Eusoma Certification Process for quality in comprehensive and multidisciplinary breast care

Model QT dataset for assessing compliance by Breast Units Audit Systems to EUSOMA Initial Certification requirements

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Example of a patient exported in CSV file in the accepted format:

Person_ID;Lesion_ID;AGE;B01;B03;D01;D02;D03;D06;D07;D08;D08A;D09;D10;D10A;D12;D13A;D11;D16;D19;D20;D21;D23;D24;N00;N00A;E05;E08;E13;E13B;E14;E15;E16;F05;F08;F38;F40;P01;P07;P10;P19;G01;G07;G09;G14;H04;H07;H08;I01;I02;I03;I05;I06;I08;I09;I10;I11;I13;I14;I16;I21;I22;I23;I24;I25A;I26;I27;I29C;I29B;I28;I29;I30;I38;I39;I40;L01;L03;L04;L05;L06;L07;L09;L10;L11;L13;L21;L24;M01;M02;M04;M11;M12;M13;M14;M15;M15A;M28;FU01;FU02;FU03;FU04;FU05;FU06;FU07;FU08;FU09;FU10;FU11;FU12;FU13
IT00000000000021;1;85;;2;2;1;5/4/2005;;18/4/2005;4;14/10/2005;4;9;20/10/2005;2;;2;20;ABC;;0;24/5/2007;9;0;2;7/11/2005;5;;0;2;5;63;14/6/2005;3;20/10/2005;5;1;9/11/2006;;;1;16/11/2005;1;9;0;9;3/2/2007;3;ABCDEFGHIJKLM;0;3;99;9;9;1;5;;4;;90;95;5;47;26;1C;;2;0(mol-)(SL);3;86;37;2;;1;;2/4/2005;2/10/2006;10/10/2006;9/3/2007;38;91;11;1;8;2;9;;;9;0;2;1;9/12/2006;12/3/2006;6;0;9;14/4/2006;9;2/11/2005;1;9;15/2/2007;8;;19/8/2005;4;13/8/2005;
Personal ID identifying the patientPerson_IDTEXT (16)Exported value: IT00000000000021
Integer identifying the lesion in the patient (1,2,3...) Lesion_ID NUMBER Exported value: 1
AgeAGENUMBERExported value: 85
Side location of the lesionB01CODEExported value: no character (i.e. missing value)
Classification with respect to other lesionsB03CODEExported value: 2 (meaning "Double contralateral")
Source of referralD01CODEExported value: 2 (meaning "Other")
Result of mammogramD02CODEExported value: 1 (meaning "R1-Negative")
Date of mammogramD03DATEExported value: 5/4/2005
Ultrasound scanD06CODEExported value: no character (i.e. missing value)
Date of ultrasound scanD07DATEExported value: 18/4/2005
Cytological result (FNA)D08CODEExported value: 4 (meaning "C4-Suspicious of malignancy")
Date of sampleD08ADATEExported value: 14/10/2005
Core biopsy resultD09CODEExported value: 4 (meaning "B4-Suspicious of malignancy")
Type of invasion at CBD10CODEExported value: 9 (meaning "Unknown")
Date of CBD10ADATEExported value: 20/10/2005
Technique (CB)D12CODEExported value: 2 (meaning "Vacuum assisted")
Clinical examinationD13ACODEExported value: no character (i.e. missing value)
Disease extentD11CODEExported value: 2 (meaning "Multicentric")
Tumour size by imaging or clinical examinationD16NUMBERExported value: 20
T by imaging or clinical examinationD19TEXT (3)Exported value: ABC
N (Regional nodes affected)D20CODEExported value: no character (i.e. missing value)
M (Distant metastases)D21CODEExported value: 0 (meaning "0")
Date of decision to operate or 1st therapy referralD23DATEExported value: 24/5/2007
Final recommendations to patientD24CODEExported value: 9 (meaning "Unknown")
Patient operatedN00CODEExported value: 0 (meaning "No")
Reason for non-interventionN00ACODEExported value: 2 (meaning "Inoperable cancer")
Date of 1st breast operationE05DATEExported value: 7/11/2005
Type of 1st interventionE08CODEExported value: 5 (meaning "Subcutaneous mastectomy")
Specimen X-ray (1st breast operation)E13CODEExported value: no character (i.e. missing value)
Result of RX specimen (1st breast operation)E13BCODEExported value: 0 (meaning "No lesion")
Result of frozen section of the lesionE14CODEExported value: 2 (meaning "Dubious")
Result of frozen section (specimen margins)E15CODEExported value: 5 (meaning "Inv. Ca. reaches margins")
Weight (gr.) of the specimen (benign lesion)E16NUMBERExported value: 63
Date of 2nd breast operationF05DATEExported value: 14/6/2005
Type of 2nd interventionF08CODEExported value: 3 (meaning "Wide resection")
Date of 3rd breast operationF38DATEExported value: 20/10/2005
Type of 3rd interventionF40CODEExported value: 5 (meaning "Subcutaneous mastectomy")
SLN procedureP01CODEExported value: 1 (meaning "Performed")
Date of intervention on sentinel lymph nodeP07DATEExported value: 9/11/2006
SLN (Blue Dye)P10CODEExported value: no character (i.e. missing value)
SLN (Radio guided)P19CODEExported value: no character (i.e. missing value)
Axillary operationG01CODEExported value: 1 (meaning "Performed")
Date of intervention (axilla)G07DATEExported value: 16/11/2005
Type of axillary operation (level)G09CODEExported value: 1 (meaning "Level I")
Total or partial excision of pectoral musclesG14CODEExported value: 9 (meaning "Unknown")
