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1. Existing cheotherapy treatment Open Delete Add new chemotherapy gt 27 08 2008 Existing surgery Open Delete Add new surgery gt Save Cancel Delete Recurrence Summary data read successfully Version September 2011 22 ACCORD Database User Manual V2 2 9 A 3 HEAD AND NECK This appendix should be read in conjunction with the main body of the user manual to gain the most understanding of how to utilise this database Remember to save each page after entering data and to save edits A3 1 Preoperative Details e This section is intended to collect data when the patient first presents and is diagnosed with a H amp N cancer This section is completed once for each primary episode e Presentation is a mandatory field e For Primary Tumour Site Select site then specify location s Selections made will appear in Selections Made box beneath Press close when selections completed To remove a site un tick the box Diagnosis and Staging Presentation New primary X Primary Tumour Site Hypopharynx El Buccal mucos retromolar areas Buccal mucosa bucco alveolar sulci upper and lower Buccal mucosa mucosal surfaces of cheeks _ Buccal mucosa mucosal surfaces of upper and lower lips Floor of mouth Nasopharynx Hard palate Oral Cavity Lower alveolus and gingiva Oropharynx a Tongue dorsal surface and lateral borders anterior to val
2. Head and Neck 01 05 2009 Colorectal 08 04 2009 Renal 07 04 2009 Bone amp Soft Tissue 12 05 1999 T stage 3b Or M stage 1 Distant metastasis v Tissue bank consent obtained Yes No Measurements Height 170 cm Weight 65 kg Management plan Planned treatments Clinical trial Cryotherapy F Embolisation 7 Observation 7 Radiofrequency ablation Radiotherapy Surgery V Symptomatic palliative V Systemic therapy p Form status Incomplete Complete Cancel Smead a GB Internet Dentected Made On Date accuracy indicators Most date fields in the module are accompanied by a Date accuracy indicator field These fields allow the accuracy of entered dates to be recorded Values in these fields take a DMY format The letter D in this format represents the day component of the date the M represents the month component and the Y represents the year component Each component of the value can be filled by the letter A E or U The letter A stands for accurate E stands for estimated and U stands for unknown Example Version September 2011 35 ACCORD Database User Manual V2 2 9 Value AAE Meaning The day and month are accurate but the year is estimated A list of each value and its meaning can be viewed by clicking the link adjacent to the Date accuracy indicator field This will open a pop up window A5 2 Initial diagnosis This form captures information regarding the patient s dia
3. ays aisayuney CISWSIPPONSSOID 03153130 31v0 syaW _indey NH oqp aus aIsyayunaay d1eys juPysig stay IND9y NH Oqp SS Weal say Indoy NH oqp ud yea 439419 NH oqp NOBDUNS NODIY NIJA YYINONC LNI arans ot AdaLYy OLLOYYD caiseyequoabns ical NOLLMALLSNI Hid r j Kidding NH ogp ASIDOTOHLYd kaili ara ngs Sanbiuysa uoray Asading i NOLLMLIUSNT HL Yd 1SI OTOH1Yd anueag aqanowny NOLLINASSAC BWAT i ar abung at sdoigABojouged aweninouny E ONTIW3H OAY add quawyead gIsuawgea Ld JUAJ NH 0qp ap ng nowny oqp jow douad Aiading WH oqp ILIS SISVLSYL3W days SYNTH araposid3 SANIYG JO YIIWNN repos TOHOITV dowd NOLLWINaSSud aLva JOHODTY XH 45ojopey NDIOWS XH areposda reposdy JALLVUIdOINd NH 9P arAboporpey saidojoipey aaljesadoal dg oqp syuaned oqp ssassy aly f adALSsassy alaposidg z t araposda qluoseayyess ondoaig 7 aruonuynyypsads uoseay Pai ON aayesadoaid NH ogp 7 1L AMYWIdd dold NH ogp won Yaeds NH oqp aned oqp Head amp Neck Schema Version September 2011 64 AUSTRALIA Heath through stormstion ACCORD Database User Manual V2 2 9 Central Nervous System Schema Date_Diag UnivID TumourID URNo Campus Ref_Doc Ref_By era p Ref_Specialty Ref_PC EpisodeID s OpReportTumourSiteID Comments DATE_OF_SURGERY 2 EpisodelD Consultant OPERATOR EJ TUMOURSITE EC
4. 15 ACCORD Database User Manual V2 2 9 New Patient Search Clinic Lists Settings Logout ACCORD RMH Royal Melbourne Hospital x COLORECTAL SURGERY UNIT y NEURO ONCOLOGY BREAST LUNG ONCOLOGY BREAST THURSDAY MEDICAL ONCOLOGY COLORECTAL ONCOLOGY CLINIC MELANOMA MOLE CLINIC Print 6 2 Clinic list columns defined e Patient List is displayed with Universal ID Accord ID or N A if not entered on database Status N new patient R returning returning to clinic and in ACCORD O old returning to clinic but not in ACCORD Last Name First Name DOB Appointment Date check if correct clinic Appointment Time 6 3 Open a return patient Click on the universal ID to go to the patient record for data entry je ACCORD Windows Internet Explorer BAX Ge v http mhedct 4040 S Odukb23lc4nuhmSSchSbzdy0 qui clinicList aspx o W 44 X Pi File Edit View Favorites Tools Help we k accorp gt Bl Be E Page G tools a i w a a mi y Campus Royal Melbourne Hospital x Clinic COLORECTAL SURGERY UNIT M Universal Status UR No Last Name First Name Date of Appointment Appointment ID Birth Date Time N A N ea seessenseneseces sneeeecennnseee 1931 20 08 2007 N A N 1933 20 08 2007 N A N 1915 20 08 2007 6 4 How are the lists generated e Clinic lists are generated by your facility s Hospital Management System
5. e The PSA date field must be completed e You may manually enter a value into the SHIM field or use the module s inbuilt calculator To open the calculator click the Calculate link located next to the field This will open a pop up window Record a response to each of the questions and then click the Done button The pop window will close and a value will be recorded in the SHIM field e You may manually enter a value into the PSS field or use the module s inbuilt calculator To open the calculator click the Calculate link located next to the field This will open a pop up window Record a response to each of the questions and then click the Done button The pop window will close and a value will be recorded in the PSS field e f you select Yes for the Prior histology performed field a section will be displayed for recording specifics e The third Gleason field records the Gleason score The value for this field is automatically calculated from the recorded Gleason grades e f you select Yes for the Prior prostate procedure s performed field a list of procedures will be displayed for recording specifics e f you select Yes for the History of prior pelvic radiotherapy field a list of pelvic sites will be displayed for recording specifics e f you select Current or Past for the Cigarettes field the Packet years field will be displayed for recording specifics e f you select Yes for the Prostate
6. to display the form Date of Visit is mandatory Evidence of Recurrence and following fields should be completed Yes or No Add any relevant comments and click save A2 6 Treatments at time of Recurrence Progression Recurrence details are entered either at time of diagnosis if patient is Stage IV disease or at anytime a patient is diagnosed with a recurrence There can be multiple episodes of recurrence e For new Recurrence Progression select New Form under Treatment at time of Recurrence Progression on the navigation tree e Date Detected is a required field e Enter method for initial detection If other is selected specify type Treatment Planned e If no treatment is planned reason should be given e If treatment is planned enter type s of proposed treatment If other is selected specify type Version September 2011 21 ACCORD Database User Manual V2 2 9 Treatment Given e When New Treatment is given select Add New e Number of Line of Chemotherapy is a required field including N A e To select more than one regimen hold down ctrl Key and select appropriate regimens from list e If Surgery is performed select Add New e Surgery Date is a required field Select type of surgery performed an press Add Treatment Planned Yes Surgical resection Yes Chemotherapy Yes v Radiotherapy No v Other No v Treatment Given sn MEW Or edit 1st Line lt
7. Edit link located on the relevant disease listing Click the Edit link located on the relevant chemotherapy listing enter or change data as required Click the Update chemotherapy button to temporarily save the data Click the Update treatment of metastatic or recurrent disease chemotherapy button to permanently save the data e The Line field is automatically completed by the system e The Date field must be completed e f you make a selection from the Regimen field the Subsequent dose reduction section will be displayed for recording which if any agents were dose reduced during treatment e The agents you select from the Regimen field will be displayed in the Subsequent dose reduction section e f you tick an agent checkbox in the Subsequent dose reduction section the associated Reason for reduction field will be displayed for recording the reason for the dose reduction e f you select Death from the Reason for stopping field additional fields will be displayed for recording specifics about the patient s death e f displayed the Death date field must be completed e f you select Due to cancer for the Cause of death field the Death due to field will be displayed for recording the specific cancer The Death due to field must be completed e f you select Other cause cancer present for the Cause of death field the Cancer present field will be displayed for recording the specific cancer s Bisphosphonate th
8. Pages 2 doc 2 amp gt Database Utilities gt Security gt gt Replication bw Startup 2 doc 2 doc 2 doc Groups 2 doc Gy Favorites gt dbo_c doc doc Options dbo_Ctsreacmerc sammeary 2 dbo_CC_Treatment_Summary_View amp dbo Episode dbo_Metastases_sites_codes dbo_Metastases_sites_refTable dbo_No_Treatment_Reason_codes De dbo_No_Treatment_Reason_refTable gt dbo_Operation_view gt dbo Patients gt dbo PatVisits 9 dbo_Regimen_Agents_codeTable dbo_Regimen_Agents_refTable dbo_Site_of_resection_codes dbo_Site_of_resection_refTable gt dbo_Treatment_type_codes Macros Macro gt Modules ActiveX Controls Add Ins gt 21 AutoCorrect Options Customize Ready NUM 3 Q 3 18PM 11 Please follow the schema provided in Appendix C to join the tables together 12 Refer to MS Access user manuals on how to query and report using Access Version September 2011 Nest rep foe 62 ACCORD Database User Manual V2 2 9 Appendix C Schemas Colorectal Schema dbo_Patients F dbo_TumourGuide dbo_CC_ Operation View dbo_CC_Operation_View E TumourID a EpisodeID dbo_CC_Summary_Trtmnt_ dbo_CC_Mets_Surl_Resect Version September 2011 GIOGRID AUSTRALIA 63 Meatth through intormation ACCORD Database User Manual V2 2 9
9. Progression HEAD AND NECK Preoperative Details Adding and Event Adding a Biopsy within an event Adding Surgery Details within an event Adding Pathology Details within an event within a surgery Adding Recurrence metastases Summary within an event Other Treatment for Primary Tumour Speech and Nutrition Follow up A 4 BONE AND SOFT TISSUE A4 1 A4 2 A4 3 A4 4 A4 5 A4 6 A4 7 A4 8 A4 9 A 5 A5 1 A5 2 A5 3 A5 4 A5 5 A5 6 A5 7 A5 8 A5 9 A5 10 General Information First consultation Further consultation Diagnosis Occurrences Treatments Treatment Groups Reconstructions Followup RENAL General Information Initial diagnosis Initial investigations and staging Status at registration Surgery and pathology Surgery outcomes Other treatment primary Clinical trial Recurrence progression Follow up A 6 PROSTATE A6 1 A6 2 A6 3 A6 4 A6 5 A 7 General Information Presentation Medication summary Surgery outcomes and pathology Radiotherapy and endocrine therapy CHRONIC LYMPHOCYTIC LEUKAEMIA CLL A7 1 General Information A7 2 Registration Clinical A7 3 Registration Investigations A7 4 Past treatment A7 5 Treatment Follow up APPENDIX B Part 1 QUERYING ACCORD USING ACCESS SETUP Part 2 LINKING TO THE ACCORD TABLES Version September 2011 55 55 60 ACCORD Database User Manual V2 2 9 APPENDIX C SCHEMAS Colorectal Schema Head amp Neck Schema Centr
10. Select new biopsy or edit existing biopsy by selecting the edit link next to the selected biopsy date e Once you have entered an event you will be to enter one or more biopsies associated with that event e Click on the new biopsy button e Enter data and press save biopsy button e Multiple biopsies can be entered per event then edited or deleted A3 4 Adding Surgery Details within an event e Select new surgery or edit existing surgery by selecting the edit link next to the selected surgery date e If Yes is selected for Prior Treatment enter details e When selecting Operative Procedure s select the procedure type first then the sub types will appear on the right tick the appropriate type s Selections will appear beneath under the selections made heading To remove a procedure un tick the selection e When selecting Reconstruction Techniques follow above process e Multiple surgeries can be entered per event then edited or deleted by selecting the link next to the surgery e Enter the Pathology details if available see A3 5 Version September 2011 24 ACCORD Database User Manual V2 2 9 Operative Procedures 2 Biopsy of Primary Tumour Maxillectomy bilateral Cheek Resection Maxillectomy partial Maxillectomy total lt Close Ethmoidectomy Floor of Mouth Infratemporal Fossa Larynx Mid Face lt q Nasopharynx Neck Surgery Orb
11. drop down box content The administrator logon does not manage patient data It is recommended that the administrator s at each site coordinate with each other and other sites to standardise the value lists so when data is combined there are standards It is the administrator s role to allocate Data Manager rights to the appropriate users when the administrator creates a new user they have read only rights Only the data manager for each tumour stream can allocate data entry rights to a user Data Manager A data manager is the key person involved in collecting managing and maintaining the database for a particular tumour stream A data manager can add new users and allow users the ability to be a data entry user add edit and delete data They can also allocate a user to be an oncologist write chemotherapy prescriptions They have data entry and oncologist user rights Read Only When the administrator or data manager creates a new user they are automatically allocated read only rights to all tumour streams To gain data entry or oncologist rights the tumour stream data manager needs to allocate that right per tumour stream The user can view all data but not edit delete or add data and can run clinic lists Data Entry A user allocated data entry rights can add edit and delete patient s information Access is granted per tumour stream by the tumour streams data manager Users can also run clinic lists Oncologist A use
12. e To add a clinic to ACCORD please contact your IT department e See the ACCORD installation manual for details on how to set up the clinic list function 7 GENERAL INFORMATION 7 1 Session Time Out e If the database is open and not used for 30 minutes the session is timed out 7 2 Logging Off e Click on Logout from Main Menu at top of screen e The logout page displays a message to close the browser There is also a facility to Click here to login again This will take you back to the Accord Welcome and Login screen Version September 2011 16 ACCORD Database User Manual V2 2 9 Appendix A This appendix should be read in conjunction with the main body of the user manual to gain the most understanding of how to utilise this database A 1 COLORECTAL A1 1 Preoperative Data e Complete as many fields as you can e Some fields will display further drop down boxes if yes is selected e Click on Save or Save and Next to move to the next form A1 2 Operation Report e Click on Add New to add tumour site details If more than one tumour click on Add New again after saving first tumour site see diagram below e Note Anastomosis method and type are located at bottom of Tumour Site data form e Date of Diagnosis is automatically populated from the Preoperative screen e To enter more than one metastatic site in the Tumour Staging section hold down the Ctrl key and click the appropriate sites from the lis
