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
IT00000000000045;1;93;R;5;9;5;23/9/2007;0;27/11/2006;3;16/11/2005;4;2;21/9/2006;1;9;;47;ABC;;;28/6/2006;4;0;9;7/5/2007;2;;2;1;;55;22/7/2005;6;21/10/2005;5;1;22/9/2006;9;;1;2/3/2005;3;3;1;1;27/11/2006;9;ABCDEFGHIJKLM;9;99;3;9;2;;6;2;3;;46;78;6;2;53;1C;1;3;1mi;0(i+);47;80;0;;2;9;20/6/2007;2/5/2007;1/8/2007;17/9/2005;22;33;47;3;0;;1;2;3;0;;1;1;16/1/2007;19/7/2007;5;9;1;12/5/2005;0;2/12/2005;4;;8/1/2007;10;0;25/8/2007;3;27/12/2007;1
Personal ID identifying the patientPerson_IDTEXT (16)Exported value: IT00000000000045
Integer identifying the lesion in the patient (1,2,3...) Lesion_ID NUMBER Exported value: 1
AgeAGENUMBERExported value: 93
Side location of the lesionB01CODEExported value: R (meaning "Right")
Classification with respect to other lesionsB03CODEExported value: 5 (meaning "Metachronous ipsilateral")
Source of referralD01CODEExported value: 9 (meaning "Unknown")
Result of mammogramD02CODEExported value: 5 (meaning "R5-Malignant features")
Date of mammogramD03DATEExported value: 23/9/2007
Ultrasound scanD06CODEExported value: 0 (meaning "Not performed")
Date of ultrasound scanD07DATEExported value: 27/11/2006
Cytological result (FNA)D08CODEExported value: 3 (meaning "C3-Atypia probably benign")
Date of sampleD08ADATEExported value: 16/11/2005
Core biopsy resultD09CODEExported value: 4 (meaning "B4-Suspicious of malignancy")
Type of invasion at CBD10CODEExported value: 2 (meaning "Invasive")
Date of CBD10ADATEExported value: 21/9/2006
Technique (CB)D12CODEExported value: 1 (meaning "Tru-cut")
Clinical examinationD13ACODEExported value: 9 (meaning "Unknown ")
Disease extentD11CODEExported value: no character (i.e. missing value)
Tumour size by imaging or clinical examinationD16NUMBERExported value: 47
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: no character (i.e. missing value)
Date of decision to operate or 1st therapy referralD23DATEExported value: 28/6/2006
Final recommendations to patientD24CODEExported value: 4 (meaning "CT neoadjuvant")
Patient operatedN00CODEExported value: 0 (meaning "No")
Reason for non-interventionN00ACODEExported value: 9 (meaning "Unknown")
Date of 1st breast operationE05DATEExported value: 7/5/2007
Type of 1st interventionE08CODEExported value: 2 (meaning "excisional biopsy/lumpectomy")
Specimen X-ray (1st breast operation)E13CODEExported value: no character (i.e. missing value)
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: no character (i.e. missing value)
Weight (gr.) of the specimen (benign lesion)E16NUMBERExported value: 55
Date of 2nd breast operationF05DATEExported value: 22/7/2005
Type of 2nd interventionF08CODEExported value: 6 (meaning "Mastectomy")
Date of 3rd breast operationF38DATEExported value: 21/10/2005
Type of 3rd interventionF40CODEExported value: 5 (meaning "Subcutaneous mastectomy")
SLN procedureP01CODEExported value: 1 (meaning "Performed")
Date of intervention on sentinel lymph nodeP07DATEExported value: 22/9/2006
SLN (Blue Dye)P10CODEExported value: 9 (meaning "Unknown")
SLN (Radio guided)P19CODEExported value: no character (i.e. missing value)
Axillary operationG01CODEExported value: 1 (meaning "Performed")
Date of intervention (axilla)G07DATEExported value: 2/3/2005
Type of axillary operation (level)G09CODEExported value: 3 (meaning "Levels I+II+III")
Total or partial excision of pectoral musclesG14CODEExported value: 3 (meaning "Both removed")
Immediate reconstructionH04CODEExported value: 1 (meaning "Performed")
Failed biopsyH07CODEExported value: 1 (meaning "Yes")
Date of failed biopsyH08DATEExported value: 27/11/2006
Final pathologyI01CODEExported value: 9 (meaning "Unknown")
Other main diagnosis at final pathologyI02TEXT (13)Exported value: ABCDEFGHIJKLM
DCIS componentI03CODEExported value: 9 (meaning "Unknown")
Histological type of benign lesionsI05CODEExported value: 99 (meaning "Unknown")
Invasive histological type at final pathologyI06CODEExported value: 3 (meaning "Medullary")
