Punto temporal:Tumor de próstata:Ordinal:
it-ITItalian (Italy)Altri noduli più grandi di 10mm di diametro:PrThr:Pt:Tumore della prostata:Ord:
Synonyms: Neoplasia Neoplasia prostatica Patologia Presenza o Soglia Punto nel tempo (episodio)
zh-CNChinese (China)直径大于 10mm 的其他结节:存在情况或阈值:时间点:前列腺肿瘤:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 其他的 其它 其它的 别的 另外的 存在情况;存在;存在与否;是否存在;阈值;界值;界限;阀值;临界值;存在情况(存在、存在与否、是否存在)或阈值(界值、界限、阀值、临界值) 摄护腺 时刻;随机;随意;瞬间 瘤;肿块;赘生物 直径大于 10mm 的其他(其它、其余)结节(肿瘤结节、肿瘤病灶、肿瘤灶、病灶);直径大于10毫米的其他结节;直径大于1厘米的其他结节

84900-0 Other nodule quadrant [Anatomy] in Prostate tumor

Term Description

The quadrant (e.g. right anterior, right posterior, left anterior or left posterior) in which the other nodule(s) are located. To record the quadrant location of the dominant (largest) nodule, use LOINC 84897-8. This term was created for, but not limited in use to, the Prostate Cancer (Radical Prostatectomy) Structured Reporting Protocol (2nd Edition, 2014) developed by the Royal College of Pathologists of Australasia (RCPA) for structured reporting of prostate cancer.

Fully-Specified Name

Component
Other nodule quadrant
Property
Anat
Time
Pt
System
Prostate tumor
Scale
Nom
Method

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Preferred Answer List LL4079-1

AnswerCodeScoreAnswer ID
Right anteriorLA26548-0
Left anteriorLA26550-6
Right posteriorLA26549-8
Left posteriorLA26551-4

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Uzlina jiná kvadrant:Anatomie:Časový bod:Prostata nádor:Nominální:
el-GRGreek (Greece)Τεταρτημόριο άλλου οζιδίου:Anat:Pt:Όγκος προστάτη:Nom:
Synonyms: Anat Nom PATH Pt Όγκος Όγκος προστάτη Προστάτης Τεταρτημόριο Τεταρτημόριο άλλου οζιδίου
es-ESSpanish (Spain)Cuadrante de otro nódulo:Anatatomia:Punto temporal:Tumor prostático:Nom:
es-MXSpanish (Mexico)Otro cuadrante de nódulos:Anatomía:Punto temporal:Tumor de próstata:Nominal:
it-ITItalian (Italy)Quadrante altro nodulo:Anat:Pt:Tumore della prostata:Nom:
Synonyms: Anatomia Neoplasia Neoplasia prostatica Patologia Punto nel tempo (episodio)
zh-CNChinese (China)其他结节象限:解剖学:时间点:前列腺肿瘤:名义型:
Synonyms: 其他(其它、其余)结节(肿瘤结节、肿瘤病灶、肿瘤灶、病灶)象限 其他的 其它 其它的 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 别的 另外的 圆或其他形状的四分之一;四分之一区域;四分之一圆;四分之一圆周;四分体 摄护腺 时刻;随机;随意;瞬间 瘤;肿块;赘生物 解剖;解剖结构

84901-8 Other nodule plane [Anatomy] in Prostate tumor

Term Description

The location of the other nodule(s) by plane (e.g. apex, mid, or base of prostate). To record the plane location of the dominant (largest) nodule, use LOINC 84898-6. This term was created for, but not limited in use to, the Prostate Cancer (Radical Prostatectomy) Structured Reporting Protocol (2nd Edition, 2014) developed by the Royal College of Pathologists of Australasia (RCPA) for structured reporting of prostate cancer.

