0 Ratings
ID

40554

Description

COLORECTAL CANCER DATA COLLECTION Version 1.1.2 Revised: November 6th, 2017 http://www.ichom.org/ Notice: This work was conducted using resources from ICHOM, the International Consortium for Health Outcomes Measurement (www.ICHOM.org). The content is solely the responsibility of the authors and does not necessarily represent the official views of ICHOM. Conditions: All patients with newly pathologically diagnosed invasive colorectal cancer (stage I-IV) Excluded Conditions: Non-adenocarcinoma, non-primary colorectal tumors and patients with recurrent disease at baseline will be excluded. Treatment Approaches: Surgery | Radiotherapy | Chemotherapy | Targeted Therapy In this standard set (parts of) the following questionnaires/scores are used: European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Due to the need for a license, the EORTC QLQ-C30 questions are not included in this version of the standard set. European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C29): Due to the need for a license, the EORTC QLQ-C29 questions are not included in this version of the standard set. Memorial Sloan-Kettering Cancer Center (MSKCC) Bowel Function Instrument: Only 4 of the items used. According to ICHOM it is free to use for all health care organizations and no license is needed. Temple, L., Bacik, J., Savatta, S. et al. The Development of a Validated Instrument to Evaluate Bowel Function After Sphincter-Preserving Surgery for Rectal Cancer. Dis Colon Rectum (2005) 48: 1353. European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-LMC21): A license is needed for use of this questionnaire as well, however only one question is used. ICHOM was supported by Alliance of Dedicated Cancer Centers (CZ, DICA, Bowel Cancer Australia) for this standard set. Publication: Zerillo JA, Schouwenburg MG, van Bommel ACM, et al. An International Collaborative Standardizing a Comprehensive Patient-Centered Outcomes Measurement Set for Colorectal Cancer. JAMA Oncol. 2017;3(5):686–694. doi:10.1001/jamaoncol.2017.0417 For this version of the standard set, semantic annotation with UMLS CUIs has been added.

Link

http://www.ichom.org/

Keywords

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

ICHOM

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April 30, 2020

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Creative Commons BY-NC 4.0
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    ICHOM Colorectal Cancer

    English

    6 months post treatment Clinical Form

    1 forms  
    Administrative Data
    Description

    Administrative Data

    Alias
    UMLS CUI-1
    C1320722
    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
    Treatment variables
    Description

    Treatment variables

    Alias
    UMLS CUI-1
    C0087111
    Indicate whether the patient received one of the following treatment during the last year: (select all that apply) 0 = No treatment
    Description

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

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C4086728
    UMLS CUI [1,2]
    C0746919
    Indicate whether the patient received one of the following treatment during the last year: (select all that apply) 1 = Surgery
    Description

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

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0087111
    UMLS CUI [1,2]
    C4086728
    UMLS CUI [1,3]
    C0543467
    Indicate whether the patient received one of the following treatment during the last year: (select all that apply) 2 = Radiotherapy
    Description

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

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0087111
    UMLS CUI [1,2]
    C4086728
    UMLS CUI [1,3]
    C1522449
    Indicate whether the patient received one of the following treatment during the last year: (select all that apply) 3 = Chemotherapy
    Description

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

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0087111
    UMLS CUI [1,2]
    C4086728
    UMLS CUI [1,3]
    C0392920
    Indicate whether the patient received one of the following treatment during the last year: (select all that apply) 4 = Targeted therapy
    Description

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

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0087111
    UMLS CUI [1,2]
    C4086728
    UMLS CUI [1,3]
    C2985566
    Indicate whether the patient received one of the following treatment during the last year: (select all that apply) 5 = Best supportive care
    Description

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

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0087111
    UMLS CUI [1,2]
    C4086728
    UMLS CUI [1,3]
    C0344211
    Indicate whether the patient received one of the following treatment during the last year: (select all that apply) 999 = Unknown
    Description

