Data Dictionary: Pancreatic cancer - DPCA: Difference between revisions

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Go back to [[Dutch Institute for Clinical Auditing Databases (DICA) (The Netherlands)]] page.
Go back to [[Dutch Institute for Clinical Auditing Databases (DICA) (The Netherlands)]] page.


You can download the complete data dictionary. [[https://support.mrdm.com/nl/downloads/documenten/ Click here to learn more].
This is a summary of the variables available in the database. You can download the complete data dictionary here: [https://support.mrdm.com/nl/downloads/documenten/ Click here to learn more].
 
==== Patient ====


'''Table 1:''' Patient Demographics and Identification.
{| class="wikitable"
{| class="wikitable"
! CATEGORY !! LABEL / DESCRIPTION !! VARIABLE NAME !! TYPE !! LENGTH !! FORMAT !! VARIABLE REQUIRED !! OPTION CHOICE REQUIRED !! OPTIONSET !! DEFAULT VALUE !! VISIBLE !! CONDITION !! CALCULATION !! HELP TEXT
! Variables !! Description
|-
|-
| || SECTION || Identification ||  ||  ||  ||  ||  ||  ||  ||  ||  ||  ||  
| Zorginstelling || Healthcare Institution
|-
|-
| Patient identification || Health institution || id || integer || 4 ||  || Yes || Yes || 1002 || organisationId() || read-only ||  ||  ||  
| Uniek Patiëntnummer || Unique Patient Number
|-
|-
| Patient identification || Unique Patient Number || upn || text (encrypted in Survey) || 15 ||  || Yes ||  ||  ||  ||  ||  ||  || The hospital patient number (UPN) as registered in the electronic patient record (EPR) of the respective hospital.
| Burger Service Nummer || Social Security Number
|-
|-
| Patient identification || Citizen Service Number country || land || text || 10 ||  || Yes || Yes || countries ||  ||  ||  ||  || Choose here the country where the patient's identification number was issued. If nationality is other than Dutch, German, Belgian, or Swedish, choose 'Unknown'.
| Geslachtsnaam || Surname
|-
|-
| Patient identification || Citizen Service Number || idcode || text (encrypted in Survey) || 15 ||  || Yes ||  ||  ||  ||  ||  ||  || "Netherlands: Citizen Service Number: must consist of 9 digits and meet the eleven-test.
| Geboortedatum || Date of Birth
|-
|-
|  
| Geslacht || Gender
|-
|-
| Germany: Ausweisnummer: must comply with the rules applicable to a German ausweisnummer.
| Land (Woonadres) || Country (Country of Residence)
|-
|-
|  
| Postcode || Postal Code
|-
|-
| Belgium: National Register Number: consists of 11 digits, composed of the birth date (year, month, day), series number (3 digits), and control number (2 digits).
| Datum overlijden (indien van toepassing) || Date of Death (if applicable)
|}
 
'''Table 2:''' Comorbidities.
{| class="wikitable"
! Variables !! Description
|-
|-
|  
| Comorbiditeiten || Comorbidities, with options to add a new record or update based on changes or previous registrations
|}
 
'''Table 3:''' Medical Procedures.
{| class="wikitable"
! Variables !! Description
|-
|-
| Sweden: Personal Number: consists of 10 digits, composed of the birth date (year, month, day), a dash or plus sign, a series number (3 digits), and a control number (1 digit).
| Verrichtingen || Procedures, where multiple procedures per patient can be registered if applicable
|}
 
'''Table 4:''' COVID-19 Module.
{| class="wikitable"
! Variables !! Description
|-
|-
|  
| Deze generieke COVID-19 module || A generic COVID-19 module added due to the impact of the coronavirus crisis on the quality of care, allowing for the better interpretation of indicators during this period
|}
 
'''Table 5:''' Pathology Variables through PALGA.
{| class="wikitable"
! Variables !! Description
|-
|-
| Other or Unknown: if Other or Unknown, enter the hospital number followed by the patient number (UPN) as registered in the electronic patient record (EPR) of the respective hospital."
| In het kader van de PALGA-koppeling worden pathologie variabelen || Pathology variables automatically structured and included in the registration via the PALGA-pathology module, requiring no additional data
|}
 