Fully-Specified Name

Component
Other nodule plane
Property
Anat
Time
Pt
System
Prostate tumor
Scale
Nom
Method

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Preferred Answer List LL4080-9

AnswerCodeScoreAnswer ID
ApexLA25154-8
MidLA26546-4
BaseLA25152-2

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Uzlina jiná rovina:Anatomie:Časový bod:Prostata nádor:Nominální:
el-GRGreek (Greece)Επίπεδο άλλου οζιδίου:Anat:Pt:Όγκος προστάτη:Nom:
Synonyms: Anat Nom PATH Pt Επίπεδο άλλου οζιδίου Όγκος Όγκος προστάτη Προστάτης
es-ESSpanish (Spain)Plano de otro nódulo:Anatatomia:Punto temporal:Tumor prostático:Nom:
es-MXSpanish (Mexico)Otro plano de nódulo:Anatomía:Punto temporal:Tumor de próstata:Nominal:
it-ITItalian (Italy)Piano altro nodulo:Anat:Pt:Tumore della prostata:Nom:
Synonyms: Anatomia Neoplasia Neoplasia prostatica Patologia Punto nel tempo (episodio)
zh-CNChinese (China)其他结节平面:解剖学:时间点:前列腺肿瘤:名义型:
Synonyms: 其他(其它、其余)结节(肿瘤结节、肿瘤病灶、肿瘤灶、病灶)平面(面);其他结节平面位置 其他的 其它 其它的 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 别的 另外的 摄护腺 时刻;随机;随意;瞬间 瘤;肿块;赘生物 解剖;解剖结构

44657-5 Dominant nodule.maximum.dimension in Prostate tumor

Fully-Specified Name

Component
Dominant nodule.max.dimension
Property
Len
Time
Pt
System
Prostate tumor
Scale
Qn
Method

Basic Attributes

Class
PATH.PROTOCOLS.PROST
Type
Laboratory
First Released
Version 2.17
Last Updated
Version 2.70 (MIN)
Change Reason
Removed method of "CAP cancer protocols" because this term is not a CAP cancer protocol-specific concept and can be used across various cancer protocols.
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Uzlina dominantní.max.rozměr:Délka:Časový bod:Prostata nádor:Kvantitativní:
el-GRGreek (Greece)Κυρίαρχο οζίδιο.μεγ. διάσταση:Len:Pt:Όγκος προστάτη:Qn:
Synonyms: Len PATH PATH.PROTOCOLS.PROST Pt Qn Διαστάσεις Κυρίαρχο οζίδιο.μεγ. διάσταση Μέγ Όγκος Όγκος προστάτη Προστάτης
es-ESSpanish (Spain)Nódulo dominate. Dimensión máxima:Longitud:Punto temporal:Tumor prostático:Qn:
Synonyms: Cuantitativo
es-MXSpanish (Mexico)Nódulo dominante Dimensión máx.:Largo:Punto temporal:Tumor de próstata:Cuantitativo:
it-ITItalian (Italy)Nodulo dominante.massima.dimensione:Len:Pt:Tumore della prostata:Qn:
Synonyms: Lunghezza Massimo Neoplasia Neoplasia prostatica Patologia Protocolli patologia - prostata Punto nel tempo (episodio)
nl-NLDutch (Netherlands)dominante nodus.max.dimensie:afmeting:moment:prostaattumor:kwantitatief:
Synonyms: lengte
pt-BRPortuguese (Brazil)Nódulo dominante.dimensão máxima:Comprimento:Pt:Tumor de próstata:Qn:Protocolos de cancer do CAP
Synonyms: Maximum; Maximal; Largest; Peak; Dom nodule.max.dim; Length; Point in time; Random; Prostatic; Quantitative; QNT; Quant; Quan; CAP protocol; PATHOLOGY PROTOCOLS PROSTATE
ru-RURussian (Russian Federation)Доминирующий узел.max.измерение:Дл:ТчкВрм:Простата опухоль:Колич:
Synonyms: Длина Количественный Максимум Точка во времени;Момент
tr-TRTurkish (Turkey)Dominant nodül.maks.boyut:Uzn:Zmlı:Prostat tümörü:Kant:
Synonyms: Süre
zh-CNChinese (China)优势结节.最大值.维度:长度:时间点:前列腺肿瘤:定量型:
Synonyms: 优势淋巴结.最大值.维度;优势结节.最大.维度 前列腺病理学原始记录;病理学.方案.前列腺;病理学原始记录.前列腺;病理学方案.前列腺 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 外形尺寸;外型尺寸;维度;维;大小 摄护腺 时刻;随机;随意;瞬间 最大;极大值 病理学.方案 病理学原始记录 病理学方案 瘤;肿块;赘生物 长;长短

