ID

27979

Description

BREAST CANCER DATA COLLECTION Version 1.1.0 Revised: September 13th, 2017, International Consortium for Health Outcomes Measurement (ICHOM), Source: http://www.ichom.org/ Conditions: All patients with newly pathologically diagnosed invasive colorectal cancer (stage I-IV) Treatment Approaches: Surgery | Radiotherapy | Chemotherapy | Targeted Therapy

Link

http://www.ichom.org/

Keywords

Versions (3)
  1. 12/7/17 12/7/17 -
  2. 9/11/18 9/11/18 - Sarah Riepenhausen
  3. 4/30/20 4/30/20 - Sarah Riepenhausen
Copyright Holder

ICHOM

Uploaded on

December 7, 2017

DOI

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License

Creative Commons BY-NC 3.0
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ICHOM Colorectal Cancer

English

ICHOM Colorectal Cancer

1 forms  
Colorectal Cancer
Description

Colorectal Cancer

Indicate the patient's medical record number
Description

This number will not be shared with ICHOM. In the case patient-level data is submitted to ICHOM for benchmarking or research purposes, a separate ICHOM Patient Identifier will be created and cross-linking between the ICHOM Patient Identifier and the medical record number will only be known at the treating institution INCLUSION CRITERIA: All patients TIMING: On all forms REPORTING SOURCE: Administrative or clinical RESPONSE OPTIONS: According to institution

Data type

integer

Alias
UMLS CUI [1]
C1269815
Patient's last name:
Description

The patients' name will not be shared with ICHOM.  INCLUSION CRITERIA: All patients TIMING: On all forms REPORTING SOURCE: Administrative or clinical

Data type

text

Alias
UMLS CUI [1]
C1299487
Demographic Factors
Description

Demographic Factors

Please indicate your sex at birth:
Description

INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0079399
What is your date of birth?
Description

INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Patient-reported

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1]
C0421451
DD/MM/YYYY
Varies by country and should be determined by country (not for cross country comparison)
Description

INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0015031
Please indicate highest level of schooling completed. This response option is based upon the ISCED for the United States, and reflects standards in the U.S. Please adapt questions according to your country’s guidelines.
Description

This is based upon the International Standard Classification of Education for the United States, and reflects standards in the U.S. Please adapt questions according to your country’s guidelines. Primary refers to the first 8 years of formal education in elementary school in the US. Secondary school refers to the last four years of statutory formal education (grade 9-12) at high school in the US. Tertiary refers to colleges or universities, including undergraduate and postgraduate education in the US. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0013658
What is your relationship status?
Description

INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0439849
Baseline Clinical Factors
Description

Baseline Clinical Factors

Do you have any of the following problems?
Description

Based upon the Self-administered Comorbidity Questionnaire (Sangha et al, 2003) INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Patient-reported TYPE: Multiple answer Separate multiple entries with "";""

Data type

integer

Alias
UMLS CUI [1]
C0009488
Indicate height in centimeters or inches
Description

Height and weight are used to calculate BMI INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical RESPONSE OPTIONS: Numerical value of height in cm or in

Data type

integer

Alias
UMLS CUI [1]
C0005890
Indicate units of height
Description

INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0005890
UMLS CUI [1,2]
C1519795
Indicate weight in kilograms or pounds
Description

Height and weight are used to calculate BMI INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical RESPONSE OPTION: Numerical value of weight in kg or lbs

Data type

integer

Alias
UMLS CUI [1]
C0005910
Indicate units of weight
Description

INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0005910
UMLS CUI [1,2]
C1519795
Indicate the ECOG/WHO performance status
Description

ECOG/WHO Scale: WHO 0 = normal activity level WHO 1 = restricted with physically strenuous activity WHO 2 = active >/= 50% of day WHO 3 = spends > 50% of day in chair or bed WHO 4 = totally confined to bed or chair INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C1520224
Indicate whether the patient has any evidence of a cognitive disorder (e.g. dementia):
Description

INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0945985
Presence of germline APC (Adenomatous polyposis coli) gene mutation:
Description

Familial Adenomatosis Polyposis is caused by a germline mutation of the APC gene. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0032580
Presence of germline MMR or EPCAM gene mutation: 
Description

Lynch syndrome is caused by a mutation of one of the DNA mismatch repair (MMR) genes or the EPCAM gene. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C4289650
UMLS CUI [2]
C1155661
Any clinical documentation of inflammatory bowel disease diagnosis (including Crohn's disease and Ulcerative colitis):
Description

INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0021390
Initial date of histological diagnosis
Description

INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1]
C0679557
DD/MM/YYYY
Indicate if there is more than one primary tumor
Description

Defined as two or more distinct primary tumors, separated by normal bowel and not due to direct extension or metastasis. Of note: If yes, please collect information on highest TNM stage. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1]
C0677930
Location of tumor:
Description

INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0872338
Distance from anal verge (in cm)
Description

INCLUSION CRITERIA: All patients with rectal cancer receiving surgery/radiotherapy TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Numerical value; Please enter "999" if distance is unknown.

