Change Request

NHS Information Authority

Data Standards Programme

Reference: Change Request 289
Version No:1.11
Subject:DSCN 53/2002 - National Cancer Data Set
Type of Change:Revision of NHS data standards
Effective Date:1 January 2003
Reason for Change:Integration of the National Cancer Data set into the NHS Data Dictionary Version.2

Background:

The National Cancer Data Set Project, run by the NHS Information Authority, has produced a set of data items relating to the diagnosis and management of cancer.

The purpose of the National Cancer Minimum Data Set is to advise organisations within the National Health Service on a transferable set of data. These data will meet the needs of clinical audit, assist in the generation of National Performance Indicators and will allow outcome assessment.

Data Standards to support parts of the National Cancer Data Set have been released earlier, in the following DSCNs:
10/2002 Data Standards: Radiotherapy Treatments
23/2002 Data Standards: Chemotherapy HRGs
30/2002 Data Standards: change to Monitoring of the Cancer Waiting Times

More information about the project and the Data Set can be found at:

http://nww.nhsia.nhs.uk/cancer/pages/default.asp

This DSCN defines the NHS data standards to support Version 1.3_ISB of the core data set.

The following National Cancer Data Set items are supported by the NHS Data Dictionary Version.2 logical model but the data item notes have not been defined as the exact format for transmission is still under discussion:

DRUG DOSAGE AND ADMIN SPECIFICATION
DRUG IDENTIFICATION (ANTI-CANCER DRUG FRACTION)
DRUG IDENTIFICATION (DOSES PER DAY) these three data items are already supported;

CO-MORBIDITY INDEX FOR ADULTS
RADIOTHERAPY ANATOMICAL TREATMENT SITE these two items are modelled in this paper.

Version 1.3_ISB of the Data Set also includes site specific data items to support seven types of cancer: Breast, Colorectal, Lung, Head & Neck, Urological, Upper Gastro-Intestinal and Gynaecological. These are defined in DSCN 54/2002.

Summary of changes:
 
Class Definitions
ADDRESS ASSOCIATION   Change to attributes
ANTI-CANCER DRUG PROGRAMME   Change to attributes
ANTI-CANCER DRUG PROGRAMME   Change to relationships
BODY SURFACE AREA   New Class
CANCER CARE PLAN   Change to description
CANCER CARE PLAN   Change to attributes
CANCER CARE PLAN   Change to relationships
CANCER CARE SPELL   Change to description
CANCER CARE SPELL   Change to relationships
CANCER CLINICAL STATUS ASSESSMENT   New Class
CANCER CLINICAL TRIAL   New Class
CANCER SITE SPECIFIC STAGING   New Class
CANCER TNM STAGING   New Class
CARE SPELL   Change to attributes
CARE SPELL   Change to relationships
CLINICAL INTERVENTION   Change to relationships
CLINICAL INVESTIGATION SERVICE PROVIDER   Change to relationships
CO-MORBIDITY INDEX FOR ADULTS   New Class
CONSULTANT   Change to description
CONSULTANT   Change to relationships
CONSULTANT REFERRAL REQUEST   Change to relationships
DAY CARE ATTENDANCE   Change to description
DAY CARE SESSION   Change to relationships
DEATH CAUSE   New Class
DISPENSED ITEM   Change to relationships
DRUG TREATMENT   Change to relationships
GENERAL MEDICAL PRACTITIONER REGISTRAR   Change to description
GENERAL PRACTITIONER   Change to description
HEALTH CARE PRACTITIONER   Change to name
HEALTH CARE PRACTITIONER   Change to aliases
HEALTH CARE PRACTITIONER   Change to relationships
HEALTH CARE PRACTITIONER INVOLVEMENT   Change to name
HEALTH CARE PRACTITIONER INVOLVEMENT   Change to description
HEALTH CARE PRACTITIONER INVOLVEMENT   Change to relationships
HEALTH CARE PROVIDER   Change to relationships
HEIGHT   New Class
HONOS SCORE FOR PERSON   Change to description
HONOS SCORE FOR PERSON   Change to relationships
IMAGING OR RADIODIAGNOSTIC EVENT   Change to attributes
ITEM OF SERVICE DELIVERY ROLE   Change to description
ITEM OF SERVICE DELIVERY ROLE   Change to relationships
MENTAL HEALTH CARE SPELL   Change to attributes
MIDWIFE   Change to description
NURSE   Change to description
OPHTHALMIC MEDICAL PRACTITIONER   Change to description
OPHTHALMIC OPTICIAN   Change to description
ORGANISATION   Change to relationships
OTHER REFERRAL REQUEST   Change to relationships
PATHOLOGY LAB INVESTIGATION RESULT ITEM   Change to attributes
PATIENT   Change to relationships
PATIENT CLINICAL TRIAL STATUS   New Class
PATIENT DIAGNOSIS   Change to attributes
PATIENT PROCEDURE   Change to relationships
PERFORMANCE STATUS   New Class
PERSON   Change to attributes
PERSON   Change to relationships
PERSON CHARACTERISTIC   Change to relationships
PERSON DEATH DETAILS   New Class
PERSON OBSERVATION   Change to description
PERSON OBSERVATION   Change to relationships
PRESCRIPTION   Change to relationships
RADIOLOGY INVESTIGATION PLAN   Change to relationships
RADIOTHERAPY TREATMENT COURSE   Change to attributes
RADIOTHERAPY TREATMENT COURSE   Change to relationships
REFERRAL REQUEST   Change to attributes
REFERRAL REQUEST   Change to relationships
RENAL FUNCTION   New Class
REQUEST FOR DIAGNOSTIC TEST   Change to relationships
REQUEST FOR PATHOLOGY INVESTIGATION   Change to attributes
SERVICE PROVIDED   Change to attributes
SERVICE REPORT COPY   Change to relationships
SERVICE REPORT HEADER   Change to relationships
TELETHERAPY TREATMENT COURSE   Change to description
TELETHERAPY TREATMENT COURSE   Change to attributes
TREATMENT RELATED MORBIDITY   New Class
WEIGHT   Change to description
 
Attribute Definitions
ANATOMICAL EXAMINATION SITE   New Attribute
BASIS OF DIAGNOSIS   New Attribute
BRACHYTHERAPY DELIVERY TYPE   Change to description
BRACHYTHERAPY DOSE RATE   Change to description
BRACHYTHERAPY ISOTOPE TYPE   Change to description
CANCER CARE PLAN INTENT   New Attribute
CANCER CLINICAL TRIAL IDENTIFIER   New Attribute
CANCER CLINICAL TRIAL TREATMENT TYPE   New Attribute
CANCER IMAGING MODALITY   New Attribute
CANCER MARKER LYMPH NODE STATUS   New Attribute
CANCER STAGING TYPE   New Attribute
CANCER TREATMENT INTENT   New Attribute
CANCER VASCULAR OR LYMPHATIC INVASION   New Attribute
CLAIMING GMP RELATIONSHIP   Change to description
CLINICAL STATUS ASSESSMENT DATE   New Attribute
CREATININE CLEARANCE   New Attribute
DEATH CAUSE CANCER   New Attribute
DEATH CAUSE CODE   New Attribute
DEATH CAUSE IDENTIFICATION METHOD   New Attribute
DEATH CAUSE TYPE   New Attribute
DEATH CODE DISCREPANCY ORIGINATOR   New Attribute
DEATH LOCATION TYPE   New Attribute
DEFINITIVE DIAGNOSIS   New Attribute
DRUG PROGRAMME RESPONSE   New Attribute
DRUG TREATMENT INTENT   New Attribute
EXCISION MARGIN   New Attribute
GRADE OF DIFFERENTIATION   New Attribute
HONOS SCORE DATE   Change to description
INVASIVE LESION SIZE   Change to description
MARKER RESPONSE STATUS   New Attribute
METASTATIC STATUS   New Attribute
MORBIDITY CODE   New Attribute
NO CANCER TREATMENT REASON   New Attribute
NODAL STATUS   New Attribute
NODES EXAMINED NUMBER   New Attribute
NODES POSITIVE NUMBER   New Attribute
PATIENT TRIAL STATUS   New Attribute
PERSON BODY SURFACE AREA   New Attribute
PLANNED TREATMENT CHANGE REASON   New Attribute
PRESCRIPTION DATE   Change to description
PRIMARY TUMOUR STATUS   New Attribute
RADIOTHERAPY ANATOMICAL TREATMENT SITE   New Attribute
RECORDED HEIGHT   New Attribute
RECURRENCE INDICATOR   New Attribute
SERVICE REPORT STATUS   Change to description
SITE SPECIFIC STAGING CLASSIFICATION   New Attribute
SOURCE OF REFERRAL FOR CANCER   New Attribute
SPECIALIST HIV SKILLS AVAILABLE   Change to description
SPECIALIST REGISTRAR FLAG   Change to description
SPECIMEN NATURE   New Attribute
STAGING CERTAINTY FACTOR   New Attribute
SYNCHRONOUS TUMOUR INDICATOR   New Attribute
TELETHERAPY ACTUAL FRACTIONS   New Attribute
TELETHERAPY BEAM TYPE   Change to description
TELETHERAPY ELECTRON ENERGY   Change to description
TELETHERAPY FIELDS   Change to description
TELETHERAPY PHOTON ENERGY   Change to description
TNM TYPE   New Attribute
TREATMENT TYPE   New Attribute
UNSEALED SOURCE ISOTOPE TYPE   Change to description
 
Data Elements
ANATOMICAL EXAMINATION SITE   New DataElement
ANTI-CANCER DRUG CYCLE IDENTIFIER   New DataElement
BASIS OF DIAGNOSIS (CANCER)   New DataElement
BRACHYTHERAPY DELIVERY TYPE   New DataElement
BRACHYTHERAPY DOSE RATE   New DataElement
BRACHYTHERAPY ISOTOPE TYPE   New DataElement
BRACHYTHERAPY PRESCRIBED FRACTIONS   New DataElement
BRACHYTHERAPY TYPE   New DataElement
CANCER CARE PLAN INTENT   New DataElement
CANCER CLINICAL TRIAL TREATMENT TYPE   New DataElement
CANCER IMAGING MODALITY   New DataElement
CANCER TREATMENT INTENT   New DataElement
CANCER VASCULAR OR LYMPHATIC INVASION   New DataElement
CARE PLAN AGREED DATE   New DataElement
CARE SPELL IDENTIFIER   New DataElement
CLINICAL INTERVENTION DATE (CANCER IMAGING)   New DataElement
CLINICAL STATUS ASSESSMENT DATE (CANCER)   New DataElement
CONSULTANT CODE (PATHOLOGIST)   New DataElement
CREATININE CLEARANCE   New DataElement
DAY NUMBER (ANTI-CANCER DRUG CYCLE)   New DataElement
DEATH CAUSE CANCER   New DataElement
DEATH CAUSE CODE (CONDITION)   New DataElement
DEATH CAUSE CODE (IMMEDIATE)   New DataElement
DEATH CAUSE CODE (SIGNIFICANT)   New DataElement
DEATH CAUSE CODE (UNDERLYING)   New DataElement
DEATH CAUSE IDENTIFICATION METHOD   New DataElement
DEATH CODE DISCREPANCY ORIGINATOR   New DataElement
DEATH DATE   New DataElement
DEATH LOCATION TYPE   New DataElement
DIAGNOSIS DATE (CANCER)   New DataElement
DRUG PROGRAMME RESPONSE   New DataElement
DRUG REGIMEN ACRONYM   New DataElement
DRUG THERAPY TYPE   New DataElement
DRUG TREATMENT INTENT   New DataElement
DURATION OF ANTI-CANCER DRUG CYCLE   New DataElement
DURATION OF BRACHYTHERAPY TREATMENT COURSE   New DataElement
DURATION OF TELETHERAPY TREATMENT COURSE   New DataElement
END DATE (BRACHYTHERAPY TREATMENT COURSE)   New DataElement
END DATE (TELETHERAPY TREATMENT COURSE)   New DataElement
EXCISION MARGIN   New DataElement
GRADE OF DIFFERENTIATION   New DataElement
GRADE OF DIFFERENTIATION (AT DIAGNOSIS)   New DataElement
HISTOLOGY (SNOMED)   New DataElement
INVASIVE LESION SIZE   New DataElement
INVASIVE LESION SIZE (RADIOLOGICAL DETERMINATION)   New DataElement
INVESTIGATION RESULT DATE   New DataElement
MARKER RESPONSE STATUS   New DataElement
M CATEGORY (FINAL PRETREATMENT)   New DataElement
M CATEGORY (INTEGRATED STAGE)   New DataElement
M CATEGORY (PATHOLOGICAL)   New DataElement
METASTATIC STATUS   New DataElement
MORBIDITY CODE (CANCER SURGERY)   New DataElement
MORBIDITY CODE (CHEMOTHERAPY)   New DataElement
MORBIDITY CODE (COMBINATION)   New DataElement
MORBIDITY CODE (RADIOTHERAPY)   New DataElement
N CATEGORY (FINAL PRETREATMENT)   New DataElement
N CATEGORY (INTEGRATED STAGE)   New DataElement
N CATEGORY (PATHOLOGICAL)   New DataElement
NO CANCER TREATMENT REASON   New DataElement
NODAL STATUS   New DataElement
NODES EXAMINED NUMBER   New DataElement
NODES POSITIVE NUMBER   New DataElement
ORGANISATION CODE (OF REPORTING PATHOLOGY)   New DataElement
ORGANISATION CODE (RESPONSIBLE PCT)   New DataElement
PATHOLOGY INVESTIGATION TYPE   New DataElement
PATIENT FAMILY OR SURNAME   New DataElement
PATIENT FAMILY OR SURNAME (AT BIRTH)   New DataElement
PATIENT FOLLOW-UP STATUS (CANCER)   New DataElement
PATIENT FORENAME OR PERSONAL NAME   New DataElement
PATIENT TRIAL STATUS (CANCER)   New DataElement
PATIENT USUAL ADDRESS (AT DIAGNOSIS)   New DataElement
PERFORMANCE STATUS (ADULT)   New DataElement
PERSON BODY SURFACE AREA (PRETREATMENT)   New DataElement
PLANNED CANCER TREATMENT TYPE   New DataElement
PLANNED TREATMENT CHANGE REASON   New DataElement
POSTCODE OF USUAL ADDRESS (AT DIAGNOSIS)   New DataElement
PRIMARY TUMOUR STATUS   New DataElement
RADIOTHERAPY ACTUAL DOSE   New DataElement
RADIOTHERAPY ANAESTHETIC   New DataElement
RADIOTHERAPY PRESCRIBED DOSE   New DataElement
RADIOTHERAPY PRESCRIBED DURATION   New DataElement
RECORDED HEIGHT (CANCER DRUG TREATMENT)   New DataElement
RECORDED WEIGHT (CANCER DRUG TREATMENT)   New DataElement
RECURRENCE INDICATOR   New DataElement
REFERRER CODE   Change to description
SAMPLE RECEIPT DATE   New DataElement
SERVICE REPORT IDENTIFIER   New DataElement
SERVICE REPORT STATUS   New DataElement
SITE CODE (OF BRACHYTHERAPY)   New DataElement
SITE CODE (OF CANCER DRUG TREATMENT)   New DataElement
SITE CODE (OF IMAGING)   New DataElement
SITE CODE (OF SURGERY)   New DataElement
SITE CODE (OF TELETHERAPY)   New DataElement
SITE SPECIFIC STAGING CLASSIFICATION   New DataElement
SOURCE OF REFERRAL FOR CANCER   New DataElement
SPECIMEN NATURE   New DataElement
STAGING CERTAINTY FACTOR (M CATEGORY)   New DataElement
STAGING CERTAINTY FACTOR (N CATEGORY)   New DataElement
STAGING CERTAINTY FACTOR (T CATEGORY)   New DataElement
STAGING CERTAINTY FACTOR (TNM CATEGORY)   New DataElement
START DATE (ANTI-CANCER DRUG FRACTION)   New DataElement
SYNCHRONOUS TUMOUR INDICATOR   New DataElement
T CATEGORY (FINAL PRETREATMENT)   New DataElement
T CATEGORY (INTEGRATED STAGE)   New DataElement
T CATEGORY (PATHOLOGICAL)   New DataElement
TELETHERAPY ACTUAL FRACTIONS   New DataElement
TELETHERAPY BEAM ENERGY   New DataElement
TELETHERAPY BEAM TYPE   New DataElement
TELETHERAPY COMPLEXITY GROUP   New DataElement
TELETHERAPY FIELDS   New DataElement
TELETHERAPY MULTIPLE PLANNING   New DataElement
TELETHERAPY PRESCRIBED FRACTIONS   New DataElement
TMN CATEGORY (FINAL PRETREATMENT)   New DataElement
TMN CATEGORY (INTEGRATED)   New DataElement
TMN CATEGORY (PATHOLOGICAL)   New DataElement
TREATMENT COURSE STATUS   New DataElement
TREATMENT TYPE (CANCER MORBIDITY)   New DataElement
TREATMENT TYPE SEQUENCE   New DataElement
UNSEALED SOURCE PATIENT TYPE   New DataElement
 