Example Units

UnitSource
cmExample UCUM Units

44654-2 Tissue involved by tumor in Prostate tumor

Fully-Specified Name

Component
Prostatic tissue involved by tumor
Property
NFr
Time
Pt
System
Prostate tumor
Scale
Qn
Method

Basic Attributes

Class
PATH.PROTOCOLS.PROST
Type
Laboratory
First Released
Version 2.17
Last Updated
Version 2.58 (MAJ)
Change Reason
Removed method of "CAP cancer protocols" because this term is not a CAP cancer protocol-specific concept and can be used across various cancer protocols.
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Nádor prostatická tkáň zasažená:Početní podíl:Časový bod:Prostata nádor:Kvantitativní:
el-GRGreek (Greece)Προστατικός ιστός που εμπλέκεται στον όγκο:NFr:Pt:Όγκος προστάτη:Qn:
Synonyms: NFr PATH PATH.PROTOCOLS.PROST Pt Qn Όγκος Όγκος προστάτη Προστάτης Προστατικός ιστός που εμπλέκεται στον όγκο
es-ESSpanish (Spain)Tejido prostático afectado por el tumor:Fracción numérica:Punto temporal:Tumor prostático:Qn:
Synonyms: Cuantitativo
es-MXSpanish (Mexico)Tejido prostático involucrado por tumor:Fracción numérica:Punto temporal:Tumor de próstata:Cuantitativo:
it-ITItalian (Italy)Tessuto prostatico interessato da tumore:NFr:Pt:Tumore della prostata:Qn:
Synonyms: Frazione numerica Neoplasia Neoplasia prostatica Patologia Protocolli patologia - prostata Punto nel tempo (episodio) Tessuto prostatico interessato da neoplasia
nl-NLDutch (Netherlands)prostaatweefsel betrokken bij tumor:getalsfractie:moment:prostaattumor:kwantitatief:
pl-PLPolish (Poland)Tkanka prostaty zajęta przez guz:frakcja liczbowa:punkt w czasie:guz prostaty:ilościowy:
pt-BRPortuguese (Brazil)Tecidos prostáticos envolvidos por tumor:NFr:Pt:Tumor de próstata:Qn:Protocolos de cancer do CAP
Synonyms: ; Fr; Number fraction; Percent; Point in time; Random; Quantitative; QNT; Quant; Quan; CAP protocol; Prostati; PATHOLOGY PROTOCOLS PROSTATE
ru-RURussian (Russian Federation)Простата ткань затронутая опухолью:КолДоля:ТчкВрм:Простата опухоль:Колич:
Synonyms: Количественный Количество отношение Точка во времени;Момент
tr-TRTurkish (Turkey)Prostatik doku tümörün bulunduğu:SayFr:Zmlı:Prostat tümörü:Kant:
zh-CNChinese (China)肿瘤所累及的前列腺组织:计数型分数:时间点:前列腺肿瘤:定量型:
Synonyms: 前列腺性 前列腺病理学原始记录;病理学.方案.前列腺;病理学原始记录.前列腺;病理学方案.前列腺 前列腺的 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 摄护腺 数量型分数;数量或计数型分数;数量型分数或计数型分数 时刻;随机;随意;瞬间 病理学.方案 病理学原始记录 病理学方案 瘤;肿块;赘生物

