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Protocol - Colorectal Procedures and Outcomes (Medical Record Review)

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Protocol Name from Source:

This section will be completed when reviewed by an Expert Review Panel.

Availability:

Publicly available

Description:

This measure uses existing medical records to obtain information about colorectal exams and procedures.

Protocol:

A downloadable PDF of the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (PLCO) Diagnostic Evaluation–Colorectum form is available here: [alink[PLCO_DEC.pdf|PLCO_DEC.pdf]]

Personnel and Training Required

Personnel who are trained in performing medical records review.

Equipment Needs

The medical record abstractor will need a copy of the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (PLCO) Diagnostic Evaluation-Colorectum form.

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualYes
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adult

Specific Instructions:

This protocol may be useful to researchers studying people with polyps who are less than 50 years old. Data abstraction can be performed by anyone with proper training and does not require a trained nurse or physician.
Research Domain Information

Release Date:

December 13, 2010

Definition

This is a measure to obtain information about the colon and rectum—including colorectal malignancies, adenomas, and diagnostic and staging procedures—using medical records of retrospective procedures.

Purpose

This is a measure to obtain retrospective information from medical records about colorectal exams.

Selection Rationale

The Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (PLCO) Diagnostic Evaluation-Colorectum form was selected because it obtains detailed information about colorectal exams from existing medical records. The PLCO is a large-scale clinical trial that has enrolled 155,000 people. It has extensive documented validity.

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Colorectal Medical Record Review Assessment Description Text3163031CDE Browser
Logical Observation Identifiers Names and Codes (LOINC)Colorectal procedure outcomes proto62959-2LOINC

Process and Review

This section will be completed when reviewed by an Expert Review Panel.

Source

U.S. Department of Health and Human Services. National Institutes of Health. National Cancer Institute. Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (PLCO), Diagnostic Evaluation–Colorectum (DEC3/DCQ3) (version date: 07/01).

General References

Pinsky, P. F., Schoen, R. E., Weissfeld, J. L., Church, T., Yokochi, L. A., Doria‑Rose, V. P., & Prorok, P. (2009). The yield of surveillance colonoscopy by adenoma history and time to examination. Clinical Gastroenterology Hepatology, 7, 86–92.

Schoen, R. E., Pinsky, P. F., Weissfeld, J. L., Bresalier, R. S., Church, T., Prorok, P., & Gohagan, J. K.; Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial Group. (2003). Results of repeat sigmoidoscopy 3 years after a negative examination. Journal of the American Medical Association, 290, 41–48.

Schoen, R. E., Pinsky, P. F., Weissfeld, J. L., Yokochi, L. A., Reding, D. J., Hayes, R. B., Church, T., Yurgalevich, S., Doria-Rose, V. P., Hickey, T., Riley, T., & Berg, C. D. (2010). Utilization of surveillance colonoscopy in community practice. Gastroenterology, 138, 73–81.

Protocol ID:

190401

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX190401_Adenoma_Location_Anatomic_5_SigmoidColonPX190401120609LOCATION - Anatomic Sigmoid Colon4N/A
PX190401_Adenoma_Location_Anatomic_5_RectumPX190401120610LOCATION - Anatomic Rectum4N/A
PX190401_Adenoma_Location_Anatomic_5_AppendixPX190401120611LOCATION - Anatomic Appendix4N/A
PX190401_Adenoma_Location_Anatomic_5_NotAvailablePX190401120612LOCATION - Anatomic Not Available4N/A
PX190401_Adenoma_Location_Distance_5PX190401120613LOCATION - Distance In cm4N/A
PX190401_Adenoma_Location_Distance_5_CodedPX190401120614LOCATION - Distance In cm4N/A
PX190401_Adenoma_Size_Dimension_5PX190401120615SIZE - Longest dimension in cm4N/A
PX190401_Adenoma_Size_Dimension_5_CodedPX190401120616SIZE - Longest dimension in cm4N/A
PX190401_Adenoma_Size_Description_5PX190401120617SIZE - Description4N/A
PX190401_Adenoma_Histology_5PX190401120618HISTOLOGY4N/A
PX190401_Adenoma_Dysplasia_5PX190401120619DYSPLASIA4N/A
PX190401_Adenoma_Non_Advanced_NumberPX190401120701NUMBER OF NON-ADVANCED ADENOMAS4N/A
PX190401_Adenoma_Advanced_NumberPX190401120702NUMBER OF ADVANCED ADENOMAS4N/A
PX190401_Adenoma_Exact_Number_DeterminedPX190401120800CAN EXACT NUMBER OF ADENOMAS BE DETERMINED?4N/A
PX190401_Other_Diagnostic_Staging_ProceduresPX190401130100Other Diagnostic/Staging Procedures4N/A
PX190401_Other_Procedure_Type_1PX190401130201TYPE OF PROCEDURE4N/A
PX190401_Other_Procedure_CEA_Value_1PX190401130202TYPE OF PROCEDURE - CEA VALUE4N/A
PX190401_Other_Procedure_Specify_1PX190401130203TYPE OF PROCEDURE - SPECIFY4N/A
PX190401_Other_Procedure_Date_1_DayPX190401130204DATE OF PROCEDURE - Day4N/A
PX190401_Other_Procedure_Date_1_MonthPX190401130205DATE OF PROCEDURE - Month4N/A
PX190401_Other_Procedure_Date_1_YearPX190401130206DATE OF PROCEDURE - Year4N/A
PX190401_Other_Procedure_Type_2PX190401130301TYPE OF PROCEDURE4N/A
PX190401_Other_Procedure_CEA_Value_2PX190401130302TYPE OF PROCEDURE - CEA VALUE4N/A
PX190401_Other_Procedure_Specify_2PX190401130303TYPE OF PROCEDURE - SPECIFY4N/A
PX190401_Other_Procedure_Date_2_DayPX190401130304DATE OF PROCEDURE - Day4N/A
PX190401_Other_Procedure_Date_2_MonthPX190401130305DATE OF PROCEDURE - Month4N/A
PX190401_Other_Procedure_Date_2_YearPX190401130306DATE OF PROCEDURE - Year4N/A
PX190401_Other_Procedure_Type_3PX190401130401TYPE OF PROCEDURE4N/A
PX190401_Other_Procedure_CEA_Value_3PX190401130402TYPE OF PROCEDURE - CEA VALUE4N/A
PX190401_Other_Procedure_Specify_3PX190401130403TYPE OF PROCEDURE - SPECIFY4N/A
PX190401_Other_Procedure_Date_3_DayPX190401130404DATE OF PROCEDURE - Day4N/A
PX190401_Other_Procedure_Date_3_MonthPX190401130405DATE OF PROCEDURE - Month4N/A
PX190401_Other_Procedure_Date_3_YearPX190401130406DATE OF PROCEDURE - Year4N/A
PX190401_Other_Procedure_Type_4PX190401130501TYPE OF PROCEDURE4N/A
PX190401_Other_Procedure_CEA_Value_4PX190401130502TYPE OF PROCEDURE - CEA VALUE4N/A
PX190401_Other_Procedure_Specify_4PX190401130503TYPE OF PROCEDURE - SPECIFY4N/A
PX190401_Other_Procedure_Date_4_DayPX190401130504DATE OF PROCEDURE - Day4N/A
PX190401_Other_Procedure_Date_4_MonthPX190401130505DATE OF PROCEDURE - Month4N/A
PX190401_Other_Procedure_Date_4_YearPX190401130506DATE OF PROCEDURE - Year4N/A
PX190401_Other_Procedure_Type_5PX190401130601TYPE OF PROCEDURE4N/A
PX190401_Other_Procedure_CEA_Value_5PX190401130602TYPE OF PROCEDURE - CEA VALUE4N/A
PX190401_Other_Procedure_Specify_5PX190401130603TYPE OF PROCEDURE - SPECIFY4N/A
PX190401_Other_Procedure_Date_5_DayPX190401130604DATE OF PROCEDURE - Day4N/A
PX190401_Other_Procedure_Date_5_MonthPX190401130605DATE OF PROCEDURE - Month4N/A
PX190401_Other_Procedure_Date_5_YearPX190401130606DATE OF PROCEDURE - Year4N/A
PX190401_Other_Procedure_Type_6PX190401130701TYPE OF PROCEDURE4N/A
PX190401_Other_Procedure_CEA_Value_6PX190401130702TYPE OF PROCEDURE - CEA VALUE4N/A
PX190401_Other_Procedure_Specify_6PX190401130703TYPE OF PROCEDURE - SPECIFY4N/A
PX190401_Other_Procedure_Date_6_DayPX190401130704DATE OF PROCEDURE - Day4N/A
PX190401_Other_Procedure_Date_6_MonthPX190401130705DATE OF PROCEDURE - Month4N/A
PX190401_Other_Procedure_Date_6_YearPX190401130706DATE OF PROCEDURE - Year4N/A
PX190401_Other_Procedure_Type_7PX190401130801TYPE OF PROCEDURE4N/A
PX190401_Other_Procedure_CEA_Value_7PX190401130802TYPE OF PROCEDURE - CEA VALUE4N/A
PX190401_Other_Procedure_Specify_7PX190401130803TYPE OF PROCEDURE - SPECIFY4N/A
PX190401_Other_Procedure_Date_7_DayPX190401130804DATE OF PROCEDURE - Day4N/A
PX190401_Other_Procedure_Date_7_MonthPX190401130805DATE OF PROCEDURE - Month4N/A
PX190401_Other_Procedure_Date_7_YearPX190401130806DATE OF PROCEDURE - Year4N/A