Data type

integer

Alias
UMLS CUI [1,1]
C0872338
UMLS CUI [1,2]
C0007113
Clinical tumor stage (per AJCC 5th - 7th Ed.)
Description

Only select cT4 if not able to select cT4a or cT4b. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C1300072
UMLS CUI [1,2]
C0205210
Clinical nodal stage (per AJCC 5th - 7th Ed.)
Description

Only select cN1 or cN2 if not able to select cN1a-c or cN2a-b. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0456532
UMLS CUI [1,2]
C0205210
Clinical distant metastasis (per AJCC 5th - 7th Ed.)
Description

Only select cM1 if not able to select cM1a or cM1b. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C1302548
UMLS CUI [1,2]
C0205210
Histological grade of the tumor:
Description

INCLUSION CRITERIA: If the patient received surgery or biopsy  TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0919553
Presence of BRAF mutation:
Description

INCLUSION CRITERIA: If the patient received surgery or biopsy  TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0812241
Presence of RAS mutation:
Description

INCLUSION CRITERIA: If the patient received surgery or biopsy  TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C2747837
Presence of microsatellite instability (MSI) mutation:
Description

INCLUSION CRITERIA: If the patient received surgery or biopsy  TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0920269
Pathological tumor stage (per AJCC 5th - 7th Ed.)
Description

Only select pT4 if not able to select pT4a or pT4b. INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C1300072
UMLS CUI [1,2]
C1521733
Pathological nodal stage (per AJCC 5th - 7th Ed.)
Description

Only select pN1 or pN2 if not able to select pN1a-c or pN2a-b. INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0456532
UMLS CUI [1,2]
C1521733
Pathological distant metastasis (per AJCC 5th - 7th Ed.)
Description

Only select pM1 if not able to select pM1a or pM1b. INCLUSION CRITERIA: If the patient received surgery or biopsy TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C1302548
UMLS CUI [1,2]
C1521733
Number of lymph nodes resected: 
Description

INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Numerical value; Please enter "999" if number of resected lymph nodes is unknown.

Data type

integer

Alias
UMLS CUI [1,1]
C0024204
UMLS CUI [1,2]
C0728940
Number of lymph nodes involved:
Description

INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Numerical value; Please enter "999" if number of involved lymph nodes is unknown.

Data type

integer

Alias
UMLS CUI [1]
C0806692
Presence of lymphovascular invasion of the tumor: (select all that apply)
Description

INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Multiple answer

Data type

integer

Alias
UMLS CUI [1]
C1708790
Presence of perineural invasion in resected tumor specimen:
Description

INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C1300724
Indicate completeness of surgical excision of the primary tumor according to TNM:
Description

INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0229985
Baseline Treatment Factors
Description

Baseline Treatment Factors

Urgency of the procedure  
Description

INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C4049774
Presence of perforation of the bowel at the site of the tumor:
Description

INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0151664
Indicate intent of treatment:
Description

INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1283828
Treatment variables
Description

Treatment variables

Indicate whether the patient received one of the following treatment during the last year: (select all that apply)
Description

INCLUSION CRITERIA: All patients TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Multiple answer

Data type

integer

Alias
UMLS CUI [1]
C0087111
Indicate whether the patient received surgery during the last year:
Description

INCLUSION CRITERIA: If answered "surgery" on treatment [TREATMENT] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0543467
Indicate the method of the surgical procedure:
Description

INCLUSION CRITERIA: If yes answered "yes" on surgery [SURGERY] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0683312
UMLS CUI [1,2]
C0543467
Provide the date of surgery:
Description

INCLUSION CRITERIA: If yes answered "yes" on surgery [SURGERY] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Date, Please enter "999" if date is unknown

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1]
C1628561
DD/MM/YYYY
Indicate whether the patient received radiotherapy during the last year
Description

INCLUSION CRITERIA: If answered "radiotherapy" on treatment [TREATMENT] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C1522449
Indicate what type of radiotherapy:
Description

INCLUSION CRITERIA: If answered "yes" on radiotherapy [RADIOTX] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Multiple answer

Data type

integer

Alias
UMLS CUI [1,1]
C1522449
UMLS CUI [1,2]
C1521902
Provide the start date of radiotherapy:
Description

INCLUSION CRITERIA: If answered "yes" on radiotherapy [RADIOTX] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Date, Please enter "999" if date is unknown

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1]
C0436382
DD/MM/YYYY
Provide the stop date of radiotherapy:
Description

INCLUSION CRITERIA: If answered "yes" on radiotherapy [RADIOTX] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Date, Please enter "999" if date is unknown

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1]
C0436385
DD/MM/YYYY
Indicate whether the patient received chemotherapy during the last year:
Description

INCLUSION CRITERIA: If answered "chemotherapy" on treatment [TREATMENT] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0392920
Indicate what type of chemotherapy:
Description

INCLUSION CRITERIA: If answered "chemotherapy" on treatment TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0392920
UMLS CUI [1,2]
C0332307
Provide the start date of chemotherapy:
Description

INCLUSION CRITERIA: If answered "chemotherapy" on treatment TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Date, please enter "999" if date is unknown

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1,1]
C1302181
UMLS CUI [1,2]
C3173309
DD/MM/YYYY
Provide the stop date of chemotherapy, if applicable:
Description

INCLUSION CRITERIA: If answered "chemotherapy" on treatment TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Date, please enter "999" if date is unknown

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1,1]
C1302181
UMLS CUI [1,2]
C0806020
DD/MM/YYYY
Indicate whether the patient received targeted therapy during the last year:
Description

INCLUSION CRITERIA: If answered "targeted therapy" on treatment [TREATMENT] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single Answer

Data type

integer

Alias
UMLS CUI [1]
C2985566
Provide the start date of targeted therapy:
Description

INCLUSION CRITERIA: If answered "yes on targeted therapy [TARGETTX] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Date, please enter "999" if date is unknown

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1,1]
C2985566
UMLS CUI [1,2]
C3173309
DD/MM/YYYY
Provide the stop date of targeted therapy, if applicable:
Description

INCLUSION CRITERIA: If answered "yes on targeted therapy [TARGETTX] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Date, please enter "999" if date is unknown

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1,1]
C2985566
UMLS CUI [1,2]
C1531784
DD/MM/YYYY
Survival and disease control
Description

