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Cancer treatment—systemic therapy procedure, code N[N]

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termSystemic therapy procedure
Synonymous names:Help on this termHaematologic transplant, endocrine procedures
METeOR identifier:Help on this term561612
Registration status:Help on this termHealth, Standard 08/05/2014
Definition:Help on this termThe systemic therapy procedure administered during the course of treatment for cancer, as represented by a code.
Data Element Concept:Cancer treatment—systemic therapy procedure

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN[N]
Maximum character length:Help on this term2
Permissible values:Help on this term
ValueMeaning
1A bone marrow transplant procedure was administered but the type was not specified
2Bone marrow transplant—autologous only
3 Bone marrow transplant—allogeneic only
4Stem cell harvest and infusion only
5Endocrine surgery and/or endocrine radiation therapy only
6Combination of endocrine surgery and/or radiation with a transplant procedure
96Other systemic therapy procedure
Supplementary values:Help on this term
97Not applicable-no systemic therapy procedures were administered
98Unknown whether systemic therapy procedures were administered
99Systemic therapy procedures were administered but were not stated/inadequately described

Collection and usage attributes

Guide for use:Help on this term

Systemic therapy procedures are medical, surgical or radiation procedures that have an effect on the hormonal or immunological balance of the patient, and refers to haematologic transplant and endocrine procedures.

Source and reference attributes

Submitting organisation:Help on this termCancer Australia.
Reference documents:Help on this term

American College of Surgeons 2002. Facility Oncology Registry Data Standards (FORDS), 2009 revision. Commission on Cancer, 28D-28E, 182-183.

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

Systemic therapy procedures 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.

Each systemic therapy procedure delivered to the patient during the treatment for cancer should be recorded.

The procedure code for each treatment episode should be entered separately.

Bone marrow transplants should be coded as either autologous (bone marrow originally taken from the patient) or allogeneic (bone marrow donated by a person other than the patient). For cases in which the marrow transplant was syngeneic (transplanted marrow from an identical twin), the item is coded as allogeneic.

Stem cell harvests involve the collection of immature blood cells from the patient and the reintroduction by transfusion of the harvested cells following chemotherapy or radiation therapy.

Endocrine procedures must be bilateral to qualify as endocrine surgery or endocrine radiation. If only one gland is intact at the start of treatment, surgery and/or radiation to that remaining gland qualifies as endocrine surgery or endocrine radiation.
Collection methods:Help on this termThis information should be obtained from the patient's medical record.
Comments:Help on this term

The collection of specific treatment information is useful to evaluate patterns of care, the effectiveness of different treatment modalities, and treatment by patient outcome.

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:Help on this termCancer Australia
Origin:Help on this termCommission on Cancer, American College of Surgeons
Reference documents:Help on this termAmerican College of Surgeons 2002. Facility Oncology Registry Data Standards (FORDS), 2009 revision. Commission on Cancer

Relational attributes

Related metadata references:Help on this term

See also Cancer treatment—surgical procedure for prostate cancer, code N Health, Standard 14/05/2015

See also Cancer treatment—systemic therapy procedure date, DDMMYYYY Health, Standard 08/05/2014

Supersedes Cancer treatment—systemic therapy procedure, code N[N] Health, Superseded 08/05/2014

Implementation in Data Set Specifications:Help on this term

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

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