Immediate reconstructionH04CODEExported value: 0 (meaning "Not performed")
Failed biopsyH07CODEExported value: 9 (meaning "Unknown")
Date of failed biopsyH08DATEExported value: 3/2/2007
Final pathologyI01CODEExported value: 3 (meaning "Microinvasive")
Other main diagnosis at final pathologyI02TEXT (13)Exported value: ABCDEFGHIJKLM
DCIS componentI03CODEExported value: 0 (meaning "Absent")
Histological type of benign lesionsI05CODEExported value: 3 (meaning "Atyp.ductal hyperplasia")
Invasive histological type at final pathologyI06CODEExported value: 99 (meaning "Unknown")
Grade of invasive cancerI08CODEExported value: 9 (meaning "Unknown")
Classification used for gradeI09CODEExported value: 9 (meaning "Unknown")
Presence or absence of vascular invasionI10CODEExported value: 1 (meaning "Yes")
In situ histological typeI11CODEExported value: 5 (meaning "Micropapillary")
Grade of DCIS lesionsI13CODEExported value: no character (i.e. missing value)
Classification used for DCIS gradingI14CODEExported value: 4 (meaning "Nottingham")
Disease extentI16CODEExported value: no character (i.e. missing value)
Pathological size (mm.)I21NUMBERExported value: 90
Total size (mm. invasive + in situ)I22NUMBERExported value: 95
Evaluation of margins at final pathology after last operationI23CODEExported value: 5 (meaning "DCIS in proximity")
Minimum distance of the tumour from the margins (inv.)I24NUMBERExported value: 47
Minimum distance of the tumour from the margins (CDIS)I25ANUMBERExported value: 26
pTI26CODEExported value: 1C (meaning "1C")
LN statusI27CODEExported value: no character (i.e. missing value)
SLN histologic resultI29CCODEExported value: 2 (meaning "Not involved")
pN (SLN)I29BCODEExported value: 0(mol-)(SL) (meaning "0(mol-)(SL)")
pNI28CODEExported value: 3 (meaning "3")
N. of LN examined by the pathologistI29NUMBERExported value: 86
N. of axillary LN containing tumourI30NUMBERExported value: 37
Oestrogen receptor statusI38CODEExported value: 2 (meaning "Positive")
Progesterone receptor statusI39CODEExported value: no character (i.e. missing value)
Evaluation method adopted for hormonal receptor statusI40CODEExported value: 1 (meaning "Immunohistochemical")
Radiotherapy (RT) performedL01CODEExported value: no character (i.e. missing value)
Date of first RT appointmentL03DATEExported value: 2/4/2005
Date of first RT fractionL04DATEExported value: 2/10/2006
Scheduled date of last RT fractionL05DATEExported value: 10/10/2006
Actual date of last RT fractionL06DATEExported value: 9/3/2007
Conventional RT fractionL07NUMBERExported value: 38
Total administered doseL09NUMBERExported value: 91
Boost dose administeredL10NUMBERExported value: 11
RT on BreastL11CODEExported value: 1 (meaning "Cobalt60")
Radiotherapy boostL13CODEExported value: 8 (meaning "Yes unknown method")
RT on AxillaL21CODEExported value: 2 (meaning "In toto")
Interruption to radiotherapy for technical reasonsL24CODEExported value: 9 (meaning "Unknown")
Endocrine therapy performedM01CODEExported value: no character (i.e. missing value)
Ovarian ablation performedM02CODEExported value: no character (i.e. missing value)
Hormone therapy prescribedM04CODEExported value: 9 (meaning "Unknown")
Treatment in association with chemotherapyM11CODEExported value: 0 (meaning "No")
Type of association with chemotherapyM12CODEExported value: 2 (meaning "Sequential")
Chemotherapy performedM13CODEExported value: 1 (meaning "Yes")
Date of first chemotherapy cycleM14DATEExported value: 9/12/2006
Date of last chemotherapy cycleM15DATEExported value: 12/3/2006
Combination of drugsM15ACODEExported value: 6 (meaning "ePI 120")
Withdrawal due to toxicityM28CODEExported value: 0 (meaning "No")
Local recurrenceFU01CODEExported value: 9 (meaning "Unknown")
Date of local recurrenceFU02DATEExported value: 14/4/2006
Regional LN recurrenceFU03CODEExported value: 9 (meaning "Unknown")
Date of 1st regional recurrenceFU04DATEExported value: 2/11/2005
Type of 1st regional recurrenceFU05CODEExported value: 1 (meaning "Ipsilateral axillary")
Distant metastasesFU06CODEExported value: 9 (meaning "Unknown")
Date of 1st distant metastasesFU07DATEExported value: 15/2/2007
Site of distant metastasesFU08CODEExported value: 8 (meaning "Other")
New primary breast cancerFU09CODEExported value: no character (i.e. missing value)
Date of new primary breast cancerFU10DATEExported value: 19/8/2005
Patient status at follow-upFU11CODEExported value: 4 (meaning "Died")
Date of follow-up (if died date of death)FU12DATEExported value: 13/8/2005
Cause of deathFU13CODEExported value: no character (i.e. missing value)