Survival and disease control

Indicate whether there is a complete response
Description

In case of pathologic evaluation: a pathologic complete response is defined as no evidence of residual invasive cancer of the complete resected specimen and all sampled regional lymph nodes. In case of diagnostic evaluation only: a clinical complete response is defined when there is no sign of tumor after all diagnostic tests (e.g. MRI/endoscopy) INCLUSION CRITERIA: Only if patient received neo-adjuvant therapy for rectal cancer. TIMING: Update at least 6 months after treatment REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0242594
Indicate whether there is evidence of circumferential margin involvement:
Description

INCLUSION CRITERIA: Only if the patient received surgery for rectal cancer. TIMING: Update at least 6 months after treatment REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0728940
UMLS CUI [1,2]
C0229985
UMLS CUI [1,3]
C0449438
Indicate whether there is evidence of local, regional or distant recurrence.
Description

INCLUSION CRITERIA: Only if the patient is treated with curative intent.  TIMING: 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0034897
Provide method of confirmation:
Description

INCLUSION CRITERIA: Only if answered "yes" on recurrence [RECUR] TIMING: 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0034897
UMLS CUI [1,2]
C0332307
Provide the date of the recurrence:
Description

INCLUSION CRITERIA: Only if answered "yes" on recurrence [RECUR] TIMING: 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Clinical TYPE: Date, Please enter "999" if date is unknown

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1]
C0807712
DD/MM/YYYY
Indicate whether there is evidence of disease progression:
Description

INCLUSION CRITERIA: Only if the patient has advanced disease. TIMING: 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0242656
Provide method of confirmation:
Description

INCLUSION CRITERIA: Only if answered "yes" on progression [PROGRESS] TIMING: 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0242656
UMLS CUI [1,2]
C0430022
Provide the date of the progression:
Description

INCLUSION CRITERIA: Only if answered "yes" on progression [PROGRESS] TIMING: 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Clinical TYPE: Date, Please enter "999" if date is unknown

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1,1]
C0242656
UMLS CUI [1,2]
C0011008
DD/MM/YYYY
Indicate whether the patient has died
Description

INCLUSION CRITERIA: All patients TIMING: 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Administrative TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0011065
Provide the date of the death:
Description

INCLUSION CRITERIA: If answered "yes" on patient died [DEATH] TIMING: 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Administrative TYPE: Date, Please enter "999" if date is unknown

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1]
C1148348
DD/MM/YYYY
Indicate if death is attributable to colorectal cancer:
Description

INCLUSION CRITERIA: If answered "yes" on patient died [DEATH] TIMING: 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Administrative TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0007465
Disutility of care
Description

Disutility of care

Indicate whether the patient received a stoma (ileostomy/colostomy):
Description

INCLUSION CRITERIA: Only if the patient received surgery. TIMING: Updated at least 6 months after treatment REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C1955856
Provide the date of stoma surgery:
Description

INCLUSION CRITERIA: If answered "yes" on stoma [STOMA] TIMING: Updated at least 6 months after treatment REPORTING SOURCE: Clinical TYPE: Date, Please enter "999" if date is unknown

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1,1]
C1955856
UMLS CUI [1,2]
C0011008
DD/MM/YYYY
Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible): 
Description

These response options are based on the Clavien-Dindo classification for surgical complications and the Common Terminology Criteria version 4 (CTCAE v4). To collect the most severe complications, grade 3 -5 of both classification systems are included in the Standard Set. INCLUSION CRITERIA: Only if the patient received treatment. TIMING: Updated at least 6 months after treatment REPORTING SOURCE: Clinical TYPE: Multiple answer

Data type

integer

Alias
UMLS CUI [1]
C0009566
Provide the date of death:
Description

INCLUSION CRITERIA: If answered "Complication leading to death" on experience of complication [COMPLIMPACT] TIMING: Updated at least 6 months after treatment REPORTING SOURCE: Clinical TYPE: Date, Please enter "999" if date is unknown

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1]
C1148348
DD/MM/YYYY
Indicate whether the complication is attributable to colorectal cancer treatment:
Description

INCLUSION CRITERIA: If answered "yes" on experience of complication [COMPLIMPACT] TIMING: Updated at least 6 months after treatment REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0009566
UMLS CUI [1,2]
C0596130
UMLS CUI [1,3]
C0920425
Please indicate the type of complication:
Description

INCLUSION CRITERIA: If answered "yes" on complication attributable to colorectal cancer treatment [COMPLTX] TIMING: Updated at least 6 months after treatment REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3258281
Quality of death
Description

Quality of death

Indicate where patient died as indicated on certificate of death: 
Description

INCLUSION CRITERIA: If answered "yes" on patient died [DEATH] TIMING: 1 year post treatment, tracked annually REPORTING SOURCE: Administrative TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0421611
Indicate whether patient was cared for by hospice at time of death:
Description

INCLUSION CRITERIA: If answered "yes" on patient died [DEATH] TIMING: 1 year post treatment, tracked annually REPORTING SOURCE: Administrative or clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0085555
Indicate whether the preference for place of death was documented (the most recent documented place of death):
Description

INCLUSION CRITERIA: If answered "yes" on patient died [DEATH] TIMING: 1 year post treatment, tracked annually REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0421611
UMLS CUI [1,2]
C0558295
Provide the date of documentation:
Description

INCLUSION CRITERIA: If answered "yes" on patient died [DEATH] TIMING: 1 year post treatment, tracked annually REPORTING SOURCE: Clinical TYPE: Date, Please enter "999" if date is unknown

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0920316
DD/MM/YYYY
Indicate whether the patient was admitted to the hospital > 1 time in the last 30 days of life:
Description

Emergency visits should not be included. INCLUSION CRITERIA: If answered "yes" on patient died [DEATH] TIMING: 1 year post treatment, tracked annually REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0184666
Indicate whether the patient was admitted to the hospital > 1 time in the last 30 days of life:
Description

Emergency visits should not be included. INCLUSION CRITERIA: If answered "yes" on patient died [DEATH] TIMING: 1 year post treatment, tracked annually REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0184666
Degree of health
Description