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

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0087111
    UMLS CUI [1,2]
    C4086728
    UMLS CUI [1,3]
    C0439673
    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]
    C0543467
    UMLS CUI [1,2]
    C0332307
    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 [1,1]
    C1522449
    UMLS CUI [1,2]
    C4086728
    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]
    C0332307
    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 [1,1]
    C0808070
    UMLS CUI [1,2]
    C1522449
    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 [1,1]
    C1522449
    UMLS CUI [1,2]
    C0806020
    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 [1,1]
    C0392920
    UMLS CUI [1,2]
    C4086728
    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]
    C0392920
    UMLS CUI [1,2]
    C0808070
    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]
    C0392920
    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 [1,1]
    C2985566
    UMLS CUI [1,2]
    C4086728
    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]
    C0808070
    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]
    C0806020
    DD/MM/YYYY
    Survival and disease control
    Description

    Survival and disease control

    Alias
    UMLS CUI-1
    C1148433
    UMLS CUI-2
    C4304384
    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
    UMLS CUI [2]
    C1275810
    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
    Disutility of care
    Description

    Disutility of care

    Alias
    UMLS CUI-1
    C4062984
    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):  0 = No complication
    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

    boolean

    Alias
    UMLS CUI [1,1]
    C0009566
    UMLS CUI [1,2]
    C0549184
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  1 = Complication requiring intervention (surgical, radiological, endoscopic)
    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

    boolean

    Alias
    UMLS CUI [1,1]
    C0009566
    UMLS CUI [1,2]
    C0184661
    UMLS CUI [1,3]
    C1514873
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  2 = Complication leading to prolonged hospitalization ( >14days)
    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

    boolean

    Alias
    UMLS CUI [1,1]
    C0009566
    UMLS CUI [1,2]
    C0745041
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  3 = Complication leading to unplanned readmission
    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

    boolean

    Alias
    UMLS CUI [1,1]
    C0009566
    UMLS CUI [1,2]
    C0600290
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  4 = Complication leading to ICU admission
    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

    boolean

    Alias
    UMLS CUI [1,1]
    C0009566
    UMLS CUI [1,2]
    C0583239
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  5 = Complication leading to discontinuing of treatment
    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

    boolean

    Alias
    UMLS CUI [1,1]
    C0009566
    UMLS CUI [1,2]
    C0457454
    UMLS CUI [1,3]
    C0087111
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  6 = Complication leading to reduced dosing
    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

    boolean

    Alias
    UMLS CUI [1,1]
    C0009566
    UMLS CUI [1,2]
    C1707814
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  7 = Complication leading to death
    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

    boolean

    Alias
    UMLS CUI [1,1]
    C0009566
    UMLS CUI [1,2]
    C0011065
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  8 = Complication, but did not result in any of the above mentioned
    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

    boolean

    Alias
    UMLS CUI [1,1]
    C0009566
    UMLS CUI [1,2]
    C0205394
    UMLS CUI [1,3]
    C1274040
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  999 = Unknown
    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

    boolean

    Alias
    UMLS CUI [1,1]
    C0009566
    UMLS CUI [1,2]
    C0439673
    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
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    Similar models