'''Table 6:''' Patient Identification and Treatment Timeline.
{| class="wikitable"
! Variables
|-
|-
| Name data || Prefixes || tussen || text (encrypted in Survey) || 8 ||  ||  ||  ||  ||  ||  ||  ||  || Prefixes belonging to the last name (birth name) as stated on the patient's identity documents.
| Treatment start date
|-
|-
| Name data || Last Name || naam || text (encrypted in Survey) || 40 ||  || Yes ||  ||  ||  ||  ||  ||  || Last name (birth name) as stated on the patient's identity documents.
| Reason for registration
|-
|-
| Personal data || Birth Date || gebdat || date || 10 || yyyy-mm-dd || Yes ||  ||  ||  ||  ||  ||  || Birth date of the patient displayed in the Dutch date format. Example: 22-04-1999.
| Hospital patient number
|}
 
'''Table 7:''' Patient Physical and Performance Metrics.
{| class="wikitable"
! Variables
|-
|-
| Personal data || Gender || geslacht || integer || 1 ||  || Yes || Yes || 500 ||  ||  ||  ||  || Gender as listed in the municipal basic administration (GBA).
| Height in cm
|-
|-
| Personal data || Country (Residence Address) || land-woon || integer || 4 ||  || Yes || Yes || 34 || 6030 ||  ||  ||  ||
| Preoperative weight in kg
|-
|-
| Personal data || Postal Code || pcode || text (encrypted in Survey) || 7 ||  || Yes ||  ||  ||  ||  || [land-woon]==6030 ||  || Postal code at the time of first contact. Only fill in for a Dutch residential address! Preferably use the postal code from the Postal Code Table (OID: 2.16.840.1.113883.2.4.4.15). Dutch postal codes consist of 4 digits and two capital letters. Example: 1234AB.
| Weight loss in kg and period in weeks
|-
|-
| Personal data || Date of Death (if applicable) || datovl || date || 10 || yyyy-mm-dd || ||  ||  ||  ||  ||  ||  || The date on which the patient died, in the Dutch date format. Example: 22-04-1999.
| ECOG performance status (Eastern Cooperative Oncology Group)
|}
 
'''Table 8:''' Laboratory Biomarkers.
{| class="wikitable"
! Variables
|-
|-
| || SECTION || Comorbidities ||  ||  ||  ||  ||  ||  ||  ||  ||  ||  ||
| Bilirubine in µmol/l
|-
|-
| Comorbidities || Click yes, to carry over previously registered comorbidities into the record you are about to add. || comcopy || integer || 1 ||  ||  || Yes || 524 ||  ||  || plugin('IknlCounter','comorbidities') >= 1 ||  ||
| Hemoglobine in mmol/l
|-
|-
| || "Comorbidities
| Albumine in g/l
|-
|-
|  
| IgG4 in g/l
|-
|-
| Click on add new record when:
| Carcinoembryonic antigen (CEA) in µg/l
|-
|-
| - You are registering the patient's comorbidity status for the first time;
| CA19.9 in kU/l (Note: Last CA19.9 before the start of neoadjuvant treatment or surgery)
|}
 
'''Table 9:''' Imaging and Diagnostic Procedures.
{| class="wikitable"
! Variables
|-
|-
| - The patient's comorbidities have changed;
| CT, MRI, or MRCP performed
|-
|-
| - The comorbidities were previously registered (> 1 year) and have not changed (in this case, you can use the above button to carry over previously registered values).
| Date of the last preoperative imaging
|-
|-
| - The patient is being registered due to a suspicion of OR proven pancreatic/periampullary tumor or premalignant cyst OR
| Presence of a tumour in the pancreas or periampullary on CT or MRI
|-
|-
| - The patient is being registered due to chronic pancreatitis requiring pancreatic head or tail resection
| Cystic features suggestive of malignancy
|-
|-
|  
| Involvement of vessels and other structures on imaging
|}
 
'''Table 10:''' Histology and Cytology.
{| class="wikitable"
! Variables
|-
|-
| Click on the existing record when:
| Preoperative PA number
|-
|-
| - You want to correct a mistakenly entered value.
| Method and date of obtaining the first positive cytology or histology
|-
|-
|  
| Histological and cytological diagnoses
|}
 
'''Table 11:''' Multidisciplinary Team Consultations and Decisions.
{| class="wikitable"
! Variables
|-
|-
| Do not add a record:
| Date of the last MDT (Multidisciplinary Team) discussion before treatment
|-
|-
| - If the patient was only discussed in the MDT" || comorbidities || dataset ||  ||  ||  ||  ||  ||  ||  ||  ||  ||  ||  
| Working diagnosis and eligibility for surgical exploration
|}
 