Degree of health

Over the last 4 weeks 1: Do certain solid foods increase the number of bowel movements in a day?
Description

INCLUSION CRITERIA: Patients with surgery/radiotherapy TIMING: Baseline, 6 months, 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0453855
UMLS CUI [1,2]
C2128962
2: Do certain liquids that you drink increase the number of bowel movements in a day?
Description

INCLUSION CRITERIA: Patients with surgery/radiotherapy TIMING: Baseline, 6 months, 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0452428
UMLS CUI [1,2]
C2128962
3: Have you limited the types of solid foods you eat to control your bowel movements?
Description

INCLUSION CRITERIA: Patients with surgery/radiotherapy TIMING: Baseline, 6 months, 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0439801
UMLS CUI [1,2]
C0453855
UMLS CUI [1,3]
C1290944
4: Have you limited the types of liquids you drink to control your bowel movements?
Description

INCLUSION CRITERIA: Patients with surgery/radiotherapy TIMING: Baseline, 6 months, 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0439801
UMLS CUI [1,2]
C0452428
UMLS CUI [1,3]
C1290944
EORTCQLQC
Description

EORTCQLQC

EORTC QLQ-C30
Description

EORTC QLQ-C30

Data type

text

EORTC QLQ-C29
Description

EORTC QLQ-C29

Data type

text

EORTC QLQ-LM21
Description

EORTC QLQ-LM21

Data type

text

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Similar models

ICHOM Colorectal Cancer

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Colorectal Cancer
Patient ID
Item
Indicate the patient's medical record number
integer
C1269815 (UMLS CUI [1])
Patient's last name
Item
Patient's last name:
text
C1299487 (UMLS CUI [1])
Item Group
Demographic Factors
Item
Please indicate your sex at birth:
integer
C0079399 (UMLS CUI [1])
Gender
Code List
Please indicate your sex at birth:
CL Item
Male (1)
CL Item
Female (2)
CL Item
Undisclosed (999)
Date of birth
Item
What is your date of birth?
date
C0421451 (UMLS CUI [1])
Ethnicity
Item
Varies by country and should be determined by country (not for cross country comparison)
integer
C0015031 (UMLS CUI [1])
Item
Please indicate highest level of schooling completed. This response option is based upon the ISCED for the United States, and reflects standards in the U.S. Please adapt questions according to your country’s guidelines.
integer
C0013658 (UMLS CUI [1])
Educational Level
Code List
Please indicate highest level of schooling completed. This response option is based upon the ISCED for the United States, and reflects standards in the U.S. Please adapt questions according to your country’s guidelines.
CL Item
None (0)
CL Item
Primary (1)
CL Item
Secondary (2)
CL Item
Tertiary (3)
Item
What is your relationship status?
integer
C0439849 (UMLS CUI [1])
Educational Level
Code List
What is your relationship status?
CL Item
Never married/partnered (0)
CL Item
Married/partnered (1)
CL Item
Divorced/separated (2)
CL Item
Widowed (3)
Item Group
Baseline Clinical Factors
Item
Do you have any of the following problems?
integer
C0009488 (UMLS CUI [1])
Comorbidities
Code List
Do you have any of the following problems?
CL Item
I have no other diseases (0)
CL Item
Heart disease (for example: angina, heart attack, or heart failure) (1)
CL Item
High blood pressure (2)
CL Item
Leg pain when walking due to poor circulation (3)
CL Item
Lung disease (For example, asthma, chronic bronchitis, or emphysema) (4)
CL Item
Diabetes (5)
CL Item
Kidney disease (6)
CL Item
Liver disease (7)
CL Item
Problems caused by stroke (8)
CL Item
Disease of the nervous system (For example, Parkinson’s disease or multiple sclerosis) (9)
CL Item
Other cancer (within the last 5 years) (10)
CL Item
Depression (11)
CL Item
Arthritis (12)
Height
Item
Indicate height in centimeters or inches
integer
C0005890 (UMLS CUI [1])
Item
Indicate units of height
integer
C0005890 (UMLS CUI [1,1])
C1519795 (UMLS CUI [1,2])
Height units
Code List
Indicate units of height
CL Item
centimeters (1)
CL Item
inches (2)
Weight
Item
Indicate weight in kilograms or pounds
integer
C0005910 (UMLS CUI [1])
Item
Indicate units of weight
integer
C0005910 (UMLS CUI [1,1])
C1519795 (UMLS CUI [1,2])
Weight units
Code List
Indicate units of weight
CL Item
kilograms (1)
CL Item
pounds (2)
Item
Indicate the ECOG/WHO performance status
integer
C1520224 (UMLS CUI [1])
Weight units
Code List
Indicate the ECOG/WHO performance status
CL Item
1 (1)
CL Item
2 (2)
CL Item
0  (0)
CL Item
3 (3)
CL Item
4 (4)
CL Item
Unknown (999)
Item
Indicate whether the patient has any evidence of a cognitive disorder (e.g. dementia):
integer
C0945985 (UMLS CUI [1])
Weight units
Code List
Indicate whether the patient has any evidence of a cognitive disorder (e.g. dementia):
CL Item
Yes  (1)
CL Item
No  (0)
CL Item
Unknown (999)
Item
Presence of germline APC (Adenomatous polyposis coli) gene mutation:
integer
