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Family AQC/HSM/SMOB/THOR1

Here you will find the technical documentation for the AQC family with all transfer files and adaptations from previous years. The AQC family also includes the HSM Visceral Surgery (VisHSM) registry, the Swiss Morbid Obesity Study Group (SMOB) and the Anatomical Resections of the Swiss Society for Thoracic Surgery (Thor1).

Adjustments to the forms and transfer files are generally made once a year. If a year is missing from the list, no adjustments have been made in this period.

Project documentation

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Information from the project management

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FAQs – frequently asked questions

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Customizations and transfer files

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FAQs on the AQC/HSM/SMOB/THOR1 family

The system indicates that cases cannot be closed due to the error message "HSM code missing". However, I have entered an HSM code. What is the reason for this?

This message usually occurs if an HSM case consists of several intervention parts and one of these intervention parts is NOT an HSM intervention.

Please enter an appropriate code for each intervention part. The intervention parts that are not HSM intervention parts are coded with the code 00.00.00. Then check the case again.

Is there a deadline for entering and completing HSM cases?
For the HSM, the data must be completed 2 months after the end of each half-year (i.e. March 1 and September 1). For the SMOB, the data must be entered on February 15 of the following year.

The AQC has no submission deadlines.

How can I close a case if it is assigned to several projects (e.g. AQC and HSM)?
Our system checks and regulates this for you. When you click on the “Close case” button, the case automatically runs through all stored checks. If all mandatory fields in the AQC and HSM questionnaires have been completed, the case will be closed successfully.
How can I use AQC data for research?

Resolution of the AQC Assembly 2019 on the use of data:

  • We are fundamentally interested in ensuring that the 1.5 million AQC data records are used in the interests of patients and their doctors
  • Any interested party can make requests for the provision of anonymized data
  • If the request comes from a non-AQC member, we will look for a “godfather” within the AQC
  • In accordance with Section 14 of the AQC Regulations, the requests are submitted to the Head of the AQC, who decides in writing
  • A paper generated from the data (or its abstract) will be published on the homepage
  • If the request comes from a non-AQC member, the expenses of the office, including the contribution to the system costs, will be invoiced. The AQC office undertakes to donate the amount received to the charitable T-Foundation (www.t-stiftung.ch). Of course, the expenses can also be compensated directly by a donation to the T-Foundation. Reimbursement of expenses is not mandatory and the amount is at the discretion of the head of the AQC office. Donations are listed individually on the T-Foundation website.

Customizations and transfer files

Changes as of 01.01.2025

Transferfile AQC 2025

New VisHSM data points

    • [23578 11151] Date referral to center

    • [23586 11159] Re-admission (30 days)

    • [23587 11160] 90 days mortality

    • [23584 11157] Surgical re-intervention for complication (30 days)

    • [23585 11158] Non-surgical intervention for complication (30 days)

    • [23579 11152] Date start therapy for disease of index operation

    • [23580 11153] Adjuvant therapy

    • [23590 11163] Type of pancreas lesion

    • [23591 11164] Type of pancreas resection

    • [23592 11171] Type of venous resection

    • [23593 11165] Type of liver resection

    • [23597 11166] Liver cirrhosis for ICD C22.0 (liver cell carcinoma) or 22.1 (intrahepatic cholangiocarcinoma)

    • [23598 11167] R1 resection (parenchymal/vascular)

    • [23599 11168] Estimated intraoperative blood loss (ml)

    • [23604 11169] Pulmonary complication

    • [23605 11170] Escalation level of care

    • [23588 11161] First disease recurrence

    • [23589 11162] Date of first disease recurrence

    • [23581 11154] Surgical approach

    • [23582 11155] Conversion from MIS to open

    • [23583 11156] Teaching

Changes as of 01.01.2024

Transfer file AQC 2024 (no changes compared to 2023)

Changes as of 01.01.2023

Transferfile AQC 2023

Changes as of 13.10.2022
  • The option “M1c” has been added to the field [110 60] “M stage”.