13. or additions to the data by clicking mouse in relevant field e Press the Save or Update button at the bottom of the screen to save any changes 5 1 4 Deleting an existing Patient or Episode Deleting a patient e To delete an existing record search patient as per 5 1 1 e After opening the patient s record in the patient details screen click on Delete at bottom of screen e A pop up message will appear asking Version September 2011 14 ACCORD Database User Manual V2 2 9 Are you sure you want to delete this patient All data about this patient will be gone e Click the OK or Cancel button on the message Deleting an episode e To delete an existing episode not the Patient Details or other tumour types select the episode you want to delete tumour type and data of diagnosis in the navigation tree e Click on Delete at bottom of screen e A pop up message will appear asking Are you sure you want to delete this entire Episode e Click the OK or Cancel button on the message 5 2 Data Entry Standards 5 2 1 Blank Fields e Only leave fields blank if the data is still being followed up 5 2 2 Not Applicable e Use N A ina field when you have tried to find the data but it cannot be found in the medical records or at consultant s private rooms if applicable or where the field is not applicable to this patient 5 2 3 Complete and Incomplete Radio Button e Acompletion status
14. select the correct record from the patient list by clicking on Universal ID o If incorrect patient click Search from Main Menu at top of screen to return to Search screen o If no match a No records found message is displayed at bottom of search box Click Clear Search to try again or add as New Patient Search Surname Given Name UR No Universal ID Birthdate dd mm yyyy Tumour Type X Clear Search Search 5 1 2 Adding New Patient Record e To enter new record click New Patient from Main Menu to display the blank Patient Details screen This screen is the same for each Tumour Type Patient Details e If ACCORD is linked to your Patient Information System e Enter the patient s UR number e Select the Campus e The patient demographics will be auto populated e Check if the name and details are correct e If ACCORD is not linked to your Patient Information System follow the instructions below e Enter patient details Version September 2011 12 ACCORD Database User Manual V2 2 9 The mandatory fields are Last Name First Name can just enter first initial DOB must be dd mm yyyy Sex Use the Tab key to move through the fields Use mouse to make selection from drop down boxes or type in first letter of entry eg Y for Yes or N for No M for Male or F for Female Please ensure the patient details are entered exactly the same as they are recorded in your hospital s patient
15. the select all button or hold down cirl to select individual tables All tumour types use the Patients and Episode tables The specific tumour type tables are differentiated by a prefix a Colorectal CC b Head and Neck HN c Central Nervous System BC d Bone and Soft Tissue BST Version September 2011 60 ACCORD Database User Manual V2 2 9 B Microsoft Access db1 Database Access 2000 file format iQ File gdt view Insert Tools Window Help Adobe POF hw He open Wed desion New X 2a Type a question for help Objects Create table in Design view Create table by using wizard g Gieres Create table by entering data 3 Forms i Reports 3 Pages Tables Macros a OK dbo CC_Adjuvant A Modules dbo CC_Metastases_Surgical Resection dbo CC_Metastases_Surgical_Resection_View Gror dbo CC_Operation Si dbo CC_Pathology Select All Favorites dbo CC_Preoperative dbo CC_Summary_Treatment_Given dbo CC_Summary_Treatment_Given_View dbo CC_Surgery_FUP dbo CC_SurgeryOutcomes dbo CC_Treatment_Summary m C Save password Ready 9 The selected tables will then appear in your Access database and be ready to use as below The world symbol indicates the tables are linked Type a question for help X open W pesin new X 2 a
16. the specific cancer e The Death due to field must be completed if displayed e f you select Other cause cancer present for the Cause of death field the Cancer present field will be displayed for recording the specific cancer s e Pop up boxes will indicate if further data is required to be entered on other forms Version September 2011 40 ACCORD Database User Manual V2 2 9 A 6 PROSTATE A6 1 General Information This section of the ACCORD user manual should be read in conjunction with the main body of the manual particularly the Data Entry section Adding Editing data Click the required page title on the navigation menu eg Initial diagnosis Enter data into as many fields as possible Click the Save to save the data and remain on the same screen or Save and Next button to save the data and go to the next screen To edit update the data make the required changes and save the data as described above Complete Form Flags The module flags incomplete forms by displaying the form name in red coloured font on the navigation menu Flags remain red until the user indicates the form status at the bottom of each page is complete A6 2 Presentation This form captures presentation visit information regarding the patient s symptoms prior diagnostic and therapeutic procedures social history family history of cancer clinical examination and diagnostic histology The patient s management plan is also recorded
17. the user indicates the form status at the bottom of each page is complete A7 2 Registration Clinical This form captures the patient s registration information Fields cover personal and family medical history comorbidities symptoms previous treatments and lymphatic measurements Blood parameter symptom and staging information related to the patient s original presentation is also recorded The original presentation may or may not be the patients first visit to a specialist e The Registration date field must be completed e f you select Yes for the History of benign blood disease field additional fields will be displayed for recording specifics e f you select Yes for the Other History of benign blood disease field a free text field will be displayed for recording the specific condition e f you select Yes for the Family history of blood cancer field a list of blood cancers will be displayed for recording specifics e f you select Yes for the Other cancers field the New other cancer button will be displayed e To add details of a prior cancer diagnosis o Click the New other cancer button o Enter data into as many fields as possible o Click the Add cancer button o Additional prior cancer diagnoses may be recorded by repeating the above steps e f you select Current or Past for the History of smoking field the Packet years field will be displayed for recording further deta
18. 1 32 ACCORD Database User Manual V2 2 9 Treatment groups SM Treatment type Date Therapy timing Surgery by itself Surgical Procedure 03 06 2009 Sugery Chemo Radio concurrent Surgical Procedure 04 06 2008 Chemotherapy 31 07 2008 Adjuvant Radiotherapy 10 07 2008 Adjuvant A4 8 Reconstructions This form captures information about the reconstructions and prostheses provided to the patient in relation to surgical procedures Multiple reconstruction prostheses may be recorded A summary of the patient s reconstructions prostheses will be displayed once data has been saved Adding data e Click the Reconstructions item on the navigation menu e Click the New Reconstruction Prosthesis button e You will be presented with a list of surgical procedures that have been performed on the patient e Click the checkbox adjacent to each surgical procedure that is related to this reconstruction prosthesis e Select the type of reconstruction prosthesis from the drop down list and save the data Editing updating data e Click the Reconstructions item on the navigation menu e Click the Edit link that is located on the top right hand corner of the reconstruction prosthesis box e Add or change data as required and save the data Special notes e lf you attempt to save a combination of reconstruction prosthesis and procedure s that has already been saved the system will ask you to confirm whether the entry represents a further recon
19. 6 3 Medication summary This form captures information regarding the medications the patient is taking at the time of his presentation visit The form has two sections The first section records a summary of the patient s medications and the detail medications section captures more detailed information about each medication including the dose frequency and duration Entering data into the detailed information section is optional e Select the drug classes of the medication the patient is taking o If you tick the Lipid lowering agent Anti coagulation or Analgesia checkboxes additional checkboxes will be displayed for recording the specific details e f entering the details of drugs click the New medication button e Enter data into as many fields as possible o The Name field must be completed o The Frequency and Dose items are both composed of a number and a unit field If these items are used both fields belonging to the item must be completed e Click the Add medication button to temporarily save the data e Press the Save button at the bottom of the screen to save all data e To edit the details of a saved drug click the edit link to the right of the drug entry A6 4 Surgery outcomes and pathology This form captures information regarding the patient s surgery for primary prostate cancer the outcomes of his surgery and the pathologist s findings Multiple surgeries may be recorded A summary of the patient s surgeri
20. 7 Select the User Data Source then select Next 8 Scroll down and select SQL Server as shown below Version September 2011 55 ACCORD Database User Manual V2 2 9 Create New Data Source Microsoft FoxPro YFP Driver dbf Microsoft ODBC for Oracle Microsoft Paradox Driver db Microsoft Paradox T reiber db Microsoft Text Driver txt csv Microsoft Text Treiber txt csv Microsoft Visual FoxPro Driver Microsoft Visual FoxPro Treiber SOL Server lil S S a a a a S B I A v lt Back Cancel 9 Select the Next and then Finish button 10 Enter the Name and Description of the database as shown below Select the Server ACCORD has been installed from the Server pull down box Press Next button Note You will need to ask your IT department the name of the server ACCORD is installed on NAME OF SERVER 0 00cseceeeeeeeeeeeeees Create a New Data Source to SOL Server This wizard will help you create an ODBC data source that you can use to connect to SQL Server What name do you want to use to refer to the data source Name ACCORD How do you want to describe the data source Description ACCORD Database version 2 2 4 Which SOL Server do you want to connect to Server Your institutions server name 7 coc Heo Version September 2011 56 ACCORD Database User Manual V2 2 9 11 Choose 2 radio button With SQL Ser
21. ACCORD Database User Manual V2 2 9 ACCORD Database Version 2 2 9 sfefols o User Manual Version September 2011 ACCORD Database User Manual V2 2 9 TABLE OF CONTENTSACCORD DATABASE User Manual 1 INTRODUCTION 1 1 Audience 2 GETTING STARTED 2 1 Technical requirements 2 1 2 Internet Connection 2 1 3 Browsers 2 1 4 PC Setup 22 User Roles Permission 2 3 Chemotherapy Prescribing 3 QUERYING 3 1 MS Access set up Linking ACCORD data to MS Access 3 2 Schema 4 ADMINISTRATION 4 1 User Management 4 2 Generating and Changing Passwords 4 3 Modifying Drop Down Boxes 4 4 Standards for Drop Down Boxes 5 DATA ENTRY 5 1 Patient Records 5 2 Data Entry Standards 6 CLINIC LISTS 6 1 How to run a clinic list 6 2 Clinic list columns defined 6 3 Open a return patient 6 4 How are the lists generated 7 GENERAL INFORMATION 7 1 Session Time Out 7 2 Logging Off APPENDIX A A 1 COLORECTAL Al 1 Preoperative Data A1 2 Operation Report A1 3 Surgery Outcomes A1 4 Adjuvant Therapy A1 5 Pathology A1 6 Routine Follow Up A1 7 Recurrence Summary A1 8 Minimum Dataset A 2 CENTRAL NERVOUS SYSTEM CNS A2 1 Preoperative A2 2 Operation Report A2 3 Surgery Outcomes and Pathology Version September 2011 NANDDDAVDAN Nn lo oe lao 2 ACCORD Database User Manual V2 2 9 A2 4 A2 5 A2 6 A 3 A3 1 A3 2 A3 3 A3 4 A3 5 A3 6 A3 7 A3 8 A3 9 Adjuvant Therapy Routine Follow up Treatments at time of Recurrence
22. CORD tables in Access and run queries and reports please go to Part 2 of this appendix Version September 2011 Heath through etormation 59 ACCORD Database User Manual V2 2 9 Part 2 LINKING TO THE ACCORD TABLES You will need to perform this procedure for each Access database you link to ACCORD 1 Open MS Access 2 Create a new blank database and name and save it as you like 3 Select File Get external data then Link Tables from the menu bar 4 Atthe bottom of the Link box select ODBC Databases from the Files of type pull down box 2 x iII pe kd wew pwet goos wedw tep Adobe Por D EWE ich Td CA Iz EEREN Goren Apes yew X a 5 Em Objects Create table in Deagn view a Grose tabte by using ward S ames ceana F rons Lookin E ACCORD x ala X aT To OS Raparts cet oe mages Q Pages 2 ever J Moros peas OHIM Pie Chart t Oh of Modules WD accord mdd 1B dimen Groupe T Poveetrs Desktop J AMH_ACCORD mdh My Documents My Computer My Network Places Carnet 4 Ready nM Te oe Gre Bm a es a CENEL EEE Da A window will appear select the Machine Data Source tab at the top Select the ACCORD database from the list and press OK or whatever you named the ACCORD database link in the previous section Enter the password provided by your Administrator or IT department and press OK Select the tables you would like to link you can use
23. Method field Actual surgery section the Partial nephrectomy details section will be displayed This section will allow you to record details of the partial nephrectomy If you select Yes for the IVC explored field the Tumour involvement field will be displayed If you select Yes for the Tumour involvement field a list of involvement levels will be displayed for recording specifics Pathology section The Laterality field must be completed If you select No for the Limited to kidney field a list of other involved sites will be displayed for recording specifics If you select Yes for the Molecular markers done field the Primary and secondary RCC and Types field will be displayed for recording specifics If you select Multiple for chromophobe Ca from the Types list the Karyotype result for Multiple for chromophobe Ca field will be displayed If you select 1 Distant metastasis for the M stage field a list of metastasis sites will be displayed for recording specifics Auto population of the T stage field occurs if all fields in the Involvement and Further Details sections are completed If these are not completed the stage can be manually selected Staging definitions may be viewed by clicking a link Once clicked a pop up window will open Version September 2011 37 ACCORD Database User Manual V2 2 9 A5 6 Surgery outcomes This form captures information regarding the outcomes and complic