'''Table 12:''' Treatment and Surgery Details.
{| class="wikitable"
! Variables
|-
|-
| || SECTION || Procedures ||  ||  ||  ||  ||  ||  ||  ||  ||  ||  ||
| Neo-adjuvant/induction treatment type and start date
|-
|-
| || "Procedures.
| Operative details including ASA score, type of resection, and operative complications
|-
|-
| It is possible to register multiple procedures per patient if applicable. If you want to register the first procedure or a new procedure for this patient, click on “add”. If you want to add information to a procedure that was already created for this patient, click on the horizontal bar. If you want to create a new patient, click back to ""home"" at the top left." || procedure || dataset ||  ||  ||  ||  ||  ||  ||  ||  ||  ||
| Postoperative pathology including tumour origin, size, and grade
|}
 
'''Table 13:'''  Postoperative Management and Follow-Up.
{| class="wikitable"
! Variables
|-
|-
| || SECTION || COVID-19 module ||  ||  ||  ||  ||  ||  ||  ||  || false ||  ||
| Palliative treatments including chemotherapy and radiotherapy
|-
|-
| || "This generic COVID-19 module has been added to the DICA registrations 2020 due to the impact the corona crisis has had on the quality of care, as measured in the DICA registrations. With the data in this module, your indicator outcomes for this period can be better interpreted and possibly adjusted for the effects of SARS-CoV-2 infections of your patients and the measures that had to be taken in your hospital during the pandemic.
| Date of discharge and any readmissions within 30 days
|-
|-
| This module is aligned with previous data collections of COVID-19 patients in hospitals by the NICE Foundation. By requesting an export of your own data from NICE and supplying it to MRDM, this data can be reused. A large part of the generic module can therefore be pre-filled. Contact the MRDM service desk for more information about this supply (servicedesk@mrdm.nl).
| Adjuvant therapy details and participation in oncological trials
|-
|
|-
| If you are participating in the COVIDSURG II snapshot study for this registration, first fill in the generic module here and then you can complete the research module by answering the last question: 'Are you participating in the COVIDSURG-2 Snapshot?' with 'Yes' and the questions will then become visible. For information or participation, please contact covidsurg@dica.nl." || covid19 || dataset ||  ||  ||  ||  ||  ||  || not visible due to section condition || FALSE ||  ||
|-
|  || SECTION || Pathology variables from PALGA ||  ||  ||  ||  ||  ||  ||  ||  ||  ||  ||
|-
|  || As part of the PALGA link, pathology variables from the PALGA Foundation are automatically and structuredly included in the registration. For this purpose, the PALGA pathology module has been added to the registration for which no additional data needs to be supplied || palga-pathology || dataset ||  ||  ||  ||  ||  ||  || read-only
|}
|}


=== Commorbidities ===
'''Table 14:''' SARS-CoV-2 Suspected or Confirmed Infection.
 
{| class="wikitable"
{| class="wikitable"
! CATEGORY !! LABEL / DESCRIPTION !! VARIABLE NAME !! TYPE !! LENGTH !! FORMAT !! VARIABLE REQUIRED !! OPTION CHOICE REQUIRED !! OPTIONSET !! DEFAULT VALUE !! VISIBLE !! CONDITION !! CALCULATION !! HELP TEXT
! Variables
|-
|-
| || SECTION || Comorbidities 1 ||  ||  ||  ||  ||  ||  ||  ||  ||  ||  ||
| Presence of a clinical suspicion or test for SARS-CoV-2 infection prior to and up to 30 days post-admission.
|-
|-
| General || "Date of comorbidities
| Date of the first suspicion of SARS-CoV-2 infection.
|-
|-
|  
| Date of the first specific test for SARS-CoV-2 infection.
|-
|-
| This concerns the date on which the determination of these comorbidities was established. This date is often the same as 'consultation date' or 'surgery date'.
| Date of the first positive laboratory test for SARS-CoV-2.
|-
|-
|  
| Final status regarding SARS-CoV-2 infection.
|}
 
'''Table 15:''' Preoperative and Postoperative COVID-19 Testing.
{| class="wikitable"
! Variables
|-
|-
| N.B. If the patient's comorbidity status has changed since your last entry, create a new record for this patient." || datcom || date || 10 || yyyy-mm-dd || Yes ||  ||  ||  ||  ||  ||  || A current date is essential for linking comorbidities to a treatment/episode.
| Number of preoperative RT-PCR tests and the date of the first test.
|-
|-
| Pulmonary || Chronic lung disease || comlong || integer || 1 ||  ||  || Yes || 524 || if([../comcopy]==1, plugin('FindLastCreatedValue','comlong'), null) ||  ||  ||  || "Chronic lung disease (ICD-10):
| Date of the first preoperative CT thorax with COVID-19 concern and CORADS 4-5 score.
|-
|-
|  
| Number of postoperative RT-PCR tests and the date of the first test.
|-
|-
| I27.8: Other specified pulmonary heart diseases     
| Date of the first postoperative CT thorax with COVID-19 concern and CORADS 4-5 score.
|-
|-
| I27.9: Pulmonary heart disease, unspecified     
| Definitive preoperative and postoperative COVID-19 status.
|}
 