Diagrams
NCDS1 NATIONAL CANCER DATA SET PART 1   New Diagram
NCDS2 NATIONAL CANCER DATA SET PART 2   New Diagram
NCDS3 NATIONAL CANCER DATA SET PART 3   New Diagram
 
Supporting Information
AD010   Change to supporting information
CC010   Change to supporting information
CL010   Change to supporting information
CL020   Change to supporting information
HP010   Change to supporting information
HP240   Change to supporting information
HP350   Change to supporting information
HP360   Change to supporting information
MS010   Change to supporting information
MS020   Change to supporting information
NATIONAL CANCER DATA SET DIAGRAM CLASS DEFINITIONS   New WebPage
PC010   Change to supporting information
PC020   Change to supporting information
PC100   Change to supporting information
PC120   Change to supporting information
PRACTITIONER CODES   Change to supporting information
 
Packages
NATIONAL CANCER DATA SET   New ClassDiagram

Name:Barbara Fogarty
Date:24 January 2003
Sponsor:Data Standards Team

Note: Additions shown in highlighted with a blue background. Deletions are shown using strikeout.


ADDRESS ASSOCIATION

Change to Class: change to attributes

Attributes of this Class are:
KADDRESS ASSOCIATION TYPE
OEND DATE
START DATE


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ANTI-CANCER DRUG PROGRAMME

Change to Class: change to attributes

Attributes of this Class are:
KANTI-CANCER DRUG PROGRAMME IDENTIFIER
DRUG PROGRAMME RESPONSE
DRUG THERAPY TYPE
DRUG TREATMENT INTENT
OEND DATE
PLANNED TREATMENT CHANGE REASON
START DATE


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ANTI-CANCER DRUG PROGRAMME

Change to Class: change to relationships

Each ANTI-CANCER DRUG PROGRAMME
Kmust be provided in one and only one CANCER CARE SPELL
must be the responsibility of one and only one CONSULTANT
must be managed by one and only one HEALTH CARE PROVIDER
may be comprised of one or more ANTI-CANCER DRUG REGIMEN
may be part of one and only one SERVICE PROVIDED


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BODY SURFACE AREA

Change to Class: New Class

BODY SURFACE AREA

A type of PERSON OBSERVATION.

The surface area of a PERSON's skin, used to calculate doses of chemotherapy drugs.

References:
National Cancer Data Set Version 1.3_ISB October 2002



This class is also known by these names:
ContextAlias
pluralBODY SURFACE AREAS

Attributes of this Class are:
PERSON BODY SURFACE AREA

This class has no relationships.


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CANCER CARE PLAN

Change to Class: change to description

A type of CARE PLAN.

A CARE PLAN developed within a CANCER CARE SPELL. There should be at least one PLANNED CANCER TREATMENT recorded within a CANCER CARE PLAN.

References: National Cancer Data Set Version 1.1_ISB October 20013_ISB October 2002



This class is also known by these names:
ContextAlias
pluralCANCER CARE PLANS


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CANCER CARE PLAN

Change to Class: change to attributes

Attributes of this Class are:
CANCER CARE PLAN INTENT
OMULTIDISCIPLINARY TEAM DISCUSSION DATE
ONO CANCER TREATMENT REASON
RECURRENCE INDICATOR


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CANCER CARE PLAN

Change to Class: change to relationships

Each CANCER CARE PLAN
must be a plan originated by decision to treat for by one and only one one and only one HEALTH CARE PROVIDER
may be the plan related to one or more CANCER CLINICAL STATUS ASSESSMENT
may be a plan with one or more PLANNED CANCER TREATMENT


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CANCER CARE SPELL

Change to Class: change to description

A type of CARE SPELL.

The period of time during which a PATIENT who has been diagnosed as suffering from a single site primary cancer may receive care. The CANCER CARE SPELL starts on the date of the REFERRAL REQUEST from whatever source to the specialist team. It ends when the PATIENT dies.

A recurrence of the original primary cancer at a secondary site is part of the same CANCER CARE SPELL.

If a PATIENT has another primary cancer this will be a new CANCER CARE SPELL.

The CANCER CARE SPELL may only involve diagnostic procedures leading to a diagnosis, for example in cases where the patient refuses treatment, or it may include treatment and follow-up.

References:
National Cancer Data Set Version 1.2 December 20013_ISB October 2002



This class is also known by these names:
ContextAlias
pluralCANCER CARE SPELLS


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CANCER CARE SPELL

Change to Class: change to relationships

Each CANCER CARE SPELL
must be a spell for one and only one PATIENT
must be initiated as a result of one and only one REFERRAL REQUEST
may be the context for one or more ANTI-CANCER DRUG PROGRAMME
may be subject to one or more CANCER CLINICAL STATUS ASSESSMENT
may be associated with one or more PATIENT CLINICAL TRIAL STATUS


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CANCER CLINICAL STATUS ASSESSMENT

Change to Class: New Class

CANCER CLINICAL STATUS ASSESSMENT

The assessment of a PATIENT's clinical condition. This may take place at a review point within the PATIENT's CANCER CARE PLAN or may be required if the patient's condition changes during treatment, for example if the patient reports toxicity as a result of treatment.

References:
National Cancer Data Set Version 1.3_ISB October 2002



This class is also known by these names:
ContextAlias
pluralCANCER CLINICAL STATUS ASSESSMENTS

Attributes of this Class are:
KCLINICAL STATUS ASSESSMENT DATE
MARKER RESPONSE STATUS
METASTATIC STATUS
NODAL STATUS
OPRIMARY TUMOUR STATUS

Each CANCER CLINICAL STATUS ASSESSMENT
Kmust be an assessment during one and only one CANCER CARE SPELL
may be an assessment of treatment provided in the context of one and only one CANCER CARE PLAN
may be an assessment which includes one or more TREATMENT RELATED MORBIDITY


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CANCER CLINICAL TRIAL

Change to Class: New Class

CANCER CLINICAL TRIAL

A programme whereby clinical treatment related to cancer is monitored and controlled for research purposes.

References:
National Cancer Data Set Version 1.3_ISB October 2002



This class is also known by these names:
ContextAlias
pluralCANCER CLINICAL TRIALS

Attributes of this Class are:
KCANCER CLINICAL TRIAL IDENTIFIER
CANCER CLINICAL TRIAL TREATMENT TYPE

Each CANCER CLINICAL TRIAL
may be the trial for which there are one or more PATIENT CLINICAL TRIAL STATUS


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CANCER SITE SPECIFIC STAGING

Change to Class: New Class

CANCER SITE SPECIFIC STAGING

A type of CLINICAL CLASSIFICATION.

A classification of the stage of a cancer using a site specific coding frame, for example Dukes for colorectal cancer.

References:
National Cancer Data Set Version 1.3_ISB October 2002



This class is also known by these names:
ContextAlias
pluralCANCER SITE SPECIFIC STAGINGS

Attributes of this Class are:
SITE SPECIFIC STAGING CLASSIFICATION

This class has no relationships.


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CANCER TNM STAGING

Change to Class: New Class

CANCER TNM STAGING

A type of CLINICAL CLASSIFICATION.

A classification of the extent of the spread of a cancer at the time of diagnosis using the classification system published by the Union Internationale Contre Cancer (UICC). The acronym TNM relates to the three categories for which codes are recorded, the categories being Tumour, Node and Metastasis. Each category is assigned a code, together with a factor identifying the level of certainty as to the accuracy of the code.

TNM staging can occur at different places in the patient's care pathway, e.g. pre-treatment or pathological.

References:
National Cancer Data Set Version 1.3_ISB October 2002



This class is also known by these names:
ContextAlias
pluralCANCER TNM STAGINGS

Attributes of this Class are:
KCANCER STAGING TYPE
KTNM TYPE
OSTAGING CERTAINTY FACTOR

This class has no relationships.


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CARE SPELL

Change to Class: change to attributes

Attributes of this Class are:
KCARE SPELL IDENTIFIER
OCARE ASSESSMENT ONLY INDICATOR
   only if care spell has ended


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CARE SPELL

Change to Class: change to relationships

Each CARE SPELL
Kmust be for the care or assessment of one and only one PERSON
Kmay be the context for one or more PERSON OBSERVATION WITHIN CARE SPELL
may be the spell that includes one or more CARE PLAN
may be delivered as part of one and only one JOINT INVESTMENT PLAN
may be the context for one or more PALLIATIVE CARE EPISODE
may be the context for recording one or more PERSON CHARACTERISTIC
may be the responsibility of one or more RESPONSIBLE HEALTH CARE PROVIDER
may be associated with one or more SERVICE PROVIDED


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CLINICAL INTERVENTION

Change to Class: change to relationships

Each CLINICAL INTERVENTION
Kmust be associated with one and only one PATIENT
may be related to one or more CLINICAL INVESTIGATION RESULT ITEM
may be associated with one or more HEALTH CARE PRACTITIONER INVOLVEMENT
may be associated with one or more HEALTH CARE PROFESSIONAL INVOLVEMENT
may be classified by one or more INTERVENTION CLASSIFICATION ASSOCIATION
may be related to one and only one SERVICE PROVIDED


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CLINICAL INVESTIGATION SERVICE PROVIDER

Change to Class: change to relationships

Each CLINICAL INVESTIGATION SERVICE PROVIDER
must be related to one and only one CLINICAL INVESTIGATION RESULT ITEM
or must be related to one and only one RADIOLOGY INVESTIGATION PLAN
must be related to one and only one HEALTH CARE PRACTITIONER
must be related to one and only one HEALTH CARE PROFESSIONAL
or must be related to one and only one ORGANISATION


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CO-MORBIDITY INDEX FOR ADULTS

Change to Class: New Class

CO-MORBIDITY INDEX FOR ADULTS

A type of PERSON OBSERVATION.

A measure of the presence and severity of co-morbid conditions by use of a co-morbidity index.

Co-morbidity is a disease or illness affecting a patient in addition to but not as a result of their current condition. Co-morbidity for cancer should be recorded at the Multi-Disciplinary Team (MDT) meeting prior to the beginning of treatment.

A different coding system will be used for children.

References:
National Cancer Data Set Version 1.3_ISB October 2002



This class is also known by these names:
ContextAlias
pluralCO-MORBIDITY INDICES FOR ADULTS

This class has no attributes.

This class has no relationships.


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CONSULTANT

Change to Class: change to description

A type of HEALTH CARE PRACTITIONER. A type of HEALTH CARE PROFESSIONAL.