24. N LSE oqP MIIA SISON MJIN ASVISIG LSE 09P MJA SIUVLIG asvisid 1Sa oqP aaLvauL LON NOSYJY arasvasia XYON MIIA XYONNOSYIY ASVISIG LSE oqP MIIA AdYaJHLOIAVY 1Sa 9qp JJA INIWLY IYL aposidy oqp CUNWIYRUL MIIA LNIWLYIYUL Esa oqp INa5Y OLLNSWLY TUL J NISILISNISOIQYY UNDY IJALTOWHD YAALA Yd OWIHD MIA LINSNOD LSY LSE oqP ANIWLVIUL ISVasid LS oqp MJIN LNI V AdVUIHLOWIHD LSE 049P IdALYIDNYDYIHLO aragosid3 REDNYIGHLO JJ 1suld 1S8 099P unown aruni RUAS NOILYDITdWOD OW3HD OLLNSWLY SUL dWODOWEHD MJA dWOD AdVHIHLOWIHD 1Sa oqP MIIA YIN SWOXYONAS OIad0sId3 IWOYGNAS JILINID LINSNOD LSY LSE 0qP juasald 133uey ypaq paned oqp dNOUD SINIWLVIUL 1Sa oqP Bone and Soft Tissue Schema suaped oqp Version September 2011 66 Heanh through wrtormation ACCORD Database User Manual V2 2 9 Renal Schema 67 RALIA Heath through stormstion Version September 2011 AUST GIOGRID
25. OG Complete Last_edited Last_edited_by EptsodeID EpisodeID a DATE_OF_ADMISSION contd aH eee DATE_OF_ADMISSION m BATEEOE DIRE EXTRADURAL_HAEMATOMA DELAY_IN_DISCHARGE SURG_COMPLICATIONS m EpisodeID DVT_PE CARDIAC B EpisodeID DATE_RETURNED REASON_RETURNED EpisodeID OtherHistologyType LAST_EDITED_BY i i MSID EpisodeID MetastasisSite Version September 2011 LIA AUST Meann through intormation 65 i Ie HxCancerID A EpisodeID HX_CANCER_TYPE HxBrainTumourID A EpisodeID HX_BRAIN_TUMOUR_TYPE v EpisodeID DischargeReason LAST_EDITED_BY Ns EpisodeID NeuroDeficitType LAST_EDITED_BY EpisodeID OtherSurgicalComplication LAST_EDITED_BY came EpisodeID MedicalComplication LAST_EDITED_BY K Ie ACCORD Database User Manual V2 2 9 ALIS ASTd3AU3N OIAWIOYNS AS TWAIN MIIN ALIS dN AYAN LSA oqp IN3IWHSNISVLST AYDYNS alya AYaDUNS anans a A NO3 YNS ASdOra MIIA ANISUNS LSE 0qP BdAL ASdOIS ATHY AdALASdOIT DILSOND VIC araswasia ARSYET MIIA ASdOIG LSA 0qP 3dALdWOIDUNS YSHLO aIAYIOUNS idHODOUNSGHLO MIA dWOD YIHLO ANIOUNS LSA oP MJA UITAVT ASAOIE LSI g oqp NOLLYDISISSYTD OHAA g130OSIdI ISISOND IG Ovid LSE oqp AINONDNYLSNODJY OLLNAWLY FUL NOLLINYLSNOD3Y INOLDMULSNODTUTUNKED Od CINOLIOMILSNODTY eae NOILINULSNODTY IYNAIJOYd LSA CGP MIIA NOLLINULSNODI
26. T 5 Tables Create table by using wizard E Queries Create table by entering data dbo_Adjuvant_View E Forms dbo_CC_Adjuvant i Reports dbo_CC_Metastases_Surgical_Resection 3 Pages dbo_CC_Metastases_Surgical_Resection_View T Macros dbo_CC_Operation dbo_CC_Pathology A Modules dbo_CC_Preoperative Groups dbo_CC_Summary_Treatment_Given Favorites dbo_CC_Summary_Treatment_Given_View dbo_CC_Surgery_FUP dbo_CC_SurgeryOutcomes dbo_CC_Treatment_Summary dbo_CC_Treatment_Summary_View dbo_Episode dbo_Metastases_sites_codes dbo_Metastases_sites_refTable dbo_No_Treatment_Reason_codes dbo_No_Treatment_Reason_refTable dbo_Operation_View dbo_Patients dbo_Patvisits dbo_Regimen_Agents_codeTable dbo_Regimen_Agents_refTable dbo_Site_of _resection_codes dbo_Site_of_resection_refTable dbo_Treatment_type_codes gt dbo_Treatment_type_refTable dbo_TumourGuide Version September 2011 Heath through witormation 61 ACCORD Database User Manual V2 2 9 10 Before querying the data you will need to join the tables go to the tools tab and click on relationship 7 TRMH ACCORD Database Access 2000 file 5 Eile gdt wiew Insert Tools Window Help Adobe PDF Type a question for help X Spelling F7 zJ 34 6 3 Office Links gt Online Collaboration dbo_Treatment_type_refTable dbo_TumourGuide Analyze g a 2 dboA rams doc Reports o dbo_c 3
27. Treatment Given section Complete details of 1 line treatment from data collection form To enter additional treatments 2 line 3 line etc click on Add New Each line of treatment will be saved and listed separately Click on Open to view or edit details Surgical Resection To enter Surgical Resection details click on Add New To select more than one Resection site hold down the Ctrl key and click the appropriate sites from the list using the mouse Version September 2011 19 ACCORD Database User Manual V2 2 9 A1 8 Minimum Dataset If your site chooses to enter the minimum colorectal dataset two screens are available to enter this data it is a selection of the information that is recorded in the comprehensive dataset and is saved in the same fields tables e Adda new tumour by selecting Add New under the Tumour Sites heading e Navigate between the two screens by selecting Page 1 or Page 2 as shown below e Save each screen when data entry is completed New Episode S Patient Details amp Colorectal 21 05 2009 gt Minimum Dataset Preoperative Data Operation Report Surgery Outcomes Adjuvant Therapy amp Pathology m Sigmoid Colon Followup 5 Recurrence Summary New Form Prescriptions Head and Neck 13 05 2008 Version September 2011 AN Page 1 Page 2 Episode UR No 123456 Campus ECOG 1 X Consultant Referral General Information Insurance Public v Tumour diagnose
28. al Nervous System Schema Bone and Soft Tissue Schema Bone and Soft Tissue Schema Renal Schema Version September 2011 63 63 64 65 65 66 67 ACCORD Database User Manual V2 2 9 PREFACE This software users manual describes how to use the ACCORD Database Version 2 2 9 1 INTRODUCTION The Australian Comprehensive Cancer Outcomes and Research Database ACCORD is a reliable easily accessible dataset on all cancer patients treated at contributing hospital sites It has been developed for hospitals that require a simple data collection and entry system and allows clinicians to analyse the clinical and demographic characteristics of cancer patients ACCORD is a web based system which allows users to enter data from any hospital networked computer thus can be used in Clinics The ACCORD system allows you to enter edit and review a patients cancer episode To query the data use MS Access for identified data or BioGrid SAS software for de identified data see www biogrid org au The information in this manual is presented to assist health care professionals caring for cancer patients with collecting and accessing the data entered into ACCORD The manual was written reviewed and edited by Project Officers Data Managers and Software Developers working in colorectal cancer settings and has been reviewed by Oncologists and Surgeons Feedback positive or critical from users of the manual is welcomed Please email your comments t
29. ant disease underwent by the patient Multiple surgical resections may be recorded A summary of the patient s surgical resections for metastatic castrate resistant disease will be displayed once data have been saved Prerequisite The Surgery for mets checkbox on the main form must be ticked for the sub form to be displayed From the main form click the New surgical resection of metastases button Version September 2011 49 ACCORD Database User Manual V2 2 9 Enter data into as many fields as possible The Date field must be completed Click the Add resection button to temporarily save the data The data will be permanently saved when you save the main form data Version September 2011 va 50 ACCORD Database User Manual V2 2 9 A 7 CHRONIC LYMPHOCYTIC LEUKAEMIA CLL A7 1 General Information This section of the ACCORD user manual should be read in conjunction with the main body of the manual particularly the Data Entry section Adding Editing data Click the required page title on the navigation menu eg Clinical Enter data into as many fields as possible Click the Save to save the data and remain on the same screen or Save and Next button to save the data and go to the next screen To edit update the data make the required changes and save the data as described above Complete Form Flags The module flags incomplete forms by displaying the form name in red coloured font on the navigation menu Flags remain red until
30. ases of the bone type bone o Example 2 To restrict the list to osteosarcomas type osteosarcoma o You may remove your filter by clicking the Clear button e lf you select a value from the WHO classification drop down list that does not appear under the word Benign the Fill for malignancies only section will be displayed Diagnosis Diagnosis Date of diagnosis 27 08 2008 WHO classification Filter Lipoma Method of diagnosis s Soft Tissue Adipocytic Tumours _ Any diagnosis which Benign includes the key word will 3 Lipoma appear in the drop down list Intermediate locally aggressive I 5 Atypical lipomatous tumour Well differentiated liposarcoma Fibroblastic Myofibroblastic Tumours Intermediate rarely metastasizing 14 Solitary fibrous tumour and haemangiopericytoma incl lipomatous haemangiopericytoma Go to Top A4 5 Occurrences This form captures information regarding the occurrences of the diagnosis of bone or soft disease i e benign lesion primary malignancy metastasis local recurrence Multiple occurrences may be recorded A summary of the patient s occurrences will be displayed once data has been saved Occurrence details This section allows you to record the characteristics i e stage grade invasion etc of an occurrence Multiple sets of this information may be recorded for each occurrence e g you may wish to record information that was obtained from pre t
31. ations related to the patient s surgery for primary renal cancer Each surgery has a separate outcomes record A summary of records will be displayed once surgery data have been saved Adding editing outcome data The Surgery Outcomes item will only appear in the navigation tree after a surgery has been recorded see 5 5 A5 7 If surgeries have been entered a list of the surgeries will be available to select from Click the Add outcome to add new data or the Edit outcome link to edit exiting data on the right for the relevant surgery listing The Date of admission field must be completed If you select Yes for the General complications field a list of complications will be displayed for recording specifics If you select Haemorrhage from the list of general complications the Haemorrhage transfused field will be displayed If you select Yes for the Other intraoperative complications field a list of complications will be displayed for recording specifics If you select Yes for the Urinary system complications field a list of complications will be displayed for recording specifics If you select Acute renal impairment from the list of urinary system complications the ARI requiring dialysis field will be displayed If you select Yes for the Gastrointestinal complications field a list of complications will be displayed for recording specifics If you select Yes for the Respiratory complicati
32. be completed If you select N A for the Timing field the Intent field will be populated with the value Palliative If you select Death for the Reason for stopping field fields related to the death of the patient will be displayed Of these fields Death date must be recorded e Surgical procedure The Procedure field must be completed You must add or select related surgery data before saving see 5 2 2 If you select No for the Margins involved field the Min clearance mm field will be displayed Surgery O O O O O O O The Date field must be completed f you select Yes for the Post operative complications field the Nerve palsy present the Blood loss present and the Other complications fields will be displayed If you select Yes for the Nerve palsy present field the Expected and Sites fields will be displayed f you select Yes for the Blood loss present field the Units field will be displayed If you select Yes for the Other complications field a list of complications will be displayed A4 7 Treatment Groups This page does not capture information It provides a summary of the treatments that have been saved Treatments groups listed within boxes Assignments see 4 6 are represented by the grouping of multiple treatments into a single box These boxes will have a heading that describes the assignment s see figure below Version September 201
33. cancer field fields will be displayed for recording the number of relatives diagnosed with prostate cancer e f you select Yes for the Family history of breast or ovarian cancer field fields will be displayed for recording the number of relatives diagnosed with these cancers e f you select Yes for the Other cancer s Primary relatives only field a list of cancer sites will be displayed for recording specifics e f you select Yes for any of the Performed fields the associated Distant disease field will be displayed for recording the investigation s result e f you select Cassettes or Cores from the Pathology report describes field fields will be displayed for recording the number of cassettes or cores taken and positive e The third of the Gleason highest fields records the Gleason score The value for this field is automatically calculated from the recorded Gleason grades Version September 2011 4 ACCORD Database User Manual V2 2 9 e f you select Yes for the Initial intervention s planned field a section will be displayed for recording specifics e f you select Yes for the Surgery field fields will be displayed for recording the planned surgery date and whether the patient is a potential tissue bank donor e You may obtain the value definitions for a staging field by clicking the link adjacent to the field This will open a pop up window which describes the definitions A
34. ce should be completed Yes or No Enter follow up test results if not performed then enter N A 18 Tumour Site ACCORDG Sigmoid Colon No Depth mm 2 ACCORD Database User Manual V2 2 9 A1 7 Recurrence Summary Recurrence details are entered either at time of diagnosis if patient is Stage IV disease or at anytime a patient is diagnosed with a recurrence There can be multiple episodes of recurrence Recurrence To add a new recurrence click New Form under Recurrence Summary on the left navigation menu Details on the sites of Loco regional recurrence and Distant Metastases sections are shown if Yes is selected for the Loco regional recurrence or Distant Metsastases fields Under Distant Metastases there is an Other field If Yes selected please specify Under Method of Detection there is an Other field If Yes selected please specify If Treatment Planned answered Yes a Treatment Type list is displayed To select more than one treatment type hold down the Ctrl key and click the appropriate treatments from the list using the mouse eg Chemotherapy amp Radiotherapy If Treatment Planned answered No select from the list of Reasons To select more than one reason hold down the Ctrl key and click the appropriate reasons from the list using the mouse If all fields are complete click on Complete Click Save Treatment Given To enter Treatment details click on Add New in the
35. click the radio button next to the appropriate surgery or click the radio button next to New surgery Version September 2011 29 ACCORD Database User Manual V2 2 9 Assigning neo adjuvant and adjuvant therapies to their surgery Neoadjuvant or adjuvant treatments must be assigned to a surgery Assignments are made from the summary section of the Treatment form Click the Assign surgery link that is located on the listing for the relevant treatment This will open a list of saved surgeries Click the radio button adjacent to the appropriate surgery and then click the Confirm button You may undo incorrect assignments by clicking the Unassign link that is located on the listing for the relevant treatment Treatment Treatment type Surgical Procedure date 04 06 2008 Edit Delete Chemotherapy 31 07 2008 Edit Delete Assign surgery Assign surg e Hospital Campus Lead surgeon 04 06 2008 MMH 03 06 2009 Confirm Cancel Surgical Procedure 03 06 2009 Edit Delete Version September 2011 mation Therapy Occurrence type Occurrence site Date of timing diagnosis E Primary malignancy Bone gt Femur distal 08 05 2006 Adjuvant Primary malignancy Bone gt Femur distal 08 05 2006 Group Adjuvant Therapy with surgery Mr Surgeon Metastases Sites not egos specified above gt Lung 05 05 2008 30 ACCORD Database User Manual V2 2 9 Assigning concurrent chemotherapy and rad