'''Table 16:''' Patient Characteristics.
{| class="wikitable"
! Variables
|-
|-
| J40.x-J47.x: Chronic diseases of the lower airways     
| Symptoms indicative of COVID-19 (e.g., cough, fever, dyspnea, loss of smell/taste).
|-
|-
| J60.x-J67.x: Lung diseases due to external agents     
| Patient's smoking status and pack-years.
|-
|-
| J68.4: Chronic respiratory conditions due to chemicals, gases, fumes, and vapors     
| Patient's height (in cm) and weight (in kg) at admission.
|}
 
'''Table 17:''' Surgical and Intensive Care Considerations.
{| class="wikitable"
! Variables
|-
|-
| J70.1: Chronic and other lung manifestations by (ra)diation     
| Presence of preoperative COVID-19 related complications (e.g., ARDS, acute renal failure, arrhythmias, thromboembolic events).
|-
|-
| J70.3: Chronic drug-induced interstitial lung diseases"
| Impact on neoadjuvant treatment and changes in treatment plans or schedules.
|-
|-
| Cardiac || Myocardial infarction || commyo || integer || 1 ||  ||  || Yes || 524 || if([../comcopy]==1, plugin('FindLastCreatedValue','commyo'), null) ||  ||  ||  || "Myocardial infarction (ICD-10):
| Impact on surgical approach (laparoscopic, robotic, open) due to COVID-19.
|-
|-
|  
| Postoperative complaints consistent with COVID-19 and the number of days post-surgery they began.
|}
 
'''Table 18:'''ICU Admission Related to COVID-19.
{| class="wikitable"
! Variables
|-
|-
| I21.x: Acute myocardial infarction       
| Presence and type of ICU admission related to COVID-19.
|-
|-
| I22.x: Recurrent myocardial infarction     
| Type of respiratory support during ICU stay (e.g., prone ventilation, ECMO).
|-
|-
| I25.2: Former myocardial infarction"
| ICU admission and discharge dates and durations.
|-
|-
| Cardiac || Congestive heart failure || comhartfaal || integer || 1 ||  ||  || Yes || 524 || if([../comcopy]==1, plugin('FindLastCreatedValue','comhartfaal'), null) ||  ||  ||  || "Congestive heart failure (ICD-10):
| Destination after ICU discharge.
|}
 
'''Table 19:''' Sample Information.
{| class="wikitable"
! Variables
|-
|-
|  
| Date of tissue arrival at laboratory
|-
|-
| I09.9: Rheumatic heart disease     
| Pathology laboratory
|-
|-
| I11.0: Hypertensive heart disease with (congestive) heart decompensation           
| Pathology number (TJJ-CCCCCC)
|-
|-
| I13.0,I32.2: Hypertensive heart and kidney disease with (congestive) heart decompensation (and renal insufficiency)   
| Protocol
|-
|-
| I25.5: Ischemic cardiomyopathy       
| Sample number
|}
 
'''Table 20:'''Diagnostic Details.
{| class="wikitable"
! Variables
|-
|-
| I42.0, I42.5-I42.9: Cardiomyopathy with or without heart dilatation (non-obstructive and/or caused by external agents)     
| Is cytology or histology obtained during the diagnostic process?
|-
|-
| I50.x: Heart decompensation     
| Most likely origin of the tumour
|-
|-
| P29.0: Neonatal cardiac insufficiency"
| Histological diagnosis?
|}
 
'''Table 21:''' Tumour Characteristics.
{| class="wikitable"
! Variables
|-
|-
| Vascular || Peripheral vascular disease/aortic aneurysm || comperif || integer || 1 ||  ||  || Yes || 524 || if([../comcopy]==1, plugin('FindLastCreatedValue','comperif'), null) ||  ||  ||  || "Peripheral vascular disease/aortic aneurysm (ICD-10):
| Largest tumour diameter in cm
|-
|-
|  
| Smallest margin in cm (radicality)
|-
|-
| I70.x: Atherosclerosis           
| Tumour differentiation grade
|-
|-
| I71.x: Aneurysm and dissection of aorta           
| Neuroendocrine tumour differentiation grade
|-
|-
| I73.1, I173.8-I73.9: Other peripheral vascular diseases           
| pT-stage pancreatic carcinoma according to TNM8
|-
|-
| I77.1: Stricture of artery           
| Papil of Vater carcinoma according to TNM8
|-
|-
| I79.0, I79.2: Aneurysm of aorta or peripheral angiopathy in diseases classified elsewhere           
| Distal cholangiocarcinoma according to TNM8
|-
|-
| K55.1, K55.8-K55.9: Vascular disorders (chronic) of intestine           
| Duodenum carcinoma according to TNM8 small intestine
|}
 