C0032580 (UMLS CUI [1])
Weight units
Code List
Presence of germline APC (Adenomatous polyposis coli) gene mutation:
CL Item
Yes  (1)
CL Item
No  (0)
CL Item
Unknown (999)
Item
Presence of germline MMR or EPCAM gene mutation: 
integer
C4289650 (UMLS CUI [1])
C1155661 (UMLS CUI [2])
Weight units
Code List
Presence of germline MMR or EPCAM gene mutation: 
CL Item
Yes  (1)
CL Item
No  (0)
CL Item
Unknown (999)
Item
Any clinical documentation of inflammatory bowel disease diagnosis (including Crohn's disease and Ulcerative colitis):
integer
C0021390 (UMLS CUI [1])
Weight units
Code List
Any clinical documentation of inflammatory bowel disease diagnosis (including Crohn's disease and Ulcerative colitis):
CL Item
Yes  (1)
CL Item
No  (0)
CL Item
Unknown (999)
Histological diagnosis
Item
Initial date of histological diagnosis
date
C0679557 (UMLS CUI [1])
Item
Indicate if there is more than one primary tumor
integer
C0677930 (UMLS CUI [1])
Weight units
Code List
Indicate if there is more than one primary tumor
CL Item
Yes  (1)
CL Item
No  (0)
CL Item
Unknown (999)
Item
Location of tumor:
integer
C0872338 (UMLS CUI [1])
Weight units
Code List
Location of tumor:
CL Item
Appendix (1)
CL Item
Caecum (0)
CL Item
Unknown (999)
CL Item
Ascending colon (2)
CL Item
Hepatic flexure (3)
CL Item
Transverse colon (4)
CL Item
Splenic flexure (5)
CL Item
Descending colon (6)
CL Item
Sigmoid colon (7)
CL Item
Rectum (8)
Location of rectum tumor
Item
Distance from anal verge (in cm)
integer
C0872338 (UMLS CUI [1,1])
C0007113 (UMLS CUI [1,2])
Item
Clinical tumor stage (per AJCC 5th - 7th Ed.)
integer
C1300072 (UMLS CUI [1,1])
C0205210 (UMLS CUI [1,2])
Clinical tumor stage
Code List
Clinical tumor stage (per AJCC 5th - 7th Ed.)
CL Item
cTX (0)
CL Item
cTis (1)
CL Item
cT1 (2)
CL Item
cT2 (3)
CL Item
cT3 (4)
CL Item
cT4  (5)
CL Item
cT4a (6)
CL Item
cT4b (7)
CL Item
Unknown (999)
Item
Clinical nodal stage (per AJCC 5th - 7th Ed.)
integer
C0456532 (UMLS CUI [1,1])
C0205210 (UMLS CUI [1,2])
Clinical tumor stage
Code List
Clinical nodal stage (per AJCC 5th - 7th Ed.)
CL Item
cNX (0)
CL Item
cN0 (1)
CL Item
cN1 (2)
CL Item
cN2 (3)
CL Item
cN1a (4)
CL Item
cN1b (5)
CL Item
cN1c (6)
CL Item
cN2a (7)
CL Item
Unknown (999)
CL Item
cN2b (8)
Item
Clinical distant metastasis (per AJCC 5th - 7th Ed.)
integer
C1302548 (UMLS CUI [1,1])
C0205210 (UMLS CUI [1,2])
Clinical tumor stage
Code List
Clinical distant metastasis (per AJCC 5th - 7th Ed.)
CL Item
cMX (0)
CL Item
cM0 (1)
CL Item
cM1 (2)
CL Item
cM1a (3)
CL Item
cM1b (4)
CL Item
Unknown (999)
Item
Histological grade of the tumor:
integer
C0919553 (UMLS CUI [1])
Clinical tumor stage
Code List
Histological grade of the tumor:
CL Item
Well or moderate (0)
CL Item
Poor or undifferentiated (1)
CL Item
Unknown (999)
Item
Presence of BRAF mutation:
integer
C0812241 (UMLS CUI [1])
Clinical tumor stage
Code List
Presence of BRAF mutation:
CL Item
No (0)
CL Item
Yes (1)
CL Item
Unknown (999)
CL Item
Not tested (2)
Item
Presence of RAS mutation:
integer
C2747837 (UMLS CUI [1])
Clinical tumor stage
Code List
Presence of RAS mutation:
CL Item
No (0)
CL Item
Yes (1)
CL Item
Unknown (999)
CL Item
Not tested (2)
Item
Presence of microsatellite instability (MSI) mutation:
integer
C0920269 (UMLS CUI [1])
Clinical tumor stage
Code List
Presence of microsatellite instability (MSI) mutation:
CL Item
No (0)
CL Item
Yes, MSI-low (1)
CL Item
Unknown (999)
CL Item
Yes, MSI-high (2)
Item
Pathological tumor stage (per AJCC 5th - 7th Ed.)
integer
C1300072 (UMLS CUI [1,1])
C1521733 (UMLS CUI [1,2])
Clinical tumor stage
Code List
Pathological tumor stage (per AJCC 5th - 7th Ed.)
CL Item
pTX (0)
CL Item
pT0 (1)
CL Item
Unknown (999)
CL Item
pTis (2)
CL Item
pT1 (3)
CL Item
pT2 (4)
CL Item
pT3 (5)
CL Item
pT4 (6)
CL Item
pT4a (7)
CL Item
pT4b (8)
Item
Pathological nodal stage (per AJCC 5th - 7th Ed.)
integer
C0456532 (UMLS CUI [1,1])
C1521733 (UMLS CUI [1,2])
Clinical tumor stage
Code List
Pathological nodal stage (per AJCC 5th - 7th Ed.)
CL Item
pNX (0)
CL Item
pN0 (1)
CL Item
Unknown (999)
CL Item
pN1 (2)
CL Item
pN1a (3)
CL Item
pN1b (4)
CL Item
pN1c (5)
CL Item
pN2 (6)
CL Item
pN2a (7)
CL Item
pN2b (8)
Item
Pathological distant metastasis (per AJCC 5th - 7th Ed.)
integer
C1302548 (UMLS CUI [1,1])
C1521733 (UMLS CUI [1,2])
Clinical tumor stage
Code List
Pathological distant metastasis (per AJCC 5th - 7th Ed.)
CL Item
pMx (0)
CL Item
pM0 (1)
CL Item
Unknown (999)
CL Item
pM1 (2)
CL Item
pM1a (3)
CL Item
pM1b (4)
Lymph nodes resected
Item
Number of lymph nodes resected: 
integer
C0024204 (UMLS CUI [1,1])
C0728940 (UMLS CUI [1,2])
Lymph nodes involved
Item
Number of lymph nodes involved:
integer
C0806692 (UMLS CUI [1])
Item
Presence of lymphovascular invasion of the tumor: (select all that apply)
integer
C1708790 (UMLS CUI [1])
Lymphovascular invasion
Code List
Presence of lymphovascular invasion of the tumor: (select all that apply)