36. contact your IT department for help Please note Some tables in Accord are system or reference tables which do not need to be linked into Access for querying see the schema in appendix C for the relevant tables to link Tables with names which end with the word View have been set up to show you the text entry in a field rather than the background reference number Use these tables where they exist The data you see in Access is read only Changes made to the data in Access do not change the data in ACCORD 3 2 Schema The Schema shows you how to build the relationships in MS Access and other querying tools that enable the querying of fields from different tables within the ACCORD database Refer to appendix C for a diagram of the relationships Version September 2011 ACCORD Database User Manual V2 2 9 4 ADMINISTRATION An Accord Administrators is appointed at each site and assigned an administrator logon that enables them to add new users generate passwords and modify drop down boxes Administrators at each site should maintain contact with administrators at other sites to ensure consistency in drop down box additions particularly within tumour groups 4 1 User Management When logged in as an Administrator the User Management screen will be displayed The following subsections describe the functions available on this screen 4 1 1 User Types Administrator The administrator can create new users and edit value lists
37. d by screening FOBT No v CSSANZ Minimum Dataset Date of 21 05 2009 Diagnosis Tumour sites Sigmoid Colon Open Delete gt ddnew Surgery Information Surgery Performed Yes v 20 ACCORD Database User Manual V2 2 9 A 2 CENTRAL NERVOUS SYSTEM CNS This appendix should be read in conjunction with the main body of the user manual to gain the most understanding of how to utilise this database A2 1 Preoperative e Selecting Yes for past history questions will reveal further questions e Tumour size allows for two decimal places e Height and weight can be entered as whole numbers only A2 2 Operation Report e Select one or more tumour site click box to select and un select A2 3 Surgery Outcomes and Pathology e f heading fields are answered with yes drop down boxes are displayed All fields should be completed e If the other field is selected in the surgical and medical complications sections is answered yes the type field is displayed enter type A2 4 Adjuvant Therapy e If treatment not offered select reason e lf treatment is offered and accepted the adjuvant chemotherapy and adjuvant radiotherapy fields are displayed e Enter the Preop or Postop or both data e To select more than one drug on the Chemotherapy form hold down the ctrl Key and select the appropriate drugs from the list A2 5 Routine Follow up To enter new Follow Up visit click on Add New
38. d by the system o The Date of last confirmed test result field must be completed if it is displayed o Items related to the last course of a regimen The Date of last confirmed test result field must be completed O Version September 2011 54 ACCORD Database User Manual V2 2 9 Appendix B Part 1 QUERYING ACCORD USING ACCESS SETUP You will need to perform this set up procedure only once per PC This procedure sets up the link between the ACCORD tables and your PC Open a new blank MS Access file Click File and go to Get external data section and select Link tables It will open a dialogue box requesting to link a database Go to the files of type displayed at the bottom of the text box and scroll to the bottom Select ODBC Database Select the Machine Data Source the window shown below should appear the data sources will differ Select Data Source IS File Data Source Machine Data Source a o on Data Source Name Type Description ACCORD Database 2 1 User ACCORD Database 2 1 ACCORD V2 1 WH User ACCORD V2 1 WH dBASE Files User Excel Files User MS Access Database User New 4 Machine Data Source is specific to this machine and cannot be shared User data sources are specific to a user on this machine System data sources can be used by all users on this machine or by a system wide service Cancel Help 6 Click the New button on the right
39. diagnosis is captured regardless of when the initial diagnosis was discovered ie two years ago vs this week The Status at registration form captures the details of disease at the current point in time e lf you select Yes for the Preoperative lab tests field fields related to specific laboratory tests will be displayed for recording specifics e f you select Normal or Abnormal for the Corrected serum calcium field the Result field will be displayed for recording the result e f you select 1 Distant metastasis for the M stage field a list of metastasis sites will be displayed for recording specifics e Staging definitions may be viewed by clicking a link Once clicked a pop up window will open A5 4 Status at registration This form captures information regarding the patient s disease status body measurements and consent for tissue banking at the time of hospital registration The patient s management plan is also recorded on this form e The Assessment date field must be completed e f you select No for the Disease recurrence since primary diagnosis and treatment field the Staging unchanged since diagnosis checkbox will be displayed e f you tick the Staging unchanged since diagnosis checkbox the system will copy your staging selections from the Investigations and staging at time of initial diagnosis if known form Version September 2011 36 ACCORD Database User Manual V2 2 9 A5 5 I
40. ding specifics Version September 2011 43 ACCORD Database User Manual V2 2 9 e To select multiple Adverse effects hold down the Ctrl key and select all that apply Androgen Deprivation AD This section captures information regarding the medical and surgical castration treatments of primary prostate cancer Indicate if the patient has received AD by selecting the appropriate radio button If AD Provided is Yes then you have the options of selecting if the patient had Surgical or Medical Castration If Medical Castration is Yes then select the New Medical Castration Treatment button to add a treatment multiple treatment may be recorded The start date is compulsory and is used to differentiate between treatments A summary of the patient s medical castration treatments for his primary prostate cancer will be displayed once data have been saved e f you select Yes for the Adverse Event on Rx field a list of adverse events will be displayed for recording specifics e f you select No for the Completed therapy field the Not completed due to adverse effects field will be displayed for recording specifics A6 6 Routine follow up post initial management This section captures follow up visit information regarding the patient s disease status genitourinary system functionality and treatments Multiple follow up visits may be recorded A summary of the patient s follow up visits will be displayed once data have be
41. docrine therapy This form captures information about the radiotherapy and castration treatments for the treatment of his primary prostate cancer All data in the Radiotherapy and Endocrine therapy section will be permanently saved when you Click the Save button at the bottom of the main form Radiotherapy If the patient has undergone radiotherapy select Yes in the Radiotherapy to Prostate field You can then add treatments for EBRT or Brachytherapy EBRT This section captures information regarding the external beam radiotherapy treatments given to the patient for the treatment of his primary prostate cancer Select the New EBRT button to add a treatment Multiple EBRT treatments may be recorded A summary of the patients EBRT treatments for his primary prostate cancer will be displayed once data have been saved Brachytherapy This section captures information regarding the brachytherapy treatments for primary prostate cancer Select the New Brachytherapy button to add a treatment Multiple brachytherapy treatments may be recorded A summary of the patient s brachytherapy treatments for his primary prostate cancer will be displayed once data have been saved e The Date of implant field must be completed e f you select HDR for the Dose rate field the Isotope and Fractions fields will be displayed for recording specifics e f you select LDR for the Dose rate field the Isotope field will be displayed for recor
42. e e The date of initial assessment is compulsory e To add further reviews select the Add review button Multiple reviews can be entered A3 9 Follow up e Select the New Follow up button at each visit to add the visit data e The date of follow up is compulsory Version September 2011 25 ACCORD Database User Manual V2 2 9 A 4 BONE AND SOFT TISSUE A4 1 General Information Adding data Click the required page title on the navigation menu eg First consultation Enter data into as many fields as possible Editing updating data Click the required page title on the navigation menu eg Diagnosis Enter or change data as required Saving data Click the Save button to save the data or click the Save and Next button to save the data and open the next form A4 2 First consultation This form captures information regarding the patient s first consultation at a clinic of your sarcoma service e The date of the consultation First clinic consult must be recorded e f you select Yes for any of the Surgery Chemotherapy or Radiotherapy fields additional fields will be displayed for the recording of the patients count of the relevant treatment types e f you select Yes for the Other cancers if yes specify types field a list of cancer types will be displayed e lf you select Yes for Genetic syndromes a list of genetic syndromes will be displayed e f you select Yes for any of the field
43. ed for that occurrence will be displayed If you select Yes for the Initial diagnostic biopsy field a section will open for recording information about the initial diagnostic biopsy o If you select Yes for the Earlier non diagnostic biopsies field a list of biopsy types will be displayed Occurrence details o The Procedure exam date and Information source fields must be completed o If you select Resection for the Information source field the Resection details section will be displayed f you select After chemo RT for the Information timing field the Post treatment necrosis field will be displayed f you select Yes for the Post treatment necrosis field a field will display for recording the percentage of post treatment necrosis Version September 2011 28 ACCORD Database User Manual V2 2 9 A4 6 Treatments This form captures information regarding the treatments provided to the patient for his diagnosis of bone or soft tissue disease It may be used to record information regarding treatments delivered at any point in time and by any provider Multiple treatments may be recorded A summary of the patient s treatments will be displayed once data has been saved You will have access to this form once an occurrence record has been saved The system will only allow occurrences with a Yes value for the Treatment planned field Occurrences form to have treatment data recorded Addi
44. en saved Click the New followup button e The Visit date field must be completed e You may manually enter a value into the PSS field or use the module s inbuilt calculator To open the calculator click the Calculate link located next to the field This will open a pop up window Record a response to each of the questions and then click the Done button The pop window will close and a value will be recorded in the PSS field e f you select Yes for the Continence pad worn field a field will be displayed for recording the number of pads the patient wears per day e You may manually enter a value into the SHIM without erectile aid field or use the module s inbuilt calculator To open the calculator click the Calculate link located next to the field This will open a pop up window Record a response to each of the questions and then click the Done button The pop window will close and a value will be recorded in the SHIM without erectile aid field e f you select Yes for the Erectile aid used field the SHIM with erectile aid and Aid fields will be displayed for recording specifics e You may manually enter a value into the SHIM with erectile aid field or use the module s inbuilt calculator To open the calculator click the Calculate link located next to the field This will open a pop up window Record a response to each of the questions and then click the Done button The pop window will close and a value will be recorded i
45. erapy This sub form captures information regarding the bisphosphonate therapy treatments given to the patient for the treatment of his recurrent or metastatic castrate resistant disease Prerequisite The Bisphosphonates checkbox on the main form must be ticked for the sub form to be displayed From the main form click the New bisphosphonate therapy button Enter data into as many fields as possible Click the Add bisphosphonate therapy button to temporarily save the data The data will be permanently saved when you save the main form data Version September 2011 48 ACCORD Database User Manual V2 2 9 e The Star date field must be completed e f you select Death from the Reason for stopping field additional fields will be displayed for recording specifics about the patient s death e f displayed the Death date field must be completed e f you select Due to cancer for the Cause of death field the Death due to field will be displayed for recording the specific cancer The Death due to field must be completed e f you select Other cause cancer present for the Cause of death field the Cancer present field will be displayed for recording the specific cancer s Radiotherapy This sub form captures information regarding the radiotherapy treatments provided to the patient for the management of his recurrent or metastatic castrate resistant disease Multiple radiotherapy treatments may be recorded A summary
46. es for primary prostate cancer will be displayed once data have been saved e The Date field must be completed e f you select Yes for the Nerve sparing field additional fields will be displayed for recording specifics e f you select Yes for the Transfused field a field will be displayed for recording the number of units transfused e f you select Yes for the In dwelling catheter field additional fields will be displayed for recording specifics e You may view value definitions for the Clavien grade field by clicking the link located next to the field This will open a pop up window which describes the definitions e f you select Yes for the Surgical complications field a section will be displayed for recording specifics e Surgical complications section o If you select Yes for the Urine leak field the Persisted for field will be displayed for recording specifics o If you select Yes for the Wound infection field the Persisted for field will be displayed for recording specifics Version September 2011 42 ACCORD Database User Manual V2 2 9 A6 5 o If you select Yes for the Bowel complication field a list of complications will be displayed for recording the specific complication o If you select Yes for the Other field a list of complications will be displayed for recording the specific complication s If you select Yes for the Medical complications field a lis
