Cancer treatment—systemic therapy procedure date, DDMMYYYY

Identifying and definitional attributes

Metadata item type:Data Element
Short name:Systemic therapy procedure date
METeOR identifier:561606
Registration status:Health, Standard 08/05/2014
Definition:The date on which a systemic therapy procedure was administered during the course of treatment for cancer, expressed as DDMMYYYY.
Data Element Concept:Cancer treatment—systemic therapy procedure date

Value domain attributes

Representational attributes

Representation class:Date
Data type:Date/Time
Format:DDMMYYYY
Maximum character length:8

Data element attributes

Collection and usage attributes

Guide for use:

The date is collected for all systemic therapy procedures administered to the patient during the treatment for cancer.

A systemic therapy procedure is a medical, surgical or radiation procedure that has an effect on the hormonal or immunologic balance of the patient, and refers to haematologic transplant and endocrine procedures. Haematologic transplants are bone marrow or stem cell transplants performed to protect patients from myelosuppression or bone marrow ablation associated with the administration of high-dose chemotherapy or radiotherapy.

Endocrine therapy is cancer therapy that achieves its antitumour effect through the use of radiation or surgical procedures that suppress the naturally occurring hormonal activity of the patient (when the cancer occurs at another site) and, therefore, alter or affect the long-term control of the cancer's growth.

Haematologic transplant or endocrine procedures may be provided to prolong a patient's life by controlling symptoms, to alleviate pain, or make the patient more comfortable.

The date of each treatment episode should be entered separately.

The date of cancer-directed surgery, radiotherapy and treatment with systemic agents are collected as separate items.
Collection methods:This information should be obtained from the patient's medical record. 
Comments:

Collecting the start and finish dates for treatment modalities will enable an estimate of treatment duration.

Note the distinction between the administration of systemic agents or drugs and systemic therapy procedures that affect the hormonal or immunologic balance of the patient.

Source and reference attributes

Submitting organisation:Cancer Australia
Origin:Commission on Cancer, American College of Surgeons
Reference documents:

American College of Surgeons 2002. Facility Oncology Registry Data Standards (FORDS), 2009 revision. Commission on Cancer

American College of Surgeons 1998. Standards of the Commission on Cancer: Registry Operations and Data Standards (ROADS), Volume II. Commission on Cancer

Relational attributes

Related metadata references:

Supersedes Cancer treatment—systemic therapy procedure date, DDMMYYYY Health, Superseded 08/05/2014

See also Cancer treatment—systemic therapy procedure, code N[N] Health, Standard 08/05/2014

Implementation in Data Set Specifications:

Systemic therapy procedure for cancer cluster Health, Standard 08/05/2014