CL Item
Not detected (0)
CL Item
Extramural venous invasion (1)
CL Item
Lymph invasion (2)
CL Item
Intramural venous invasion (3)
CL Item
Unknown (999)
Item
Presence of perineural invasion in resected tumor specimen:
integer
C1300724 (UMLS CUI [1])
Lymphovascular invasion
Code List
Presence of perineural invasion in resected tumor specimen:
CL Item
No (0)
CL Item
Yes (1)
CL Item
Unknown (999)
Item
Indicate completeness of surgical excision of the primary tumor according to TNM:
integer
C0229985 (UMLS CUI [1])
Lymphovascular invasion
Code List
Indicate completeness of surgical excision of the primary tumor according to TNM:
CL Item
R0 - complete resection with all margins histologically uninvolved (0)
CL Item
R1 - microscopic surgical resection margin involvement (1)
CL Item
unknown (999)
CL Item
R2 - macroscopic residual tumor (2)
Item Group
Baseline Treatment Factors
Item
Urgency of the procedure  
integer
C4049774 (UMLS CUI [1])
Urgency of procedure
Code List
Urgency of the procedure  
CL Item
Elective (operation at a time to suit both patient and surgeon e.g. after an elective admission) (0)
CL Item
Scheduled (an early operation but not immediately life-saving. Operation usually within 3 weeks ) (1)
CL Item
Urgent (As soon as possible after resuscitation and usually within 24 hours) (2)
CL Item
Emergency (Immediate and life-saving operation, resuscitation simultaneous with surgical treatment) (3)
CL Item
Unknown (999)
Item
Presence of perforation of the bowel at the site of the tumor:
integer
C0151664 (UMLS CUI [1])
Urgency of procedure
Code List
Presence of perforation of the bowel at the site of the tumor:
CL Item
No (0)
CL Item
Yes (1)
CL Item
Unknown (999)
Item
Indicate intent of treatment:
integer
C0087111 (UMLS CUI [1,1])
C1283828 (UMLS CUI [1,2])
Urgency of procedure
Code List
Indicate intent of treatment:
CL Item
Curative (0)
CL Item
Curative - gross resection of stage IV disease  (1)
CL Item
Unknown (999)
CL Item
Palliative due to metastasis (2)
CL Item
Palliative due to invasion (3)
Item Group
Treatment variables
Item
Indicate whether the patient received one of the following treatment during the last year: (select all that apply)
integer
C0087111 (UMLS CUI [1])
Treatment
Code List
Indicate whether the patient received one of the following treatment during the last year: (select all that apply)
CL Item
No treatment (0)
CL Item
Surgery (1)
CL Item
Radiotherapy (2)
CL Item
Chemotherapy (3)
CL Item
Targeted therapy (4)
CL Item
Best supportive care (5)
CL Item
Unknown (999)
Item
Indicate whether the patient received surgery during the last year:
integer
C0543467 (UMLS CUI [1])
Treatment
Code List
Indicate whether the patient received surgery during the last year:
CL Item
Hemicolectomy right (1)
CL Item
Extended colectomy right (2)
CL Item
Transverse resection (3)
CL Item
Hemicolectomy left (4)
CL Item
Subtotal colectomy (5)
CL Item
Unknown (999)
CL Item
Total colectomy (6)
CL Item
Sigmoid resection (7)
CL Item
Anterior resection (8)
CL Item
Low anterior resection (LAR) (9)
CL Item
Abdomino-perineal resection (APR) (10)
CL Item
Proctectomy with coloanal (11)
CL Item
Other (12)
Item
Indicate the method of the surgical procedure:
integer
C0683312 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
Treatment
Code List
Indicate the method of the surgical procedure:
CL Item
Endoscopic (for colon tumors) (1)
CL Item
Transabdominal open (2)
CL Item
Transabdominal minimally invasive (laparoscopic/robotic) (3)
CL Item
Transanal open (4)
CL Item
Transanal endoscopic (TEMS/SPTS)/minimally invasive (TAMIS) (5)
CL Item
Unknown (999)
CL Item
Other (6)
Surgery date
Item
Provide the date of surgery:
date
C1628561 (UMLS CUI [1])
Item
Indicate whether the patient received radiotherapy during the last year
integer
C1522449 (UMLS CUI [1])
Radiotherapy
Code List
Indicate whether the patient received radiotherapy during the last year
CL Item
Neoadjuvant  (1)
CL Item
Adjuvant  (2)
CL Item
Definitive (3)
CL Item
Unknown (999)
Item
Indicate what type of radiotherapy:
integer
C1522449 (UMLS CUI [1,1])
C1521902 (UMLS CUI [1,2])
Radiotherapy
Code List
Indicate what type of radiotherapy:
CL Item
Long course without chemotherapy  (1)
CL Item
Long course chemoradiation  (2)
CL Item
Brachytherapy  (3)
CL Item
Unknown (999)
CL Item
Short course  (0)
CL Item
Intraoperative radiation therapy (ORT)  (4)
CL Item
Other  (5)
Start of radiotherapy
Item
Provide the start date of radiotherapy:
date
C0436382 (UMLS CUI [1])
End of radiotherapy
Item
Provide the stop date of radiotherapy:
date
C0436385 (UMLS CUI [1])
Item
Indicate whether the patient received chemotherapy during the last year:
integer
C0392920 (UMLS CUI [1])
Chemotherapy
Code List
Indicate whether the patient received chemotherapy during the last year:
CL Item
Neoadjuvant (1)
CL Item
Adjuvant (2)
CL Item
Definitive (3)