47. ete To edit an existing treatment click the edit link for the relevant treatment The Start date Intent and Timing fields must be completed If you select Yes for the s part of clinical trial field a list of clinical trials entered on the Clinical Trial form will be displayed for recording the specific trial Clinical trial This form captures information regarding the clinical trials in which the patient participated A5 9 To add a clinical trial for the patient click the New clinical trial button The Start date field must be completed Recurrence progression This form captures information regarding the nature and treatment of the patient s recurrent or progressive disease Multiple occurrences of recurrent or progressive disease may be recorded A summary of the patient s disease recurrences or progressions will be displayed once data have been saved Add a new recurrence by selecting the New disease recurrence progression button to edit a recurrence select the edit link next to the appropriate recurrence There are three forms which will appear if you select tick box the treatment as a part of the management plan o Systemic therapy captures information regarding the systemic therapies provided to the patient for the management of his her recurrent or progressive disease See A5 7 for details on this section o Radiotherapy sub form captures information regarding the radiotherapy treatments provided to
48. f you select Treat for the Treatment field the Treatment details section will be displayed for recording details about a chemotherapy splenectomy or radiotherapy treatment The Treatment type field must be completed if it is displayed Additional fields relevant to a particular type of treatment will be displayed once you have made a selection for the Treatment type field Chemotherapy o The Agents field must be completed o More than one chemotherapy agent may be selected by holding down the Ctrl keyboard key while clicking the agent values o The Course number field is automatically completed by the system o Items related to the last course of a regimen The Date of last confirmed test result field must be completed If you select Yes for the Other complications field a free text field will be displayed for recording the specific complication f you select No for the Planned treatment completed field a list of reasons for non completion will be displayed for recording further details More than one reason for non completion may be selected by holding down the Ctrl keyboard key while clicking the reason values Splenectomy o The Date of last confirmed test result field must be completed Radiotherapy o The Radiotherapy site field must be completed o More than one radiotherapy site may be selected by holding down the Ctrl keyboard key while clicking the site values The Course number field is automatically complete
49. f you select Yes for the Disease present field a list of disease sites will be displayed for recording specifics Staging definitions may be viewed by clicking a 2 link Once clicked a pop up window will open Surgery and pathology This form captures information regarding the surgeries the patient underwent for his her primary renal cancer and the pathological findings of those surgeries Multiple surgeries may be recorded A summary of the patient s surgeries will be displayed once data have been saved Adding data Click the New surgery button and enter data into as many fields as possible Save the data or add a pathology record and then save To add a new Pathology at the bottom of the surgery form click the New pathology button Enter data into as many fields as possible and click the Add pathology button to save the pathology data The data will be permanently saved when you save the surgery form data Editing data To edit the surgery data click the Edit link on the right located on the relevant surgery listing To edit pathology open relevant surgery and click the Edit link located on the right of the pathology listing Enter or change data as required Click the Update pathology button to temporarily save the data The data will be permanently saved when you click the Update surgery button Surgery section The Laterality and Date of surgery fields must be completed If you select Partial from the
50. field a field will be displayed for recording the specific complication e f you select Yes for the Other complications field a free text field will be displayed for recording the specific complication A7 4 Past treatment This form maintains a summary of treatments which the patient has previously undergone for the management of his or her chronic lymphocytic leukaemia In the past treatment summary section select if the patient has had chemotherapy radiotherapy and splenectomy as a part of their treatment before being seen at this institution If you select Yes for any of the past treatments a button will appear so you can add the details of past treatment s The details of each section are below To edit existing past treatments click Edit on the right of the record you wish to edit Chemotherapy This sub form captures information about the prior chemotherapy treatments which had been given to the patient for the management of chronic lymphocytic leukaemia Multiple prior chemotherapy treatments may be recorded A summary of the patient s prior chemotherapy treatments will be displayed once data have been saved Version September 2011 52 ACCORD Database User Manual V2 2 9 Prerequisite Yes must be selected for the Chemotherapy field in the treatment summary section Click the New chemotherapy button e The Start date field must be completed e More than one chemotherapy agent may be selected by
51. for Androgen ablation offered the Patient accepted field will be displayed for recording whether or not the patient accepted the treatment offer e f you select Yes for the Patient accepted field additional fields will be displayed for recording the types of treatment given and the reason for the treatment s e f you select Yes for the Medical castration field a button for adding records to the hormone therapy sub form will be displayed e f you tick the Bisphosphonates checkbox a button for adding records to the bisphosphonate therapy sub form will be displayed e f you tick the Radiotherapy to mets checkbox a button for adding records to the radiotherapy sub form will be displayed e f you tick the Isotope therapy checkbox a button for adding records to the isotope therapy sub form will be displayed e f you tick the Surgery for mets checkbox a button for adding records to the surgical resection of metastases sub form will be displayed Hormone therapy This section captures information regarding the hormone therapy treatments given to the patient for the treatment of his recurrent or metastatic non castrate resistant disease Multiple hormone therapy treatments may be recorded A summary of the patient s hormone therapy treatments for his recurrent or metastatic non castrate resistant disease will be displayed once data have been saved Prerequisite Yes must be selected for the Androgen ablation offered Pat
52. gations This form captures information about the investigations which the patient underwent at registration Fields cover blood tests biopsies and imaging The final conclusions about the patient s diagnosis are also recorded e f you select Abnormal for the SPEP field additional fields will be displayed for recording specifics e f you select BM or PB for a Sample Prognostic markers field additional fields will be displayed for recording additional details about the specific marker e f you select Yes for the Bone marrow biopsy performed field the New bone marrow biopsy button will be displayed e To add details of a bone marrow biopsy o Click the New bone marrow biopsy button o Enter data into as many fields as possible o Click the Add bone marrow biopsy button o Additional bone marrow biopsies may be recorded by repeating the above steps e f you select Yes for the Other biopsy performed field the New other biopsy button will be displayed e To add details of an other i e non bone marrow biopsy o Click the New other biopsy button o Enter data into as many fields as possible o Click the Add other biopsy button o Additional other biopsies may be recorded by repeating the above steps e f you select Yes for a Performed Imaging field additional fields will be displayed for recording details about the specific imaging procedure e f you select Yes for the Autoimmune complications
53. gnosis cancer history comorbidities and the clinical features of his her disease e The date of diagnosis that was recorded on the Episode form is shown on this form e f you select Transplant for the Further specification field the Organ origin field will be displayed for recording specifics e f you select Yes for the History of other cancer s field a list of tumour sites will be displayed for recording specifics e If you select Yes for the Family history of renal cancer 1 degree relatives field fields for recording which family members have had specific types of renal cancer will be displayed e f you select Yes for the History of smoking field the Packet years and Is the patient a current smoker fields will be displayed for recording specifics e f you select Yes for the Other comorbidities field a list of comorbidities will be displayed for recording specifics e f you select Yes for the Other illness field a list of illnesses will be displayed for recording specifics e If you select Yes for the Autoimmune disorders field a list of autoimmune disorders will be displayed for recording specifics A5 3 Initial investigations and staging This form captures information regarding the diagnostic imaging and laboratory tests performed the time of initial diagnosis if known The clinical tumour stage is also recorded on this form This form is designed ensure details of the initial
54. holding down the Ctrl keyboard key while clicking the agent values e f you select Yes for the Infection field additional fields will be displayed for recording specifics e f you select Yes for the Autoimmune complication field an additional field will be displayed for recording the specific complication e f you select Yes for the Response field additional fields will be displayed for recording specifics Splenectomy This sub form captures information about the patient s prior splenectomy Prerequisite Yes must be selected for the Splenectomy field on the main form Click the New splenectomy button to add details The Date field must be completed Radiotherapy This sub form captures information about the prior radiotherapy treatments which had been given to the patient for the management of chronic lymphocytic leukaemia Multiple prior radiotherapy treatments may be recorded A summary of the patient s prior radiotherapy treatments will be displayed once data have been saved Prerequisite Yes must be selected for the Radiotherapy field on the main form Click the New radiotherapy button to add details The Start date field must be completed A7 5 Treatment Follow up This form captures information about the patient s hospital visits for treatment or follow up visits General health measures blood test results lymphatic measurements treatment details complications and disease response da
55. ient accepted and Medical castration fields under Initial treatment plan at Dx of recurrent metastatic disease heading Click the New hormone therapy button and enter data into as many fields as possible Click the Add hormone therapy button to temporarily save the data The data will be permanently saved when you save the main form data e The Line field is automatically completed by the system e The Start date field must be completed e If you select Death for the Reason for stopping field additional fields will be displayed for recording specifics about the patient s death e f displayed the Death date field must be completed e f you select Due to cancer for the Cause of death field the Death due to field will be displayed for recording the specific cancer The Death due to field must be completed Version September 2011 45 ACCORD Database User Manual V2 2 9 e f you select Other cause cancer present for the Cause of death field the Cancer present field will be displayed for recording the specific cancer s e To edit existing entries select the Edit link to the right of the hormone therapy summary Bisphosphonate therapy This sub form captures information regarding the bisphosphonate therapy treatments given to the patient for the treatment of his recurrent or metastatic non castrate resistant disease Prerequisite The Bisphosphonates checkbox in the treatment offered section mus
56. ils e Ifyou select Yes for the History of alcohol use field the Drinks per week field will be displayed for recording further details e Cumulative Illness Rating Scale CIRS section o A pop up window which lists definitions for the body system ratings may be viewed by clicking the link o The Total field is automatically calculated by system o The database treats blank body system rating fields as missing data o If you click the Set all blank fields to 0 link the system will enter 0 into each blank body system rating field e f you select Yes for the Symptoms Original presentation field additional fields will be displayed for recording specifics e A pop up window which lists value definitions for the ECOG field Registration visit section may be viewed by clicking the link Version September 2011 51 ACCORD Database User Manual V2 2 9 e f you select Yes for the Symptoms Registration visit field a list of symptoms will be displayed for recording specifics e f you select Yes for the Previous transfusions field the Units field will be displayed for recording specifics e f you select Yes for the Major infections in past 12 months field additional fields will be displayed for recording specifics e f you select Yes for the Other s Major infections in past 12 months field a free text field will be displayed for recording the specific infection s A7 3 Registration Investi
57. indicator is available on some screens Users can use this field to determine whether they want to include incomplete data in their queries e To use this field correctly o Select Complete when all fields have been filled including N A where applicable o Select Incomplete if fields are still blank This indicates that the data is either being followed up or patient still receiving treatment and so data is periodically updated o Incomplete forms are highlighted in red on the left hand screen navigation for most tumour streams 5 2 4 Data field definitions e Some fields throughout ACCORD have a symbol on the field label To view the definition s of these fields just click on the The definition will appear in a pop up box if this does not occur try unblocking popups in your web browser or holding down the Ctrl key when you click the e A full data dictionary is available for each tumour module You can download them at www biogrid org au 6 CLINIC LISTS 6 1 How to run a clinic list e From main menu at top of screen select Clinic Lists e Select your campus name from the Campus drop down list e The drop down list of Clinics for that Campus will be displayed e Select required clinic and click on Patient List e Use your web browser s Page Setup feature to set list as a Landscape or Portrait document for printing e Click on Print button at top of screen right hand corner Version September 2011
