Pancreatic Cancer – COME HOME Diagnosis

v9 – March 2015

Required Structured Data Fields:

• ICD9 Code
• Stage
• Performance Status
• Treatment Type (Neoadjuvant, Adjuvant, Etc.)
• Treatment Intent (Curative, Palliative, Maintenance, Etc.)

Diagnostic workup:

Required tests:

Event: Pancreatic protocol CT or MRI
Timing: On or before diagnosis date
Population: Resectable patients
Required: Yes
Data elements: Procedure code or results present in EHR

Event: History and Physical
Timing: Within one month of first visit
Population: All patients
Required: Yes
Data elements: Procedure code or results present in EHR

Event: Liver function tests
Timing: Within one week of first visit, within one week of the start of each cycle of chemo.
Population: All patients
Required: Yes
Data elements: Procedure code or results present in EHR

Event: CA 19-9
Timing: Within one month of first visit.
Population: All patients
Required: Yes
Data elements: Procedure code or results present in EHR
**Note: Additional CA 19-9 tests are optional at the discretion of the physician. Only the initial test will be monitored for compliance.

Event: Biopsy of primary tumor and/or metastasis
Timing: Prior to diagnosis
Population: All Patients
Required: Yes
Data elements: Procedure code or results present in EHR

Optional tests:

Chest CT – required for resectable pts / optional for non-resectable
Endoscopic Ultrasonography (EUS)
ERCP and/or MRI/MRCP
Laparoscopy

Quality Measure(s):

Stage entered as structured data within one month of first visit