PX190401_Other_Procedure_Type_8PX190401130901TYPE OF PROCEDURE4N/A
PX190401_Other_Procedure_CEA_Value_8PX190401130902TYPE OF PROCEDURE - CEA VALUE4N/A
PX190401_Other_Procedure_Specify_8PX190401130903TYPE OF PROCEDURE - SPECIFY4N/A
PX190401_Other_Procedure_Date_8_DayPX190401130904DATE OF PROCEDURE - Day4N/A
PX190401_Other_Procedure_Date_8_MonthPX190401130905DATE OF PROCEDURE - Month4N/A
PX190401_Other_Procedure_Date_8_YearPX190401130906DATE OF PROCEDURE - Year4N/A
PX190401_Other_Procedure_Type_9PX190401131001TYPE OF PROCEDURE4N/A
PX190401_Other_Procedure_CEA_Value_9PX190401131002TYPE OF PROCEDURE - CEA VALUE4N/A
PX190401_Other_Procedure_Specify_9PX190401131003TYPE OF PROCEDURE - SPECIFY4N/A
PX190401_Other_Procedure_Date_9_DayPX190401131004DATE OF PROCEDURE - Day4N/A
PX190401_Other_Procedure_Date_9_MonthPX190401131005DATE OF PROCEDURE - Month4N/A
PX190401_Other_Procedure_Date_9_YearPX190401131006DATE OF PROCEDURE - Year4N/A
PX190401_Other_Procedure_Type_10PX190401131101TYPE OF PROCEDURE4N/A
PX190401_Other_Procedure_CEA_Value_10PX190401131102TYPE OF PROCEDURE - CEA VALUE4N/A
PX190401_Other_Procedure_Specify_10PX190401131103TYPE OF PROCEDURE - SPECIFY4N/A
PX190401_Other_Procedure_Date_10_DayPX190401131104DATE OF PROCEDURE - Day4N/A
PX190401_Other_Procedure_Date_10_MonthPX190401131105DATE OF PROCEDURE - Month4N/A
PX190401_Other_Procedure_Date_10_YearPX190401131106DATE OF PROCEDURE - Year4N/A
PX190401_Other_Procedure_Type_11PX190401131201TYPE OF PROCEDURE4N/A
PX190401_Other_Procedure_CEA_Value_11PX190401131202TYPE OF PROCEDURE - CEA VALUE4N/A
PX190401_Other_Procedure_Specify_11PX190401131203TYPE OF PROCEDURE - SPECIFY4N/A
PX190401_Other_Procedure_Date_11_DayPX190401131204DATE OF PROCEDURE - Day4N/A
PX190401_Other_Procedure_Date_11_MonthPX190401131205DATE OF PROCEDURE - Month4N/A
PX190401_Other_Procedure_Date_11_YearPX190401131206DATE OF PROCEDURE - Year4N/A
PX190401_Other_Procedure_Type_12PX190401131301TYPE OF PROCEDURE4N/A
PX190401_Other_Procedure_CEA_Value_12PX190401131302TYPE OF PROCEDURE - CEA VALUE4N/A
PX190401_Other_Procedure_Specify_12PX190401131303TYPE OF PROCEDURE - SPECIFY4N/A
PX190401_Other_Procedure_Date_12_DayPX190401131304DATE OF PROCEDURE - Day4N/A
PX190401_Other_Procedure_Date_12_MonthPX190401131305DATE OF PROCEDURE - Month4N/A
PX190401_Other_Procedure_Date_12_YearPX190401131306DATE OF PROCEDURE - Year4N/A
PX190401_Other_Procedure_Supplement_Form_CompletedPX190401131400DIAGNOSTIC/STAGING PROCEDURES SUPPLEMENT FORM COMPLETED4N/A
PX190401_Complication_Type_1PX190401140201TYPE OF COMPLICATION4N/A
PX190401_Complication_Type_Specify_1PX190401140202TYPE OF COMPLICATION- Infection - SPECIFY4N/A
PX190401_Complication_Date_1_MonthPX190401140203DATE OF COMPLICATION - Month4N/A
PX190401_Complication_Date_1_DayPX190401140204DATE OF COMPLICATION - Month4N/A
PX190401_Complication_Date_1_YearPX190401140205DATE OF COMPLICATION - Year4N/A
PX190401_Complication_Type_2PX190401140301TYPE OF COMPLICATION4N/A
PX190401_Complication_Type_Specify_2PX190401140302TYPE OF COMPLICATION - SPECIFY4N/A
PX190401_Complication_Date_2_MonthPX190401140303DATE OF COMPLICATION - Month4N/A
PX190401_Complication_Date_2_DayPX190401140304DATE OF COMPLICATION - Month4N/A
PX190401_Complication_Date_2_YearPX190401140305DATE OF COMPLICATION - Year4N/A
PX190401_Complication_Type_3PX190401140401TYPE OF COMPLICATION4N/A
PX190401_Complication_Type_Specify_3PX190401140402TYPE OF COMPLICATION - SPECIFY4N/A
PX190401_Complication_Date_3_MonthPX190401140403DATE OF COMPLICATION - Month4N/A
PX190401_Complication_Date_3_DayPX190401140404DATE OF COMPLICATION - Month4N/A
PX190401_Medical_ComplicationsPX190401140100Medical Complications of Diagnostic Evaluation and Staging4N/A
PX190401_Complication_Date_3_YearPX190401140405DATE OF COMPLICATION - Year4N/A
PX190401_Complication_Type_4PX190401140501TYPE OF COMPLICATION4N/A
PX190401_Complication_Type_Specify_4PX190401140502TYPE OF COMPLICATION - SPECIFY4N/A
PX190401_Complication_Date_4_MonthPX190401140503DATE OF COMPLICATION - Month4N/A
PX190401_Complication_Date_4_DayPX190401140504DATE OF COMPLICATION - Month4N/A
PX190401_Complication_Date_4_YearPX190401140505DATE OF COMPLICATION - Year4N/A
PX190401_Complication_Type_5PX190401140601TYPE OF COMPLICATION4N/A
PX190401_Complication_Type_Specify_5PX190401140602TYPE OF COMPLICATION - SPECIFY4N/A
PX190401_Complication_Date_5_MonthPX190401140603DATE OF COMPLICATION - Month4N/A
PX190401_Complication_Date_5_DayPX190401140604DATE OF COMPLICATION - Month4N/A
PX190401_Complication_Date_5_YearPX190401140605DATE OF COMPLICATION - Year4N/A
PX190401_Complication_Type_6PX190401140701TYPE OF COMPLICATION4N/A