A PERSON contracted by a HEALTH CARE PROVIDER who has been appointed by a CONSULTANTS' appointment committee. He or she must be a member of a Royal College or Faculty. This includes GENERAL PRACTITIONERS in cases where a GENERAL PRACTITIONER is responsible for PATIENT care and has an arrangement with the HEALTH CARE PROVIDER. The main SPECIALTY of a GENERAL PRACTITIONER will always be General Practice. For diagnostic departments, this includes a non-medical scientist of equivalent standing (to a CONSULTANT).



This class is also known by these names:
ContextAlias
pluralCONSULTANTS


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CONSULTANT

Change to Class: change to relationships

Each CONSULTANT
must be contracted as main specialty by a provider for one and only one SPECIALTY
may be responsible for one or more ANTI-CANCER DRUG PROGRAMME
may be related to one or more CONSULTANT CLINIC
may be related to one or more CONSULTANT OUT-PATIENT EPISODE
may be related to one or more CONSULTANT REFERRAL REQUEST
may be contracted for one or more CONSULTANT SPECIALTY FUNCTION
may be related to one or more DOMICILIARY CONSULTATION
may be related to one or more ELECTIVE ADMISSION LIST ENTRY
may be responsible for one or more FACE TO FACE CONTACT OPTICAL
may be related to one or more ISOTOPE PROCEDURE DEPARTMENT
may be responsible for one or more NURSING HOME STAY (CONSULTANT CARE)
may be related to one or more OPERATING THEATRE SESSION
may be related to one or more OPERATING THEATRE SESSION
may be related to one or more PATHOLOGY DEPARTMENT
may be related to one or more PATIENT PROCEDURE
may be related to one or more PHYSIOLOGICAL MEASUREMENT DEPARTMENT
may be related to one or more RADIOLOGY DEPARTMENT
may be responsible for one or more RADIOTHERAPY TREATMENT COURSE
may be related to one or more REFERRAL REQUEST
may be related to one or more RIGHT OF ADMISSION
may be related to one or more SHARED CARE CONSULTANT
may be related to one or more SHARED CARE OUT-PATIENT CONSULTANT
may be related to one or more SHARED CLINIC CONSULTANT
may be related to one or more THEATRE CASE
may be related to one or more WARD INTENDED BED USE


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CONSULTANT REFERRAL REQUEST

Change to Class: change to relationships

Each CONSULTANT REFERRAL REQUEST
This class has no relationships.
must be made by one and only one CONSULTANT


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DAY CARE ATTENDANCE

Change to Class: change to description

One attendance, or expected attendance, by a PATIENT at a particular DAY CARE SESSION. This will either be by a regular attender or by a PATIENT currently using a hospital bed (including HOME LEAVE and LEAVE OF ABSENCE for a period of 28 days or less).

If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and during attendance at the facility is in contact with the HEALTH CARE PRACTITIONER who is their allocated Care Programme Approach key worker then a FACE TO FACE CONTACT CPA KEY WORKER should also be recorded. If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and during attendance at the facility is in contact with the HEALTH CARE PROFESSIONAL who is their allocated Care Programme Approach key worker then a FACE TO FACE CONTACT CPA KEY WORKER should also be recorded.



This class is also known by these names:
ContextAlias
pluralDAY CARE ATTENDANCES


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DAY CARE SESSION

Change to Class: change to relationships

Each DAY CARE SESSION
Kmust be related to one and only one DAY CARE FACILITY
may be related to one or more DAY CARE ATTENDANCE
may be the responsibility of one and only one HEALTH CARE PRACTITIONER
may be the responsibility of one and only one HEALTH CARE PROFESSIONAL


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DEATH CAUSE

Change to Class: New Class

DEATH CAUSE

A cause of death.

There are four types of cause of death, 'immediate cause of death', 'condition giving rise to death', 'underlying condition leading to death' and 'significant condition not directly related to death'.

The DEATH CAUSE TYPE identifies which of the causes this DEATH CAUSE refers to.



This class is also known by these names:
ContextAlias
pluralDEATH CAUSES

Attributes of this Class are:
KDEATH CAUSE CODE
KDEATH CAUSE TYPE
ODEATH CAUSE CANCER

Each DEATH CAUSE
Kmust be a cause in one and only one PERSON DEATH DETAILS


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DISPENSED ITEM

Change to Class: change to relationships

Each DISPENSED ITEM
Kmust be dispensed in response to one and only one PRESCRIPTION
must be a record of the dispensing of one and only one NHS NOTIONAL PACK SIZE
or must be a record of the dispensing of one and only one PROPRIETARY PRODUCT IN PACK
must be dispensed by one and only one HEALTH CARE PRACTITIONER
must be dispensed by one and only one HEALTH CARE PROFESSIONAL
must be dispensed to one and only one PATIENT


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DRUG TREATMENT

Change to Class: change to relationships

Each DRUG TREATMENT
must be prescribed by one and only one HEALTH CARE PRACTITIONER
must be prescribed by one and only one HEALTH CARE PROFESSIONAL
may be related to one or more DRUG DOSAGE AND ADMINISTRATION


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GENERAL MEDICAL PRACTITIONER REGISTRAR

Change to Class: change to description

A type of HEALTH CARE PRACTITIONER. A type of HEALTH CARE PROFESSIONAL.

A fully registered medical practitioner who is being trained in general practice under an arrangement approved by the Secretary of State.

References:
Statement of Fees and Allowances Payable to General Medical Practitioners in England and Wales.



This class is also known by these names:
ContextAlias
pluralGENERAL MEDICAL PRACTITIONER REGISTRARS


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GENERAL PRACTITIONER

Change to Class: change to description

A type of HEALTH CARE PRACTITIONER. A type of HEALTH CARE PROFESSIONAL.

A HEALTH CARE PRACTITIONER qualified for General Practice providing healthcare for a particular ORGANISATION; a GENERAL PRACTITIONER may act as either a GENERAL MEDICAL PRACTITIONER or a GENERAL DENTAL PRACTITIONER.

GENERAL PRACTITIONER may be abbreviated to GP.



This class is also known by these names:
ContextAlias
pluralGENERAL PRACTITIONERS


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HEALTH CARE PRACTITIONER

Change to Class: change to name

HEALTH CARE PRACTITIONER
HEALTH CARE PROFESSIONAL


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HEALTH CARE PRACTITIONER

Change to Class: change to aliases

A type of PERSON ROLE IN ORGANISATION.

A type of PERSON who is professionally qualified to practice the delivery of health care services and is contracted to or provides healthcare for a particular ORGANISATION or HEALTH CARE PROVIDER.



This class is also known by these names:
ContextAlias
pluralHEALTH CARE PRACTITIONERS
pluralHEALTH CARE PROFESSIONALS


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HEALTH CARE PRACTITIONER

Change to Class: change to relationships

Each HEALTH CARE PRACTITIONER Each HEALTH CARE PROFESSIONAL
may be related to one or more CLINICAL INVESTIGATION SERVICE PROVIDER
may be responsible for one or more DAY CARE SESSION
may be the dispenser of one or more DISPENSED ITEM
may be the prescriber of one or more DRUG TREATMENT
may be the participant in one or more HEALTH CARE PRACTITIONER INVOLVEMENT
may be the participant in one or more HEALTH CARE PROFESSIONAL INVOLVEMENT
may be the evaluator of one or more HONOS SCORE FOR PERSON
may be associated with one or more ITEM OF SERVICE DELIVERY ROLE
may be the HEALTH CARE PRACTITIONER responsible for one or more PATIENT PROCEDURE
may be the person responsible for one or more PATIENT PROCEDURE
may be the observer of one or more PERSON OBSERVATION
may be the issuer of one or more PRESCRIPTION
may be related to one or more RADIOLOGY INVESTIGATION PLAN
may be related as requester of one or more REQUEST FOR DIAGNOSTIC TEST
may be the originator of one or more REFERRAL REQUEST
may be related as provider to one or more REQUEST FOR DIAGNOSTIC TEST
may be related as requester of one or more REQUEST FOR DIAGNOSTIC TEST
may be the recipient of one or more SERVICE REPORT COPY
may be the requester of one or more SERVICE REPORT HEADER
may be recorder of one or more SERVICE REPORT HEADER


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HEALTH CARE PRACTITIONER INVOLVEMENT

Change to Class: change to name

HEALTH CARE PRACTITIONER INVOLVEMENT
HEALTH CARE PROFESSIONAL INVOLVEMENT


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HEALTH CARE PRACTITIONER INVOLVEMENT

Change to Class: change to description

The participation of a HEALTH CARE PRACTITIONER in a CLINICAL INTERVENTION. The participation of a HEALTH CARE PROFESSIONAL in a CLINICAL INTERVENTION.



This class is also known by these names:
ContextAlias
pluralHEALTH CARE PRACTITIONER INVOLVEMENTS
pluralHEALTH CARE PROFESSIONAL INVOLVEMENTS


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HEALTH CARE PRACTITIONER INVOLVEMENT

Change to Class: change to relationships

Each HEALTH CARE PRACTITIONER INVOLVEMENT Each HEALTH CARE PROFESSIONAL INVOLVEMENT
Kmust be involved with one and only one CLINICAL INTERVENTION
Kmust be the involvement of one and only one HEALTH CARE PRACTITIONER
Kmust be the involvement of one and only one HEALTH CARE PROFESSIONAL


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HEALTH CARE PROVIDER

Change to Class: change to relationships

Each HEALTH CARE PROVIDER
Kmust be a role of one and only one ORGANISATION
may be the provider of one or more ANTI-CANCER DRUG PROGRAMME
may be originator of a decision to treat one or more CANCER CARE PLAN
may be related to one or more DENTAL STAFF MEMBER
may be related to one or more DOMICILIARY SERVICE
may be related to one or more ELECTIVE ADMISSION LIST
may be acting as one or more HOSPITAL PROVIDER
may be the originating care provider of one or more MENTAL HEALTH CARE SPELL
may be the transfer target for one or more MENTAL HEALTH CARE SPELL SUSPENSION
may be related to one or more NURSE OR MIDWIFE CONTACT
may be related to one or more OPERATING THEATRE
may be related to one or more OUT-PATIENT CLINIC
may be related to one or more PATHOLOGY DEPARTMENT
may be connected with one or more PERSON ROLE IN ORGANISATION
may be provided following decision to treat of one or more PLANNED CANCER TREATMENT
may be related to one or more PLANNED SERVICE TO BE PROVIDED
may be related to one or more PROFESSIONAL STAFF GROUP SERVICE
may be the provider in one or more PROVIDER IN SERVICE AGREEMENT
may be the provider in one or more PROVIDER OF OUT OF AREA TREATMENT
may be related to one or more RADIOLOGY DEPARTMENT
may be related to one or more RADIOTHERAPY DEPARTMENT
may be responsible for one or more RESPONSIBLE HEALTH CARE PROVIDER
may be related to one or more RIGHT OF ADMISSION
may be delivering patient treatment or services by one or more SERVICE PROVIDED
may be related to one or more WARD


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HEIGHT

Change to Class: New Class

HEIGHT

A type of CHARACTERISTIC.

The height of a PERSON on a given date. The unit of measurement is metres.



This class is also known by these names:
ContextAlias
pluralHEIGHTS

Attributes of this Class are:
RECORDED HEIGHT

This class has no relationships.


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HONOS SCORE FOR PERSON

Change to Class: change to description

A particular HONOS SCORE for a PATIENT assessed by a HEALTH CARE PRACTITIONER or MENTAL HEALTH CARE TEAM MEMBER. A particular HONOS SCORE for a PATIENT assessed by a HEALTH CARE PROFESSIONAL or MENTAL HEALTH CARE TEAM MEMBER.



This class is also known by these names:
ContextAlias
pluralHONOS SCORES FOR PERSONS


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HONOS SCORE FOR PERSON

Change to Class: change to relationships

Each HONOS SCORE FOR PERSON
Kmust be for one and only one HONOS RATING
Kmust be the score for one and only one PATIENT
Kmust be evaluated by one and only one HEALTH CARE PRACTITIONER
Kmust be evaluated by one and only one HEALTH CARE PROFESSIONAL
K or must be evaluated by one and only one MENTAL HEALTH CARE TEAM MEMBER
may be the score for one and only one CARE PROGRAMME APPROACH REVIEW


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IMAGING OR RADIODIAGNOSTIC EVENT

Change to Class: change to attributes

Attributes of this Class are:
KIMAGING EVENT NUMBER
ANATOMICAL EXAMINATION SITE
   for cancers only
CANCER IMAGING MODALITY
   for cancers only
OIMAGING INTERVENTION INDICATOR
IMAGING MODALITY


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ITEM OF SERVICE DELIVERY ROLE

Change to Class: change to description

The role undertaken by a HEALTH CARE PRACTITIONER in an ITEM OF SERVICE DELIVERY. The role undertaken by a HEALTH CARE PROFESSIONAL in an ITEM OF SERVICE DELIVERY.



This class is also known by these names:
ContextAlias
pluralITEM OF SERVICE DELIVERY ROLES


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ITEM OF SERVICE DELIVERY ROLE

Change to Class: change to relationships

Each ITEM OF SERVICE DELIVERY ROLE
Kmust be undertaken by one and only one HEALTH CARE PRACTITIONER
Kmust be undertaken by one and only one HEALTH CARE PROFESSIONAL
Kmust be undertaken as part of one and only one ITEM OF SERVICE DELIVERY


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MENTAL HEALTH CARE SPELL

Change to Class: change to attributes

Attributes of this Class are:
OCARE ASSESSMENT ONLY INDICATOR
   only if care spell has ended
OEND DATE
OMENTAL HEALTH CARE ASSESSMENT DATE
   only if spell initiated by a referral for assessment
OMENTAL HEALTH CARE SPELL END CODE
OPATIENT INFORMED OF OUTCOME DATE
   only if spell initiated by a referral for assessment
START DATE


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MIDWIFE

Change to Class: change to description

A type of HEALTH CARE PRACTITIONER. A type of HEALTH CARE PROFESSIONAL.