    6 months post treatment Clinical Form

    1 forms
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Administrative Data
    C1320722 (UMLS CUI-1)
    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
    Treatment variables
    C0087111 (UMLS CUI-1)
    Treatment: None
    Item
    Indicate whether the patient received one of the following treatment during the last year: (select all that apply) 0 = No treatment
    boolean
    C4086728 (UMLS CUI [1,1])
    C0746919 (UMLS CUI [1,2])
    Treatment: Surgery
    Item
    Indicate whether the patient received one of the following treatment during the last year: (select all that apply) 1 = Surgery
    boolean
    C0087111 (UMLS CUI [1,1])
    C4086728 (UMLS CUI [1,2])
    C0543467 (UMLS CUI [1,3])
    Treatment: Radiotherapy
    Item
    Indicate whether the patient received one of the following treatment during the last year: (select all that apply) 2 = Radiotherapy
    boolean
    C0087111 (UMLS CUI [1,1])
    C4086728 (UMLS CUI [1,2])
    C1522449 (UMLS CUI [1,3])
    Treatment: Chemotherapy
    Item
    Indicate whether the patient received one of the following treatment during the last year: (select all that apply) 3 = Chemotherapy
    boolean
    C0087111 (UMLS CUI [1,1])
    C4086728 (UMLS CUI [1,2])
    C0392920 (UMLS CUI [1,3])
    Treatment: Targeted Therapy
    Item
    Indicate whether the patient received one of the following treatment during the last year: (select all that apply) 4 = Targeted therapy
    boolean
    C0087111 (UMLS CUI [1,1])
    C4086728 (UMLS CUI [1,2])
    C2985566 (UMLS CUI [1,3])
    Treatment: Best supportive care
    Item
    Indicate whether the patient received one of the following treatment during the last year: (select all that apply) 5 = Best supportive care
    boolean
    C0087111 (UMLS CUI [1,1])
    C4086728 (UMLS CUI [1,2])
    C0344211 (UMLS CUI [1,3])
    Treatment: Unknown
    Item
    Indicate whether the patient received one of the following treatment during the last year: (select all that apply) 999 = Unknown
    boolean
    C0087111 (UMLS CUI [1,1])
    C4086728 (UMLS CUI [1,2])
    C0439673 (UMLS CUI [1,3])
    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)
    C0192861 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Extended colectomy right (2)
    C0400043 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Transverse resection (3)
    C0192863 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Hemicolectomy left (4)
    C0192865 (UMLS CUI-1)
    C0546535 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Subtotal colectomy (5)
    C0149750 (UMLS CUI-1)
    C0728939 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Unknown (999)
    C0439673 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Total colectomy (6)
    C0192871 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Sigmoid resection (7)
    C0192866 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Anterior resection (8)
    C0193083 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Low anterior resection (LAR) (9)
    C1282272 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Abdomino-perineal resection (APR) (10)
    C2004459 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Proctectomy with coloanal (11)
    C0193062 (UMLS CUI-1)
    C2985529 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Other (12)
    C0205394 (UMLS CUI-1)
    (Comment:en)
    Item
    Indicate the method of the surgical procedure:
    integer
    C0543467 (UMLS CUI [1,1])
    C0332307 (UMLS CUI [1,2])
    Treatment
    Code List
    Indicate the method of the surgical procedure:
    CL Item
    Endoscopic (for colon tumors) (1)
    C0282493 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Transabdominal open (2)
    C0348025 (UMLS CUI-1)
    C0198482 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Transabdominal minimally invasive (laparoscopic/robotic) (3)
    C0198482 (UMLS CUI-1)
    C0282624 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Transanal open (4)
    C0543467 (UMLS CUI-1)
    C0589371 (UMLS CUI-2)
    C0348025 (UMLS CUI-3)
    (Comment:en)
    CL Item
    Transanal endoscopic (TEMS/SPTS)/minimally invasive (TAMIS) (5)
    C0543467 (UMLS CUI-1)
    C0589371 (UMLS CUI-2)
    C0282624 (UMLS CUI-3)
    C0282493 (UMLS CUI-4)
    (Comment:en)
    CL Item
    Unknown (999)
    C0439673 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Other (6)
    C0205394 (UMLS CUI-1)
    (Comment:en)
    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 [1,1])
    C4086728 (UMLS CUI [1,2])
    Radiotherapy
    Code List
    Indicate whether the patient received radiotherapy during the last year