'''Table 22:'''Lymph Node and Metastasis Information.
{| class="wikitable"
! Variables
|-
|-
| Z95.8-Z95.9: Presence of other specified cardiac and vascular implants and grafts"
| Number of lymph nodes found
|-
|-
| Neurological || Cerebrovascular disease (including CVA/TIA) || comcva || integer || 1 ||  ||  || Yes || 524 || if([../comcopy]==1, plugin('FindLastCreatedValue','comcva'), null) ||  ||  ||  || "Cerebrovascular disease (ICD-10):
| Number of tumour-positive lymph nodes found
|-
|-
|  
| Distant metastases?
|-
|}
| G45.x: 'Transient (cerebral) ischaemic attacks' [TIA] and related syndromes           
 
|-
'''Table 23:'''Response to Treatment.
| G46.x: Vascular syndromes of the brain in cerebrovascular diseases           
{| class="wikitable"
|-
! Variables
| H34.0: Transient occlusion of retinal arteries           
|-
| I60.x-I69.x: Cerebrovascular diseases"
|-
| Neurological || Para-/hemiplegia || comparalys || integer || 1 ||  ||  || Yes || 524 || if([../comcopy]==1, plugin('FindLastCreatedValue','comparalys'), null) ||  ||  ||  || "Para-/hemiplegia (ICD-10):
|-
|
|-
| G04.1: Tropical spastic paraplegia     
|-
| G11.4: Hereditary spastic paraplegia     
|-
| G80.1-G80.2: Diplegic/Hemiplegic 'cerebral palsy', spastic     
|-
| G81.x: Hemiplegia     
|-
| G82.x: Paraplegia and tetraplegia     
|-
| G83.0-G83.4, G83.9: Other paralytic syndromes"
|-
| Neurological || Dementia || comdem || integer || 1 ||  ||  || Yes || 524 || if([../comcopy]==1, plugin('FindLastCreatedValue','comdem'), null) ||  ||  ||  || "Dementia (ICD-10):           
|-
|
|-
| F00.x-F03.x: Dementia further specified       
|-
| F05.1: Delirium, superimposed on dementia       
|-
| G30.x: Alzheimer's disease     
|-
| G31.1: Senile brain degeneration, not elsewhere classified"
|-
| Endocrine || Diabetes mellitus || comdiam || integer || 1 ||  ||  || Yes || 707 || if([../comcopy]==1, plugin('FindLastCreatedValue','comdiam'), null) ||  ||  ||  || "If desired, use external disease category (chapter E10-E14) to specifically identify diabetic disease type. The following subcategories are intended for use with categories E10-E14:
|-
|
|-
| E10.x: Type-1-diabetes       
|-
| E11.x: Type-2-diabetes       
|-
| E12.x: Malnutrition-related diabetes mellitus       
|-
| E13.x: Other specified forms of diabetes mellitus     
|-
| E14.x: Unspecified diabetes mellitus
|-
|
|-
| Without chronic complications (ICD-10):
|-
|
|-
| XX.0: Diabetic coma with or without ketoacidosis       
|-
| XX.1: Diabetic ketoacidosis   
|-
|  XX.6: Diabetes with other specified complications         
|-
| XX.8: Diabetes with unspecified complications       
|-
| XX.9: Diabetes without complications
|-
|
|-
| With chronic complications (ICD-10):
|-
|
|-
| XX.2: Diabetes with renal complications       
|-
| XX.3: Diabetes with ophthalmic complications       
|-
| XX.4: Diabetes with neurological complications       
|-
| XX.5: Diabetes with peripheral vascular complications     
|-
| XX.7: Diabetes with multiple complications"
|-
| Endocrine || Insulin dependent || comdiaminsu || integer || 1 ||  ||  || Yes || 524 || if([../comcopy]==1, plugin('FindLastCreatedValue','comdiaminsu'), null) ||  || [comdiam]==1 || [comdiam]==2 ||  || Note: this variable cannot be automatically filled and must be manually entered.
|-