A person whose name is included in the Nursing and Midwifery Council register for nurses, midwives and health visitors, and who is contracted as a MIDWIFE to a HEALTH CARE PROVIDER.



This class is also known by these names:
ContextAlias
pluralMIDWIVES


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NURSE

Change to Class: change to description

A type of HEALTH CARE PRACTITIONER. A type of HEALTH CARE PROFESSIONAL.

A person whose name is included in the Nursing and Midwifery Council register for nurses, midwives and health visitors, and who is contracted as a NURSES to a HEALTH CARE PROVIDER.



This class is also known by these names:
ContextAlias
pluralNURSES


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OPHTHALMIC MEDICAL PRACTITIONER

Change to Class: change to description

A type of HEALTH CARE PRACTITIONER. A type of HEALTH CARE PROFESSIONAL.

A person whose name is registered with the General Medical Council and the Ophthalmic Qualification Committee, and who is contracted as an OPHTHALMIC MEDICAL PRACTITIONERS to a HEALTH AUTHORITY



This class is also known by these names:
ContextAlias
pluralOPHTHALMIC MEDICAL PRACTITIONERS


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OPHTHALMIC OPTICIAN

Change to Class: change to description

A type of HEALTH CARE PRACTITIONER. A type of HEALTH CARE PROFESSIONAL.

A person whose name is registered with the General Ophthalmic Council as an OPHTHALMIC OPTICIANS (or optometrist) and who is contracted as an OPHTHALMIC OPTICIANS to a HEALTH AUTHORITY.



This class is also known by these names:
ContextAlias
pluralOPHTHALMIC OPTICIANS


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ORGANISATION

Change to Class: change to relationships

Each ORGANISATION
may be located at one or more ADDRESS ASSOCIATION
may be related to one or more CLINICAL INVESTIGATION SERVICE PROVIDER
may be the subject of one or more COMMUNITY PHARMACY SITE APPLICATION
may be related to one or more DRUG MISUSE AGENCY
may be related to one or more EMPLOYEE CONTRACT
may be providing services classified by one or more FUNCTIONAL GROUP
may be associated with one or more GEOGRAPHIC AREA ASSOCIATION
may be acting as one or more HEALTH CARE PROVIDER
may be planning or operating one or more JOINT INVESTMENT PLAN
may be jointly associated with one or more JOINT INVESTMENT PLAN ASSOCIATION
may be related to one or more LOCATION
may be related to one or more MEDICAL AND DENTAL POST
may be the commissioner within one or more NHS SERVICE AGREEMENT
may be related to one or more NON MEDICAL AND DENTAL POST
may be related to one or more ORGANISATION FINANCIAL PERIOD
may be identified by one or more ORGANISATION IDENTIFIER
may be the allocator of one or more ORGANISATION IDENTIFIER
may be the operator or manager of one or more ORGANISATION SITE
may be related from one or more ORGANISATION STRUCTURE
may be related to one or more ORGANISATION STRUCTURE
may be related to one or more OTHER REFERRAL REQUEST
may be related from one or more ORGANISATION STRUCTURE
may be the allocator of one or more PERSON IDENTIFIER
may be connected with one or more PERSON ROLE IN ORGANISATION
may be the place of treatment for one or more PRIOR NOTIFICATION LIST ENTRY
may be undertaking one or more RECRUITMENT
may be related as provider to one or more REQUEST FOR DIAGNOSTIC TEST
may be the originator of one or more REFERRAL REQUEST
may be related as requester of one or more REQUEST FOR DIAGNOSTIC TEST
may be related as provider to one or more REQUEST FOR DIAGNOSTIC TEST
may be experiencing one or more RETENTION DIFFICULTY
may be the recipient of one or more SERVICE REPORT COPY
may be the issuer of one or more SERVICE REPORT HEADER
may be the requester of services for one or more SERVICE REPORT HEADER
may be subject to one or more SINGLE SEX ACCOMMODATION TARGET
may be contacted by one or more TELE-COMMUNICATION CONTACT STRING
may be related to one or more WRITTEN COMPLAINT


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OTHER REFERRAL REQUEST

Change to Class: change to relationships

Each OTHER REFERRAL REQUEST
This class has no relationships.
may be referred by one and only one ORGANISATION


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PATHOLOGY LAB INVESTIGATION RESULT ITEM

Change to Class: change to attributes

Attributes of this Class are:
OCANCER MARKER LYMPH NODE STATUS
OCANCER VASCULAR OR LYMPHATIC INVASION
OEXCISION MARGIN
   for cancers only
OGRADE OF DIFFERENTIATION
   for cancers only
OINVASIVE LESION SIZE
NODES EXAMINED NUMBER
NODES POSITIVE NUMBER
SPECIMEN NATURE
OSYNCHRONOUS TUMOUR INDICATOR
   for cancers only
OUNIT OF MEASURE


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PATIENT

Change to Class: change to relationships

Each PATIENT
may be absent for one or more ABSENCE WITHOUT LEAVE
may be related to one or more ACCIDENT AND EMERGENCY EPISODE
may be the subject of one or more CANCER CARE SPELL
may be associated with one or more CLINICAL INTERVENTION
may be related to one or more COMMUNITY EPISODE
may be the subject of one or more CONSULTANT EPISODE (ACUTE HOME-BASED)
may be related to one or more CONSULTANT OUT-PATIENT EPISODE
may be related to one or more DECISION TO ADMIT
may be related to one or more DENTAL EPISODE
may be related to one DISABLEMENT APPLIANCE
may be related to one or more DISABLEMENT APPLIANCE REPAIR
may be in receipt of one or more DISPENSED ITEM
may be related to one or more DOMICILIARY CONSULTATION
may be related to one or more ELECTIVE ADMISSION LIST ENTRY
may be related to one or more EMERGENCY DENTAL ATTENDANCE
may be related to one or more FACE TO FACE CONTACT DENTAL
may be the subject of one or more FACE TO FACE CONTACT OPTICAL
may be related to one or more GENITO-URINARY EPISODE
may be related to one or more HOME DIALYSIS EPISODE
may be related to one or more HOME LEAVE
may be the subject of one or more HONOS SCORE FOR PERSON
may be related to one or more HOSPITAL PROVIDER SPELL
may be granted leave for one or more LEAVE OF ABSENCE
may be related to one or more LEGAL STATUS
may be related to one or more LITHOTRIPSY COURSE ATTENDANCE
may be related to one or more MATERNITY DOMICILIARY VISIT
may be subject to one or more MENTAL HEALTH CARE SPELL
may be related to one or more MIDWIFE EPISODE
may be related to one or more NURSING EPISODE
may be related to one or more NURSING HOME STAY (MIDWIFE CARE)
may be related to one or more NURSING HOME STAY (NURSING CARE)
may be in receipt of health care services under one or more OUT OF AREA TREATMENT
may be related to one or more OUT-PATIENT APPOINTMENT
may be related to one or more PATIENT JOURNEY
may be issued with one or more POWERED WHEELCHAIR
may be related to one or more PREGNANCY EPISODE
may be in receipt of one or more PRESCRIPTION
may be related to one or more PROFESSIONAL STAFF GROUP EPISODE
may be related to one or more RADIOTHERAPY TREATMENT COURSE
may be related to one or more REFERRAL FOR BIOPSY
may be related to one or more REFERRAL FOR BREAST ASSESSMENT
may be related to one or more REFERRAL FOR BREAST TREATMENT
may be related to one or more REFERRAL FOR SCREENING TEST
may be related to one or more REFERRAL REQUEST
may be related to one or more REGULAR ATTENDER EPISODE
may be related to one or more REQUEST FOR DIAGNOSTIC TEST
may be related to one or more RESIDENTIAL CARE OR GROUP HOME STAY
may be the subject of one or more ROAD TRAFFIC ACCIDENT TREATMENT
may be identified as needing one or more SECURE ACCOMMODATION REQUIREMENT
may be related to one or more SERVICE REPORT HEADER
may be related to one or more THEATRE CASE
may be associated with one or more TOBACCO USAGE
may be related to one or more WARD ATTENDANCE
may be issued with one or more WHEELCHAIR SERVICES VOUCHER


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PATIENT CLINICAL TRIAL STATUS

Change to Class: New Class

PATIENT CLINICAL TRIAL STATUS

The association between a PATIENT and a CANCER CLINICAL TRIAL, which indicates whether those PATIENTS who are eligible for a trial are taking part in it.

References:
National Cancer Data Set Version 1.3_ISB October 2002



This class is also known by these names:
ContextAlias
pluralPATIENT CLINICAL TRIAL STATUSES

Attributes of this Class are:
PATIENT TRIAL STATUS

Each PATIENT CLINICAL TRIAL STATUS
Kmust be recorded during one and only one CANCER CARE SPELL
Kmust be a status for one and only one CANCER CLINICAL TRIAL


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PATIENT DIAGNOSIS

Change to Class: change to attributes

Attributes of this Class are:
BASIS OF DIAGNOSIS
   for cancers only
DEFINITIVE DIAGNOSIS
   for cancers only
OPATIENT DIAGNOSIS CODING SIGNIFICANCE
OPRIMARY DIAGNOSIS
TUMOUR LATERALITY
   for cancers only


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PATIENT PROCEDURE

Change to Class: change to relationships

Each PATIENT PROCEDURE
must be performed on a patient within one and only one CONSULTANT EPISODE (ACUTE HOME-BASED)
or must be related to one and only one CONSULTANT EPISODE (HOSPITAL PROVIDER)
or must be performed on a patient within one and only one DAY CARE ATTENDANCE
or must be related to one and only one LABOUR AND DELIVERY
or must be related to one and only one OUT-PATIENT ATTENDANCE CONSULTANT
or must be related to one and only one WARD ATTENDANCE
must be related to one or more PATIENT PROCEDURE CLASSIFICATION
may be recorded by one and only one CARE PROGRAMME APPROACH REVIEW
may be the responsibility as anaesthetist of one and only one CONSULTANT
may be the responsibility as surgeon of one and only one HEALTH CARE PRACTITIONER
may be the responsibility as surgeon of one and only one HEALTH CARE PROFESSIONAL
may be performed in response to one and only one REFERRAL FOR BREAST TREATMENT
may be the reason for one or more REQUEST FOR PATHOLOGY INVESTIGATION
may be during one and only one THEATRE CASE


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PERFORMANCE STATUS

Change to Class: New Class

PERFORMANCE STATUS

A type of CHARACTERISTIC.

A World Health Organisation classification indicating a PERSON's status relating to activity / disability.

National Codes:
0 Able to carry out all normal activity without restriction
1 Restricted in physically strenuous activity, but able to walk and do light work
2 Able to walk and capable of all self care, but unable to carry out any work. Up and about more than 50% of waking hours
3 Capable of only limited self care, confined to bed or chair more than 50% of waking hours
4 Completely disabled. Cannot carry on any self care. Totally confined to bed or chair

References:
National Cancer Data Set Version 1.3_ISB October 2002



This class is also known by these names:
ContextAlias
pluralPERFORMANCE STATUSES

This class has no attributes.

This class has no relationships.


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PERSON

Change to Class: change to attributes

Attributes of this Class are:
BIRTH DATE
ODEATH DATE
OENLISTMENT DATE
OLAST DISCHARGE DATE
   applies to certain patients see attribute description
OOVERSEAS VISITOR UK ARRIVAL DATE


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PERSON

Change to Class: change to relationships

Each PERSON
Kmust be allocated a primary identifier of one and only one PERSON IDENTIFIER
may be located at one or more ADDRESS ASSOCIATION
may be the subject of one or more CARE SPELL
may be the receiver of one or more GMP CONSULTATION
may be involved in one or more GMP CONTACT FOR PERSON
may be related to one or more IMMUNISATION PROGRAMME FOR PERSON
may be a member of one or more MENTAL HEALTH CARE TEAM MEMBER
may be the person consenting to one or more ORGAN DONATION CONSENT
may be associated with one or more PERSON CHARACTERISTIC
may be the subject of one or more PERSON DEATH DETAILS
may be associated with one or more PERSON GMP ASSOCIATION
may be related to one or more PERSON IN A CONTACT TRACING PROGRAMME
may be related to one or more PERSON IN ADVICE AND SUPPORT PROGRAMME
may be related to one or more PERSON IN A SCREENING PROGRAMME
may be related to one or more PERSON IN A SURVEILLANCE STAGE
may be the person in one or more PERSON IN GMP PRACTICE POST
may be related to one PERSON NAME
may be related to one or more PERSON NATIONALITY OR RESIDENCY STATUS
may be the observer of one or more PERSON OBSERVATION
may be the subject of one or more PERSON OBSERVATION
may be related to one PERSON RELATIONSHIP
may be the observer of one or more PERSON OBSERVATION
may be related to one or more PERSON RELATIONSHIP
may be related to one PERSON RELATIONSHIP
may be the holder of one or more PERSON ROLE IN ORGANISATION
may be the instigator of one or more PERSON SMOKING CESSATION EPISODE
may be listed on one or more PRIOR NOTIFICATION LIST ENTRY
may be the subject of one or more REGISTRATION
may be related to one or more SCREENING TEST
may be contacted by one or more TELE-COMMUNICATION CONTACT STRING
may be the originator of one or more WRITTEN COMPLAINT


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PERSON CHARACTERISTIC

Change to Class: change to relationships

Each PERSON CHARACTERISTIC
Kmust be classified by one and only one CHARACTERISTIC
Kmust be of one and only one PERSON
may be recorded in the context of one and only one CARE SPELL


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PERSON DEATH DETAILS

Change to Class: New Class

PERSON DEATH DETAILS

Information relating to the death of a PERSON, including the date and cause of death.