Example Units

UnitSource
%Example UCUM Units

35266-6 Gleason score in Specimen Qualitative

Fully-Specified Name

Component
Gleason score
Property
Score
Time
Pt
System
Specimen
Scale
Ord
Method

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.12
Last Updated
Version 2.50 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Skóre Gleason:Skóre:Časový bod:Vzorek:Ordinální:
el-GRGreek (Greece)Βαθμός Gleason:Βαθμολογία:Pt:Δείγμα:Ord:
Synonyms: Ord PATH Pt Βαθμολογία Βαθμός Gleason Δείγμα
es-ARSpanish (Argentina)puntaje de Gleason:hallazgo:punto en el tiempo:espécimen:ordinal:
es-ESSpanish (Spain)Escala Gleason:Puntuación:Punto temporal:Especimen:Ord:
es-MXSpanish (Mexico)Puntuación de Gleason:Puntaje:Punto temporal:Muestra:Ordinal:
fr-FRFrench (France)Score de Gleason:Score:Ponctuel:Prélèvement:Qualitatif:
it-ITItalian (Italy)Gleason, punteggio:Punteggio:Pt:Campione:Ord:
Synonyms: Patologia Punteggio di Gleason Punto nel tempo (episodio)
nl-NLDutch (Netherlands)Gleason-score:score:moment:monster:ordinaal:
tr-TRTurkish (Turkey)Gleason skoru:Skor:Zmlı:Örnek:Srl:
Synonyms: Puan Spesmen
zh-CNChinese (China)Gleason 评分:评分:时间点:标本:序数型:
Synonyms: Gleason(格里森、格利森、格林森)评分(分值、分数、得分);格里森评分 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 分值;分数;得分 分值;得分;分数 受检物 时刻;随机;随意;瞬间 样品 样本 试样

Example Units

UnitSource
{score}Example UCUM Units

84903-4 Extraprostatic extension extent [Type] of Prostate tumor

Term Description

Categorization of the extent of extraprostatic extension (EPE) as focal or non-focal (also called established or extensive). The identification of any EPE is important since both focal and non-focal EPE are associated with a significantly higher risk of recurrence. PMID: 9712429 This term was created for, but not limited in use to, the Prostate Cancer (Radical Prostatectomy) Structured Reporting Protocol (2nd Edition, 2014) developed by the Royal College of Pathologists of Australasia (RCPA) for structured reporting of prostate cancer.

Fully-Specified Name

Component
Extraprostatic extension extent
Property
Type
Time
Pt
System
Prostate tumor
Scale
Ord
Method

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Example Answer List LL4082-5

AnswerCodeScoreAnswer ID
FocalLA26555-5
Non-focalLA26556-3

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Extraprostatické rozšíření rozsah:Typ:Časový bod:Prostata nádor:Ordinální:
el-GRGreek (Greece)Έκταση εξωπροστατικής προέκτασης:Type:Pt:Όγκος προστάτη:Ord:
Synonyms: Ord PATH Pt Type Έκταση Έκταση εξωπροστατικής προέκτασης Εξωπροστατική προέκταση Όγκος Όγκος προστάτη Προστάτης
es-ESSpanish (Spain)Grado de extensión extraprostática.:Tipo:Punto temporal:Tumor prostático:Ord:
es-MXSpanish (Mexico)Extensión de extensión extraprostática:Tipo:Punto temporal:Tumor de próstata:Ordinal:
it-ITItalian (Italy)Estensione exstraprostatica:Tipo:Pt:Tumore della prostata:Ord:
Synonyms: Neoplasia Neoplasia prostatica Patologia Punto nel tempo (episodio)
zh-CNChinese (China)前列腺外侵犯范围:类型:时间点:前列腺肿瘤:序数型:
Synonyms: 伸 伸直 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 前列腺外侵犯(扩散、扩展)范围(程度、范围、限度、广度);前列腺外侵犯范围分类;extent of extraprostatic extension;EPE 前列腺外蔓延;extraprostatic extension;EPE;前列腺外转移 型 摄护腺 时刻;随机;随意;瞬间 瘤;肿块;赘生物 范围;程度;区域;广度;宽度;扩展

84902-6 Extraprostatic extension site [Anatomy] of Prostate tumor

Term Description

The location of extraprostatic extension (EPE), if present. EPE is defined as the extension of tumor beyond the confines of the gland into the periprostatic soft tissue. The locations include apical, bladder neck, anterior, lateral, postero-lateral, and posterior. This term was created for, but not limited in use to, the Prostate Cancer (Radical Prostatectomy) Structured Reporting Protocol (2nd Edition, 2014) developed by the Royal College of Pathologists of Australasia (RCPA) for structured reporting of prostate cancer.