| Gastrointestinal || Gastrointestinal ulcer disease || comgiulcus || integer || 1 ||  ||  || Yes || 524 || if([../comcopy]==1, plugin('FindLastCreatedValue','comgiulcus'), null) ||  ||  ||  || "Gastrointestinal ulcer disease (ICD-10):   
|-
|
|-
| K25.x: Ulcer ventriculi         
|-
| K26.x: Ulcer duodeni       
|-
| K27.x: Peptic ulcer, site unspecified       
|-
| K28.x: Ulcer gastrojejunale"
|-
| Gastrointestinal || Liver disease || comlever || integer || 1 ||  ||  || Yes || 708 || if([../comcopy]==1, plugin('FindLastCreatedValue','comlever'), null) ||  ||  ||  || "Mild liver disease (ICD-10):
|-
|
|-
| B18.x: Chronic viral hepatitis           
|-
| K70.0-K70.3, K70.9: Alcoholic liver diseases           
|-
| K71.3-K71.5, K71.7: Toxic liver disease (mild)           
|-
| K73.x: Chronic hepatitis, not elsewhere classified           
|-
| K74.x: Liver fibrosis and cirrhosis           
|-
| K76.0: Fatty liver degeneration, not elsewhere classified           
|-
| K76.2: Central hemorrhagic liver necrosis           
|-
| K76.3: Liver infarction           
|-
| K76.4: Peliosis hepatis           
|-
| K76.8: Other specified liver diseases
|-
| K76.9: Liver disease, unspecified           
|-
| Z94.4: Presence of liver transplant
|-
|
|-
| Severe liver disease (ICD-10):
|-
|
|-
| I85.x: Esophageal varices           
|-
| I86.4: Varices of stomach           
|-
| I98.2: Esophageal varices without bleeding in diseases classified elsewhere           
|-
| K70.4: Alcoholic liver insufficiency           
|-
| K72.x: Liver insufficiency, not elsewhere classified           
|-
| K76.7: Hepatorenal syndrome"
|-
| Gastrointestinal || Pancreatitis (acute or chronic) || compancr || integer || 1 ||  ||  || Yes || 524 || if([../comcopy]==1, plugin('FindLastCreatedValue','compancr'), null) ||  ||  ||  || "Pancreatitis (acute or chronic) (ICD-10):
|-
|
|-
| B25.2†: Pancreatitis due to cytomegalovirus (K87.1*)   
|-
| K85.x: Acute pancreatitis
|-
| K86.0: Chronic pancreatitis due to alcohol 
|-
| K86.1: Other chronic pancreatitis"
|-
| Urogenital || Kidney disease || comnier || integer || 1 ||  ||  || Yes || 524 || if([../comcopy]==1, plugin('FindLastCreatedValue','comnier'), null) ||  ||  ||  || "Kidney diseases (ICD-10):
|-
|
|-
| I12.0: Hypertensive kidney disease with renal insufficiency   
|-
| I13.1: Hypertensive heart and kidney disease with renal insufficiency     
|-
| N03.2-N03.7: Chronic nephritic syndrome     
|-
| N05.2-N05.7: Unspecified nephritic syndrome     
|-
| N18.x: Chronic kidney disease     
|-
| N19.x: Unspecified renal insufficiency     
|-
| N25.0: Renal osteodystrophy     
|-
| Z49.x: Care at dialysis     
|-
| Z94.0: Presence of kidney transplant     
|-
| Z99.2: Dependence on hemodialysis"
|-
| Musculoskeletal || Connective tissue disease (including rheumatoid diseases) || combind || integer || 1 ||  ||  || Yes || 524 || if([../comcopy]==1, plugin('FindLastCreatedValue','combind'), null) ||  ||  ||  || "Connective tissue disease (ICD-10):
|-
|
|-
| M05.x: Seropositive rheumatoid arthritis           
|-
| M06.x: Other rheumatoid arthritis           
|-
| M31.5: Giant cell arteritis with 'polymyalgia rheumatica'          
|-
| M32.x-M34.x: Systemic diseases of connective tissue           
|-
| M35.1: Other transitional syndromes           
|-
| M35.3: Polymyalgia rheumatica           
|-
| M36.0: Systemic diseases of connective tissue in diseases classified elsewhere"
|-
