COVID-19 Impact - SURGERY

Use the COVID TEXT RX -- SURGERY field to record information about surgery delays or modifications due to COVID-19 The text is intended to identify whether the timing and type of surgical treatment offered the patient given the site/histology/stage of disease present at diagnosis was impacted because of the COVID-19 pandemic. No text is required if the first course of treatment was not delayed, rescheduled or otherwise modified. If COVID-19 impacted the timing or surgical options offered, one of five following situations is to be captured in this field.

Note: Record the following information for all cancer patients (when applicable) regardless of whether or not they have a COVID-19 diagnosis or test.

1. When medical documentation indicates that surgery was not performed due to COVID-19, record
   1. SURG TX DC D/T COVID-19
2. When medical documentation is available to indicate that the type of surgery offered and performed was changed/modified from what is typically recommended due to COVID-19, record
   1. SURG TX CHG D/T COVID-19
3. When medical documentation is available to indicate typical surgery recommended was performed but it was delayed due to COVID-19, record
   1. SURG TX DELAYED D/T COVID-19
4. When medical documentation is available to indicate type of surgery offered and performed was changed/modified from what is typically recommended and it was delayed due to COVID-19, record
   1. SURG TX CHG & DELAYED D/T COVID-19
5. When medical documentation is available to indicate surgical treatment was recommended before but administered after disease progression, record
   1. SURG TX DELAYED D/T COVID-19 & given as subsequent TX after progression
   2. Note: Record surgical treatment in Second Course Rx fields