PX190401_Complication_Type_Specify_6PX190401140702TYPE OF COMPLICATION - SPECIFY4N/A
PX190401_Complication_Date_6_MonthPX190401140703DATE OF COMPLICATION - Month4N/A
PX190401_Complication_Date_6_DayPX190401140704DATE OF COMPLICATION - Month4N/A
PX190401_Complication_Date_6_YearPX190401140705DATE OF COMPLICATION - Year4N/A
PX190401_Diagnostic_Evaluation_Colorectal_CancerPX190401150100Result of Diagnostic Evaluation for Colorectal Cancer4N/A
PX190401_Other_Cancer_DiagnosisPX190401160100Other Cancer Diagnosis4N/A
PX190401_Other_Cancer_Diagnosis_Classification_1PX190401160201ICD-9-CM CLASSIFICATION4N/A
PX190401_Other_Cancer_Diagnosis_Date_1_MonthPX190401160202DATE OF OTHER CANCER DIAGNOSIS - Month4N/A
PX190401_Other_Cancer_Diagnosis_Date_1_DayPX190401160203DATE OF OTHER CANCER DIAGNOSIS - Day4N/A
PX190401_Other_Cancer_Diagnosis_Date_1_YearPX190401160204DATE OF OTHER CANCER DIAGNOSIS - Year4N/A
PX190401_Other_Cancer_Diagnosis_Classification_2PX190401160301ICD-9-CM CLASSIFICATION4N/A
PX190401_Other_Cancer_Diagnosis_Date_2_MonthPX190401160302DATE OF OTHER CANCER DIAGNOSIS - Month4N/A
PX190401_Other_Cancer_Diagnosis_Date_2_DayPX190401160303DATE OF OTHER CANCER DIAGNOSIS - Day4N/A
PX190401_Other_Cancer_Diagnosis_Date_2_YearPX190401160304DATE OF OTHER CANCER DIAGNOSIS - Year4N/A
PX190401_Colorectal_Carcinoma_DescriptionPX190401170100Description of Colorectal Carcinoma4N/A
PX190401_Colorectal_Carcinoma_Procedure_1_SigmoidoscopyPX190401170201PROCEDURE Sigmoidosocopy4N/A
PX190401_Colorectal_Carcinoma_Procedure_1_ColonoscopyPX190401170202PROCEDURE Colonoscopy4N/A
PX190401_Colorectal_Carcinoma_Procedure_1_PolypectomyPX190401170203PROCEDURE Polypectomy4N/A
PX190401_Colorectal_Carcinoma_Procedure_1_SurgicalResectionPX190401170204PROCEDURE4N/A
PX190401_Colorectal_Carcinoma_Procedure_1_OtherResectionPX190401170205PROCEDURE Local transanal or other resection4N/A
PX190401_Colorectal_Carcinoma_Procedure_1_EndoscopyPX190401170206PROCEDURE Endoscopy4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_1_CecumPX190401170207LOCATION - Anatomic Cecum4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_1_AscendingColonPX190401170208LOCATION - Anatomic Ascending Colon4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_1_HepaticFlexurePX190401170209LOCATION - Anatomic Hepatic Flexure4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_1_TranverseColonPX190401170210LOCATION - Anatomic Transverse Colon4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_1_SplenicFlexurePX190401170211LOCATION - Anatomic Splenic Flexure4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_1_DescendingColonPX190401170212LOCATION - Anatomic Descending Colon4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_1_SigmoidColonPX190401170213LOCATION - Anatomic Sigmoid Colon4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_1_RectumPX190401170214LOCATION - Anatomic Rectum4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_1_AppendixPX190401170215LOCATION - Anatomic Appendix4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_1_NotAvailablePX190401170216LOCATION - Anatomic Not Available4N/A
PX190401_Colorectal_Carcinoma_Location_Distance_1PX190401170217LOCATION - Distance in cm4N/A
PX190401_Colorectal_Carcinoma_Location_Distance_1_CodedPX190401170218LOCATION - Distance in cm4N/A
PX190401_Colorectal_Carcinoma_Gross_Morphology_1PX190401170219GROSS MORPHOLOGY4N/A
PX190401_Colorectal_Carcinoma_Procedure_2_SigmoidoscopyPX190401170301PROCEDURE Sigmoidosocopy4N/A
PX190401_Colorectal_Carcinoma_Procedure_2_ColonoscopyPX190401170302PROCEDURE Colonoscopy4N/A
PX190401_Colorectal_Carcinoma_Procedure_2_PolypectomyPX190401170303PROCEDURE Polypectomy4N/A
PX190401_Colorectal_Carcinoma_Procedure_2_SurgicalResectionPX190401170304PROCEDURE4N/A
PX190401_Colorectal_Carcinoma_Procedure_2_OtherResectionPX190401170305PROCEDURE Local transanal or other resection4N/A
PX190401_Colorectal_Carcinoma_Procedure_2_EndoscopyPX190401170306PROCEDURE Endoscopy4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_2_CecumPX190401170307LOCATION - Anatomic Cecum4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_2_AscendingColonPX190401170308LOCATION - Anatomic Ascending Colon4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_2_HepaticFlexurePX190401170309LOCATION - Anatomic Hepatic Flexure4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_2_TranverseColonPX190401170310LOCATION - Anatomic Transverse Colon4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_2_SplenicFlexurePX190401170311LOCATION - Anatomic Splenic Flexure4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_2_DescendingColonPX190401170312LOCATION - Anatomic Descending Colon4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_2_SigmoidColonPX190401170313LOCATION - Anatomic Sigmoid Colon4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_2_RectumPX190401170314LOCATION - Anatomic Rectum4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_2_AppendixPX190401170315LOCATION - Anatomic Appendix4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_2_NotAvailablePX190401170316LOCATION - Anatomic Not Available4N/A