Fully-Specified Name

Component
Extraprostatic extension site
Property
Anat
Time
Pt
System
Prostate tumor
Scale
Nom
Method

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Preferred Answer List LL4081-7

AnswerCodeScoreAnswer ID
ApicalLA25151-4
Bladder neckLA26552-2
AnteriorLA16059-0
LateralLA26553-0
PosterolateralLA26554-8
PosteriorLA16060-8
OtherLA46-8

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Extraprostatické rozšíření místo:Anatomie:Časový bod:Prostata nádor:Nominální:
el-GRGreek (Greece)Θέση εξωπροστατικής προέκτασης:Anat:Pt:Όγκος προστάτη:Nom:
Synonyms: Anat Nom PATH Pt Έκταση Εξωπροστατική προέκταση Θέση εξωπροστατικής προέκτασης Όγκος Όγκος προστάτη Προστάτης
es-ESSpanish (Spain)Lugar de extensión extraprostática:Anatatomia:Punto temporal:Tumor prostático:Nom:
es-MXSpanish (Mexico)Sitio de extensión extraprostática:Anatomía:Punto temporal:Tumor de próstata:Nominal:
it-ITItalian (Italy)Estensione exstraprostatica, sede:Anat:Pt:Tumore della prostata:Nom:
Synonyms: Anatomia Neoplasia Neoplasia prostatica Patologia Punto nel tempo (episodio) Sede di estensione extraprostatica
zh-CNChinese (China)前列腺外侵犯部位:解剖学:时间点:前列腺肿瘤:名义型:
Synonyms: 伸 伸直 位点;位置 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 前列腺外侵犯(扩散、扩展)部位(位置、解剖学部位) 前列腺外蔓延;extraprostatic extension;EPE;前列腺外转移 摄护腺 时刻;随机;随意;瞬间 瘤;肿块;赘生物 范围;程度;区域;广度;宽度;扩展 解剖;解剖结构

81168-7 Site of adjacent organ or tissue involvement Cancer specimen

Term Description

Tumor stages are based on the extent of the involvement of adjacent tissues or organs, such as skin, liver, spleen, or pancreas as well as distal spread (i.e., metastasis). This term is used to report which adjacent tissue or organ(s) the tumor has spread to from the primary organ involved.

Fully-Specified Name

Component
Site of adjacent organ or tissue involvement
Property
Anat
Time
Pt
System
Cancer specimen
Scale
Nom
Method

Basic Attributes

Class
CLIN
Type
Clinical
First Released
Version 2.56
Last Updated
Version 2.61 (MAJ)
Change Reason
Changed System from "Stomach cancer" to "Cancer.XXX" since this observation can be used for various cancers.; Updated System from "Cancer.XXX" to clarify that the test is performed on a cancer specimen.
Order vs. Observation
Observation

Example Answer List LL3943-9

AnswerCodeScoreAnswer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value)LA137-2
PancreasLA4654-5
SpleenLA26010-1
LiverLA4584-4
Other, SpecifyLA46-8

Member of these Panels

LOINCLong Common Name
84907-5Cancer pathology panel - Colorectal cancer specimen
98249-6Cancer pathology panel - Endometrial cancer specimen
84908-3Cancer pathology panel - Prostate cancer
81186-9Gastric cancer pathology panel

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Θέση προσβολής παρακείμενου οργάνου ή ιστού:Anat:Pt:Δείγμα καρκίνου:Nom:
Synonyms: Anat CLIN Nom Pt Δείγμα Δείγμα καρκίνου Θέση προσβολής παρακείμενου οργάνου ή ιστού Καρκίνος
es-MXSpanish (Mexico)Sitio de afectación de órganos o tejidos adyacentes:Anat:Punto temporal:Espécimen de cáncer:Nominal:
it-ITItalian (Italy)Posizione di organo adiacente o tessuto coinvolto:Anat:Pt:Campione tumore:Nom:
Synonyms: Anatomia Campione di tumore Clinico Neoplasia maligna Punto nel tempo (episodio)
zh-CNChinese (China)邻近器官或组织累及部位:解剖学:时间点:癌标本:名义型:
Synonyms: 位点;位置 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 受检物 时刻;随机;随意;瞬间 样品 样本 癌 癌(癌症、癌变)标本(样本、样品、试样) 解剖;解剖结构 试样 邻近(毗邻、附近)器官或组织累及部位(位置)

44654-2 Tissue involved by tumor in Prostate tumor

Fully-Specified Name

Component
Prostatic tissue involved by tumor
Property
NFr
Time
Pt
System
Prostate tumor
Scale
Qn
Method