58. iotherapy treatment relationships e Chemotherapy or radiotherapy treatments that are given as concurrent therapy must be assigned to each other e A treatment may have a concurrent assignment with more than one treatment e Assignments are made from the summary section of the Treatment form e Click the Assign concurrent therapy link that is located on the listing for the relevant treatment This will open a list of saved treatments that have the same Timing value i e either neoadjuvant adjuvant or N A e Click the radio button adjacent to the appropriate treatment and then click the Confirm button e You may undo incorrect assignments by clicking the Unassign link that is located on the listing for the relevant treatment Treatments Treatment Treatment Therapy Occurrence type Occurrence site Date of type date timing diagnosis Surgical 04 06 2008 z Primary malignancy Bone gt Femur distal 08 05 2006 Procedure Edit Delete Unassign Chemotherapy 31 07 2008 Adjuvant Primary malignancy Bone gt Femur distal 08 05 2006 Edit Delete Assign surgery Assign Unassign concurrent aa Group concurrent Chemotherapy therapy and Radiotherapy Assign concurr Therapy date Timing Radiotherapy 10 07 2008 Adjuvant Confirm Cancel Surgical Procedure Edit Delete 03 66 2009 Metastasis itis incertae aren no 05 2008 specified above gt Lung Radiotherapy 10 07 2008 Adjuvant Primary malignancy Bone gt Femur distal 08 05 2006 Ed
59. it Delete Assign surgery Editing updating data e Click the Treatments item on the navigation menu e Click the Edit link located on the relevant treatment listing e Add or change data as required e Click the Update treatment button to save the data Version September 2011 31 ACCORD Database User Manual V2 2 9 Special notes e Chemotherapy O O O O O The Start date Timing and Intent fields must be completed If you select Neoadjuvant or N A for the Timing field the Best response field will be displayed If you select N A for the Timing field the ntent field will be populated with the value Palliative If you select Palliative for the Intent field the Line field will be displayed The Line field must be completed when it is displayed You will be able to enter a line number for the first course of palliative intent chemotherapy recorded The Line field will be populated by the system for subsequent palliative course entries If you select Toxicity for the Reason for stopping field the Complications field will be populated with the value Yes If you select Death for the Reason for stopping field fields related to the death of the patient will be displayed Of these fields Death date must be recorded If you select Yes for the Complications field a list of complications will be displayed e Radiotherapy The Start date Timing and Intent fields must
60. ital Exteration Parotidectomy Pharynx Temporal Bone Resection Tongue Resection Tracheostomy Selections Made Mid Face Maxillectomy total lt _ Palate Resection Hard Palate A3 5 Adding Pathology Details within an event within a surgery e To enter the pathology select the edit link next to the surgical procedure date which the pathology belongs to in the event Scroll down to the bottom of the surgical details and tick the Pathology check box to view the pathology fields e Enter data and press the save or update surgery button A3 6 Adding Recurrence metastases Summary within an event e This section will only appear in events recurrence or metastases e Select new recurrence summary or edit existing summary by selecting the edit link next to the selected recurrence summary date e If sites of nodal recurrence progression is yes then tick the appropriate sites e lfatreatment plan has been decided select yes and indicate the use of each treatment A3 7 Other Treatment for Primary Tumour e This section records the chemotherapy and radiotherapy treatment for the primary tumour e f radiotherapy is given select yes and complete the fields e f chemotherapy is given select yes and complete the fields A3 8 Speech and Nutrition e To add the initial assessment information select the Initial Assessment button and complete the fields This can only be completed onc
61. late papillae anterior two thirds Other _ Tongue inferior surface Salivary Glands r fis Upper alveolus and gingiva Skin Close Unknown Selections Made Nasal Cavity and Sinuses Maxillary sinus Oral Cavity Lower alveolus and gingiva e If yes is selected for Gross Nodal Involvement select site s involved e Planned Initial Treatment is a required field A3 2 Adding and Event e Each event and it s related information can be recorded events are described as o Primary o Residual tumour o Recurrence o Metastases e To add a new event click on the New Event under Event in the left hand tree see picture below Version September 2011 23 ACCORD Database User Manual V2 2 9 Add New Episode Event Event Details amp Patient Details Head and Neck 20 06 2007 Date of event 01 06 2011 Preoperative ae Event type 5 Event New Event pi lt Form status Incomplete Complete aay m 20 06 07 Recurrence eoa tumour Other treatment primary piee Metastases m Speech and Nutrition Follow up Event data not found for this episode Please add data in this form and Save Colorectal 17 07 2001 Go to Top e You must enter the date of the event and the type of event then press save e You will then be able to enter details of biopsies surgery pathology recurrence summary if applicable associated with this event A3 3 Adding a Biopsy within an event e
62. management system e Update Patient Status field Alive patient is alive with no recurrence or metastases Dead patient deceased also complete death date and cause of death using drop down box New primary patient diagnosed with new primary cancer Recurrence patient diagnosed with recurrence Stage IV patient has metastatic disease e Click on Save or tab to Save and press Enter key to add New Patient e To add a tumour episode select the New Episode link as shown below New Patient Search Clinic Lists Manage User Access Settings Logout Name Test Patient a ID gt Add New Episode a Patient Details 6503 Patient Details Universal ID 6503 Last Name Test Bone amp Soft Tissue First Name Patient 19 07 2010 i mee w Colorectal 01 07 2006 Middle Initial a Medicare No 3423 42342 3 DVA No Date of Birth 26 07 1978 dd mm yyyy Sex Female v Version September 2011 13 ACCORD Database User Manual V2 2 9 Adding a tumour episode e After you select New Episode select the tumour type as shown below 1 e Enter the Episode details and press Save 2 e The screens for that tumour stream will appear in the left 3 just select the relevant screen you would like to enter data in New Episode Please select one of the forms for this episode left side tree menu to look at patient s data Patient Details Tumour Type CNS amp CNS 06 05 2008 E IROI O EERTE CNS Epis
63. module This user type is managed by individual cancer stream data manager s Chemotherapy Prescribing The Chemotherapy Prescribing module was developed to enables clinicians to prescribe therapy and record important data that can be used for further research purposes The chemotherapy dosages are calculated according to standardised protocols using calculated Body Surface Area BSA Regimens are dosed using actual or ideal BSA depending on clinician preference The prescriptions are computer generated pdf file in a clear format designed in conjunction with pharmacy and oncology nursing input Please refer to the separate Chemotherapy Prescribing user manual for further information Version September 2011 ACCORD Database User Manual V2 2 9 3 QUERYING ACCORD does not have an inbuilt querying tool To query your data you can use MS Access identified patient data BioGrid tools de identified patient data or any other querying tool which can link to SQL tables 3 1 MS Access set up Linking ACCORD data to MS Access To use ACCORD data in MS Access you will need to make an Open Database Connectivity ODBC link between your PC and the server that ACCORD data is stored on You only need to do this once per PC per user After you have made the ODBC link you can then link Access to the ACCORD tables you require Refer to appendix B on how to link to ACCORD in MS Access If you are unsure of any steps in this process please
64. n the SHIM with erectile aid field A6 7 Recurrent or metastatic non castrate resistant disease This section captures information regarding the diagnosis sites and treatment of the patient s recurrent or metastatic non castrate resistant disease Version September 2011 44 ACCORD Database User Manual V2 2 9 Multiple instances of recurrent or metastatic non castrate resistant disease may be recorded A summary of these instances will be displayed once data have been saved When new data is entered or an episode of recurrence or metastatic non castrate resistance disease is updated ensure you save or update if editing the data with the button at the bottom of the screen The screen will close and summary displayed once saved Detailed screens to enter specific treatment data will appear once selected in the treatments offered section e To edit existing records click Edit link at the right of the instance of recurrent or metastatic non castrate resistant disease required e The Date of Dx of recurrence field must be completed e f you select Yes for the Loco regional disease field a list of sites will be displayed for recording specifics e f you select Yes for the Distant metastases field a list of sites will be displayed for recording specifics e f you select No for the Androgen ablation offered field a list of reasons will be displayed for recording the reason e lf you select Yes
65. ng data e Click the Treatments item on the navigation menu e You will be presented with a list of the occurrences that have been saved e Click the checkbox adjacent to each occurrence that is related to this treatment e g if the treatment is a course of chemotherapy that has been given to treat the primary malignancy and a metastasis click the checkboxes adjacent to the primary malignancy occurrence and the metastasis occurrence e Select a value from the Treatment type field A section related to the selected treatment type will be displayed e Enter data for as many fields as possible and save the data Summiary of treatments Treatments Treatment Treatment Therapy Occurrence type Occurrence site type date timing Surgical 04 06 2009 p Primary malignancy Bone gt Femur distal Procedure Edit Delete Add treatment past or present q Add new treatment Adding treatment past or present Select the occurrence Related occurence s t m gt E are is Occurrence type Date of diagnosis Occurrence site rl Primary malignancy 08 05 2006 Bone gt Femur distal J Metastasis 05 05 2008 Motastases SUES TDI specified above gt Lung Treatment type v Select the type of zomm EEA gt p Chemotherapy Cancel treatment Radiotherapy i ancal Go to Top Surgical Procedure Adding surgery details for a surgical procedure Date of diagnosis 08 05 2006 Treated Yes Yes e From an open surgical procedure form
66. ntly saved when you save the occurrence form data Occurrence details Information Date Timing Stage _ Grade Depth source View or edit 01 05 2009 Imaging occurrence detail Edit Delete 02 05 2009 Resection Soft Tissue TNM gt IV Edit Delete 04 06 2009 Clinical exam Soft Tissue TNM gt IV Edit Delete New occurrence detail lt q Add new occurrence detail l Update occurrence r Cancel Delete Special notes If you select Metastasis for the Occurrence type field the Extent of disease field will be displayed If you select Primary malignancy for the Occurrence type field when Primary has been selected for the Basis of diagnosis field Diagnosis form the Date of diagnosis field will be populated by the system If you select Benign lesion for the Occurrence type field the Date of diagnosis field will be populated by the system If you select Benign lesion Primary malignancy or Local recurrence for the Occurrence type field you will be able to select from a list of sites of either bone or soft tissue Whether the list contains sites of bone or soft tissue is determined by the selection for the WHO classification field If you select Metastasis for the Occurrence type field you will be able select from sites of the bone soft tissue and other locations If you select No for the Treatment planned field a list of reasons for why treatment was not plann
67. o enquiries biogrid org au 1 1 Audience This document is intended for users who have no previous experience with the ACCORD Database It should give the reader a basic understanding of the following concepts What the ACCORD Database is How to enter data How to manage user access How to edit user managed drop down lists How to access information from the ACCORD Database Version September 2011 ACCORD Database User Manual V2 2 9 2 GETTING STARTED The following subsections describe the recommended system requirements and user configurations necessary for your organisation to utilise the ACCORD database 2 1 Technical requirements For detailed technical requirements refer to the technical user manual in installation CD or see your IT department 2 1 2 Internet Connection 56Kbps or higher 2 1 3 Browsers ACCORD uses CSS style sheets to display the database s web interface Older and experimental browsers that do not handle CSS correctly will have display problems ACCORD is tested with these browsers e Mozilla Firefox 3 0 8 or higher recommended e Internet Explorer v6 or higher e Safari commonly used on Apple Macintosh V3 2 or higher 2 1 4 PC Setup Processing speed of 500Mhz or higher Monitor resolution set at 1024x768 or higher Windows 98SE ME 2000 XP 128MB of RAM for Windows 98SE ME 256MB of RAM for Windows 2000 XP Version September 2011 ACCORD Database User Manual V2 2 9 2 2 User Roles Permis
68. o the system e The new user should change his or her password when first using the database e Tochange the password click Settings from Main Menu at top of the screen e Enter Current password Version September 2011 10 ACCORD Database User Manual V2 2 9 e Enter New password e Retype New password to confirm e Click on Change password button 4 3 Modifying Drop Down Boxes e Only administrators can modify drop down selections e Click Control Data Lists from Main Menu e To view or modify the data in drop down boxes click on the symbol next to the appropriate form name in the left side column This will expand the list to display all drop down box data lists for the form e Select the relevant data list from the newly displayed options e To add data type into the blank boxes at bottom of the data list Name refers to the text which will appear in the drop down box on the data entry screen Value refers to the data which will be stored in the Accord table e Click on Add to save new data to the list e This will now appear as a selection in the drop down box on the data entry screen e Note you can not delete selections from drop down boxes so ensure you have entered the correct details before saving Manage Users Control Data Lists Settings Logout fejolrlo ACCORD RMH arava Control Data Table reasonForStopping_Adjuvant _ Form Name j Head and Neck Adjuvant CNS Table Descrip
69. ode Preoperative Operation Report UR No 123456 Campus MP Date of 06 05 2008 Diagnosis Surgery Outcomes and GE Pathology ECOG 0 X Consultant Y Adjuvant Therapy m Routine Follow Up Treatment at time of Comments Recurrence Progression New Form Referral Complete Incomplete Save Cancel Delete General Information e Each patient can have more than one episode of cancer episodes can be seen on the navigation tree on the left of screen and are identified by tumour type and diagnosis date e Date of Diagnosis is a mandatory field at a particular point for each tumour stream e Some fields may be hidden if a previous selection indicates that it is not applicable e The Comments box allows free text Any information relevant to this patient s episode can be added here e If all fields are entered use the Mouse to click the Complete radio button at the bottom right of the screen to indicate that the form is complete Most tumour streams will highlight incomplete forms in red on the left hand navigation tree e Save saves the data and remains on the current screen Save and Next will to move to the next form 5 1 3 Viewing Editing an existing Record e To edit or view an existing record search patient as per 5 1 1 e After opening the patient s record select appropriate data entry screen from the Navigation Tree in the left side column e Browse onscreen form and make changes