PX190401_Colorectal_Carcinoma_Location_Distance_2PX190401170317LOCATION - Distance in cm4N/A
PX190401_Colorectal_Carcinoma_Location_Distance_2_CodedPX190401170318LOCATION - Distance in cm4N/A
PX190401_Colorectal_Carcinoma_Gross_Morphology_2PX190401170319GROSS MORPHOLOGY4N/A
PX190401_Colorectal_Carcinoma_Procedure_3_SigmoidoscopyPX190401170401PROCEDURE Sigmoidosocopy4N/A
PX190401_Colorectal_Carcinoma_Procedure_3_ColonoscopyPX190401170402PROCEDURE Colonoscopy4N/A
PX190401_Colorectal_Carcinoma_Procedure_3_PolypectomyPX190401170403PROCEDURE Polypectomy4N/A
PX190401_Colorectal_Carcinoma_Procedure_3_SurgicalResectionPX190401170404PROCEDURE4N/A
PX190401_Colorectal_Carcinoma_Procedure_3_OtherResectionPX190401170405PROCEDURE Local transanal or other resection4N/A
PX190401_Colorectal_Carcinoma_Procedure_3_EndoscopyPX190401170406PROCEDURE Endoscopy4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_3_CecumPX190401170407LOCATION - Anatomic Cecum4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_3_AscendingColonPX190401170408LOCATION - Anatomic Ascending Colon4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_3_HepaticFlexurePX190401170409LOCATION - Anatomic Hepatic Flexure4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_3_TranverseColonPX190401170410LOCATION - Anatomic Transverse Colon4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_3_SplenicFlexurePX190401170411LOCATION - Anatomic Splenic Flexure4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_3_DescendingColonPX190401170412LOCATION - Anatomic Descending Colon4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_3_SigmoidColonPX190401170413LOCATION - Anatomic Sigmoid Colon4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_3_RectumPX190401170414LOCATION - Anatomic Rectum4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_3_AppendixPX190401170415LOCATION - Anatomic Appendix4N/A
PX190401_Colorectal_Carcinoma_Location_Anatomic_3_NotAvailablePX190401170416LOCATION - Anatomic Not Available4N/A
PX190401_Colorectal_Carcinoma_Location_Distance_3PX190401170417LOCATION - Distance in cm4N/A
PX190401_Colorectal_Carcinoma_Location_Distance_3_CodedPX190401170418LOCATION - Distance in cm4N/A
PX190401_Colorectal_Carcinoma_Gross_Morphology_3PX190401170419GROSS MORPHOLOGY4N/A
PX190401_Primary_Colorectal_Cancer_Diagnosis_Date_MonthPX190401180100Date of Primary Colorectal Cancer Diagnosis - Month4N/A
PX190401_Primary_Colorectal_Cancer_Diagnosis_Date_DayPX190401180200Date of Primary Colorectal Cancer Diagnosis - Day4N/A
PX190401_Primary_Colorectal_Cancer_Diagnosis_Date_YearPX190401180300Date of Primary Colorectal Cancer Diagnosis - Year4N/A
PX190401_Primary_Colorectal_Cancer_Diagnosis_DescriptionPX190401190000Verbatim Description of Primary Colorectal Cancer Diagnosis4N/A
PX190401_ICDO2_Classification_TopographyPX190401200100ICD-O-2 Cancer Classification: Topography4N/A
PX190401_ICDO2_Classification_MorphologyPX190401200200ICD-O-2 Cancer Classification: Morphology4N/A
PX190401_ICDO2_Classification_BehaviorPX190401200300ICD-O-2 Cancer Classification: Behavior4N/A
PX190401_ICDO2_Classification_GradePX190401200400ICD-O-2 Cancer Classification: Grade4N/A
PX190401_Primary_Colorectal_Cancer_Report_PhotocopyPX190401210000Photocopy of Report Confirming Primary Colorectal Cancer4N/A
PX190401_Primary_Colorectal_Cancer_Histopathologic_TypePX190401220100Histopathologic Type for Primary Colorectal Cancer4N/A
PX190401_Primary_Colorectal_Cancer_Histopathologic_Type_SpecifyPX190401220200Specify Other Histopathologic Type for Primary Colorectal Cancer4N/A
PX190401_Primary_Colorectal_Cancer_Histopathologic_GradePX190401230000Histopathologic Grade for Primary Colorectal Cancer4N/A
PX190401_TNM_Staging_AJCC_Manual_EditionPX190401240100If TNM Staging performed, what AJCC Cancer Staging Manual did you use?4N/A
PX190401_TNM_Clinical_StagingPX190401240201TNM Clinical Staging4N/A
PX190401_TNM_Clinical_Staging_Primary_TumorPX190401240202TNM Clinical Staging: PRIMARY TUMOR (T)4N/A
PX190401_TNM_Clinical_Staging_Nodal_InvolvementPX190401240203TNM Clinical Staging: NODAL INVOLVEMENT (N)4N/A