Changes as of 01.01.2022

Transferfile AQC 2022

  • The codes from the Elixhauser Index were integrated into the [60 66] “Preoperative risks” field. The following code changes were made (the complete code list can be found in the TRSF 2022):
    • New codes:
      • 61 Other paresis/paralysis11 EX [11] Cardiac arrhythmia
      • 12 EX [12] Valvular heart disease
      • 13 EX [13] Pulmonary art. Hypertension or similar.
      • 15 EX [15] Art. Hypertension, uncomplicated
      • 16 EX [16] Art. Hypertension, complicated
      • 19 EX [19] COPD (CI1)
      • 632 Other chronic lung disease (CI1)
      • 651 Ulcer disease with bleeding (K27.9) (CI1)
      • 652 Ulcer disease without bleeding (K27.9) (CI1)
      • 22 EX [22] Hypothyroidism
      • 34 EX [34] Fluid/electrolyte disorders
      • 35 EX [35] Loss anemia
      • 36 EX [36] Deficiency anemia
      • 32 EX [32] Obesity
      • 33 EX [33] Weight loss
      • 39 EX [39] Psychosis
      • 40 EX [40] Depression
      • 1041 Psychiatric illness
      • 18 EX [18] Other neurological diseases
    • Codes that no longer exist:
      • 63 Chronic lung disease (CI1)
      • 65 Ulcer disease (K27.9) (CI1)
      • 104 Neurologic/psychatr. Disease
  • The field [901 50] “Complications intraop. Severity” was replaced by a new field [17376 52] “Complications intraop. Severity Classintra” has been replaced. The codes are new:
Degree Code to be transmitted
Grade 0 245
Grade I 600
Grade II 601
Grade III 602
Grade IV 603
Grade V 604
  • The fields of the EuroQol questionnaire will be changed from EuroQol 3D to EuroQol 5D as of 01.01.2022.

Changes HSM

  • The new calculated field [17681 108] “VisHSM FollowUp survey required? (system)” has been added for a better overview of follow-ups.
  • Restructuring of FollowUps: Only relevant FollowUps are now shown and hidden. At the same time, the new field [17608 551] “Reason for death” must be filled in for 30-day mortality.

Changes SMOB

  • New codes have been implemented for the [17561 2000] “SMOB Op-Code 2022” field:
    • 9011 “Endoscopic sleeve gastroplasty primary” (text adaptation)
    • 9012 “Endoscopic sleeve gastroplasty revision” (new)
    • 9013 “Endoscopic revision anastomosis after surgical intervention” (new)
  • The field [17667 8748] “Metabolic Surgery” has now been implemented in the intervention level. If metabolic surgery was performed, this can be documented from 2022.

Changes as of 01.01.2021

Transferfile AQC 2021

  • From 2021, the field [1973 3334] “CRM unknown” (checkbox) will be replaced with the field [15521 6474] “CRM unknown or not applicable?” (dropdown) with the codes [9] “CRM unknown” and [0] “CRM not applicable”.

Changes during the year 2020

Transferfile AQC 2020 (24.02.2020)

  • The field [109 59] “N stage” was expanded to include the values N3a and N3b.

  • The value U07.1 (COVID-19) was added to the field [8060 45] “Main diagnosis”.

  • The value U07.1 (COVID-19) was added to the field [8061 368] “Additional diagnosis”.

  • The value U07.1 (COVID-19) was added to the field [8062 47] “Secondary diagnosis”.

Changes as of 01.01.2020

Transferfile AQC 2020

Attention: Due to an unfortunate bug, the codes displayed in the transfer file for the fields

– 126] “Complications intraoperative type”

– 51] “Complications of a case-related nature”

– 127] “Complications postoperative type”

not. Please use the following files as a basis for the codes:

–

Complication list AQC 2020

–

List of complications AQC 2020

*This bug has been fixed. The transfer files are complete again.