This class is also known by these names:
ContextAlias
pluralPERSON DEATH DETAILS

Attributes of this Class are:
KDEATH DATE
DEATH CAUSE IDENTIFICATION METHOD
ODEATH CODE DISCREPANCY ORIGINATOR
DEATH LOCATION TYPE
   for cancer deaths only

Each PERSON DEATH DETAILS
Kmust be details relating to one and only one PERSON
may be classified by one or more DEATH CAUSE


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PERSON OBSERVATION

Change to Class: change to description

Observations made regarding a PERSON. These observations do not include information about a treatment or intervention. The observation may be a CLINICAL CLASSIFICATION FOR PERSON. The observer may be a related PERSON or a HEALTH CARE PRACTITIONER. The observer may be a related PERSON or a HEALTH CARE PROFESSIONAL. PERSON OBSERVATIONS may be recorded during, or as a result of, a course of treatment.

PERSON OBSERVATIONS include CARDIAC ARREST and ACUTE MYOCARDIAL INFARCTION HISTORY ITEM. PERSON OBSERVATIONS include CARDIAC ARREST, ACUTE MYOCARDIAL INFARCTION HISTORY ITEM and CO-MORBIDITY INDEX FOR ADULTS.

References:
The version 1.1 NHS Standard EDIFACT Messages for Pathology Requests and Reports, 2001
The Version 1.0 Trial NHS Standard EDIFACT Messages for GP-Hospital Communications - 17.5.95



This class is also known by these names:
ContextAlias
pluralPERSON OBSERVATIONS


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PERSON OBSERVATION

Change to Class: change to relationships

Each PERSON OBSERVATION
Kmust be an observation of one and only one PERSON
Kmay be the observation in one or more PERSON OBSERVATION WITHIN CARE SPELL
must be observed by one and only one HEALTH CARE PRACTITIONER
must be observed by one and only one HEALTH CARE PROFESSIONAL
or must be observed by one and only one PERSON
may be related to one and only one SERVICE PROVIDED


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PRESCRIPTION

Change to Class: change to relationships

Each PRESCRIPTION
must be a request from one and only one HEALTH CARE PRACTITIONER
must be a request from one and only one HEALTH CARE PROFESSIONAL
must be a request to dispense to one and only one PATIENT
may be wholly or partially satisfied by the dispensing of one or more DISPENSED ITEM
may be a request to dispense one or more PRESCRIBED ITEM


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RADIOLOGY INVESTIGATION PLAN

Change to Class: change to relationships

Each RADIOLOGY INVESTIGATION PLAN
Kmust be plan for one and only one IMAGING OR RADIODIAGNOSTIC EVENT
must be planned by one and only one HEALTH CARE PRACTITIONER
must be planned by one and only one HEALTH CARE PROFESSIONAL
or must be planned by one and only one RADIOLOGY DEPARTMENT
may be related to one or more CLINICAL INVESTIGATION SERVICE PROVIDER


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RADIOTHERAPY TREATMENT COURSE

Change to Class: change to attributes

Attributes of this Class are:
KSTART DATE
OEND DATE
PRIMARY OR SUBSEQUENT COURSE
ORADIOTHERAPY ACTUAL DOSE
RADIOTHERAPY ANAESTHETIC
RADIOTHERAPY ANATOMICAL TREATMENT SITE
ORADIOTHERAPY PRESCRIBED DOSE
RADIOTHERAPY PRESCRIBED DURATION
OTREATMENT COURSE STATUS


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RADIOTHERAPY TREATMENT COURSE

Change to Class: change to relationships

Each RADIOTHERAPY TREATMENT COURSE
Kmust be related to one and only one PATIENT
must be provided by one and only one RADIOTHERAPY DEPARTMENT
must be part of one and only one SERVICE PROVIDED
may be the responsibility of one and only one CONSULTANT
may be a set of one or more FRACTION


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REFERRAL REQUEST

Change to Class: change to attributes

Attributes of this Class are:
KREQUEST NUMBER
OCANCER SPECIALIST REFERRAL DATE
   for suspected cancer only
OCOLPOSCOPY REFERRAL INDICATION
   colposcopy only
OCOMMISSIONER REFERENCE NUMBER
OFIRST SEEN BY SPECIALIST DATE (CANCER)
   for suspected cancer only
OOUT-PATIENT CLINIC REFERRING INDICATOR
   if referral request from an out-patient clinic
OUT-PATIENT REFERRAL INDICATOR
PRIORITY TYPE
REFERRAL DATE
OREFERRAL REQUEST CANCELLED DATE
REFERRAL REQUEST RECEIVED DATE
SERVICE TYPE REQUESTED
OSOURCE OF REFERRAL FOR A+E
   if request is for care by an ACCIDENT AND EMERGENCY DEPARTMENT
OSOURCE OF REFERRAL FOR CANCER
   if request is for care from specialist cancer care services
OSOURCE OF REFERRAL FOR COMMUNITY
   if request is for care by a COMMUNITY NURSE STAFF GROUP
OSOURCE OF REFERRAL FOR COMMUNITY DENTAL
   if request is for care by a Community Dental Service
OSOURCE OF REFERRAL FOR DRUG MISUSE
   if request is for care at a DRUG MISUSE FACILITY
OSOURCE OF REFERRAL FOR MENTAL HEALTH
   if request is for care from specialist mental care services
OSOURCE OF REFERRAL FOR OUT-PATIENTS
   if request is for care to be provided as an out-patient
OSOURCE OF REFERRAL FOR PROF STAFF GROUP
   if request is for care by a PROFESSIONAL STAFF GROUP SERVICE
OSUPRA SERVICE TYPE
OTWO WEEK WAIT EXCLUSION INDICATOR
   for suspected cancer only


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REFERRAL REQUEST

Change to Class: change to relationships

Each REFERRAL REQUEST
Kmust be related to one and only one PATIENT
must be a referral to one and only one CONSULTANT
or must be a referral to one and only one SERVICE POINT
must be made by one and only one HEALTH CARE PROFESSIONAL
or must be made by one and only one ORGANISATION
may be the initiator of one or more CANCER CARE SPELL
may be associated with one or more CANCER CARE SPELL DELAY
may be related to one and only one LOCAL SUB-SPECIALTY
may be associated with one or more OUT-PATIENT REFERRAL STATUS
may be related to one or more PLANNED SERVICE TO BE PROVIDED
may be a referral with subsequently one or more REFERRAL REQUEST
may be subsequent to an original one REFERRAL REQUEST
may be a request for colposcopy from one and only one SCREENING TEST
may be the initiator of one or more SERVICE PROVIDED
may be related to one and only one SPECIALTY FUNCTION
may be related to one or more TRANSPORT REQUIREMENT


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RENAL FUNCTION

Change to Class: New Class

RENAL FUNCTION

A type of PERSON OBSERVATION.

A PATIENT's creatinine clearance. This is recorded when certain Chemotherapy drugs, for example, carboplatin, are administered.

References:
National Cancer Data Set Version 1.3_ISB October 2002



This class is also known by these names:
ContextAlias
pluralRENAL FUNCTIONS

Attributes of this Class are:
CREATININE CLEARANCE

This class has no relationships.


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REQUEST FOR DIAGNOSTIC TEST

Change to Class: change to relationships

Each REQUEST FOR DIAGNOSTIC TEST
Kmust be processed by one and only one SERVICE POINT
may be an order to one and only one HEALTH CARE PRACTITIONER
may be an order to one and only one HEALTH CARE PROFESSIONAL
or may be an order to one and only one ORGANISATION
may be requested by one and only one HEALTH CARE PRACTITIONER
may be requested by one and only one HEALTH CARE PROFESSIONAL
or may be requested by one and only one ORGANISATION
may be except Category II requests from one and only one LOCATION
may be related to one and only one PATIENT
may be a request with subsequently one or more REQUEST FOR DIAGNOSTIC TEST
may be subsequent to an original one REQUEST FOR DIAGNOSTIC TEST
may be related to one and only one SERVICE PROVIDED
may be initiated within one and only one SPECIALTY FUNCTION


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REQUEST FOR PATHOLOGY INVESTIGATION

Change to Class: change to attributes

Attributes of this Class are:
OBIOPSY REFERRAL OUTCOME
OCANCER HISTOLOGICAL TYPE
   breast cancer only
OCERVICAL SMEAR EXAMINED DATE
OCYTOLOGY RESULT TYPE
   cervical screening only
OCYTOLOGY SMEAR REASON
OINVASIVE CANCER SPECIAL TYPE INDICATOR
   breast cancer only
OINVASIVE LESION SIZE
   if applicable as a result of biopsy for invasive breast cancers
OLYMPH NODE STATUS
   breast cancer only
OPATHOLOGY INVESTIGATION TYPE
   for cancers only
PATHOLOGY SPECIALTY
OSMEAR INFECTION TYPE
OSMEAR REFERRAL NATURE
   Cervical screening only
OSMEAR SOURCE TYPE


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SERVICE PROVIDED

Change to Class: change to attributes

Attributes of this Class are:
KSERVICE PROVIDED NUMBER
CANCER TREATMENT INTENT
   for cancer treatment only
SELF-REFERRAL OR OPEN ACCESS


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SERVICE REPORT COPY

Change to Class: change to relationships

Each SERVICE REPORT COPY
Kmust be related to one and only one SERVICE REPORT HEADER
must be issued to one and only one HEALTH CARE PRACTITIONER
must be issued to one and only one HEALTH CARE PROFESSIONAL
or must be issued to one and only one ORGANISATION


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SERVICE REPORT HEADER

Change to Class: change to relationships

Each SERVICE REPORT HEADER
must be issued by one and only one HEALTH CARE PRACTITIONER
must be issued by one and only one HEALTH CARE PROFESSIONAL
or must be issued by one and only one ORGANISATION
must be requested by one and only one HEALTH CARE PRACTITIONER
must be requested by one and only one HEALTH CARE PROFESSIONAL
or must be requested by one and only one ORGANISATION
may be related to one and only one PATIENT
may be related to one or more PLANNED SERVICE TO BE PROVIDED
may be related to one or more SERVICE PROVIDED
may be related to one or more SERVICE REPORT COPY
may be composed of one or more SERVICE REPORTED
may be referenced by one or more SERVICE REPORT HEADER
may be a reference to one SERVICE REPORT HEADER


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TELETHERAPY TREATMENT COURSE

Change to Class: change to description

A type of RADIOTHERAPY TREATMENT COURSE.

A prescribed course of radiotherapy teletherapy treatment for a PATIENT. A course of radiotherapy teletherapy treatment for a PATIENT.



This class is also known by these names:
ContextAlias
pluralTELETHERAPY TREATMENT COURSES


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TELETHERAPY TREATMENT COURSE

Change to Class: change to attributes

Attributes of this Class are:
TELETHERAPY ACTUAL FRACTIONS
TELETHERAPY BEAM TYPE
TELETHERAPY COMPLEXITY GROUP
TELETHERAPY ELECTRON ENERGY
TELETHERAPY FIELDS
TELETHERAPY MULTIPLE PLANNING
TELETHERAPY PHOTON ENERGY
TELETHERAPY PRESCRIBED FRACTIONS


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TREATMENT RELATED MORBIDITY

Change to Class: New Class

TREATMENT RELATED MORBIDITY

Any morbidity, relevant to previous treatments provided to a PATIENT during a CANCER CARE SPELL, recorded during a CANCER CLINICAL STATUS ASSESSMENT.

References:
National Cancer Data Set Version 1.3_ISB October 2002



This class is also known by these names:
ContextAlias
pluralTREATMENT RELATED MORBIDITIES

Attributes of this Class are:
KMORBIDITY CODE
KTREATMENT TYPE

Each TREATMENT RELATED MORBIDITY
Kmust be recorded in the context of one and only one CANCER CLINICAL STATUS ASSESSMENT


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WEIGHT

Change to Class: change to description

A type of CHARACTERISTIC.

Identifies the weight of a person on a given date. The unit of measurement may be grams, Kilograms or pounds. The unit of measurement is Kilograms.

National Codes:
1 Grams
2 Kilograms
3 Pounds



This class is also known by these names:
ContextAlias
pluralWEIGHTS


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ANATOMICAL EXAMINATION SITE

Change to Attribute: New Attribute

ANATOMICAL EXAMINATION SITE

A classification of the part of the body that is the subject of the IMAGING OR RADIODIAGNOSTIC EVENT.

The coding frame used is the OPCS 'Z' coding.

References:
National Cancer Data Set Version 1.3_ISB October 2002


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BASIS OF DIAGNOSIS

Change to Attribute: New Attribute

BASIS OF DIAGNOSIS

A classification of how a PATIENT DIAGNOSIS relating to cancer was identified.

National Codes:
Non-microscopic
0 - Death Certificate The only information available is from a death certificate
1 - Clinical Diagnosis made before death but without the benefit of any of the following (2-7)
2 - Clinical Investigation Includes all diagnostic techniques (e.g. X-rays, endoscopy, imaging, ultrasound, exploratory surgery and autopsy) without a tissue diagnosis
3 - Specific tumour markers Includes biochemical and/or immunological markers which are specific for a tumour site

Microscopic
5 - Cytology Examination of cells whether from a primary or secondary site, including fluids aspirated using endoscopes or needles. Also including microscopic examination of peripheral blood films and trephine bone marrow aspirates
6 - Histology of a mestastases Histological examination of tissues from a metastasis, including autopsy specimens
7 - Histology of a primary tumour Histological examination of tissue from the primary tumour, however obtained, including all cutting and bone marrow biopsies. Also includes autopsy specimens of a primary tumour
9 - Unknown No information on how the diagnosis has been made (e.g. PAS or HISS record only)

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralBASIS OF DIAGNOSES


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BRACHYTHERAPY DELIVERY TYPE

Change to Attribute: change to description

The prescribed type of delivery system of a BRACHYTHERAPY TREATMENT COURSE.