PX190401_TNM_Clinical_Staging_Distant_MetastasesPX190401240204TNM Clinical Staging: DISTANT METASTASES (M)4N/A
PX190401_TNM_Pathologic_StagingPX190401240301TNM Pathologic Staging4N/A
PX190401_TNM_Pathologic_Staging_Primary_TumorPX190401240302TNM Pathologic Staging: PRIMARY TUMOR (T)4N/A
PX190401_TNM_Pathologic_Staging_Nodal_InvolvementPX190401240303TNM Pathologic Staging: NODAL INVOLVEMENT (N)4N/A
PX190401_TNM_Pathologic_Staging_Distant_MetastasesPX190401240304TNM Pathologic Staging: DISTANT METASTASES (M)4N/A
PX190401_Record_StagePX190401250100Record Stage4N/A
PX190401_Record_Stage_OnlyPX190401250200STAGE ONLY4N/A
PX190401_Record_Stage_DukesPX190401250300DUKES4N/A
PX190401_Record_Stage_Modified_DukesPX190401250400MODIFIED DUKES (ASTLER-COLLER)4N/A
PX190401_Record_Stage_Summary_StagingPX190401250500SUMMARY STAGING4N/A
PX190401_Diagnostic_Evaluation_Determination_Date_MonthPX190401260100DATE OF DIAGNOSTIC EVALUATION DETERMINATION - Month4N/A
PX190401_Diagnostic_Evaluation_Determination_Date_DayPX190401260200DATE OF DIAGNOSTIC EVALUATION DETERMINATION - Day4N/A
PX190401_Diagnostic_Evaluation_Determination_Date_YearPX190401260300DATE OF DIAGNOSTIC EVALUATION DETERMINATION - Year4N/A
PX190401_Diagnostic_Evaluation_Physician_Name_1PX190401270101Physician for Diagnostic Evaluation: Name4N/A
PX190401_Diagnostic_Evaluation_Physician_Address_1PX190401270102Physician for Diagnostic Evaluation: Address4N/A
PX190401_Diagnostic_Evaluation_Physician_Telephone_1PX190401270103Physician for Diagnostic Evaluation: Telephone4N/A
PX190401_Diagnostic_Evaluation_Physician_Record_Chart_1PX190401270104Physician for Diagnostic Evaluation: Medical Record/Chart Number4N/A
PX190401_Diagnostic_Evaluation_Physician_Name_2PX190401270201Physician for Diagnostic Evaluation: Name4N/A
PX190401_Diagnostic_Evaluation_Physician_Address_2PX190401270202Physician for Diagnostic Evaluation: Address4N/A
PX190401_Diagnostic_Evaluation_Physician_Telephone_2PX190401270203Physician for Diagnostic Evaluation: Telephone4N/A
PX190401_Diagnostic_Evaluation_Physician_Record_Chart_2PX190401270204Physician for Diagnostic Evaluation: Medical Record/Chart Number4N/A
PX190401_Diagnostic_Evaluation_Hospital_Name_1PX190401280101Hospital or Clinical for Diagnostic Evaluation: Name4N/A
PX190401_Diagnostic_Evaluation_Hospital_Name_2PX190401280201Hospital or Clinical for Diagnostic Evaluation: Name4N/A
PX190401_Diagnostic_Evaluation_Hospital_Address_2PX190401280202Hospital or Clinical for Diagnostic Evaluation: Address4N/A
PX190401_Diagnostic_Evaluation_Hospital_Telephone_2PX190401280203Hospital or Clinical for Diagnostic Evaluation: Telephone4N/A
PX190401_Diagnostic_Evaluation_Hospital_Record_Chart_2PX190401280204Hospital or Clinical for Diagnostic Evaluation: Medical Record/Chart Number4N/A
PX190401_CommentsPX190401290100Comments4N/A
PX190401_Comments_SpecifyPX190401290200Specify Comments4N/A
PX190401_Diagnostic_Evaluation_Hospital_Address_1PX190401280102Hospital or Clinical for Diagnostic Evaluation: Address4N/A
PX190401_Diagnostic_Evaluation_Hospital_Telephone_1PX190401280103Hospital or Clinical for Diagnostic Evaluation: Telephone4N/A
PX190401_Diagnostic_Evaluation_Hospital_Record_Chart_1PX190401280104Hospital or Clinical for Diagnostic Evaluation: Medical Record/Chart Number4N/A
PX190401_Abstracted_Date_MonthPX190401010100Date Abstracted - Month4N/A
PX190401_Abstracted_Date_DayPX190401010200Date Abstracted - Day4N/A
PX190401_Abstracted_Date_YearPX190401010300Date Abstracted - Year4N/A
PX190401_Abstractor_IDPX190401020000Abstractor ID Number4N/A
PX190401_Nosologist_IDPX190401030000Nosologist ID Number4N/A
PX190401_CTR_IDPX190401040000CTR ID Number4N/A
PX190401_Study_YearPX190401050000Study Year4N/A
PX190401_PurposePX190401060000Purpose of Abstract4N/A
PX190401_Multiple_Primary_CancerPX190401070000Multiple Primary Cancer Number4N/A
PX190401_Office_Use_Form_Receipted_SMSPX190401080100Form Receipted into SMS4N/A
PX190401_Office_Use_Manual_Review_CompletedPX190401080200Manual Review Completed4N/A
PX190401_Office_Use_Non_Scannable_ItemsPX190401080300Data Entry of Non-Scannable Items4N/A
PX190401_Office_Use_Data_RetrievalPX190401080400Data Retrieval4N/A
PX190401_Office_Use_DispositionPX190401080500Disposition4N/A
PX190401_Diagnostic_Procedures_PerformedPX190401090000Diagnostic Procedures Performed4N/A
PX190401_Initial_Visit_Reason_SymptomaticPX190401100101Reason for Initial Visit for Clinical Assessment Symptomatic4N/A
PX190401_Initial_Visit_Reason_Positive_PLCOPX190401100102Reason for Initial Visit for Clinical Assessment Follow-up of positive PLCO screen4N/A
PX190401_Initial_Visit_Reason_OtherPX190401100103Reason for Initial Visit for Clinical Assessment Other4N/A