CL Item
Unknown (999)
Item
Indicate what type of chemotherapy:
integer
C0392920 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Chemotherapy
Code List
Indicate what type of chemotherapy:
CL Item
Capecitabine/oxaliplatin (1)
CL Item
Capecitabine (2)
CL Item
5-FU/leucovorin (3)
CL Item
Unknown (999)
CL Item
FOLFOX regimen (0)
CL Item
5-FU (4)
CL Item
Irinotecan (5)
CL Item
FOLFIRI (6)
CL Item
FOLFOXIRI (7)
CL Item
Uracil-tegafur (UFT)/leucovorin (8)
CL Item
Lonsurf (trifluridine and tipiracil) (9)
CL Item
Other (10)
Start of chemotherapy
Item
Provide the start date of chemotherapy:
date
C1302181 (UMLS CUI [1,1])
C3173309 (UMLS CUI [1,2])
End of chemotherapy
Item
Provide the stop date of chemotherapy, if applicable:
date
C1302181 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Item
Indicate whether the patient received targeted therapy during the last year:
integer
C2985566 (UMLS CUI [1])
Targeted therapy
Code List
Indicate whether the patient received targeted therapy during the last year:
CL Item
Cetuximab (1)
CL Item
Bevacizumab (2)
CL Item
Panitumumab (3)
CL Item
Ramicurimab (4)
CL Item
Aflibercept (5)
CL Item
Regorafenib (6)
CL Item
Other (7)
CL Item
Unknown (999)
Start of targeted therapy
Item
Provide the start date of targeted therapy:
date
C2985566 (UMLS CUI [1,1])
C3173309 (UMLS CUI [1,2])
End of targeted therapy
Item
Provide the stop date of targeted therapy, if applicable:
date
C2985566 (UMLS CUI [1,1])
C1531784 (UMLS CUI [1,2])
Item Group
Survival and disease control
Item
Indicate whether there is a complete response
integer
C0242594 (UMLS CUI [1])
Residual invasive cancer
Code List
Indicate whether there is a complete response
CL Item
N0 (0)
CL Item
Yes (1)
CL Item
Unknown (999)
Item
Indicate whether there is evidence of circumferential margin involvement:
integer
C0728940 (UMLS CUI [1,1])
C0229985 (UMLS CUI [1,2])
C0449438 (UMLS CUI [1,3])
Residual invasive cancer
Code List
Indicate whether there is evidence of circumferential margin involvement:
CL Item
Positive (<= 1mm) (0)
CL Item
Negative (>1mm) (1)
CL Item
Not reported (999)
Item
Indicate whether there is evidence of local, regional or distant recurrence.
integer
C0034897 (UMLS CUI [1])
Residual invasive cancer
Code List
Indicate whether there is evidence of local, regional or distant recurrence.
CL Item
No (0)
CL Item
Local recurrence (1)
CL Item
Unknown (999)
CL Item
Regional recurrence (2)
CL Item
Distant recurrence (3)
Item
Provide method of confirmation:
integer
C0034897 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Residual invasive cancer
Code List
Provide method of confirmation:
CL Item
Radiological diagnosis (0)
CL Item
Histological diagnosis (1)
CL Item
Unknown (999)
CL Item
Radiological and histological diagnosis (2)
Recurrence date
Item
Provide the date of the recurrence:
date
C0807712 (UMLS CUI [1])
Item
Indicate whether there is evidence of disease progression:
integer
C0242656 (UMLS CUI [1])
Disease progression
Code List
Indicate whether there is evidence of disease progression:
CL Item
No (0)
CL Item
Yes (1)
CL Item
Unknown (999)
Item
Provide method of confirmation:
integer
C0242656 (UMLS CUI [1,1])
C0430022 (UMLS CUI [1,2])
Disease progression
Code List
Provide method of confirmation:
CL Item
Laboratory diagnosis (0)
CL Item
Clinical diagnosis (1)
CL Item
Unknown (999)
CL Item
Radiological diagnosis (2)
CL Item
Histological diagnosis (3)
CL Item
Radiological and histological diagnosis (4)
Progression date
Item
Provide the date of the progression:
date
C0242656 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Indicate whether the patient has died
integer
C0011065 (UMLS CUI [1])
Death
Code List
Indicate whether the patient has died
CL Item
No (0)
CL Item
Yes (1)
CL Item
Unknown (999)
Date of death
Item
Provide the date of the death:
date
C1148348 (UMLS CUI [1])
Item
Indicate if death is attributable to colorectal cancer:
integer
C0007465 (UMLS CUI [1])
Weight units
Code List
Indicate if death is attributable to colorectal cancer:
CL Item
Yes  (1)
CL Item
No  (0)
CL Item
Unknown (999)
Item Group
Disutility of care
Item
Indicate whether the patient received a stoma (ileostomy/colostomy):
integer
C1955856 (UMLS CUI [1])
Stoma
Code List
Indicate whether the patient received a stoma (ileostomy/colostomy):
CL Item
No (0)
CL Item
Temporary (1)
CL Item
Permanent (2)
CL Item
Unknown (999)
Stoma date
Item
Provide the date of stoma surgery:
date
C1955856 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible): 
integer
C0009566 (UMLS CUI [1])
Complications
Code List
Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible): 
CL Item
No complication (0)
CL Item
Complication requiring intervention (surgical, radiological, endoscopic) (1)
CL Item
Complication leading to prolonged hospitalization ( >14days) (2)
CL Item
Complication leading to unplanned readmission (3)
CL Item