Basic Attributes

Class
PATH.PROTOCOLS.PROST
Type
Laboratory
First Released
Version 2.17
Last Updated
Version 2.58 (MAJ)
Change Reason
Removed method of "CAP cancer protocols" because this term is not a CAP cancer protocol-specific concept and can be used across various cancer protocols.
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Nádor prostatická tkáň zasažená:Početní podíl:Časový bod:Prostata nádor:Kvantitativní:
el-GRGreek (Greece)Προστατικός ιστός που εμπλέκεται στον όγκο:NFr:Pt:Όγκος προστάτη:Qn:
Synonyms: NFr PATH PATH.PROTOCOLS.PROST Pt Qn Όγκος Όγκος προστάτη Προστάτης Προστατικός ιστός που εμπλέκεται στον όγκο
es-ESSpanish (Spain)Tejido prostático afectado por el tumor:Fracción numérica:Punto temporal:Tumor prostático:Qn:
Synonyms: Cuantitativo
es-MXSpanish (Mexico)Tejido prostático involucrado por tumor:Fracción numérica:Punto temporal:Tumor de próstata:Cuantitativo:
it-ITItalian (Italy)Tessuto prostatico interessato da tumore:NFr:Pt:Tumore della prostata:Qn:
Synonyms: Frazione numerica Neoplasia Neoplasia prostatica Patologia Protocolli patologia - prostata Punto nel tempo (episodio) Tessuto prostatico interessato da neoplasia
nl-NLDutch (Netherlands)prostaatweefsel betrokken bij tumor:getalsfractie:moment:prostaattumor:kwantitatief:
pl-PLPolish (Poland)Tkanka prostaty zajęta przez guz:frakcja liczbowa:punkt w czasie:guz prostaty:ilościowy:
pt-BRPortuguese (Brazil)Tecidos prostáticos envolvidos por tumor:NFr:Pt:Tumor de próstata:Qn:Protocolos de cancer do CAP
Synonyms: ; Fr; Number fraction; Percent; Point in time; Random; Quantitative; QNT; Quant; Quan; CAP protocol; Prostati; PATHOLOGY PROTOCOLS PROSTATE
ru-RURussian (Russian Federation)Простата ткань затронутая опухолью:КолДоля:ТчкВрм:Простата опухоль:Колич:
Synonyms: Количественный Количество отношение Точка во времени;Момент
tr-TRTurkish (Turkey)Prostatik doku tümörün bulunduğu:SayFr:Zmlı:Prostat tümörü:Kant:
zh-CNChinese (China)肿瘤所累及的前列腺组织:计数型分数:时间点:前列腺肿瘤:定量型:
Synonyms: 前列腺性 前列腺病理学原始记录;病理学.方案.前列腺;病理学原始记录.前列腺;病理学方案.前列腺 前列腺的 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 摄护腺 数量型分数;数量或计数型分数;数量型分数或计数型分数 时刻;随机;随意;瞬间 病理学.方案 病理学原始记录 病理学方案 瘤;肿块;赘生物

Example Units

UnitSource
%Example UCUM Units

84904-2 Gleason score at positive margin in Prostate tumor Qualitative

Term Description

The Gleason score of the tumor at the positive surgical margin (PSM) is a recommended element of the International Collaboration on Cancer Reporting (ICCR) dataset.(http://www.iccr-cancer.org/datasets) If there are multiple PSMs with differently scored cancers present, the highest score is recorded. The Gleason score at the PSM is a known independent predictor of biochemical recurrence and may be used in the selection of patients for adjuvant therapy. PMID: 21992536 This term was created for, but not limited in use to, the cancer structured reporting protocols developed by the Royal College of Pathologists of Australasia (RCPA) for structured reporting of various cancers.