PX190401_Initial_Visit_Reason_Other_SpecifyPX190401100104Specify Other Reason for Initial Visit for Clinical Assessment4N/A
PX190401_Sigmoidoscopy_ColonoscopyPX190401110100Sigmoidoscopy or Colonoscopy4N/A
PX190401_Procedure_Type_1PX190401110201PROCEDURE TYPE4N/A
PX190401_Procedure_Cecum_Visualization_1PX190401110205CECUM VISUALIZATION4N/A
PX190401_Procedure_Bowel_Preparation_1PX190401110206BOWEL PREPARATION4N/A
PX190401_Procedure_Hyperplastic_Polyps_1PX190401110207HYPERPLASTIC POLYPS4N/A
PX190401_Procedure_Type_2PX190401110301PROCEDURE TYPE4N/A
PX190401_Procedure_Date_2_MonthPX190401110302DATE OF PROCEDURE - Month4N/A
PX190401_Procedure_Date_2_DayPX190401110303DATE OF PROCEDURE - Day4N/A
PX190401_Procedure_Date_2_YearPX190401110304DATE OF PROCEDURE - Year4N/A
PX190401_Procedure_Cecum_Visualization_2PX190401110305CECUM VISUALIZATION4N/A
PX190401_Procedure_Bowel_Preparation_2PX190401110306BOWEL PREPARATION4N/A
PX190401_Procedure_Hyperplastic_Polyps_2PX190401110307HYPERPLASTIC POLYPS4N/A
PX190401_Procedure_Type_3PX190401110401PROCEDURE TYPE4N/A
PX190401_Procedure_Date_3_MonthPX190401110402DATE OF PROCEDURE - Month4N/A
PX190401_Procedure_Date_3_DayPX190401110403DATE OF PROCEDURE - Day4N/A
PX190401_Procedure_Date_3_YearPX190401110404DATE OF PROCEDURE - Year4N/A
PX190401_Procedure_Date_1_MonthPX190401110202DATE OF PROCEDURE - Month4N/A
PX190401_Procedure_Date_1_DayPX190401110203DATE OF PROCEDURE - Day4N/A
PX190401_Procedure_Date_1_YearPX190401110204DATE OF PROCEDURE - Year4N/A
PX190401_Procedure_Cecum_Visualization_3PX190401110405CECUM VISUALIZATION4N/A
PX190401_Procedure_Bowel_Preparation_3PX190401110406BOWEL PREPARATION4N/A
PX190401_Procedure_Hyperplastic_Polyps_3PX190401110407HYPERPLASTIC POLYPS4N/A
PX190401_Adenoma_Sigmoidoscopy_ColonoscopyPX190401120100Adenomas on Sigmoidoscopy or Colonoscopy4N/A
PX190401_Adenoma_Multiple_Polyps_1PX190401120201MULTIPLE POLYPS IN SPECIMEN JAR?4N/A
PX190401_Adenoma_Procedure_1PX190401120202PROCEDURE4N/A
PX190401_Adenoma_Location_Anatomic_1_CecumPX190401120203LOCATION - Anatomic Cecum4N/A
PX190401_Adenoma_Location_Anatomic_1_AscendingColonPX190401120204LOCATION - Anatomic Ascending Colon4N/A
PX190401_Adenoma_Location_Anatomic_1_HepaticFlexurePX190401120205LOCATION - Anatomic Hepatic Flexure4N/A
PX190401_Adenoma_Location_Anatomic_1_TranverseColonPX190401120206LOCATION - Anatomic Transverse Colon4N/A
PX190401_Adenoma_Location_Anatomic_1_SplenicFlexurePX190401120207LOCATION - Anatomic Splenic Flexure4N/A
PX190401_Adenoma_Location_Anatomic_1_DescendingColonPX190401120208LOCATION - Anatomic Descending Colon4N/A
PX190401_Adenoma_Location_Anatomic_1_SigmoidColonPX190401120209LOCATION - Anatomic Sigmoid Colon4N/A
PX190401_Adenoma_Location_Anatomic_1_RectumPX190401120210LOCATION - Anatomic Rectum4N/A
PX190401_Adenoma_Location_Anatomic_1_AppendixPX190401120211LOCATION - Anatomic Appendix4N/A
PX190401_Adenoma_Location_Anatomic_1_NotAvailablePX190401120212LOCATION - Anatomic Not Available4N/A
PX190401_Adenoma_Location_Distance_1PX190401120213LOCATION - Distance in cm4N/A
PX190401_Adenoma_Location_Distance_1_CodedPX190401120214LOCATION - Distance in cm4N/A
PX190401_Adenoma_Size_Dimension_1PX190401120215SIZE - Longest dimension in cm4N/A
PX190401_Adenoma_Size_Dimension_1_CodedPX190401120216SIZE - Longest dimension in cm4N/A
PX190401_Adenoma_Size_Description_1PX190401120217SIZE - Description4N/A
PX190401_Adenoma_Histology_1PX190401120218HISTOLOGY4N/A
PX190401_Adenoma_Dysplasia_1PX190401120219DYSPLASIA4N/A
PX190401_Adenoma_Multiple_Polyps_2PX190401120301MULTIPLE POLYPS IN SPECIMEN JAR?4N/A
PX190401_Adenoma_Procedure_2PX190401120302PROCEDURE4N/A
PX190401_Adenoma_Location_Anatomic_2_CecumPX190401120303LOCATION - Anatomic Cecum4N/A
PX190401_Adenoma_Location_Anatomic_2_AscendingColonPX190401120304LOCATION - Anatomic Ascending Colon4N/A
PX190401_Adenoma_Location_Anatomic_2_HepaticFlexurePX190401120305LOCATION - Anatomic Hepatic Flexure4N/A
PX190401_Adenoma_Location_Anatomic_2_TranverseColonPX190401120306LOCATION - Anatomic Transverse Colon4N/A
PX190401_Adenoma_Location_Anatomic_2_SplenicFlexurePX190401120307LOCATION - Anatomic Splenic Flexure4N/A
PX190401_Adenoma_Location_Anatomic_2_DescendingColonPX190401120308LOCATION - Anatomic Descending Colon4N/A
PX190401_Adenoma_Location_Anatomic_2_SigmoidColonPX190401120309LOCATION - Anatomic Sigmoid Colon4N/A
PX190401_Adenoma_Location_Anatomic_2_RectumPX190401120310LOCATION - Anatomic Rectum4N/A
PX190401_Adenoma_Location_Anatomic_2_AppendixPX190401120311LOCATION - Anatomic Appendix4N/A
PX190401_Adenoma_Location_Anatomic_2_NotAvailablePX190401120312LOCATION - Anatomic Not Available4N/A