Changes to HSM
The following changes have been made to the VisHSM filter as of 01.01.2020:

– Change as of 15.07.2020: in the category “Case-related general complications”, the type of complication can now be entered as free text. The field “[4919] Type of complication (for Clavien-Dindo)” is available for this purpose. This new field is optional. The field “[51] Complications case-related type” has been removed.

– The field [2961] “Distance from ano unknown” is no longer available and is deleted

– The field [2973] “Date of start of adjuvant chemotherapy” for malignant pancreas becomes optional. (However, the field “[2972] Adjuvant chemotherapy” remains mandatory).

– For the field “[2951] Date of tumor diagnosis”, the following now applies: Both the removal, receipt or exit date in the pathology report are correct. At the same time, the information in the Watch&Wait area is required from 2020

– The relevant CHOP and ICD codes remain unchanged compared to 2019

– Side of main treatment [556] : Field has been completely removed.

– M stage [60] : From 01.01.2020, the value Mx is no longer valid.

Changes to SMOB
The following changes will be made to the SMOB filter as of 01.01.2020:

• Aufgrund der als SMOB-Operation anerkannten CHOP-Codes “44.31.41 Roux-en-Y-Magenbypass, offen chirurgisch” und “44.31.42 Roux-en-Y-Magenbypass, laparoskopisch” werden die neuen, nicht als komplex zählenden SMOB-Codes “2003 Roux-en-Y-Magenbypass, offen chirurgisch” und “2004 Roux-en-Y-Magenbypass, laparoskopisch” eingeführt.
• Zudem wurde schon dieses Jahr der Code “9011 Endoskopische Nahtverfahren” als bloss interessierender SMOB-Code eingeführt.
Details zu den SMOB-Codes und Transcodierungen zu CHOP-Codes finden Sie unter
https://adjumed.com/download/projekte/smob/code1911Bauknecht_AQC-CHOP_Codes_Bariatrie_ab_2020_zum_verteilen.xlsx

General changes (AQC, HSM, SMOB etc.)
– An automatically filled department entry date (field 6779) is introduced so that the entry date (field 363) is clearly related to the hospital entry date. The same happens with the discharge date (hospital field 16 / department field 6780).
– The complications in the fields “Complications case-related type” (field 51), “Complications intraoperative type” (field 126) and “Complications postoperative type” (field 127) have been “streamlined” and reorganized.

2019: changes during the year

MoMo filter

The new filter for MoMo conferences (morbidity and mortality conferences) is now available to all AQC participants. MoMo conferences are an important tool in connection with unusual courses of treatment or unexpected deaths and are intended to facilitate controls, knowledge exchange and improvements. This filter provides you with a file manager that supports the simple uploading and downloading of any files. This gives you instant access to the relevant electronic patient records while discussing a case.

We would like to thank Prof. David Schwappach from the Foundation for Patient Safety for his valuable input. We look forward to supporting the FMCH in its 2019 / 2020 action plan and to promoting and further developing the MoMo conference as an instrument for improving patient safety.

2019 annual adjustment

Transferfile 2019

Transferfile AQC 2019

No changes to the questionnaire from 2018 to 2019. Please note that the CHOP codes 2019 and the ICD codes 2018 are valid from 01.01.2019.

2018 during the year

Changes to the French translations of principal, additional and secondary diagnoses (06.11.2018)

  • The fields with the field numbers 45 (main diagnosis), 368 (additional diagnosis) and 47 (secondary diagnosis) can now be better distinguished in French.

New surgical code for non-Thor1 procedures (20.9.2018)

  • There is now the code 00.00 “no thor1 procedure (but thor1 case)” in the SIWF thoracic surgery operation codes field.
    This is required to record cases with multiple procedures but only one anatomical resection.