    CL Item
    Neoadjuvant  (1)
    C1298676 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Adjuvant  (2)
    C1298675 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Definitive (3)
    C2986592 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Unknown (999)
    C0439673 (UMLS CUI-1)
    (Comment:en)
    Item
    Indicate what type of radiotherapy:
    integer
    C1522449 (UMLS CUI [1,1])
    C0332307 (UMLS CUI [1,2])
    Radiotherapy
    Code List
    Indicate what type of radiotherapy:
    CL Item
    Long course without chemotherapy  (1)
    C1522449 (UMLS CUI-1)
    C0443252 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Long course chemoradiation  (2)
    C0443252 (UMLS CUI-1)
    C0436307 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Brachytherapy  (3)
    C0006098 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Unknown (999)
    C0439673 (UMLS CUI-1)
    C1522449 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Short course  (0)
    C0443303 (UMLS CUI-1)
    C1522449 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Intraoperative radiation therapy (ORT)  (4)
    C0338240 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Other  (5)
    C1522449 (UMLS CUI-1)
    C0205394 (UMLS CUI-2)
    (Comment:en)
    Start of radiotherapy
    Item
    Provide the start date of radiotherapy:
    date
    C0808070 (UMLS CUI [1,1])
    C1522449 (UMLS CUI [1,2])
    End of radiotherapy
    Item
    Provide the stop date of radiotherapy:
    date
    C1522449 (UMLS CUI [1,1])
    C0806020 (UMLS CUI [1,2])
    Item
    Indicate whether the patient received chemotherapy during the last year:
    integer
    C0392920 (UMLS CUI [1,1])
    C4086728 (UMLS CUI [1,2])
    Chemotherapy
    Code List
    Indicate whether the patient received chemotherapy during the last year:
    CL Item
    Neoadjuvant (1)
    C1298676 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Adjuvant (2)
    C1298675 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Definitive (3)
    C2986592 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Unknown (999)
    C0439673 (UMLS CUI-1)
    (Comment:en)
    Start of chemotherapy
    Item
    Provide the start date of chemotherapy:
    date
    C0392920 (UMLS CUI [1,1])
    C0808070 (UMLS CUI [1,2])
    End of chemotherapy
    Item
    Provide the stop date of chemotherapy, if applicable:
    date
    C0392920 (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 [1,1])
    C4086728 (UMLS CUI [1,2])
    Targeted therapy
    Code List
    Indicate whether the patient received targeted therapy during the last year:
    CL Item
    Cetuximab (1)
    C0995188 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Bevacizumab (2)
    C0796392 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Panitumumab (3)
    C0879427 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Ramucirumab (4)
    C2742502 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Aflibercept (5)
    C1134659 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Regorafenib (6)
    C2980094 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Other (7)
    C0205394 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Unknown (999)
    C0439673 (UMLS CUI-1)
    (Comment:en)
    Start of targeted therapy
    Item
    Provide the start date of targeted therapy:
    date
    C2985566 (UMLS CUI [1,1])
    C0808070 (UMLS CUI [1,2])
    End of targeted therapy
    Item
    Provide the stop date of targeted therapy, if applicable:
    date
    C2985566 (UMLS CUI [1,1])
    C0806020 (UMLS CUI [1,2])
    Item Group
    Survival and disease control
    C1148433 (UMLS CUI-1)
    C4304384 (UMLS CUI-2)
    Item
    Indicate whether there is a complete response
    integer
    C0242594 (UMLS CUI [1])
    C1275810 (UMLS CUI [2])
    Residual invasive cancer
    Code List
    Indicate whether there is a complete response
    CL Item
    No (0)
    C1298908 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Yes (1)
    C1705108 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Unknown (999)
    C0439673 (UMLS CUI-1)
    (Comment:en)
    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)
    C1709603 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Negative (>1mm) (1)
    C1709157 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Not reported (999)
    C1549114 (UMLS CUI-1)
    (Comment:en)
    Item Group
    Disutility of care
    C4062984 (UMLS CUI-1)
    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)
    C1298908 (UMLS CUI-1)
    C1955856 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Temporary (1)
    C0205374 (UMLS CUI-1)