| Infectious disease || HIV/AIDS || comhiv || integer || 1 ||  ||  || Yes || 524 || if([../comcopy]==1, plugin('FindLastCreatedValue','comhiv'), null) ||  ||  ||  || "Human immunodeficiency virus (HIV) (ICD-10):
|-
|
|-
| B20.x: Disease by human immunodeficiency virus [HIV] leading to infectious diseases and parasitic conditions     
|-
| B21.x: Disease by human immunodeficiency virus [HIV] leading to malignant neoplasms       
|-
| B22.x: Disease by human immunodeficiency virus [HIV] leading to other specified diseases     
|-
| B24.x: Unspecified disease by human immunodeficiency virus [HIV]"
|-
| Malignancy || Malignancy (excl. PCC or BCC of the skin) || commalig || integer || 1 ||  ||  || Yes || 709 || if([../comcopy]==1, plugin('FindLastCreatedValue','commalig'), null) ||  ||  ||  || "This is about comorbidities, not the condition for which the patient is now being registered
|-
|
|-
| Non-metastasized (ICD-10):       
|-
|
|-
| C00.x-C14.x: Malignant neoplasms of the lip, oral cavity, and pharynx     
|-
| C15.x-C26.x: Malignant neoplasms of the digestive system     
|-
| C30.x-C39.x: Malignant neoplasms of the respiratory system and intrathoracic organs   
|-
| C40.x-C41.x: Malignant neoplasms of bone and articular cartilage       
|-
| C43.x: Malignant melanoma of the skin       
|-
| C45.x-C49.x: Malignant neoplasms of mesothelium and soft tissue             
|-
| C50.x: Malignant neoplasms of the breast             
|-
| C51.x-C58.x: Malignant neoplasms of female genital organs             
|-
| C60.x-C63.x: Malignant neoplasms of male genital organs             
|-
| C64.x-C68.x: Malignant neoplasms of the kidney and urinary tract             
|-
| C69.x-C72.x: Malignant neoplasms of the eye, brain, and other parts of the central nervous system             
|-
| C73.x-C75.x: Malignant neoplasms of the thyroid and other endocrine glands             
|-
| C76.x: Malignant neoplasm of other and ill-defined sites             
|-
| C81.x-C96.x: Malignant neoplasms of lymphoid, hematopoietic, and related tissue             
|-
| C97.x: Malignant neoplasms of independent (primary) multiple sites
|-
|
|-
| Metastasized (ICD-10):
|-
|
|-
| C77.x: Secondary and unspecified malignant neoplasms of lymph nodes             
|-
| C78.x: Secondary malignant neoplasm of the respiratory and digestive tracts             
|-
| C79.x: Secondary malignant neoplasm of other and unspecified sites             
|-
| C80.x: Malignant neoplasm without specified site
|-
|
|-
| Note: no squamous cell carcinoma (PCC) and basal cell carcinoma (BCC)."
|-
| Malignancy || - Current (yet to be treated) || commal1 || integer || 1 ||  ||  || Yes || 501 || if([../comcopy]==1, plugin('FindLastCreatedValue','commal1'), null) ||  ||  ||  ||
|-
| Malignancy || - Curatively treated < 5 years ago || commal2 || integer || 1 ||  ||  || Yes || 501 || if([../comcopy]==1, plugin('FindLastCreatedValue','commal2'), null) ||  ||  ||  ||
|-
| Malignancy || - Curatively treated > 5 years ago || commal3 || integer || 1 ||  ||  || Yes || 501 || if([../comcopy]==1, plugin('FindLastCreatedValue','commal3'), null) ||  ||  ||  ||
|-
|-
| Malignancy || - Palliatively treated and/or distant metastases || commal4 || integer || 1 ||  ||  || Yes || 501 || if([../comcopy]==1, plugin('FindLastCreatedValue','commal4'), null)
| Pathological response after neoadjuvant therapy with Histological Tumour Regression Grading (HTRG)
|}
|}