Complication leading to ICU admission (4)
CL Item
Complication leading to discontinuing of treatment (5)
CL Item
Complication leading to reduced dosing (6)
CL Item
Complication leading to death (7)
CL Item
Complication, but did not result in any of the abovementioned (8)
CL Item
Unknown (999)
Date of death
Item
Provide the date of death:
date
C1148348 (UMLS CUI [1])
Item
Indicate whether the complication is attributable to colorectal cancer treatment:
integer
C0009566 (UMLS CUI [1,1])
C0596130 (UMLS CUI [1,2])
C0920425 (UMLS CUI [1,3])
Complication attribute
Code List
Indicate whether the complication is attributable to colorectal cancer treatment:
CL Item
N0 (0)
CL Item
Yes (1)
CL Item
Unknown (999)
Item
Please indicate the type of complication:
integer
C3258281 (UMLS CUI [1])
Complication type
Code List
Please indicate the type of complication:
CL Item
Leakage (0)
CL Item
Breakdown of anastomosis (1)
CL Item
Wound iInfection (2)
CL Item
Thromboembolic (3)
CL Item
Hematoma (4)
CL Item
Stoma related complications (5)
CL Item
Skin desquamation (6)
CL Item
Dysuria (7)
CL Item
Dehydration (8)
CL Item
Weight loss (9)
CL Item
Febrile neuropathy (10)
CL Item
Neutropenic sepsis (11)
CL Item
Mucositis (12)
CL Item
skin toxicity (13)
CL Item
Neurotoxicity (14)
CL Item
Unknown (999)
Item Group
Quality of death
Item
Indicate where patient died as indicated on certificate of death: 
integer
C0421611 (UMLS CUI [1])
Place of death
Code List
Indicate where patient died as indicated on certificate of death: 
CL Item
Home (1)
CL Item
Hospital (2)
CL Item
Nursing home/care home (including assisted living facilities) (3)
CL Item
other (4)
CL Item
Unknown (999)
Item
Indicate whether patient was cared for by hospice at time of death:
integer
C0085555 (UMLS CUI [1])
Weight units
Code List
Indicate whether patient was cared for by hospice at time of death:
CL Item
Yes  (1)
CL Item
No  (0)
CL Item
Unknown (999)
Item
Indicate whether the preference for place of death was documented (the most recent documented place of death):
integer
C0421611 (UMLS CUI [1,1])
C0558295 (UMLS CUI [1,2])
Preference of place of death
Code List
Indicate whether the preference for place of death was documented (the most recent documented place of death):
CL Item
No (0)
CL Item
Home (1)
CL Item
Hospital (2)
CL Item
Nursing home/care home (including assisted living facilities) (3)
CL Item
other (4)
CL Item
Unknown (999)
Date of documentation
Item
Provide the date of documentation:
date
C0011008 (UMLS CUI [1,1])
C0920316 (UMLS CUI [1,2])
Item
Indicate whether the patient was admitted to the hospital > 1 time in the last 30 days of life:
integer
C0184666 (UMLS CUI [1])
Hospital admissions
Code List
Indicate whether the patient was admitted to the hospital > 1 time in the last 30 days of life:
CL Item
No (0)
CL Item
Yes (1)
CL Item
Unknown (999)
Item
Indicate whether the patient was admitted to the hospital > 1 time in the last 30 days of life:
integer
C0184666 (UMLS CUI [1])
Hospital admissions
Code List
Indicate whether the patient was admitted to the hospital > 1 time in the last 30 days of life:
CL Item
No (0)
CL Item
Yes (1)
CL Item
Unknown (999)
Item Group
Degree of health
Item
Over the last 4 weeks 1: Do certain solid foods increase the number of bowel movements in a day?
integer
C0453855 (UMLS CUI [1,1])
C2128962 (UMLS CUI [1,2])
Question 1 of MSKCC_Q01
Code List
Over the last 4 weeks 1: Do certain solid foods increase the number of bowel movements in a day?
CL Item
Not at all (1)
CL Item
A little (2)
CL Item
Quite a bit (3)
CL Item
Very much (4)
Item
2: Do certain liquids that you drink increase the number of bowel movements in a day?
integer
C0452428 (UMLS CUI [1,1])
C2128962 (UMLS CUI [1,2])
Question 1 of MSKCC_Q01
Code List
2: Do certain liquids that you drink increase the number of bowel movements in a day?
CL Item
Not at all (1)
CL Item
A little (2)
CL Item
Quite a bit (3)
CL Item
Very much (4)
Item
3: Have you limited the types of solid foods you eat to control your bowel movements?
integer
C0439801 (UMLS CUI [1,1])
C0453855 (UMLS CUI [1,2])
C1290944 (UMLS CUI [1,3])
Question 1 of MSKCC_Q01
Code List
3: Have you limited the types of solid foods you eat to control your bowel movements?
CL Item
Not at all (1)
CL Item
A little (2)
CL Item
Quite a bit (3)
CL Item
Very much (4)
Item
4: Have you limited the types of liquids you drink to control your bowel movements?
integer
C0439801 (UMLS CUI [1,1])
C0452428 (UMLS CUI [1,2])
C1290944 (UMLS CUI [1,3])
Question 1 of MSKCC_Q01
Code List
4: Have you limited the types of liquids you drink to control your bowel movements?
CL Item
Not at all (1)
CL Item
A little (2)
CL Item
Quite a bit (3)
CL Item
Very much (4)
Item Group
EORTCQLQC
EORTC QLQ-C30
Item
EORTC QLQ-C30
text
EORTC QLQ-C29
Item
EORTC QLQ-C29
text
EORTC QLQ-LM21
Item
EORTC QLQ-LM21
text
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