Classification: National Codes:
a. Manual afterloading
1 Manual afterloading
b. Mechanical afterloading
2 Mechanical afterloading
c. Live source
3 Live source

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralBRACHYTHERAPY DELIVERY TYPES


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BRACHYTHERAPY DOSE RATE

Change to Attribute: change to description

The prescribed dose rate of a BRACHYTHERAPY TREATMENT COURSE.

Classification: National Codes:
a. High/medium
1 High/medium
b. Low
2 Low

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralBRACHYTHERAPY DOSE RATES


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BRACHYTHERAPY ISOTOPE TYPE

Change to Attribute: change to description

The prescribed type of isotope of a BRACHYTHERAPY TREATMENT COURSE.

Classification: National Codes:
a. Caesium 137
B1 Caesium 137
b. Iridium 192
B2 Iridium 192
c. Strontium 90
B3 Strontium 90
d. Iodine 125
B4 Iodine 125
e. Colbalt 60
B5 Colbalt 60
f. Gold grains Au 198
B6 Gold grains Au 198
g. Other
B7 Brachytherapy other

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralBRACHYTHERAPY ISOTOPE TYPES


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CANCER CARE PLAN INTENT

Change to Attribute: New Attribute

CANCER CARE PLAN INTENT

A classification of the intention of a CANCER CARE PLAN developed within a CANCER CARE SPELL.

National Codes:
C Curative
P Palliative anti-cancer
S Supportive
N No specific cancer treatment

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralCANCER CARE PLAN INTENTS


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CANCER CLINICAL TRIAL IDENTIFIER

Change to Attribute: New Attribute

CANCER CLINICAL TRIAL IDENTIFIER

The unique identifier for a CANCER CLINICAL TRIAL

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralCANCER CLINICAL TRIAL IDENTIFIERS


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CANCER CLINICAL TRIAL TREATMENT TYPE

Change to Attribute: New Attribute

CANCER CLINICAL TRIAL TREATMENT TYPE

A classification that identifies the type of treatment covered by a CANCER CLINICAL TRIAL.

National Codes:
1 Surgery
2 Chemotherapy
3 Hormone therapy
4 Immunotherapy
5 Radiotherapy
6 Combination treatment

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralCANCER CLINICAL TRIAL TREATMENT TYPES


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CANCER IMAGING MODALITY

Change to Attribute: New Attribute

CANCER IMAGING MODALITY

A classification used to identify the type of imaging procedure used in relation to a CANCER CARE SPELL.

National Codes:
1 Standard radiography
1A Chest X-ray
1B Sinus X-rays
1C Mastoid views
1D Orthopantomogram (OPG)
1E Skull base X-rays
1F Angiography
1G Intravenous urography
1H Retrograde urography
1J Inferior vena cavography
1K Bone angiography
1L Soft tissue angiography
2A CT scan with contrast
2B CT scan without contrast
3A MRI scan with contrast
3B MRI scan without contrast
3C MRI cholangiography
4 PET scan
5 Ultrasound
5A Transabdominal ultrasound
5B Transvaginal ultrasound
5C Doppler ultrasound
5D Transrectal ultrasound
5E Endoscopic ultrasound
5F Laparascopic ultrasound
6 Nuclear Medicine imaging
6A Radio-isotope bone scan
6B Other radio-isotope scan
6C Ventilation/Perfusion scan
7 Mammography
8 Barium
8A Barium enema
8B Barium swallow
9 Lymphoscintigraphy
99 Other

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralCANCER IMAGING MODALITIES


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CANCER MARKER LYMPH NODE STATUS

Change to Attribute: New Attribute

CANCER MARKER LYMPH NODE STATUS

An indication of the presence or absence of metastases in a marker lymph node. Marker lymph nodes are identified within the cancer site and the presence or absence of metastases are a useful indication of the spread of the cancer, and inform both the treatment and the PATIENT's prognosis.

National Codes:
N No, marker lymph node 1 negative
Y Yes, marker lymph node 1 positive

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralCANCER MARKER LYMPH NODE STATUSES


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CANCER STAGING TYPE

Change to Attribute: New Attribute

CANCER STAGING TYPE

A classification of the type of cancer staging for which tumour, node and metastasis (TNM) values are collected i.e. clinically determined prior to treatment, determined on histological evidence, or determined on the basis of all the clinical, imaging and pathological data available following the first surgical procedure.

National Codes:
1 Final pre-treatment stage
2 Pathological stage
3 Integrated stage

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralCANCER STAGING TYPES


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CANCER TREATMENT INTENT

Change to Attribute: New Attribute

CANCER TREATMENT INTENT

A classification of the intention of the treatment provided given during a CANCER CARE SPELL.

National Codes:
A Adjuvent
C Curative
D Diagnostic
N Neoadjuvent
S Staging
P Palliative

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralCANCER TREATMENT INTENTS


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CANCER VASCULAR OR LYMPHATIC INVASION

Change to Attribute: New Attribute

CANCER VASCULAR OR LYMPHATIC INVASION

An indication of the presence or absence of unequivocal tumour in vascular spaces.

National Codes:
N No, vascular/lymphatic invasion not present
Y Yes, vascular/lymphatic invasion present
U Uncertain whether vascular invasion is present or not

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralCANCER VASCULAR OR LYMPHATIC INVASIONS


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CLAIMING GMP RELATIONSHIP

Change to Attribute: change to description

The relationship between a claiming GENERAL MEDICAL PRACTITIONER and the HEALTH CARE PRACTITIONER who delivered the item of service or treatment. The relationship between a claiming GENERAL MEDICAL PRACTITIONER and the HEALTH CARE PROFESSIONAL who delivered the item of service or treatment.

Classification:
a. Same GMP
b. Partner of claiming GMP
c. Member of the same Group Practice other than the Partner of the claiming GMP
d. Assistant employed by the GMP, Practice or Group Practice
e. Associate Doctor
f. Deputy or Locum employed by the GMP, Practice or Group Practice
g. Trainee GMP employed by the GMP, Practice or Group Practice
h. GMP in a non-commercial rota of not more than 10 GMPs
i. GMP in a non-commercial rota of more than 10 GMPs
j. Commercial deputising service
k. Other



This attribute is also known by these names:
ContextAlias
pluralCLAIMING GMP RELATIONSHIPS


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CLINICAL STATUS ASSESSMENT DATE

Change to Attribute: New Attribute

CLINICAL STATUS ASSESSMENT DATE

The date on which a clinical status assessment was performed.

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralCLINICAL STATUS ASSESSMENT DATES


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CREATININE CLEARANCE

Change to Attribute: New Attribute

CREATININE CLEARANCE

The measurement of a PERSON's renal function, in terms of expulsion of creatinine, measured in millilitres per minute.

This is recorded when certain Chemotherapy drugs, for example, carboplatin, are administered.

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralCREATININE CLEARANCES


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DEATH CAUSE CANCER

Change to Attribute: New Attribute

DEATH CAUSE CANCER

The cause of death of the patient in relation to their diagnosis of cancer. It is left blank if the patient is still alive.

National Codes:
1 Death by first registered primary
2 Death by another primary
3 Death by other causes/ cancer known to be present
4 Death by other causes, cancer not mentioned
5 Indeterminate cause of death (more than one primary)
6 Death from metastatic disease where origin of primary is known
7 Death by metastatic disease where origin of primary is unknown

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralDEATH CAUSES CANCER


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DEATH CAUSE CODE

Change to Attribute: New Attribute

DEATH CAUSE CODE

A code indicating a cause of death, classified using ICD-10.



This attribute is also known by these names:
ContextAlias
pluralDEATH CAUSE CODES


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DEATH CAUSE IDENTIFICATION METHOD

Change to Attribute: New Attribute

DEATH CAUSE IDENTIFICATION METHOD

The source of information from which the cause of death was established.

National Codes:
1 Death certificate
2 NHS Central Register Follow-up
3 Hospital records
4 Verbal communication
5 Post mortem

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralDEATH CAUSE IDENTIFICATION METHODS


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DEATH CAUSE TYPE

Change to Attribute: New Attribute

DEATH CAUSE TYPE

A classification of the types of cause of death, as specified on the death certificate.

National Codes:
1 Immediate cause of death
2 Condition giving rise to death
3 Underlying condition leading to death
4 Significant condition not directly related to death



This attribute is also known by these names:
ContextAlias
pluralDEATH CAUSE TYPES


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DEATH CODE DISCREPANCY ORIGINATOR

Change to Attribute: New Attribute

DEATH CODE DISCREPANCY ORIGINATOR

The originator of the information that a death code discrepancy is present. This is a discrepancy between the cause of death presented on the death certificate and other evidence which is available, for example from patient case notes.

National Codes:
10 There is a discrepancy between the hospital evidence and the death certificate (information provided by the Trust)
11 There is a discrepancy between the hospital evidence and the death certificate (information provided by the Cancer Registry)

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralDEATH CODE DISCREPANCY ORIGINATORS


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DEATH LOCATION TYPE

Change to Attribute: New Attribute

DEATH LOCATION TYPE

A classification of the type of location at which a person suffering from cancer died.

National Codes:
1 Hospital
2 NHS hospice / specialist palliative care unit
3 Voluntary hospice / specialist palliative care unit
4 Patient's own home
5 Care home
6 Other

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralDEATH LOCATION TYPES


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DEFINITIVE DIAGNOSIS

Change to Attribute: New Attribute

DEFINITIVE DIAGNOSIS

An indication of whether a PATIENT DIAGNOSIS is a DEFINITIVE DIAGNOSIS.

A DEFINITIVE DIAGNOSIS is an indication of the confirmation of the site, histology and stage of cancer by a PATIENT DIAGNOSIS. A definitive PATIENT DIAGNOSIS forms the basis on which action, in terms of care or treatment, was taken.

National Codes:
Y Yes
N No

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralDEFINITIVE DIAGNOSES


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DRUG PROGRAMME RESPONSE

Change to Attribute: New Attribute

DRUG PROGRAMME RESPONSE

The outcome of an ANTI-CANCER DRUG PROGRAMME in terms of the effect on the patient's cancer.

National Codes:
1 Complete response
2 Partial response
3 Static disease
4 Progressive disease
5 Not assessed
6 Unassessable

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralDRUG PROGRAMME RESPONSES


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DRUG TREATMENT INTENT

Change to Attribute: New Attribute

DRUG TREATMENT INTENT

A classification of the overall aim of the ANTI-CANCER DRUG PROGRAMME.

National Codes:
A Adjuvent
N Neoadjuvent
C Curative
P Palliative

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralDRUG TREATMENT INTENTS


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EXCISION MARGIN

Change to Attribute: New Attribute

EXCISION MARGIN

An indication of whether the excision margin was clear of the tumour and if so, by how much.

National Codes:
A Margin involved
B less than 1 mm clear
C 1-5 mm clear
D >5 mm clear
U Uncertain

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralEXCISION MARGINS


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GRADE OF DIFFERENTIATION

Change to Attribute: New Attribute

GRADE OF DIFFERENTIATION

The assessment of the grade of differentiation of a tumour expressed as the extent to which the tumour resembles the normal tissue at that site.

National Codes:
GX Grade of differentiation is not appropriate or cannot be assessed
G1 Well differentiated
G2 Moderately differentiated
G3 Poorly differentiated
G4 Undifferentiated / anaplastic

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralGRADES OF DIFFERENTIATION


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HONOS SCORE DATE

Change to Attribute: change to description

The date on which a HEALTH CARE PRACTITIONER evaluated a person for a particular rating of a HONOS SCORE. The date on which a HEALTH CARE PROFESSIONAL evaluated a person for a particular rating of a HONOS SCORE.



This attribute is also known by these names:
ContextAlias
pluralHONOS SCORE DATES


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INVASIVE LESION SIZE

Change to Attribute: change to description

The size in millimetres of the diameter of a lesion, largest if more than one, if the histology of a breast sample proves to be invasive. The size in millimetres of the diameter of a lesion, largest if more than one, if the histology of a sample proves to be invasive.

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralINVASIVE LESION SIZES


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MARKER RESPONSE STATUS

Change to Attribute: New Attribute

MARKER RESPONSE STATUS

A classification identifying whether a marker was used, and if so what the result was. Markers are chemicals produced by certain cancers that circulate in the blood and can be measured, for example CA125 for ovarian cancer. The marker level is measured by a blood test to see whether it is rising (disease worsening), static or falling (disease shrinking).

National Codes:
1 No marker
2 Progressive status
3 Static disease
4 Partial response
5 Complete response
6 Not assessed

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralMARKER RESPONSE STATUSES


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METASTATIC STATUS

Change to Attribute: New Attribute

METASTATIC STATUS

The status of a PATIENT's distant metastases, determined during a CANCER CLINICAL STATUS ASSESSMENT.

National Codes:
1 Residual distant metastases
2 No evidence of metastases
3 New distant metastases
4 Not assessed
5 Uncertain

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralMETASTATIC STATUSES


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MORBIDITY CODE

Change to Attribute: New Attribute

MORBIDITY CODE

The code for morbidity recorded in the context of a TREATMENT RELATED MORBIDITY.

The coding frame used depends on the TREATMENT TYPE.

