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
IT00000000000018;1;99;N;;2;4;8/12/2005;3;3/10/2007;1;28/1/2007;5;2;4/7/2005;3;0;2;62;ABC;X;;16/4/2005; 3;0;9;14/10/2006;8;3;2;1;6;49;10/2/2006;4;24/3/2005;9;9;7/8/2007;9;;;27/10/2006;;;1;9;19/6/2006;3;ABCDEFGHIJKLM;;1;11;9;3;;1;;3;9;39;58;7;17;82;1MIC;;4;1b;0(i-);68;55;1;2;3;;19/6/2006;4/11/2007;10/8/2007;1/10/2007;18;32;81;3;9;2;9;2;0;9;0;9;;5/7/2006;25/4/2007;7;1;0;19/7/2005;9;7/11/2005;;1;6/5/2006;8;0;8/7/2005;2;12/7/2006;1
Personal ID identifying the patientPerson_IDTEXT (16)Exported value: IT00000000000018
Integer identifying the lesion in the patient (1,2,3...) Lesion_ID NUMBER Exported value: 1
AgeAGENUMBERExported value: 99
Side location of the lesionB01CODEExported value: N (meaning "Unkwnown")
Classification with respect to other lesionsB03CODEExported value: no character (i.e. missing value)
Source of referralD01CODEExported value: 2 (meaning "Other")
Result of mammogramD02CODEExported value: 4 (meaning "R4-Suspicious of malignancy")
Date of mammogramD03DATEExported value: 8/12/2005
Ultrasound scanD06CODEExported value: 3 (meaning "U3-Abn. indetermined significance")
Date of ultrasound scanD07DATEExported value: 3/10/2007
Cytological result (FNA)D08CODEExported value: 1 (meaning "C1-Inadequate")
Date of sampleD08ADATEExported value: 28/1/2007
Core biopsy resultD09CODEExported value: 5 (meaning "B5-Malignant")
Type of invasion at CBD10CODEExported value: 2 (meaning "Invasive")
Date of CBD10ADATEExported value: 4/7/2005
Technique (CB)D12CODEExported value: 3 (meaning "Other")
Clinical examinationD13ACODEExported value: 0 (meaning "Not performed")
Disease extentD11CODEExported value: 2 (meaning "Multicentric")
Tumour size by imaging or clinical examinationD16NUMBERExported value: 62
T by imaging or clinical examinationD19TEXT (3)Exported value: ABC
N (Regional nodes affected)D20CODEExported value: X (meaning "X")
M (Distant metastases)D21CODEExported value: no character (i.e. missing value)
Date of decision to operate or 1st therapy referralD23DATEExported value: 16/4/2005
Final recommendations to patientD24CODEExported value: 3 (meaning "Exeresis")
Patient operatedN00CODEExported value: 0 (meaning "No")
Reason for non-interventionN00ACODEExported value: 9 (meaning "Unknown")
Date of 1st breast operationE05DATEExported value: 14/10/2006
Type of 1st interventionE08CODEExported value: 8 (meaning "Other")
Specimen X-ray (1st breast operation)E13CODEExported value: 3 (meaning "Yes")
Result of RX specimen (1st breast operation)E13BCODEExported value: 2 (meaning "Lesion present but not centred")
Result of frozen section of the lesionE14CODEExported value: 1 (meaning "Negative")
Result of frozen section (specimen margins)E15CODEExported value: 6 (meaning "Performed but result unknown")
Weight (gr.) of the specimen (benign lesion)E16NUMBERExported value: 49
Date of 2nd breast operationF05DATEExported value: 10/2/2006
Type of 2nd interventionF08CODEExported value: 4 (meaning "Quadrantectomy")
Date of 3rd breast operationF38DATEExported value: 24/3/2005
Type of 3rd interventionF40CODEExported value: 9 (meaning "Unknown")
SLN procedureP01CODEExported value: 9 (meaning "Unknown")
Date of intervention on sentinel lymph nodeP07DATEExported value: 7/8/2007
SLN (Blue Dye)P10CODEExported value: 9 (meaning "Unknown")
SLN (Radio guided)P19CODEExported value: no character (i.e. missing value)
Axillary operationG01CODEExported value: no character (i.e. missing value)
Date of intervention (axilla)G07DATEExported value: 27/10/2006
Type of axillary operation (level)G09CODEExported value: no character (i.e. missing value)
Total or partial excision of pectoral musclesG14CODEExported value: no character (i.e. missing value)
Immediate reconstructionH04CODEExported value: 1 (meaning "Performed")
Failed biopsyH07CODEExported value: 9 (meaning "Unknown")
Date of failed biopsyH08DATEExported value: 19/6/2006
Final pathologyI01CODEExported value: 3 (meaning "Microinvasive")
Other main diagnosis at final pathologyI02TEXT (13)Exported value: ABCDEFGHIJKLM
DCIS componentI03CODEExported value: no character (i.e. missing value)