70. of the patient s radiotherapy treatments for his recurrent or metastatic castrate resistant disease will be displayed once data have been saved Prerequisite The Radiotherapy to mets checkbox on the main form must be ticked for the sub form to be displayed From the main form click the New radiotherapy button Enter data into as many fields as possible The Start date field must be completed Click the Add radiotherapy button to temporarily save the data The data will be permanently saved when you save the main form data Isotope therapy This sub form captures information regarding the isotope therapy treatments provided to the patient for the management of his recurrent or metastatic castrate resistant disease Multiple isotope therapy treatments may be recorded A summary of the patient s isotope therapy treatments for his recurrent or metastatic castrate resistant disease will be displayed once data have been saved Prerequisite The sotope therapy checkbox on the main form must be ticked for the sub form to be displayed From the main form click the New isotope therapy button Enter data into as many fields as possible The Start date field must be completed Click the Add isotope therapy button to temporarily save the data The data will be permanently saved when you save the main form data Surgical resection of metastases This sub form captures information regarding the surgical resections of metastatic castrate resist
71. ons field a list of complications will be displayed for recording specifics If you select Yes for the Cardiovascular complications field a list of complications will be displayed for recording specifics If you select Arterial embolus from the list of cardiovascular complications the Arterial embolus site field will be displayed If you select Yes for the n patient death field the Date of death and Cause of death fields will be displayed for recording specifics The Date of death field must be completed if displayed If you select Due to cancer for the Cause of death field the Death due to field will be displayed for recording the specific cancer The Death due to field must be completed if displayed If you select Other cause cancer present for the Cause of death field the Cancer present field will be displayed for recording the specific cancer s Other treatment primary Systemic therapy section This form captures information regarding systemic therapies provided to the patient for the management of the primary renal cancer Multiple systemic therapies may be recorded A summary of the patient s systemic therapies for primary renal cancer will be displayed once data have been saved To add a new systemic therapy click the New Systemic Therapy button a form will appear for you to complete To edit an existing treatment click the edit link for the relevant treatment A new systemic therapy can n
72. ot be entered if there is an ongoing treatment in progress ie a stop date must be entered before a new treatment can be added The Intent and Timing fields must be completed If you select Palliative for the Intent field the Line field will be displayed Version September 2011 38 ACCORD Database User Manual V2 2 9 The Line field must be completed if displayed You are able to enter a line for the first palliative record The system will automatically populate the Line field for subsequent palliative records If you select Single for the Therapy field a list of systemic therapy agents will be displayed You will be able to select one agent from this list If you select Combined for the Therapy field a list of systemic therapy agents will be displayed You will be able to select multiple agents from the list If you select Yes for the s part of clinical trial field a list of clinical trials entered on the Clinical Trial form will be displayed for recording the specific trial Radiotherapy section This form captures information regarding radiotherapy treatments provided to the patient for the management of his her primary renal cancer A5 8 Multiple radiotherapy treatments may be recorded A summary of the patient s radiotherapy treatments for primary renal cancer will be displayed once data have been saved To add a new radiotherapy click the New Radiotherapy button a form will appear for you to compl
73. r allocated oncologist rights can add edit delete patient data and prescribe chemotherapy Access is granted per tumour stream by the tumour streams data manager Surgeon This user is only on Accord versions when requested it has been developed for a centralised database model and is not used at individual hospitals Users are allocated as a surgeon can only see their own data when they are entered as the consultant or assistant surgeon for that patient They can also add new patients 4 1 2 Adding New User e Administrators and data managers can add new users Go to the Manage User Access tab at the top of your screen e Click the New User button at bottom of the list of users e Enter username this can be selected by the user usually surname first initial e g John Smith would have the username smithj e Enter Last Name can only use alphabetic characters e Enter First Name can only use alphabetic characters e Enter Password may use lower and upper case alphabetic characters and numeric characters please note that the password is case sensitive Version September 2011 ACCORD Database User Manual V2 2 9 e f user is to be allocated an Administrator role tick Is Administrator box note they will need to allocated a separate logon for accessing to the patient data e If the user is a Data Manager see definition above then select the tumour stream s they manage Leave blank if they are no
74. r commencing chemotherapy field and a button for adding records to the chemotherapy sub form will be displayed e f you tick the Bisphosphonates checkbox a button for adding records to the bisphosphonate therapy sub form will be displayed e f you tick the Radiotherapy to mets checkbox a button for adding records to the radiotherapy sub form will be displayed e f you tick the sotope therapy checkbox a button for adding records to the isotope therapy sub form will be displayed e f you tick the Surgery for mets checkbox a button for adding records to the surgical resection of metastases sub form will be displayed Version September 2011 47 ACCORD Database User Manual V2 2 9 Chemotherapy This sub form captures information regarding the chemotherapy treatments given to the patient for the treatment of his recurrent or metastatic castrate resistant disease Multiple chemotherapy treatments may be recorded A summary of the patients chemotherapy treatments for his recurrent or metastatic castrate resistant disease will be displayed once data have been saved Prerequisite Yes must be selected for the Chemotherapy offered and Patient accepted fields on the main form From the main form click the New chemotherapy button Enter data into as many fields as possible Click the Add chemotherapy button to temporarily save the data The data will be permanently saved when you save the main form data To Edit data click the
75. reatment imaging and also information that was obtained from resection pathology A summary of the occurrence detail records for an occurrence will be displayed on that occurrence s form once data has been saved Adding Occurrence data e Click the Occurrences item on the navigation menu Click the New occurrence button e Enter data into as many fields as possible e Save the data or add occurrence details and then save Version September 2011 27 ACCORD Database User Manual V2 2 9 Occurrence details From an open occurrence form click the New occurrence detail button Enter data into as many fields as possible Click the Add occurrence detail button to temporarily save the data The data will be permanently saved when you save the occurrence form data Occurrences pope intestate a rena etry yew OF BAIt HE y z x occurrence Occurrence type Date of diagnosis Occurrence site Na Local recurrence 01 05 2009 Soft Tissue gt Hand Edit Delete Metastasis 06 05 2009 Metastases Sites not specified above gt Lung EA New occurrence q Add a new occurrence Edit Occurrence details Click the Occurrences item on the navigation menu Click the Edit link located to the right of the relevant occurrence listing Click the Edit link located to the right of the relevant occurrence details listing Add or change data as required Click the Update occurrence button to temporarily save the data The data will be permane
76. rs MV Use ANSI nulls paddings and warnings est Use the failover SOL Server if the primary SOL Server is not available lt Back Next gt Cancel Help 13 Then press the Finish button on the next screen 14 Once you press the Finish button The below window will appear press Test Data Source button new ODBC data source will be created with the following configuration Microsoft SQL Server ODBC Driver Version 03 85 1117 Data Source Name ACCORD Data Source Description Accord RMH Server MHCDCT Database accordRMH Language Default Translate Character Data Yes Log Long Running Queries No Log Driver Statistics No Use Integrated Security No Use Regional Settings No Prepared Statements Option Drop temporary procedures on disconnect Use Failover Server No Use ANSI Quoted Identifiers Yes Use ANSI Null Paddings and Warnings Yes Data Encryption No ok Conca Version September 2011 tect roeah inermeten 58 ACCORD Database User Manual V2 2 9 15 The result should be as below SQL Server ODBC Data Source Test X r Test Results Microsoft SQL Server ODBC Driver Version 03 85 1117 Running connectivity tests Attempting connection Connection established Verifying option settings Disconnecting from server TESTS COMPLETED SUCCESSFULLY 16 You have now linked your PC to the ACCORD database tables 17 To view the AC
77. s within the Symptom history section the Duration of symptoms field will be displayed e If you select Yes for the Prior to first consult at this sarcoma service clinic field Procedure performed fields for the various imaging procedures will be displayed e If you select Yes for a Procedure performed field the associated Evidence of disease field will be displayed A4 3 Further consultation This form captures information regarding the imaging procedures performed on or after the date of the patient s first consultation at a clinic of this sarcoma service e If you select Yes for On of after day of first consult at this sarcoma service clinic field Procedure performed fields for the various imaging procedures will be displayed e If you select Yes for a Procedure performed field the associated Evidence of disease field will be displayed A4 4 Diagnosis This form captures information regarding the patient s diagnosis of a malignant or benign disease of the bone or soft tissue e The date of diagnosis that was recorded on the Episode form is shown on this form e You must select a value from the WHO classification drop down list Version September 2011 26 ACCORD Database User Manual V2 2 9 e To narrow the list of values shown in the WHO classification drop down list type a keyword into the field marked Filter and then use the drop down list see figure below o Example 1 To restrict the list to dise
78. saved Prerequisite The Surgery for mets checkbox on the main form must be ticked for the sub form to be displayed From the main form click the New surgical resection of metastases button and enter data into as many fields as possible The Date field must be completed Click the Add resection button to temporarily save the data The data will be permanently saved when you save the main form data A6 8 Treatment of metastatic or recurrent disease chemotherapy This section captures information regarding the diagnosis sites and treatment of the patient s recurrent or metastatic castrate resistant disease Multiple instances of recurrent or metastatic castrate resistant may be recorded A summary of these instances will be displayed once data have been saved e The Date of castrate resistant disease field must be completed e f you select Yes for the Loco regional disease field a list of sites will be displayed for recording specifics e If you select Yes for the Distant metastases field a list of sites will be displayed for recording specifics e f you select No for the Chemotherapy offered field a list of reasons will be displayed for recording the reason e f you select Yes for the Chemotherapy offered field the Patient accepted field will be displayed for recording whether or not the patient accepted the treatment offer e f you select Yes for the Patient accepted field the Primary reason fo
79. sion The following is a list of user types and the roles they are assigned to 2 3 Administrator These users create and manage ACCORD database user accounts They are also responsible for maintaining user controlled field lists to ensure standardisation across ACCORD sites Data Manager These users can add edit and view information held on the ACCORD database for the cancer stream s they are authorised to manage These users can allocate data entry rights to other users for their cancer streams and can also run Clinic lists to identify returning patients Read only This is the default user setting These users can view information held on the ACCORD database for the cancer stream s specified These users can also run clinic lists to identify returning patients These users can not edit or add data Data entry These users can add edit and view information held on the ACCORD database for the cancer stream s specified These users can also run clinic lists to identify returning patients This user type is managed by individual cancer stream data manager s Surgeon These users have the same privileges as Data Entry users but can only view their own patients This user type is available upon request Oncologist These users can add edit and view information held on the ACCORD database for the cancer stream s specified These users can also write chemotherapy prescriptions for patients using the ACCORD Chemotherapy Prescribing
80. struction prosthesis of the same type for the selected procedure s A4 9 Followup This form captures information about the patient s disease status at post treatment follow up occasions Multiple follow up occasions may be recorded A summary of the patient s follow up occasions will be displayed once data has been saved Adding data e Click the Followup item on the navigation menu e Click the Add new button e Enter data for as many fields as possible and save the data Editing updating data e Click the Followup item on the navigation menu e Click the Open link that is located on the right hand side of the follow up occasion listing Version September 2011 33 ACCORD Database User Manual V2 2 9 e Add or change data as required and save the data Special notes e The Follow up date field must be completed e f you select Alive Distant disease Alive Local and distant disease or Alive Local disease for the Status field you will be prompted to complete an occurrence record s e f you select Dead for the Status field fields related to the death of the patient will be displayed Of these fields Death date must be recorded You will not be able to add further follow up records after saving this record Version September 2011 34 a Surgery and Pathology ACCORD Database User Manual V2 2 9 A 5 RENAL A5 1 General Information Adding data Click the required page title on
