Data Dictionary: Czech Republic's National Cancer Registry: Difference between revisions

Revision as of 20:55, 26 April 2023

1. Data related to the patient's health status in relation to his illness

Personal identification number
Name and surname
Permanent residence
Country of origin
Foreigner or homeless status

2. Data on the neoplasm

Date of diagnosis
Verbal diagnosis and ICD-10 code (International Statistical Classification of Diseases and Related Health Problems, 10th Revision)
Basis for diagnosis (clinically evident; clinical examination; laboratory examination, markers; cytology; histology of metastasis; histology *of primary tumor; autopsy; DCO - tumor information only on deceased's examination certificate, not in medical documentation)
Morphology: verbal description, determined by histology/cytology method
Laterality (right, left, bilateral, omitted, unknown)
TNM classification: primary tumor extent (T), regional lymph node metastases (N), distant metastases (M)
pTNM classification: postoperative histopathological classification (pT, pN, number of examined and positive nodes, pM); "y" indicates *examination during or after neoadjuvant treatment; other specific markers listed in TNM classification for selected diagnoses
Localization of metastases
Clinical stage
Extent of disease (localized, advanced, unknown)

3. Identification of the reporting healthcare facility

ID number, PČZ, PČDP, department
Reporting workplace: diagnosing neoplasm / treating patient with neoplasm

@@ Line 1: / Line 1: @@
 '''1. Data related to the patient's health status in relation to his illness'''
-*personal identification number
+*Personal identification number
-*name and surname
+*Name and surname
-*permanent residence
+*Permanent residence
-*country of origin
+*Country of origin
-*foreigner x homeless
+*Foreigner or homeless status
 '''2. Data on the neoplasm'''
-*date of diagnosis
+*Date of diagnosis
-*diagnosis (verbal), code of the International Statistical Classification of Diseases and Related Health Problems, as amended by the tenth revision (ICD-10)
+*Verbal diagnosis and ICD-10 code (International Statistical Classification of Diseases and Related Health Problems, 10th Revision)
-*diagnosis established on the basis of (clinically clear; clinical examination; laboratory examination, markers; cytology; histology of metastasis; histology of the primary tumor; autopsy; DCO = information about the tumor is not in the medical documentation, but is indicated only on the Certificate of examination of the deceased)
+*Basis for diagnosis (clinically evident; clinical examination; laboratory examination, markers; cytology; histology of metastasis; histology *of primary tumor; autopsy; DCO - tumor information only on deceased's examination certificate, not in medical documentation)
-*morphology – verbal description, determined by the method of histology/cytology
+*Morphology: verbal description, determined by histology/cytology method
-*laterality (right, left, bilateral, omitted, unknown)
+*Laterality (right, left, bilateral, omitted, unknown)
-*TNM classification for describing the anatomical extent of the disease: primary tumor extent (T), absence or presence and extent of metastases in regional lymph nodes (N) and absence or presence of distant metastases (M)
+*TNM classification: primary tumor extent (T), regional lymph node metastases (N), distant metastases (M)
-*pTNM classification - postoperative histopathological classification based on findings obtained during surgery and pathological examination (pT, pN, number of examined and number of positive nodes, pM); the sign "y" is indicated in case of examination during or after neoadjuvant treatment; for selected diagnoses, other specific markers listed in the TNM classification are mentioned
+*pTNM classification: postoperative histopathological classification (pT, pN, number of examined and positive nodes, pM); "y" indicates *examination during or after neoadjuvant treatment; other specific markers listed in TNM classification for selected diagnoses
-*localization of metastases
+*Localization of metastases
-*clinical stage
+*Clinical stage
-*extent of disease (localized, advanced, unknown)
+*Extent of disease (localized, advanced, unknown)
 '''3. Identification of the reporting healthcare facility'''
-*ID number, PČZ, PČDP, dept.
+*ID number, PČZ, PČDP, department
-*The reporting workplace - diagnosed a neoplasm / treats a patient with a neoplasm
+*Reporting workplace: diagnosing neoplasm / treating patient with neoplasm