    C1955856 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Permanent (2)
    C0205355 (UMLS CUI-1)
    C1955856 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Unknown (999)
    C0439673 (UMLS CUI-1)
    (Comment:en)
    Stoma date
    Item
    Provide the date of stoma surgery:
    date
    C1955856 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    Complications: None
    Item
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  0 = No complication
    boolean
    C0009566 (UMLS CUI [1,1])
    C0549184 (UMLS CUI [1,2])
    Complications: Requiring intervention
    Item
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  1 = Complication requiring intervention (surgical, radiological, endoscopic)
    boolean
    C0009566 (UMLS CUI [1,1])
    C0184661 (UMLS CUI [1,2])
    C1514873 (UMLS CUI [1,3])
    Complications: prolonged hospitalisation
    Item
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  2 = Complication leading to prolonged hospitalization ( >14days)
    boolean
    C0009566 (UMLS CUI [1,1])
    C0745041 (UMLS CUI [1,2])
    Complications: unplanned readmission
    Item
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  3 = Complication leading to unplanned readmission
    boolean
    C0009566 (UMLS CUI [1,1])
    C0600290 (UMLS CUI [1,2])
    Complications: ICU admission
    Item
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  4 = Complication leading to ICU admission
    boolean
    C0009566 (UMLS CUI [1,1])
    C0583239 (UMLS CUI [1,2])
    Complications: discontinuation of treatment
    Item
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  5 = Complication leading to discontinuing of treatment
    boolean
    C0009566 (UMLS CUI [1,1])
    C0457454 (UMLS CUI [1,2])
    C0087111 (UMLS CUI [1,3])
    Complications: Reduction of dosing
    Item
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  6 = Complication leading to reduced dosing
    boolean
    C0009566 (UMLS CUI [1,1])
    C1707814 (UMLS CUI [1,2])
    Complications: Death
    Item
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  7 = Complication leading to death
    boolean
    C0009566 (UMLS CUI [1,1])
    C0011065 (UMLS CUI [1,2])
    Complications: other result
    Item
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  8 = Complication, but did not result in any of the above mentioned
    boolean
    C0009566 (UMLS CUI [1,1])
    C0205394 (UMLS CUI [1,2])
    C1274040 (UMLS CUI [1,3])
    Complications: Unknown
    Item
    Indicate whether the patient experienced a complication while on treatment or up to 90 days after initiation of treatment (multiple answers possible):  999 = Unknown
    boolean
    C0009566 (UMLS CUI [1,1])
    C0439673 (UMLS CUI [1,2])
    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])
    Residual invasive cancer
    Code List
    Indicate whether the complication is attributable to colorectal cancer treatment:
    CL Item
    No (0)
    C1298908 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Yes (1)
    C1705108 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Unknown (999)
    C0439673 (UMLS CUI-1)
    (Comment:en)
    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)
    C0919691 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Breakdown of anastomosis (1)
    C0332853 (UMLS CUI-1)
    C3203359 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Wound Infection (2)
    C0043241 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Thromboembolic (3)
    C0040038 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Hematoma (4)
    C0018944 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Stoma related complications (5)
    C0009566 (UMLS CUI-1)
    C1955856 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Skin desquamation (6)
    C0237849 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Dysuria (7)
    C0013428 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Dehydration (8)
    C0011175 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Weight loss (9)
    C1262477 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Febrile neuropathy (10)
    C0442874 (UMLS CUI-1)
    C0015967 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Neutropenic sepsis (11)
    C0853697 (UMLS CUI-1)
    C0243026 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Mucositis (12)
    C0333355 (UMLS CUI-1)
    (Comment:en)
    CL Item
    skin toxicity (13)
    C1167791 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Neurotoxicity (14)
    C0235032 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Unknown (999)
    C0439673 (UMLS CUI-1)
    (Comment:en)
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