81. t a data manager e lf adata manager is creating a new user you can then give permission for the user to have data entry or Oncologist access to the tumour streams they manage See definitions above e Click on the Save button to add New User 4 1 3 Viewing or Editing User Details e Users are listed in the Manage User Access area in alphabetical order by username e Open auser s profile by clicking the Open link adjacent to their username or their name if you are logged in as a data manger e Make changes to the user s profile if necessary Eg data manager users can allow users to be data entry or Oncology users e f any changes are made click the Save link below the user s details Otherwise click the Cancel link 4 1 4 Deleting a User e Note Only the administrator can delete users e Click the Delete link adjacent to the user s username on the User Management screen OR Open the user s profile as described in 4 1 3 and click the Delete link below the user s details e A message will appear asking Are you sure you want to delete this user gt select OK or Cancel Username test Lastname test Firstname test Password User Type Data Entry x User Status Enabled x Cancel Savel Delete 4 2 Generating and Changing Passwords e Your ACCORD administrator will generate and give new users a username and password to gain access t
82. t be ticked for the sub form to be displayed From the main form click the New bisphosphonate therapy button and enter data into as many fields as possible Click the Add bisphosphonate therapy button to temporarily save the data The data will be permanently saved when you save the main form data e The Start date field must be completed e If you select Death for the Reason for stopping field additional fields will be displayed for recording specifics about the patient s death e If displayed the Death date field must be completed e f you select Due to cancer for the Cause of death field the Death due to field will be displayed for recording the specific cancer The Death due to field must be completed e f you select Other cause cancer present for the Cause of death field the Cancer present field will be displayed for recording the specific cancer s Radiotherapy This sub form captures information regarding the radiotherapy treatments provided to the patient for the management of his recurrent or metastatic non castrate resistant disease Multiple radiotherapy treatments may be recorded A summary of the patient s radiotherapy treatments for his recurrent or metastatic non castrate resistant disease will be displayed once data have been saved Prerequisite The Radiotherapy to mets checkbox on the main form must be ticked for the sub form to be displayed From the main form click the New radiotherap
83. t of complications will be displayed for recording the specific complication s If you select Other from the list of medical complications a list of complications will be displayed for recording the specific complication s If you select Yes for the Return to theatre field additional fields will be displayed for recording specifics you must complete the Date field in the Return to theatre section If you select Yes for the In patient death field fields related to the patient s death will be displayed for record specifics you must complete the Death date field If you select Due to cancer for the Cause of death field the Death due to field will be displayed for recording the specific cancer the Death due to field must be completed If you select Other cause cancer present for the Cause of death field the Cancer present field will be displayed for recording the specific cancer s If you record a non zero number in the Number positive field a list of lymph node sites will be displayed for recording specifics If you select Negative for the Margins field the Minimum distance clear field will be displayed for recording specifics If you select Positive for the Margins field additional fields will be displayed for recording the regions involved by cancer If you select Yes for the Tissue banking sample s field a list of sample types will be displayed for recording specifics Radiotherapy and en
84. t using the mouse e f Bowel Management is not applicable only applicable for Rectal and Lower Colon tumours click tick box to the right of the Bowel Management field label This will automatically answer all related fields N A e fall fields are entered use the Mouse to click that the form is complete e Click on Save or Save and Next to move to the next form Operation Report Tumour sites Sigmoid Colon e Tumour 1 Open Delete Tumour Site Rectum Middle Third Tumour 2 Cm from anal verge rigid sigmoidoscopy cm Add details for 15 Primary Tumour Rectum each tumour Mobile bd Anastomosis Method Handsewn v Anastomosis Type End End v Cancel Save Delete Click to add new tumour site Add New Surgery Details Date of Diagnosis 21 05 2009 Date of Surgery 01 06 2009 Urgency Elective v A1 3 Surgery Outcomes e f fields are completed with Yes drop down boxes are displayed All fields should be completed e lf the Other field in the Surgical Complications and Medical Complications sections is answered Yes the Type field is displayed Make a selection from the drop down list Version September 2011 17 ACCORD Database User Manual V2 2 9 A1 4 A1 5 Adjuvant Therapy If treatment is not offered select reason If treatment is offered and accepted the adjuvant chemotherapy and adjuvant radiotherapy forms are displayed Enter either the Preop or Postop or both data To select more
85. ta are collected by the form Follow up visits Splenectomy first course of a chemotherapy or radiotherapy regimen Click the New Followup Treatment button Enter data into as many fields as possible and save the data Subsequent courses of a chemotherapy or radiotherapy regimen Click the Continue therapy link located to the right next to the relevant regimen listing DO NOT ADD A NEW FOLLOW UP TREATMENT Enter data into as many fields as possible and save the data Recording post treatment data end treatment for a chemotherapy or radiotherapy regimen Click the End therapy link located to the right of the relevant regimen listing Version September 2011 53 ACCORD Database User Manual V2 2 9 Enter the response data at the end of treatment Click the Update button To edit existing visit or treatment click Edit on the right of the record you wish to edit The Visit Treatment date and Treatment fields must be completed A pop up window which lists value definitions for the ECOG field may be viewed by clicking the first section of form link If you select Yes for the Infection s since last visit field an additional field will be displayed for recording further details If you select Watch for the Treatment field an additional field will be displayed for recording whether the patient s cancer has progressed The Disease has progressed since the last encounter field must be completed if it is displayed I
86. than one Regimen hold down the Ctrl key and click the appropriate regimens from the list using the mouse Pathology For the Pathology form to be displayed the tumour site details must be entered see Operation report Complete pathology data for each tumour site If M stage is entered as 1 then ACPS will default to Stage D Radial margin will only be displayed if tumour site is Rectal or Rectosigmoid Pathologic response will only be displayed if Rectal or Rectosigmoid site If entering data for multiple tumours click Save and Next after entering first tumour site details to display next tumour site see below New Patient Search Clinic Lists Manage User Access Settings Logout Name SIMPSON HOMER ID 7819 New Episode amp Patient Details amp Colorectal 21 05 2009 Minimum Dataset m Preoperative Data m Operation Report m Surgery Outcomes Adjuvant Therapy S Pathology gt Sigmoid Colon Rectum Middle Third Followup Recurrence Summary New Form m Prescriptions A1 6 Routine Follow Up Click on Save Version September 2011 Pathology Date of Diagnosis 21 05 2009 Staging i 3 X M N o ACPS Metastases Biopsy confirmed distant metastases Resected metastases Margins Distal Not involved v Distance mm 0 5 Less Than Tumour Size Length mm 10 Width mm 15 To enter new Follow Up visit click on Add New to display the form Date of Visit mandatory Evidence of Recurren
87. the navigation menu eg Initial diagnosis Enter data into as many fields as possible Editing updating data Click the required page title on the navigation menu eg Status at Registration Enter or change data as required Some pages have multiple events select the edit button next to the event to open the page to edit Saving data Click the Save button to save the data or click the Save and Next button to save the data and open the next form Please ensure you save your data or it will be lost Incomplete form flags Incomplete forms are flaged as red by displaying the form name in red coloured font on the navigation menu At the bottom of each form there is a forms status radio button which defaults to incomplete If you have completed all possible fields on the page change the flag to complete the form name in the navigation bar will change to black See picture below a Initial Investigations and Disease recurrence since primary diagnosis and Staging treatment Status at Registration Yes No Disease present Yes No a Surgery Outcomes m Other Treatment Primary Site s of disease a Clinical Trials a Recurrence Progression a Follow up Pancreaticobiliary 02 06 2009 Staging clinical Bone a z Kidney E Liver Lung z Prostate 07 05 2009 Bone amp Soft Tissue 06 05 2009 N stage Head and Neck 06 05 2009 Colorectal 06 05 2009 Bone amp Soft Tissue 04 05 2009 CNS 03 05 2009
88. the patient for the management of his her recurrent or progressive disease See A5 7 for details on this section o Surgery sub form captures information regarding the surgical interventions the patient underwent for the management of his her recurrent or progressive disease Version September 2011 39 ACCORD Database User Manual V2 2 9 A5 10 Follow up This form captures information regarding the patient s disease status and recent therapeutic interventions at the time of a follow up encounter Click the New follow up button to add a new follow up visit To edit a follow up visit click the Edit link that is located on the relevant visit The Follow up date field must be completed If you select Yes for the Therapeutic interventions since last visit field additional fields will be displayed for recording the specific treatments which have been given If you select Yes for Radiotherapy the Ongoing field will be displayed If you select Yes for Systemic therapy the Ongoing field will be displayed If you select Yes for Clinical trial the Ongoing field will be displayed If you select Deceased for the Uro oncology clinic discharge status additional fields will be displayed for recording the specifics of the patient s death The Death date field must be completed if displayed e f you select Due to cancer for the Cause of death field the Death due to field will be displayed for recording
89. tion Colorectal Save Description Data Name Value Completed planned Rx Completed planned Rx Death Other Death Other Death Toxicity Death Toxicity Other Other Patient request Patient request Progressive disease Progressive disease Toxicity Toxicity Associated Fields on this form Incomplete Reason Reason to stop Chemo a GB Internet Drntected Made On 4 4 Standards for Drop Down Boxes e Additions to Data Lists can only be made by an Administrator e Additions should only be made after liaising with other Accord Administrators or tumour groups for consistency across sites e Please consult with relevant clinicians or committees before adding new selections Version September 2011 11 ACCORD Database User Manual V2 2 9 5 DATA ENTRY 5 1 Patient Records To access the system enter your username and password and press the Enter key or click on Login The Search screen will be displayed Any field in the search screen can be used to search for a patient Click the mouse in the particular search field you choose eg Last Name UR number Universal ID etc You may use a combination of search fields 5 1 1 Searching Patient Record e Enter the patient information in the relevant search field and click Search or press the Enter key to check if patient is already entered Search Outcomes o If only 1 record found this will display the Patient Details screen for that patient o If2 or more records are found
90. ver authentication using a login ID and password entered by the user Enter the login ID and password as issued by your IT department or ask the Administrator and select Next Note Please keep this password in a safe place to protect against unauthorized use of the database Create a New Data Source to SOL Server pe How should SQL Server verify the authenticity of the login ID ee Ey With Windows NT authentication using the network login ID HEED AT With SQL Server authentication using a login ID and password entered by the user Bevan lend 3 To change the network library used to communicate with SOL Server click Client Configuration Client Configuration Connect to SOL Server to obtain default settings for the Iv ah a ech additional configuration options Login ID Read only login Password KEaad only passwor lt Back Next Cancel Help Cancel Hep Version September 2011 57 ACCORD Database User Manual V2 2 9 11 Ensure the default database is correct ask your administrator or IT department 12 Then press Next Create a New Data Source to SOL Server Change the default database to Database name Attach database filename Create temporary stored procedures for prepared SUL statements and drop the stored procedures Only when you disconnect n you disconnect and as appropriate while you are connected MV Use ANSI quoted identifie
91. y button and enter data into as many fields as possible The Start date field must be completed Click the Add radiotherapy button to temporarily save the data The data will be permanently saved when you save the main form data Isotope therapy This sub form captures information regarding the isotope therapy treatments provided to the patient for the management of his recurrent or metastatic non castrate resistant disease Multiple isotope therapy treatments may be recorded A summary of the patient s isotope therapy treatments for his recurrent or metastatic non castrate resistant disease will be displayed once data have been saved Prerequisite The Isotope therapy checkbox on the main form must be ticked for the sub form to be displayed Version September 2011 46 ACCORD Database User Manual V2 2 9 From the main form click the New isotope therapy button and enter data into as many fields as possible The Start date field must be completed Click the Add isotope therapy button to temporarily save the data The data will be permanently saved when you save the main form data Surgical resection of metastases This sub form captures information regarding the surgical resections of metastatic non castrate resistant disease underwent by the patient Multiple surgical resections may be recorded A summary of the patient s surgical resections for his metastatic non castrate resistant disease will be displayed once data have been

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