Latest revision as of 17:42, 4 December 2025

forresearchers thenetherlandscountry Go back to Dutch Institute for Clinical Auditing Databases (DICA) (The Netherlands) page.

This is a summary of the variables available in the database. You can download the complete data dictionary here: Click here to learn more.

Table 1: Patient Demographics and Identification.

Variables Description
Zorginstelling Healthcare Institution
Uniek Patiëntnummer Unique Patient Number
Burger Service Nummer Social Security Number
Geslachtsnaam Surname
Geboortedatum Date of Birth
Geslacht Gender
Land (Woonadres) Country (Country of Residence)
Postcode Postal Code
Datum overlijden (indien van toepassing) Date of Death (if applicable)

Table 2: Comorbidities.

Variables Description
Comorbiditeiten Comorbidities, with options to add a new record or update based on changes or previous registrations

Table 3: Medical Procedures.

Variables Description
Verrichtingen Procedures, where multiple procedures per patient can be registered if applicable

Table 4: COVID-19 Module.

Variables Description
Deze generieke COVID-19 module A generic COVID-19 module added due to the impact of the coronavirus crisis on the quality of care, allowing for the better interpretation of indicators during this period

Table 5: Pathology Variables through PALGA.

Variables Description
In het kader van de PALGA-koppeling worden pathologie variabelen Pathology variables automatically structured and included in the registration via the PALGA-pathology module, requiring no additional data

Table 6: Patient Identification and Treatment Timeline.

Variables
Treatment start date
Reason for registration
Hospital patient number

Table 7: Patient Physical and Performance Metrics.

Variables
Height in cm
Preoperative weight in kg
Weight loss in kg and period in weeks
ECOG performance status (Eastern Cooperative Oncology Group)

Table 8: Laboratory Biomarkers.

Variables
Bilirubine in µmol/l
Hemoglobine in mmol/l
Albumine in g/l
IgG4 in g/l
Carcinoembryonic antigen (CEA) in µg/l
CA19.9 in kU/l (Note: Last CA19.9 before the start of neoadjuvant treatment or surgery)

Table 9: Imaging and Diagnostic Procedures.

Variables
CT, MRI, or MRCP performed
Date of the last preoperative imaging
Presence of a tumour in the pancreas or periampullary on CT or MRI
Cystic features suggestive of malignancy
Involvement of vessels and other structures on imaging

Table 10: Histology and Cytology.

Variables
Preoperative PA number
Method and date of obtaining the first positive cytology or histology
Histological and cytological diagnoses

Table 11: Multidisciplinary Team Consultations and Decisions.

Variables
Date of the last MDT (Multidisciplinary Team) discussion before treatment
Working diagnosis and eligibility for surgical exploration

Table 12: Treatment and Surgery Details.

Variables
Neo-adjuvant/induction treatment type and start date
Operative details including ASA score, type of resection, and operative complications
Postoperative pathology including tumour origin, size, and grade

Table 13: Postoperative Management and Follow-Up.

Variables
Palliative treatments including chemotherapy and radiotherapy
Date of discharge and any readmissions within 30 days
Adjuvant therapy details and participation in oncological trials

Table 14: SARS-CoV-2 Suspected or Confirmed Infection.

Variables
Presence of a clinical suspicion or test for SARS-CoV-2 infection prior to and up to 30 days post-admission.
Date of the first suspicion of SARS-CoV-2 infection.
Date of the first specific test for SARS-CoV-2 infection.
Date of the first positive laboratory test for SARS-CoV-2.
Final status regarding SARS-CoV-2 infection.

Table 15: Preoperative and Postoperative COVID-19 Testing.

Variables
Number of preoperative RT-PCR tests and the date of the first test.
Date of the first preoperative CT thorax with COVID-19 concern and CORADS 4-5 score.
Number of postoperative RT-PCR tests and the date of the first test.
Date of the first postoperative CT thorax with COVID-19 concern and CORADS 4-5 score.
Definitive preoperative and postoperative COVID-19 status.

Table 16: Patient Characteristics.

Variables
Symptoms indicative of COVID-19 (e.g., cough, fever, dyspnea, loss of smell/taste).
Patient's smoking status and pack-years.
Patient's height (in cm) and weight (in kg) at admission.

Table 17: Surgical and Intensive Care Considerations.

Variables
Presence of preoperative COVID-19 related complications (e.g., ARDS, acute renal failure, arrhythmias, thromboembolic events).
Impact on neoadjuvant treatment and changes in treatment plans or schedules.
Impact on surgical approach (laparoscopic, robotic, open) due to COVID-19.
Postoperative complaints consistent with COVID-19 and the number of days post-surgery they began.

Table 18:ICU Admission Related to COVID-19.

Variables
Presence and type of ICU admission related to COVID-19.
Type of respiratory support during ICU stay (e.g., prone ventilation, ECMO).
ICU admission and discharge dates and durations.
Destination after ICU discharge.

Table 19: Sample Information.

Variables
Date of tissue arrival at laboratory
Pathology laboratory
Pathology number (TJJ-CCCCCC)
Protocol
Sample number

Table 20:Diagnostic Details.

Variables
Is cytology or histology obtained during the diagnostic process?
Most likely origin of the tumour
Histological diagnosis?

Table 21: Tumour Characteristics.

Variables
Largest tumour diameter in cm
Smallest margin in cm (radicality)
Tumour differentiation grade
Neuroendocrine tumour differentiation grade
pT-stage pancreatic carcinoma according to TNM8
Papil of Vater carcinoma according to TNM8
Distal cholangiocarcinoma according to TNM8
Duodenum carcinoma according to TNM8 small intestine

Table 22:Lymph Node and Metastasis Information.

Variables
Number of lymph nodes found
Number of tumour-positive lymph nodes found
Distant metastases?

Table 23:Response to Treatment.

Variables
Pathological response after neoadjuvant therapy with Histological Tumour Regression Grading (HTRG)