Changes to HSM examinations in general (18.08.2018)

  • Field no. 2951 “Date of tumor diagnosis” and field no. 1302 “Date of first tumor board” now each have their own “unknown” checkbox. The new checkbox no. 1729 “Date of tumor board unknown / no tumor board” has been introduced for this purpose.
    The change affects the HSM questionnaire 2018 and is effective immediately. There is no effect on cases that have already been entered.

2018 annual adjustment

Transferfile 2018

Transferfile AQC 2018

General adjustments

  • Field no. 9 “Stay before admission”; level A0 (case statistics)
    • New codes 55, 66, 83, 84
    • For details see TRSF (Transferfile)
  • Field no. 42 “Stay after discharge”; level A0 (case statistics)
    • New codes 44, 55, 66
    • For details see TRSF (Transferfile)
  • New optional field no. 555 “Side of main diagnosis”; level A0 (case statistics)
    • For details see TRSF (Transferfile)
  • New optional field no. 556 “Side of main treatment”; level A2 (intervention)
    • For details see TRSF (Transferfile)

Adjustments HSM

General changes to VisHSM
  • Field 3010 “HSM OP Code”
    • Additional surgery code “Z45.95.11: Small bowel anus anastomosis with formation of a reservoir” is now assigned to VIS 1.5 (Deep rectal resection) (without combination with ICD)
  • New field 1776 “Date end of neo-adjuvant therapy”
    • Must also be completed in the case of neo-adjuvant therapy.
    • In addition, new field 456 “Date end of neo-adjuv. therapy unknown”, if date unknown.
  • New field 454 “Date of death unknown”
  • New field 459 “Date start of adjuv. chemotherapy unknown”
  • Field 2775 “Study/registry number”
    • Alphanumeric values are now also accepted
  • Field 2776 “Date of tumor board decision”
    • Used by W&W as the entry date. Adjumed requires a date for case identification due to the system
  • Field 42 “Stay after leaving”
    • Codes 4, 44, 7, 10, 30 have been hidden
  • System field 3008 “HSM case type (system)”: Extended by the codes
    • “11 Rectal proctocolectomy”
    • “12 Rectal malignant disease” (as a differentiation of the previous code 1).
    • System fields do not have to be transmitted, but are filled in automatically by us.
  • System field 3823 “HSM intervention type (system)”: Extended by the codes:
    • “11 Rectal proctocolectomy”
    • “12 Rectal malignancy”.
    • System fields do not have to be transmitted, but are filled in automatically by us.
Changes to HSM tests in general
  • Field 2960 “Distance from ano (rigid rectoscopy) (cm)”: new with min/max 0-12
  • Field 64 “Number of lymph nodes affected” must not be larger than field 63 “Lymph nodes removed”
  • IF field 64 “Number of lymph nodes affected” = 0, THEN field 59 “N stage” must be N0 (and not N1 or N2)
  • IF field 59 “N stage” = N0, THEN field 64 “Number of lymph nodes affected” must not be unequal to 0
  • IF field 889 “Clavien-Dindo complication” = V, THEN field 2956 “30-day mortality” must be 1 (yes). In this case, a date of death (field 2957 “Date of death”) must also be entered (or date of death unknown is checked). [At the moment this is only reported as information and not as an error, as clarification is still ongoing].
  • IF field 3823 “HSM procedure type (system):” = [2] pancreas AND 3007 “malignant or benign (pancreas)” = 1 (malignant)
    THEN field 2973 “Date start of adjuvant chemotherapy” >= 100 “Operation date” must be
  • IF field 3823 “HSM procedure type (system)” = [3] liver AND field 3005 “malignant or benign (liver)” = 1 (malignant) AND 2977 “resection margin (liver)” = 0
    THEN field 61 “Surgical resection” must be ≠ R0
  • IF field 2958 “Histological tumor type” = [1] adenocarcinoma, [2] squamous cell carcinoma
    THEN field 3007 “malignant or benign (pancreas)” ≠ [2] benign
    field 3005 “malignant or benign (liver)” ≠ [2] benign
    field 3006 “malignant or benign (esophagus)” ≠ [2] benign
  • IF field 2968 “CRM (circumferential resection margin) (mm)” >= 1
    THEN field 61 “Surgical resection” must be R0
  • IF field 2968 “CRM (circumferential resection margin) (mm)” <1
    THEN field 61 “Surgical resection” must be ≠ R0
Changes to Watch&Wait checks
  • Field no. 16: “Leaving date” not a mandatory field for Watch&Wait
  • Field no. 30 : “Body weight (kg)” not a mandatory field for Watch&Wait
  • Field no. 32: “Height (cm)” not a mandatory field for Watch&Wait
  • Field no. 42: “Stay after leaving” not a mandatory field for Watch&Wait
  • Field no. 66: “Preoperative risks” not a mandatory field for Watch&Wait
  • Field no. 362 : “ASA risk level” not a mandatory field for Watch&Wait
  • Field no. 889: “Highest degree of all complications according to Clavien-Dindo” not a mandatory field for Watch&Wait
  • Field no. 2956: “30-day mortality” not a mandatory field for Watch&Wait
  • Field no. 2995: “Re-Operation same Hosp.” not a mandatory field for Watch&Wait