Histological type of benign lesionsI05CODEExported value: 1 (meaning "Fibroadenoma")
Invasive histological type at final pathologyI06CODEExported value: 11 (meaning "Other")
Grade of invasive cancerI08CODEExported value: 9 (meaning "Unknown")
Classification used for gradeI09CODEExported value: 3 (meaning "Other")
Presence or absence of vascular invasionI10CODEExported value: no character (i.e. missing value)
In situ histological typeI11CODEExported value: 1 (meaning "Ductal NST")
Grade of DCIS lesionsI13CODEExported value: no character (i.e. missing value)
Classification used for DCIS gradingI14CODEExported value: 3 (meaning "Van Nuys")
Disease extentI16CODEExported value: 9 (meaning "Unknown")
Pathological size (mm.)I21NUMBERExported value: 39
Total size (mm. invasive + in situ)I22NUMBERExported value: 58
Evaluation of margins at final pathology after last operationI23CODEExported value: 7 (meaning "DCIS reaches margins")
Minimum distance of the tumour from the margins (inv.)I24NUMBERExported value: 17
Minimum distance of the tumour from the margins (CDIS)I25ANUMBERExported value: 82
pTI26CODEExported value: 1MIC (meaning "1MIC")
LN statusI27CODEExported value: no character (i.e. missing value)
SLN histologic resultI29CCODEExported value: 4 (meaning "Not found")
pN (SLN)I29BCODEExported value: 1b (meaning "1b")
pNI28CODEExported value: 0(i-) (meaning "0(i-)")
N. of LN examined by the pathologistI29NUMBERExported value: 68
N. of axillary LN containing tumourI30NUMBERExported value: 55
Oestrogen receptor statusI38CODEExported value: 1 (meaning "Negative")
Progesterone receptor statusI39CODEExported value: 2 (meaning "Positive")
Evaluation method adopted for hormonal receptor statusI40CODEExported value: 3 (meaning "Immunological")
Radiotherapy (RT) performedL01CODEExported value: no character (i.e. missing value)
Date of first RT appointmentL03DATEExported value: 19/6/2006
Date of first RT fractionL04DATEExported value: 4/11/2007
Scheduled date of last RT fractionL05DATEExported value: 10/8/2007
Actual date of last RT fractionL06DATEExported value: 1/10/2007
Conventional RT fractionL07NUMBERExported value: 18
Total administered doseL09NUMBERExported value: 32
Boost dose administeredL10NUMBERExported value: 81
RT on BreastL11CODEExported value: 3 (meaning "Other")
Radiotherapy boostL13CODEExported value: 9 (meaning "Unknown")
RT on AxillaL21CODEExported value: 2 (meaning "In toto")
Interruption to radiotherapy for technical reasonsL24CODEExported value: 9 (meaning "Unknown")
Endocrine therapy performedM01CODEExported value: 2 (meaning "Patient refusal")
Ovarian ablation performedM02CODEExported value: 0 (meaning "No")
Hormone therapy prescribedM04CODEExported value: 9 (meaning "Unknown")
Treatment in association with chemotherapyM11CODEExported value: 0 (meaning "No")
Type of association with chemotherapyM12CODEExported value: 9 (meaning "Unknown")
Chemotherapy performedM13CODEExported value: no character (i.e. missing value)
Date of first chemotherapy cycleM14DATEExported value: 5/7/2006
Date of last chemotherapy cycleM15DATEExported value: 25/4/2007
Combination of drugsM15ACODEExported value: 7 (meaning "CeF 1-8")
Withdrawal due to toxicityM28CODEExported value: 1 (meaning "Yes")
Local recurrenceFU01CODEExported value: 0 (meaning "No")
Date of local recurrenceFU02DATEExported value: 19/7/2005
Regional LN recurrenceFU03CODEExported value: 9 (meaning "Unknown")
Date of 1st regional recurrenceFU04DATEExported value: 7/11/2005
Type of 1st regional recurrenceFU05CODEExported value: no character (i.e. missing value)
Distant metastasesFU06CODEExported value: 1 (meaning "Yes")
Date of 1st distant metastasesFU07DATEExported value: 6/5/2006
Site of distant metastasesFU08CODEExported value: 8 (meaning "Other")
New primary breast cancerFU09CODEExported value: 0 (meaning "No")
Date of new primary breast cancerFU10DATEExported value: 8/7/2005
Patient status at follow-upFU11CODEExported value: 2 (meaning "Alive with progression of disease")
Date of follow-up (if died date of death)FU12DATEExported value: 12/7/2006
Cause of deathFU13CODEExported value: 1 (meaning "With/from breast cancer")