Fully-Specified Name

Component
Gleason score at positive margin
Property
Score
Time
Pt
System
Prostate tumor
Scale
Ord
Method

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Preferred Answer List LL746-9

AnswerCodeScoreAnswer ID
Grade 1LA9629-2
Grade 2LA9630-0
Grade 3LA9631-8
Grade 4LA11897-8
Grade 5LA11898-6

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Skóre Gleason u pozitivního chirurgického okraje:Skóre:Časový bod:Prostata nádor:Ordinální:
el-GRGreek (Greece)Βαθμός Gleason στο θετικό όριο:Βαθμολογία:Pt:Όγκος προστάτη:Ord:
Synonyms: Ord PATH Pt Βαθμολογία Βαθμός Gleason Βαθμός Gleason στο θετικό όριο Όγκος Όγκος προστάτη Προστάτης
es-ESSpanish (Spain)Margen positivo del Puntaje de Gleason:Puntuación:Punto temporal:Tumor prostático:Ord:
es-MXSpanish (Mexico)Puntaje de Gleason con margen positivo:Puntaje:Punto temporal:Tumor de próstata:Ordinal:
it-ITItalian (Italy)Score Gleason sul margine positivo:Punteggio:Pt:Tumore della prostata:Ord:
Synonyms: Neoplasia Neoplasia prostatica Patologia Punteggio di Gleason Punto nel tempo (episodio)
zh-CNChinese (China)阳性边缘处的 Gleason 评分:评分:时间点:前列腺肿瘤:序数型:
Synonyms: Gleason(格里森、格利森、格林森)评分(分值、分数、得分);格里森评分 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 分值;分数;得分 分值;得分;分数 摄护腺 时刻;随机;随意;瞬间 瘤;肿块;赘生物 结果阳性 试验阳性 试验阳性的 阳性结果 阳性边缘(边)处的 Gleason(格里森、格利森、格林森) 评分(分值、得分、分数);阳性边缘处 Gleason 评分;阳性边缘处的 Gleason 分级评分

84905-9 Margin involvement [Type] in Prostate tumor

Term Description

The type of positive margin involvement in prostate tumor is either extraprostatic extension (EPE) or intraprostatic (capsular incision). Margin involvement associated with EPE is diagnosed when malignant glands in extraprostatic tissue are transected by the resection margin. Intraprostatic margin involvement occurs when the urologist inadvertently develops the resection margin within the plane of the prostate rather than outside the capsule. Intraprostatic with a positive surgical margin is diagnosed when malignant glands are cut across adjacent to benign prostatic glands. In these cases, the edge of the prostate in this region is left in the patient. According to the largest series published, a significantly higher recurrence rate is found in patients with CI/intraprostatic margin involvement than in patients with organ confined disease with negative margins, or focal EPE with negative margins, although CI has a significantly better outcome than that associated with non-focal EPE and positive margins. PMID: 17698141 This term was created for, but not limited in use to, the Royal College of Pathologists of Australasia (RCPA) Prostate cancer structured reporting protocol, 2nd edition (2014).

Fully-Specified Name

Component
Margin involvement
Property
Type
Time
Pt
System
Prostate tumor
Scale
Nom
Method

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Preferred Answer List LL4083-3

AnswerCodeScoreAnswer ID
Extraprostatic extension (EPE)LA26558-9
Intraprostatic (capsular incision)LA26557-1

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Okraj zasažení:Typ:Časový bod:Prostata nádor:Nominální:
el-GRGreek (Greece)Συμμετοχή ορίου:Type:Pt:Όγκος προστάτη:Nom:
Synonyms: Nom PATH Pt Type Όγκος Όγκος προστάτη Προστάτης Συμμετοχή ορίου
es-MXSpanish (Mexico)Participación de los márgenes:Tipo:Punto temporal:Tumor de próstata:Nominal:
es-ESSpanish (Spain)Márgenes involucrados:Tipo:Punto temporal:Tumor prostático:Nom:
it-ITItalian (Italy)Coinvolgimento margini:Tipo:Pt:Tumore della prostata:Nom:
Synonyms: Neoplasia Neoplasia prostatica Patologia Punto nel tempo (episodio)
pl-PLPolish (Poland)Zajęcie marginesu:typ:punkt w czasie:guz prostaty:skala nominalna:
Synonyms: wynik kategorialny
ru-RURussian (Russian Federation)Край вовлечение:Тип:ТчкВрм:Простата опухоль:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
tr-TRTurkish (Turkey)Sınırla ilgili:Tip:Zmlı:Prostat tümörü:Snf:
Synonyms: Tür
zh-CNChinese (China)边缘累及:类型:时间点:前列腺肿瘤:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 型 摄护腺 时刻;随机;随意;瞬间 瘤;肿块;赘生物 边缘受累;边界累及

84895-2 Seminal vesicles [Presence] in Specimen

Term Description

The presence (partially or completely resected) or absence of seminal vesicles in the specimen. This term was created for, but not limited in use to, the Prostate Cancer (Radical Prostatectomy) Structured Reporting Protocol (2nd Edition, 2014) developed by the Royal College of Pathologists of Australasia (RCPA) for structured reporting of prostate cancer.