Adjustments SMOB

No changes from 2017 to 2018.

2017 annual adjustment

Transferfile 2017

Transferfile AQC 2017

General adjustments

  • “Clinic statistics” will be called “case statistics” in future
  • Show old codes again for the preoperative risks
    :
    • 143 Alcohol abuse
    • 144 Nicotine abuse
    • 145 Drug abuse i.v. / medication
  • C. Antibiotic prophylaxis/therapy [35] new optional
  • Thromboembolism prophylaxis/therapy [36] new optional
  • Case-related complications: Code 447 now only “urinary retention”

OP statistics

  • Laparoscopy/endoscopy [77] now mandatory with new / renamed codes:
    • 650 Minimally invasive procedure
    • 651 Conversion minimalinv
    • 652 open intervention
    • 653 Computer-assisted intervention
    • 654 Computer-aided conversion
    • 655 Microsurgical procedure
  • Number of FFP intraop. [125] new optional
  • Number of EC conc. intraop. [123] new optional
  • Type of transfusion [131] new optional

Adjustments HSM

  • New: Watch-and-wait field in the operations section with the consequences for the tests.
  • Proctocolectomy: Differentiated examinations of the rectal fields.

Adjustments SMOB

No adjustments from 2016 to 2017.

2016 annual adjustment

Transferfile 2016

Transferfile AQC 2016

General adjustments

  • Extension of field: “[71] Patient was informed about this statistic” by
    • [2] Active consent
    • [9] unknown
  • Extension of field: “[58] T-stage” by
    • [T1a]
    • [T1b]
    • [T2a]
    • [T2b]
    • [T3a]
    • [T3b]
  • Extension of field: “[60] M stage” by
    • [M1a]
    • [M1b]

Adjustments HSM

Adjustments SMOB

No adjustments from 2015 to 2016.

2015 annual adjustment

Transferfile 2015

Transferfile AQC 2015

General adjustments

No adjustments from 2014 to 2015.

Adjustments HSM

  • New field: [3490] HSM index operation
  • New field: [3495] HSM Completed (system)
  • New check: HSM index operation may only be set once per case
  • New check: If HSM filter successfully checked, HSM Completed is set to “Yes” (even if the case is still “pending” due to other projects).
  • New check: [2996] Anastomotic insufficiency (rectum) subsequently changed to mandatory field
  • New check: [118] 1. assist. Operator no. subsequently changed to mandatory field

Adjustments SMOB

No adjustments from 2014 to 2015.

Adjustments before 2015

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