For Surgery - Primary Site Specific Surgical Complications - ICD-10 coding

National Codes:
For Chemotherapy and Combination treatment (only long-term adverse effects need to be recorded)
2 Mild toxicity
3 Moderate toxicity
4 Severe toxicity
5 Death due to toxicity

For Radiotherapy (only significant morbidity needs to be recorded):
3 Moderate toxicity
4 Severe toxicity
5 Death due to toxicity

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralMORBIDITY CODES


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NO CANCER TREATMENT REASON

Change to Attribute: New Attribute

NO CANCER TREATMENT REASON

A classification of the reason why no specific cancer treatment is specified within a CANCER CARE PLAN.

National Codes:
01 Patient declined treatment
02 Unfit: poor performance status
03 Unfit: significant co-morbidity
04 Unfit: advanced stage cancer
05 Unknown primary site
06 Died before treatment
07 No anti-cancer treatment available
08 Other
09 Watchful waiting

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralNO CANCER TREATMENT REASONS


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NODAL STATUS

Change to Attribute: New Attribute

NODAL STATUS

The status of a PATIENT's regional nodal metastases, determined during a CANCER CLINICAL STATUS ASSESSMENT.

National Codes:
1 Residual regional nodal metastases
2 No evidence of regional nodal metastases
3 New regional nodal metastases
4 Not assessed
5 Uncertain

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralNODAL STATUSES


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NODES EXAMINED NUMBER

Change to Attribute: New Attribute

NODES EXAMINED NUMBER

The number of local and regional nodes examined, as reported in the PATHOLOGY LAB INVESTIGATION RESULT ITEM.

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralNODES EXAMINED NUMBERS


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NODES POSITIVE NUMBER

Change to Attribute: New Attribute

NODES POSITIVE NUMBER

The number of local and regional nodes reported in the PATHOLOGY LAB INVESTIGATION RESULT ITEM as being positive for the presence of tumour metastases.

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralNODES POSITIVE NUMBERS


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PATIENT TRIAL STATUS

Change to Attribute: New Attribute

PATIENT TRIAL STATUS

A classification which indicates whether a patient who is eligible for a CANCER CLINICAL TRIAL is taking part in it.

National Codes:
EE Patient eligible, consented to and entered trial
ED Patient eligible, declined trial

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralPATIENT TRIAL STATUSES


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PERSON BODY SURFACE AREA

Change to Attribute: New Attribute

PERSON BODY SURFACE AREA

The area of a PERSON's skin, used to calculate doses of chemotherapy drugs. The unit of measure is square metres.

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralPERSON BODY SURFACE AREAS


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PLANNED TREATMENT CHANGE REASON

Change to Attribute: New Attribute

PLANNED TREATMENT CHANGE REASON

An indicator of whether the treatment within an ANTI-CANCER DRUG PROGRAMME was completed as planned, and if not, the reason why.

National Codes:
0 Treatment completed as prescribed

Treatment not completed -
1 Patient died
2 Progressive disease during chemotherapy
3 Acute chemotherapy toxicity
4 Technical or organisational problems
5 Patient choice (stopped or interrupted treatment)

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralPLANNED TREATMENT CHANGE REASONS


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PRESCRIPTION DATE

Change to Attribute: change to description

The date on which the PRESCRIPTION was signed by the HEALTH CARE PRACTITIONER. The date on which the PRESCRIPTION was signed by the HEALTH CARE PROFESSIONAL.



This attribute is also known by these names:
ContextAlias
pluralPRESCRIPTION DATES


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PRIMARY TUMOUR STATUS

Change to Attribute: New Attribute

PRIMARY TUMOUR STATUS

The status of a PATIENT's primary tumour, determined during a CANCER CLINICAL STATUS ASSESSMENT.

National Codes:
1 Residual primary tumour
2 No evidence of primary tumour
3 Recurrent primary tumour
4 Not assessed
5 Uncertain

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralPRIMARY TUMOUR STATUSES


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RADIOTHERAPY ANATOMICAL TREATMENT SITE

Change to Attribute: New Attribute

RADIOTHERAPY ANATOMICAL TREATMENT SITE

The part of the body to which the RADIOTHERAPY ACTUAL DOSE is administered.



This attribute is also known by these names:
ContextAlias
pluralRADIOTHERAPY ANATOMICAL TREATMENT SITES


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RECORDED HEIGHT

Change to Attribute: New Attribute

RECORDED HEIGHT

The record of a PERSON's height in metres.



This attribute is also known by these names:
ContextAlias
pluralRECORDED HEIGHTS


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RECURRENCE INDICATOR

Change to Attribute: New Attribute

RECURRENCE INDICATOR

An indication of whether a CANCER CARE PLAN is developed in the context of the PATIENT's original primary cancer or a recurrence.

National Codes:
Y Yes, for a recurrence of the original primary tumour
N No, for the original primary tumour

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralRECURRENCE INDICATORS


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SERVICE REPORT STATUS

Change to Attribute: change to description

The status of the service report.

The status of the service report. For example, interim or conclusive. National Codes:
1 Final (complete)
2 Preliminary (Interim)
3 Test not available
4 Unspecified
5 Supplementary/second opinion

References:
The Version 1.0 Trial NHS Standard EDIFACT Messages for GP-Hospital Communications - 17.5.95
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralSERVICE REPORT STATUS


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SITE SPECIFIC STAGING CLASSIFICATION

Change to Attribute: New Attribute

SITE SPECIFIC STAGING CLASSIFICATION

An identification of the type of classification relating to the site of the cancer, used to record cancer staging.

National Codes:
1 Nottingham Prognostic Index (Breast)
2 Dukes (Colorectal)
3 Limited disease or Extensive disease (Small Cell Lung Cancer)
4 FIGO - Federation Internationale de Gynecologie Obstetrique (Gynaecological)

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralSITE SPECIFIC STAGING CLASSIFICATIONS


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SOURCE OF REFERRAL FOR CANCER

Change to Attribute: New Attribute

SOURCE OF REFERRAL FOR CANCER

A classification which identifies the source of referral to a CANCER CARE SPELL.

National Codes:
01 Following an emergency admission (includes all acute admissions via A & E, Medical Admissions Unit, etc.)
02 Following a domiciliary visit
03 Referral from General Medical Practitioner (for out-patient or other non-emergency referrals)
05 Referral from a consultant, other than in an A&E department (will include referrals from Screening Services)
06 Self-referral (i.e. the patient was not seen previously by a GP)
08 Other source of referral (will include referrals from Private Healthcare)
10 Following an A&E attendance (i.e. an out-patient clinic attendance after an A & E visit)
92 General Dental Practitioner
93 Community Dental Service

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralSOURCES OF REFERRAL FOR CANCER


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SPECIALIST HIV SKILLS AVAILABLE

Change to Attribute: change to description

The availability of a HEALTH CARE PRACTITIONER to other HEALTH CARE PRACTITIONERS expressed in terms of availability within x hours/days where x is the maximum amount of time one might have to wait. The availability of a HEALTH CARE PROFESSIONAL to other HEALTH CARE PROFESSIONALS expressed in terms of availability within x hours/days where x is the maximum amount of time one might have to wait.



This attribute is also known by these names:
ContextAlias
pluralSPECIALIST HIV SKILLS AVAILABLE


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SPECIALIST REGISTRAR FLAG

Change to Attribute: change to description

Indicates that the HEALTH CARE PRACTITIONER who carries out a procedure is a specialist paediatric registrar. Indicates that the HEALTH CARE PROFESSIONAL who carries out a procedure is a specialist paediatric registrar.



This attribute is also known by these names:
ContextAlias
pluralSPECIALIST REGISTRAR FLAG


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SPECIMEN NATURE

Change to Attribute: New Attribute

SPECIMEN NATURE

A classification which identifies the nature of the specimen reported on a PATHOLOGY LAB INVESTIGATION RESULT ITEM.

National Codes:
1 Primary tumour
2 Re-excision of primary tumour
3 Recurrence
4 Nodes
5 Metastatic site other than nodes
9 Not known

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralSPECIMEN NATURES


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STAGING CERTAINTY FACTOR

Change to Attribute: New Attribute

STAGING CERTAINTY FACTOR

The classification of the level of certainty with which a cancer staging code is determined.

National Codes:
C1 Evidence from standard diagnostic means (e.g. inspection, palpation and standard radiography, intraluminal endoscopy for tumours of certain organs)
C2 Evidence obtained by special diagnostic means (e.g. radiographic imaging in special projections, tomography, ultrasonography, lymphography, angiography, scintigraphy, MRI, endoscopy, biopsy and cytology)
C3 Evidence from surgical exploration, including biopsy and cytology
C4 Evidence of the extent of disease following definitive surgery and pathological examination of the resected specimen
C5 Evidence from autopsy

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralSTAGING CERTAINTY FACTORS


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SYNCHRONOUS TUMOUR INDICATOR

Change to Attribute: New Attribute

SYNCHRONOUS TUMOUR INDICATOR

An indicator of the presence of multiple tumours at a tumour site.

National Codes:
N No, no synchronous tumours present
Y Yes, synchronous tumours present

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralSYNCHRONOUS TUMOUR INDICATORS


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TELETHERAPY ACTUAL FRACTIONS

Change to Attribute: New Attribute

TELETHERAPY ACTUAL FRACTIONS

The total number of fractions or hyperfractionation of a TELETHERAPY TREATMENT COURSE administered.

References:
National Cancer Data Set Version1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralTELETHERAPY ACTUAL FRACTIONS


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TELETHERAPY BEAM TYPE

Change to Attribute: change to description

The prescribed type of beam of a TELETHERAPY TREATMENT COURSE.

Classification: National Codes:
a. Photon
T1 Photon
b. Electron
T2 Electron
c. Other
T3 Other
d. Photon and Electron
T4 Photon and Electron
e. Photon and Other
T5 Photon and Other
f. Electron and Other
T6 Electron and Other
g. Photon, Electron and Other
T7 Photon, Electron and Other

References:
National Cancer Data Set Version1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralTELETHERAPY BEAM TYPES


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TELETHERAPY ELECTRON ENERGY

Change to Attribute: change to description

The prescribed electron energy of a TELETHERAPY TREATMENT COURSE.

Classification: National Codes:
a. Less than 12 MeV
5 Less than 12 MeV (mega electron volts)
b. Equal to or greater than 12MeV
6 Equal to or greater than 12 MeV
8 Other (not Photon or Electron)

The codes follow a logical order from TELETHERAPY PHOTON ENERGY .

References:
National Cancer Data Set Version1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralTELETHERAPY ELECTRON ENERGY


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TELETHERAPY FIELDS

Change to Attribute: change to description

The prescribed number of fields of a TELETHERAPY TREATMENT COURSE.

Classification: National Codes:
a. Less than 3
1 Less than 3
b. Equal to or greater than 3
2 Equal to or greater than 3
c. Whole body
3 Whole body

References:
National Cancer Data Set Version1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralTELETHERAPY FIELDS


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TELETHERAPY PHOTON ENERGY

Change to Attribute: change to description

The prescribed photon energy of a TELETHERAPY TREATMENT COURSE.

Classification: National Codes:
a. Equal to or less than 160kV (superficial)
1 Superficial (less than 160 kV)
b. Orthovoltage
2 Orthovoltage (less than 500 kV)
c. Megavoltage
3 Megavoltage (less than 6 MV)
d. Greater than 160kV and less than 6MV
4 Megavoltage (equal to or greater than 6 MV)
e. Equal to or greater than 6MV
7 Cobalt
8 Other (not Photon or Electron)

Note that TELETHERAPY ELECTRON ENERGY uses codes 5 and 6.

References:
National Cancer Data Set Version1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralTELETHERAPY PHOTON ENERGY


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TNM TYPE

Change to Attribute: New Attribute

TNM TYPE

A classification of the category for which a cancer staging code is recorded.

National Codes:
1 Tumour component
2 Node component
3 Metastasis component
4 Overall TNM stage

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralTNM TYPES


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TREATMENT TYPE

Change to Attribute: New Attribute

TREATMENT TYPE

A classification of the type of treatment provided during a CANCER CARE SPELL, used for identifying any TREATMENT RELATED MORBIDITY experienced by the PATIENT.

National Codes:
1 Surgery
2 Chemotherapy
3 Radiotherapy
4 Combination

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralTREATMENT TYPES


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UNSEALED SOURCE ISOTOPE TYPE

Change to Attribute: change to description

The prescribed type of isotope of an UNSEALED SOURCE TREATMENT COURSE.

Classification: National Codes:
a. Strontium 89
U1 Strontium 89
b. Phosphorous 32
U2 Phosphorous 32
c. Iodine 131
U3 Iodine 131
d. MIBG 131
U4 MIBG 131
e. Yttrium 90
U5 Yttrium 90
f. Other
U6 Unsealed source other

References:
National Cancer Data Set Version 1.3_ISB October 2002



This attribute is also known by these names:
ContextAlias
pluralUNSEALED SOURCE ISOTOPE TYPES


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ANATOMICAL EXAMINATION SITE

Change to Data Element: New DataElement

ANATOMICAL EXAMINATION SITE

Format/length: an5
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralANATOMICAL EXAMINATION SITES


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ANTI-CANCER DRUG CYCLE IDENTIFIER

Change to Data Element: New DataElement

ANTI-CANCER DRUG CYCLE IDENTIFIER

Format/length: nn
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralANTI-CANCER DRUG CYCLE IDENTIFIERS


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BASIS OF DIAGNOSIS (CANCER)

Change to Data Element: New DataElement

BASIS OF DIAGNOSIS (CANCER)

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes: 9 - Not known

BASIS OF DIAGNOSIS (CANCER) is the same as attribute BASIS OF DIAGNOSIS.