PX190401_Adenoma_Location_Distance_2PX190401120313LOCATION - Distance In cm4N/A
PX190401_Adenoma_Location_Distance_2_CodedPX190401120314LOCATION - Distance In cm4N/A
PX190401_Adenoma_Size_Dimension_2_CodedPX190401120316SIZE - Longest dimension in cm4N/A
PX190401_Adenoma_Size_Description_2PX190401120317SIZE - Description4N/A
PX190401_Adenoma_Histology_2PX190401120318HISTOLOGY4N/A
PX190401_Adenoma_Dysplasia_2PX190401120319DYSPLASIA4N/A
PX190401_Adenoma_Multiple_Polyps_3PX190401120401MULTIPLE POLYPS IN SPECIMEN JAR?4N/A
PX190401_Adenoma_Procedure_3PX190401120402PROCEDURE4N/A
PX190401_Adenoma_Location_Anatomic_3_CecumPX190401120403LOCATION - Anatomic Cecum4N/A
PX190401_Adenoma_Location_Anatomic_3_AscendingColonPX190401120404LOCATION - Anatomic Ascending Colon4N/A
PX190401_Adenoma_Location_Anatomic_3_HepaticFlexurePX190401120405LOCATION - Anatomic Hepatic Flexure4N/A
PX190401_Adenoma_Location_Anatomic_3_TranverseColonPX190401120406LOCATION - Anatomic Transverse Colon4N/A
PX190401_Adenoma_Location_Anatomic_3_SplenicFlexurePX190401120407LOCATION - Anatomic Splenic Flexure4N/A
PX190401_Adenoma_Location_Anatomic_3_DescendingColonPX190401120408LOCATION - Anatomic Descending Colon4N/A
PX190401_Adenoma_Location_Anatomic_3_SigmoidColonPX190401120409LOCATION - Anatomic Sigmoid Colon4N/A
PX190401_Adenoma_Location_Anatomic_3_RectumPX190401120410LOCATION - Anatomic Rectum4N/A
PX190401_Adenoma_Location_Anatomic_3_AppendixPX190401120411LOCATION - Anatomic Appendix4N/A
PX190401_Adenoma_Size_Dimension_2PX190401120315SIZE - Longest dimension in cm4N/A
PX190401_Adenoma_Location_Anatomic_3_NotAvailablePX190401120412LOCATION - Anatomic Not Available4N/A
PX190401_Adenoma_Location_Distance_3PX190401120413LOCATION - Distance In cm4N/A
PX190401_Adenoma_Location_Distance_3_CodedPX190401120414LOCATION - Distance In cm4N/A
PX190401_Adenoma_Size_Dimension_3PX190401120415SIZE - Longest dimension in cm4N/A
PX190401_Adenoma_Size_Dimension_3_CodedPX190401120416SIZE - Longest dimension in cm4N/A
PX190401_Adenoma_Size_Description_3PX190401120417SIZE - Description4N/A
PX190401_Adenoma_Histology_3PX190401120418HISTOLOGY4N/A
PX190401_Adenoma_Dysplasia_3PX190401120419DYSPLASIA4N/A
PX190401_Adenoma_Multiple_Polyps_4PX190401120501MULTIPLE POLYPS IN SPECIMEN JAR?4N/A
PX190401_Adenoma_Procedure_4PX190401120502PROCEDURE4N/A
PX190401_Adenoma_Location_Anatomic_4_CecumPX190401120503LOCATION - Anatomic Cecum4N/A
PX190401_Adenoma_Location_Anatomic_4_AscendingColonPX190401120504LOCATION - Anatomic Ascending Colon4N/A
PX190401_Adenoma_Location_Anatomic_4_HepaticFlexurePX190401120505LOCATION - Anatomic Hepatic Flexure4N/A
PX190401_Adenoma_Location_Anatomic_4_TranverseColonPX190401120506LOCATION - Anatomic Transverse Colon4N/A
PX190401_Adenoma_Location_Anatomic_4_SplenicFlexurePX190401120507LOCATION - Anatomic Splenic Flexure4N/A
PX190401_Adenoma_Location_Anatomic_4_DescendingColonPX190401120508LOCATION - Anatomic Descending Colon4N/A
PX190401_Adenoma_Location_Anatomic_4_SigmoidColonPX190401120509LOCATION - Anatomic Sigmoid Colon4N/A
PX190401_Adenoma_Location_Anatomic_4_RectumPX190401120510LOCATION - Anatomic Rectum4N/A
PX190401_Adenoma_Location_Anatomic_4_AppendixPX190401120511LOCATION - Anatomic Appendix4N/A
PX190401_Adenoma_Location_Anatomic_4_NotAvailablePX190401120512LOCATION - Anatomic Not Available4N/A
PX190401_Adenoma_Location_Distance_4PX190401120513LOCATION - Distance In cm4N/A
PX190401_Adenoma_Location_Distance_4_CodedPX190401120514LOCATION - Distance In cm4N/A
PX190401_Adenoma_Size_Dimension_4PX190401120515SIZE - Longest dimension in cm4N/A
PX190401_Adenoma_Size_Dimension_4_CodedPX190401120516SIZE - Longest dimension in cm4N/A
PX190401_Adenoma_Size_Description_4PX190401120517SIZE - Description4N/A
PX190401_Adenoma_Histology_4PX190401120518HISTOLOGY4N/A
PX190401_Adenoma_Dysplasia_4PX190401120519DYSPLASIA4N/A
PX190401_Adenoma_Multiple_Polyps_5PX190401120601MULTIPLE POLYPS IN SPECIMEN JAR?4N/A
PX190401_Adenoma_Procedure_5PX190401120602PROCEDURE4N/A
PX190401_Adenoma_Location_Anatomic_5_CecumPX190401120603LOCATION - Anatomic Cecum4N/A
PX190401_Adenoma_Location_Anatomic_5_AscendingColonPX190401120604LOCATION - Anatomic Ascending Colon4N/A
PX190401_Adenoma_Location_Anatomic_5_HepaticFlexurePX190401120605LOCATION - Anatomic Hepatic Flexure4N/A
PX190401_Adenoma_Location_Anatomic_5_TranverseColonPX190401120606LOCATION - Anatomic Transverse Colon4N/A
PX190401_Adenoma_Location_Anatomic_5_SplenicFlexurePX190401120607LOCATION - Anatomic Splenic Flexure4N/A
PX190401_Adenoma_Location_Anatomic_5_DescendingColonPX190401120608LOCATION - Anatomic Descending Colon4N/A