Fully-Specified Name

Component
Seminal vesicles
Property
PrThr
Time
Pt
System
Specimen
Scale
Ord
Method

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Example Answer List LL3950-4

AnswerCodeScoreAnswer ID
Present Copyright http://snomed.info/sct ID:52101004 Present (qualifier value)LA9633-4
Absent Copyright http://snomed.info/sct ID:2667000 Absent (qualifier value)LA9634-2

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Semenné váčky:Přítomnost nebo práh:Časový bod:Vzorek:Ordinální:
el-GRGreek (Greece)Σπερματοδόχες κύστεις:PrThr:Pt:Δείγμα:Ord:
Synonyms: Ord PATH PrThr Pt Δείγμα Σπερματοδόχες κύστεις
es-ESSpanish (Spain)Vesículas seminales:PrThr:Punto temporal:Especimen:Ord:
es-MXSpanish (Mexico)Vesículas seminales:Presencia o umbral:Punto temporal:Muestra:Ordinal:
it-ITItalian (Italy)Vescicole seminali:PrThr:Pt:Campione:Ord:
Synonyms: Patologia Presenza o Soglia Punto nel tempo (episodio)
zh-CNChinese (China)精囊:存在情况或阈值:时间点:标本:序数型:
Synonyms: 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 储精囊;贮精囊;精囊类 受检物 存在情况;存在;存在与否;是否存在;阈值;界值;界限;阀值;临界值;存在情况(存在、存在与否、是否存在)或阈值(界值、界限、阀值、临界值) 时刻;随机;随意;瞬间 样品 样本 试样

84906-7 Bladder neck involvement of Prostate tumor

Term Description

This term is used to record whether or not the urinary bladder neck is involved with the prostate tumor. Microscopically, invasion of the bladder neck can be identified when there are neoplastic glands within the thick smooth muscle bundles of the bladder neck in sections from the base of the prostate in the absence of associated benign prostatic glandular tissue.

Fully-Specified Name

Component
Bladder neck involvement
Property
PrThr
Time
Pt
System
Prostate tumor
Scale
Ord
Method

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Example Answer List LL4076-7

AnswerCodeScoreAnswer ID
InvolvedLA26536-5
Not involvedLA26535-7

Member of these Panels

LOINCLong Common Name
84908-3Cancer pathology panel - Prostate cancer

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Močový měchýř krček zasažení:Přítomnost nebo práh:Časový bod:Prostata nádor:Ordinální:
el-GRGreek (Greece)Συμμετοχή αυχένα ουροδόχου κύστης:PrThr:Pt:Όγκος προστάτη:Ord:
Synonyms: Ord PATH PrThr Pt Όγκος Όγκος προστάτη Προστάτης Συμμετοχή αυχένα ουροδόχου κύστης
es-ESSpanish (Spain)Afectación del cuello vesical:PrThr:Punto temporal:Tumor prostático:Ord:
es-MXSpanish (Mexico)Afectación del cuello de la vejiga:Presencia o umbral:Punto temporal:Tumor de próstata:Ordinal:
it-ITItalian (Italy)Interessamento del collo vescicale:PrThr:Pt:Tumore della prostata:Ord:
Synonyms: Neoplasia Neoplasia prostatica Patologia Presenza o Soglia Punto nel tempo (episodio)
zh-CNChinese (China)膀胱颈累及:存在情况或阈值:时间点:前列腺肿瘤:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 存在情况;存在;存在与否;是否存在;阈值;界值;界限;阀值;临界值;存在情况(存在、存在与否、是否存在)或阈值(界值、界限、阀值、临界值) 摄护腺 时刻;随机;随意;瞬间 瘤;肿块;赘生物 膀胱颈(膀胱颈部)累及(受累、侵犯、侵袭、转移)