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Clinical Form after primary or salvage surgery

1 forms  
Patient ID
Description

Patient ID

Alias
UMLS CUI-1
C1269815
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 TYPE: Numerical RESPONSE OPTIONS: According to institution

Data type

integer

Alias
UMLS CUI [1]
C1269815
Pathological Information
Description

Pathological Information

Alias
UMLS CUI-1
C0205469
Indicate the pathological tumor stage (per AJCC 7th)
Description

Pathologic staging preferred, if available pT2: if not able to select T2a, T2b or T2c: Organ confined pT2a: Unilateral, one-half of one side or less pT2b: Unilateral, involving more than one-half of side but not both sides pT2c: Bilateral disease pT3: if not able to select T3a, T3b: Extraprostatic extension pT3a: Extraprostatic extension or microscopic invasion of bladder neck pT3b: Seminal vesicle invasion pT4: Invasion of rectum, levator muscles, and/or pelvic wall pTX: Primary tumor cannot be assessed INCLUSION CRITERIA: Patients who undergo surgical interventions TIMING: After primary or salvage surgery REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0441915
UMLS CUI [1,2]
C0205469
UMLS CUI [1,3]
C0600139
Indicate the pathological nodal stage (per AJCC 7th)
Description

Pathologic staging preferred, if available pN0: No positive regional nodes pN1: Metastases in regional node(s) pNX: Regional nodes not sampled INCLUSION CRITERIA: Patients who undergo surgical interventions TIMING: After primary or salvage surgery REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0456532
UMLS CUI [1,2]
C0441915
UMLS CUI [1,3]
C0205469
UMLS CUI [1,4]
C0600139
Indicate margin status
Description

INCLUSION CRITERIA: Patients who undergo surgical interventions TIMING: After primary or salvage surgery REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C1269830
UMLS CUI [1,2]
C0600139
Indicate if margin status is focal or multi-focal
Description

INCLUSION CRITERIA: Patients who undergo surgical interventions; If answered 'positive' to margin status (MARGIN) TIMING: Before treatment REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C1269830
UMLS CUI [1,2]
C1446409
UMLS CUI [1,3]
C0439792
If yes, indicate the primary Gleason score based upon surgical pathology
Description

INCLUSION CRITERIA: Patients who undergo surgical interventions TIMING: After primary or salvage surgery REPORTING SOURCE: Clinical TYPE: Numerical value

Data type

integer

Alias
UMLS CUI [1,1]
C1273604
UMLS CUI [1,2]
C0033573
If yes, indicate the secondary Gleason score based upon surgical pathology
Description

INCLUSION CRITERIA: Patients who undergo surgical interventions TIMING: After primary or salvage surgery REPORTING SOURCE: Clinical TYPE: Numerical value

Data type

integer

Alias
UMLS CUI [1,1]
C1273605
UMLS CUI [1,2]
C0033573
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Similar models

Clinical Form after primary or salvage surgery

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient ID
C1269815 (UMLS CUI-1)
Patient ID
Item
Indicate the patient's medical record number
integer
C1269815 (UMLS CUI [1])
Item Group
Pathological Information
C0205469 (UMLS CUI-1)
Item
Indicate the pathological tumor stage (per AJCC 7th)
integer
C0441915 (UMLS CUI [1,1])
C0205469 (UMLS CUI [1,2])
C0600139 (UMLS CUI [1,3])
Clinical tumor stage
Code List
Indicate the pathological tumor stage (per AJCC 7th)
CL Item
pT2 (1)
C1709725 (UMLS CUI-1)
(Comment:en)
CL Item
pT2a  (2)
C1709726 (UMLS CUI-1)
(Comment:en)
CL Item
pT2b  (3)
C1709727 (UMLS CUI-1)
(Comment:en)
CL Item
pT2c  (4)
C1709728 (UMLS CUI-1)
(Comment:en)
CL Item
pT3 (5)
C1709729 (UMLS CUI-1)
(Comment:en)
CL Item
pT3a  (6)
C2982627 (UMLS CUI-1)
(Comment:en)
CL Item
pT3b  (7)
C1709731 (UMLS CUI-1)
(Comment:en)
CL Item
pT4 (8)
C2982628 (UMLS CUI-1)
(Comment:en)
CL Item
pTX (9)
C0332395 (UMLS CUI-1)
C0600139 (UMLS CUI-2)
(Comment:en)
CL Item
Unknown (999)
C0439673 (UMLS CUI-1)
(Comment:en)
Item
Indicate the pathological nodal stage (per AJCC 7th)
integer
C0456532 (UMLS CUI [1,1])
C0441915 (UMLS CUI [1,2])
C0205469 (UMLS CUI [1,3])
C0600139 (UMLS CUI [1,4])
Clinical nodal stage
Code List
Indicate the pathological nodal stage (per AJCC 7th)
CL Item
pN0  (0)
C1709722 (UMLS CUI-1)
(Comment:en)
CL Item
pN1 (1)
C1709723 (UMLS CUI-1)
(Comment:en)
CL Item
pNX  (2)
C1709724 (UMLS CUI-1)
(Comment:en)
CL Item
Unknown (999)
C0439673 (UMLS CUI-1)
(Comment:en)
Item
Indicate margin status
integer
C1269830 (UMLS CUI [1,1])
C0600139 (UMLS CUI [1,2])
Margin status
Code List
Indicate margin status
CL Item
Negative (0)
C0205160 (UMLS CUI-1)
(Comment:en)
CL Item
Positive (1)
C1446409 (UMLS CUI-1)
(Comment:en)
CL Item
Unknown (999)
C0439673 (UMLS CUI-1)
(Comment:en)
Item
Indicate if margin status is focal or multi-focal
integer
C1269830 (UMLS CUI [1,1])
C1446409 (UMLS CUI [1,2])
C0439792 (UMLS CUI [1,3])
Margin status focality
Code List
Indicate if margin status is focal or multi-focal
CL Item
Focal (1)
CL Item
Multi-focal (2)
CL Item
Unknown (999)
Pathological Gleason grade: Primary
Item
If yes, indicate the primary Gleason score based upon surgical pathology
integer
C1273604 (UMLS CUI [1,1])
C0033573 (UMLS CUI [1,2])
Pathological Gleason grade: Secondary
Item
If yes, indicate the secondary Gleason score based upon surgical pathology
integer
C1273605 (UMLS CUI [1,1])
C0033573 (UMLS CUI [1,2])
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