Grade of invasive cancerI08CODEExported value: 9 (meaning "Unknown")
Classification used for gradeI09CODEExported value: 2 (meaning "Elston-Ellis")
Presence or absence of vascular invasionI10CODEExported value: no character (i.e. missing value)
In situ histological typeI11CODEExported value: 6 (meaning "Cribriform")
Grade of DCIS lesionsI13CODEExported value: 2 (meaning "Intermediate")
Classification used for DCIS gradingI14CODEExported value: 3 (meaning "Van Nuys")
Disease extentI16CODEExported value: no character (i.e. missing value)
Pathological size (mm.)I21NUMBERExported value: 46
Total size (mm. invasive + in situ)I22NUMBERExported value: 78
Evaluation of margins at final pathology after last operationI23CODEExported value: 6 (meaning "DCIS focally reaches margins")
Minimum distance of the tumour from the margins (inv.)I24NUMBERExported value: 2
Minimum distance of the tumour from the margins (CDIS)I25ANUMBERExported value: 53
pTI26CODEExported value: 1C (meaning "1C")
LN statusI27CODEExported value: 1 (meaning "Positive")
SLN histologic resultI29CCODEExported value: 3 (meaning "Involved")
pN (SLN)I29BCODEExported value: 1mi (meaning "1mi")
pNI28CODEExported value: 0(i+) (meaning "0(i+)")
N. of LN examined by the pathologistI29NUMBERExported value: 47
N. of axillary LN containing tumourI30NUMBERExported value: 80
Oestrogen receptor statusI38CODEExported value: 0 (meaning "Not performed")
Progesterone receptor statusI39CODEExported value: no character (i.e. missing value)
Evaluation method adopted for hormonal receptor statusI40CODEExported value: 2 (meaning "Biochemical")
Radiotherapy (RT) performedL01CODEExported value: 9 (meaning "Unknown")
Date of first RT appointmentL03DATEExported value: 20/6/2007
Date of first RT fractionL04DATEExported value: 2/5/2007
Scheduled date of last RT fractionL05DATEExported value: 1/8/2007
Actual date of last RT fractionL06DATEExported value: 17/9/2005
Conventional RT fractionL07NUMBERExported value: 22
Total administered doseL09NUMBERExported value: 33
Boost dose administeredL10NUMBERExported value: 47
RT on BreastL11CODEExported value: 3 (meaning "Other")
Radiotherapy boostL13CODEExported value: 0 (meaning "No")
RT on AxillaL21CODEExported value: no character (i.e. missing value)
Interruption to radiotherapy for technical reasonsL24CODEExported value: 1 (meaning "Yes")
Endocrine therapy performedM01CODEExported value: 2 (meaning "Patient refusal")
Ovarian ablation performedM02CODEExported value: 3 (meaning "GnRH analogs")
Hormone therapy prescribedM04CODEExported value: 0 (meaning "No")
Treatment in association with chemotherapyM11CODEExported value: no character (i.e. missing value)
Type of association with chemotherapyM12CODEExported value: 1 (meaning "Synchronous")
Chemotherapy performedM13CODEExported value: 1 (meaning "Yes")
Date of first chemotherapy cycleM14DATEExported value: 16/1/2007
Date of last chemotherapy cycleM15DATEExported value: 19/7/2007
Combination of drugsM15ACODEExported value: 5 (meaning "FeC")
Withdrawal due to toxicityM28CODEExported value: 9 (meaning "Unknown")
Local recurrenceFU01CODEExported value: 1 (meaning "Yes")
Date of local recurrenceFU02DATEExported value: 12/5/2005
Regional LN recurrenceFU03CODEExported value: 0 (meaning "No")
Date of 1st regional recurrenceFU04DATEExported value: 2/12/2005
Type of 1st regional recurrenceFU05CODEExported value: 4 (meaning "Contralateral LN in the axilla")
Distant metastasesFU06CODEExported value: no character (i.e. missing value)
Date of 1st distant metastasesFU07DATEExported value: 8/1/2007
Site of distant metastasesFU08CODEExported value: 10 (meaning "Unknown")
New primary breast cancerFU09CODEExported value: 0 (meaning "No")
Date of new primary breast cancerFU10DATEExported value: 25/8/2007
Patient status at follow-upFU11CODEExported value: 3 (meaning "Alive (disease status unknown)")
Date of follow-up (if died date of death)FU12DATEExported value: 27/12/2007
Cause of deathFU13CODEExported value: 1 (meaning "With/from breast cancer")