This data element is also known by these names:
ContextAlias
pluralBASES OF DIAGNOSIS (CANCER)


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BRACHYTHERAPY DELIVERY TYPE

Change to Data Element: New DataElement

BRACHYTHERAPY DELIVERY TYPE

Format/length: an1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralBRACHYTHERAPY DELIVERY TYPES


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BRACHYTHERAPY DOSE RATE

Change to Data Element: New DataElement

BRACHYTHERAPY DOSE RATE

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralBRACHYTHERAPY DOSE RATES


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BRACHYTHERAPY ISOTOPE TYPE

Change to Data Element: New DataElement

BRACHYTHERAPY ISOTOPE TYPE

Format/length: an2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

BRACHYTHERAPY ISOTOPE TYPE is the same as attribute BRACHYTHERAPY ISOTOPE TYPE for sealed sources or UNSEALED SOURCE ISOTOPE TYPE for unsealed sources.



This data element is also known by these names:
ContextAlias
pluralBRACHYTHERAPY ISOTOPE TYPES


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BRACHYTHERAPY PRESCRIBED FRACTIONS

Change to Data Element: New DataElement

BRACHYTHERAPY PRESCRIBED FRACTIONS

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralBRACHYTHERAPY PRESCRIBED FRACTIONS


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BRACHYTHERAPY TYPE

Change to Data Element: New DataElement

BRACHYTHERAPY TYPE

Format/length: an2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralBRACHYTHERAPY TYPES


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CANCER CARE PLAN INTENT

Change to Data Element: New DataElement

CANCER CARE PLAN INTENT

Format/length: an1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes: 9 - Not known



This data element is also known by these names:
ContextAlias
pluralCANCER CARE PLAN INTENTS


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CANCER CLINICAL TRIAL TREATMENT TYPE

Change to Data Element: New DataElement

CANCER CLINICAL TRIAL TREATMENT TYPE

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralCANCER CLINICAL TRIAL TREATMENT TYPES


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CANCER IMAGING MODALITY

Change to Data Element: New DataElement

CANCER IMAGING MODALITY

Format/length: an3
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralCANCER IMAGING MODALITIES


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CANCER TREATMENT INTENT

Change to Data Element: New DataElement

CANCER TREATMENT INTENT

Format/length: an1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes: 9 - Not known



This data element is also known by these names:
ContextAlias
pluralCANCER TREATMENT INTENTS


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CANCER VASCULAR OR LYMPHATIC INVASION

Change to Data Element: New DataElement

CANCER VASCULAR OR LYMPHATIC INVASION

Format/length: an1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes: 9 - Not known



This data element is also known by these names:
ContextAlias
pluralCANCER VASCULAR OR LYMPHATIC INVASIONS


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CARE PLAN AGREED DATE

Change to Data Element: New DataElement

CARE PLAN AGREED DATE

Format/length: ccyymmdd
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralCARE PLAN AGREED DATES


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CARE SPELL IDENTIFIER

Change to Data Element: New DataElement

CARE SPELL IDENTIFIER

Format/length: an10
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralCARE SPELL IDENTIFIERS


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CLINICAL INTERVENTION DATE (CANCER IMAGING)

Change to Data Element: New DataElement

CLINICAL INTERVENTION DATE (CANCER IMAGING)

Format/length: ccyymmdd
HES item:
National Codes:
Default Codes:  

CLINICAL INTERVENTION DATE (CANCER IMAGING) is the same as attribute CLINICAL INTERVENTION DATE



This data element is also known by these names:
ContextAlias
pluralCLINICAL INTERVENTION DATES (CANCER IMAGING)


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CLINICAL STATUS ASSESSMENT DATE (CANCER)

Change to Data Element: New DataElement

CLINICAL STATUS ASSESSMENT DATE (CANCER)

Format/length: ccyymmdd
HES item:
National Codes:
Default Codes:  

CLINICAL STATUS ASSESSMENT DATE (CANCER) is the same as attribute CLINICAL STATUS ASSESSMENT DATE.



This data element is also known by these names:
ContextAlias
pluralCLINICAL STATUS ASSESSMENT DATES (CANCER)


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CONSULTANT CODE (PATHOLOGIST)

Change to Data Element: New DataElement

CONSULTANT CODE (PATHOLOGIST)

Format/length: an8
HES item:
National Codes:
Default Codes:  

CONSULTANT CODE (PATHOLOGIST) is the same as data element CONSULTANT CODE.



This data element is also known by these names:
ContextAlias
pluralCONSULTANT CODES (PATHOLOGIST)


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CREATININE CLEARANCE

Change to Data Element: New DataElement

CREATININE CLEARANCE

Format/length: nnnn.nn
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralCREATININE CLEARANCES


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DAY NUMBER (ANTI-CANCER DRUG CYCLE)

Change to Data Element: New DataElement

DAY NUMBER (ANTI-CANCER DRUG CYCLE)

Format/length: nnnn
HES item:
National Codes:
Default Codes:  

DAY NUMBER (ANTI-CANCER DRUG CYCLE) is calculated from the START DATE (ANTI-CANCER DRUG REGIMEN) and the START DATE of the ANTI-CANCER DRUG CYCLE to determine the 'day' number from the start of regimen eg if regimen started on 23/03/2002 and this particular cycle started on the 25/04/2002 then this would be day 34.



This data element is also known by these names:
ContextAlias
pluralDAY NUMBERS (ANTI-CANCER DRUG CYCLE)


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DEATH CAUSE CANCER

Change to Data Element: New DataElement

DEATH CAUSE CANCER

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralDEATH CAUSES CANCER


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DEATH CAUSE CODE (CONDITION)

Change to Data Element: New DataElement

DEATH CAUSE CODE (CONDITION)

Format/length: an6
HES item:
National Codes:
Default Codes:  

DEATH CAUSE CODE (CONDITION) is the same as attribute DEATH CAUSE CODE. It is the ICD code of the condition giving rise to death as recorded on the death certificate.



This data element is also known by these names:
ContextAlias
pluralDEATH CAUSE CODES (CONDITION)


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DEATH CAUSE CODE (IMMEDIATE)

Change to Data Element: New DataElement

DEATH CAUSE CODE (IMMEDIATE)

Format/length: an6
HES item:
National Codes:
Default Codes:  

DEATH CAUSE CODE (IMMEDIATE) is the same as attribute DEATH CAUSE CODE. It is the ICD code of the immediate cause of death as recorded on the death certificate.



This data element is also known by these names:
ContextAlias
pluralDEATH CAUSE CODES (IMMEDIATE)


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DEATH CAUSE CODE (SIGNIFICANT)

Change to Data Element: New DataElement

DEATH CAUSE CODE (SIGNIFICANT)

Format/length: an6
HES item:
National Codes:
Default Codes:  

DEATH CAUSE CODE (SIGNIFICANT) is the same as attribute DEATH CAUSE CODE. It is the ICD code of a significant condition not directly related to death as recorded on the death certificate.



This data element is also known by these names:
ContextAlias
pluralDEATH CAUSE CODES (SIGNIFICANT)


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DEATH CAUSE CODE (UNDERLYING)

Change to Data Element: New DataElement

DEATH CAUSE CODE (UNDERLYING)

Format/length: an6
HES item:
National Codes:
Default Codes:  

DEATH CAUSE CODE (UNDERLYING) is the same as attribute DEATH CAUSE CODE. It is the ICD code of the underlying condition leading to death as recorded on the death certificate.



This data element is also known by these names:
ContextAlias
pluralDEATH CAUSE CODES (UNDERLYING)


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DEATH CAUSE IDENTIFICATION METHOD

Change to Data Element: New DataElement

DEATH CAUSE IDENTIFICATION METHOD

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralDEATH CAUSE IDENTIFICATION METHODS


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DEATH CODE DISCREPANCY ORIGINATOR

Change to Data Element: New DataElement

DEATH CODE DISCREPANCY ORIGINATOR

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralDEATH CODE DISCREPANCY ORIGINATORS


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DEATH DATE

Change to Data Element: New DataElement

DEATH DATE

Format/length: ccyymmdd
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralDEATH DATES


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DEATH LOCATION TYPE

Change to Data Element: New DataElement

DEATH LOCATION TYPE

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralDEATH LOCATION TYPES


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DIAGNOSIS DATE (CANCER)

Change to Data Element: New DataElement

DIAGNOSIS DATE (CANCER)

Format/length: ccyymmdd
HES item:
National Codes:
Default Codes:  

The START DATE of the PERSON OBSERVATION for the PATIENT DIAGNOSIS.



This data element is also known by these names:
ContextAlias
pluralDIAGNOSIS DATES (CANCER)


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DRUG PROGRAMME RESPONSE

Change to Data Element: New DataElement

DRUG PROGRAMME RESPONSE

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralDRUG PROGRAMME RESPONSES


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DRUG REGIMEN ACRONYM

Change to Data Element: New DataElement

DRUG REGIMEN ACRONYM

Format/length: an35
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralDRUG REGIMEN ACRONYMS


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DRUG THERAPY TYPE

Change to Data Element: New DataElement

DRUG THERAPY TYPE

Format/length: an1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralDRUG THERAPY TYPES


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DRUG TREATMENT INTENT

Change to Data Element: New DataElement

DRUG TREATMENT INTENT

Format/length: an1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes: 9 - Not known



This data element is also known by these names:
ContextAlias
pluralDRUG TREATMENT INTENTS


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DURATION OF ANTI-CANCER DRUG CYCLE

Change to Data Element: New DataElement

DURATION OF ANTI-CANCER DRUG CYCLE

Format/length: nnn
HES item:
National Codes:
Default Codes:  

The number of days over which the treatment was given. This is calculated from the START DATE and END DATE of the ANTI-CANCER DRUG CYCLE.



This data element is also known by these names:
ContextAlias
pluralDURATION OF ANTI-CANCER DRUG CYCLES


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DURATION OF BRACHYTHERAPY TREATMENT COURSE

Change to Data Element: New DataElement

DURATION OF BRACHYTHERAPY TREATMENT COURSE

Format/length: nnn
HES item:
National Codes:
Default Codes:  

The number of days over which the treatment was given. This is calculated from the START DATE and END DATE of the RADIOTHERAPY TREATMENT COURSE.



This data element is also known by these names:
ContextAlias
pluralDURATION OF BRACHYTHERAPY TREATMENT COURSES


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DURATION OF TELETHERAPY TREATMENT COURSE

Change to Data Element: New DataElement

DURATION OF TELETHERAPY TREATMENT COURSE

Format/length: nnn
HES item:
National Codes:
Default Codes:  

The number of days over which the treatment was given. This is calculated from the START DATE and END DATE of the RADIOTHERAPY TREATMENT COURSE.



This data element is also known by these names:
ContextAlias
pluralDURATION OF TELETHERAPY TREATMENT COURSES


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END DATE (BRACHYTHERAPY TREATMENT COURSE)

Change to Data Element: New DataElement

END DATE (BRACHYTHERAPY TREATMENT COURSE)

Format/length: ccyymmdd
HES item:
National Codes:
Default Codes:  

This is the END DATE of the RADIOTHERAPY TREATMENT COURSE.



This data element is also known by these names:
ContextAlias
pluralEND DATES (BRACHYTHERAPY TREATMENT COURSE)


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END DATE (TELETHERAPY TREATMENT COURSE)

Change to Data Element: New DataElement

END DATE (TELETHERAPY TREATMENT COURSE)

Format/length: ccyymmdd
HES item:
National Codes:
Default Codes:  

This is the END DATE of the RADIOTHERAPY TREATMENT COURSE.



This data element is also known by these names:
ContextAlias
pluralEND DATES (TELETHERAPY TREATMENT COURSE)


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EXCISION MARGIN

Change to Data Element: New DataElement

EXCISION MARGIN

Format/length: an1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes: 8 - Not applicable



This data element is also known by these names:
ContextAlias
pluralEXCISION MARGINS


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GRADE OF DIFFERENTIATION

Change to Data Element: New DataElement

GRADE OF DIFFERENTIATION

Format/length: an2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralGRADES OF DIFFERENTIATION


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GRADE OF DIFFERENTIATION (AT DIAGNOSIS)

Change to Data Element: New DataElement

GRADE OF DIFFERENTIATION (AT DIAGNOSIS)

Format/length: an2
HES item:
National Codes:
Default Codes:  

GRADE OF DIFFERENTIATION (AT DIAGNOSIS) is the same as attribute GRADE OF DIFFERENTIATION.

This is the definitive grade of the tumour at the point of diagnosis.



This data element is also known by these names:
ContextAlias
pluralGRADES OF DIFFERENTIATION (AT DIAGNOSIS)


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HISTOLOGY (SNOMED)

Change to Data Element: New DataElement

HISTOLOGY (SNOMED)

Format/length: n18
HES item:
National Codes:
Default Codes:  

This is the PATIENT DIAGNOSIS for the cell type of the malignant disease recorded as part of a CANCER CARE SPELL.



This data element is also known by these names:
ContextAlias
pluralHISTOLOGY (SNOMED)


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INVASIVE LESION SIZE

Change to Data Element: New DataElement

INVASIVE LESION SIZE

Format/length: n3
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralINVASIVE LESION SIZES


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INVASIVE LESION SIZE (RADIOLOGICAL DETERMINATION)

Change to Data Element: New DataElement

INVASIVE LESION SIZE (RADIOLOGICAL DETERMINATION)

Format/length: n3
HES item:
National Codes:
Default Codes:  

INVASIVE LESION SIZE (RADIOLOGICAL DETERMINATION) is the same as attribute INVASIVE LESION SIZE.

This is the estimate of the size of the tumour from the image.



This data element is also known by these names:
ContextAlias
pluralINVASIVE LESION SIZES (RADIOLOGICAL DETERMINATION)


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INVESTIGATION RESULT DATE

Change to Data Element: New DataElement

INVESTIGATION RESULT DATE

Format/length: ccyymmdd
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralINVESTIGATION RESULT DATES


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MARKER RESPONSE STATUS

Change to Data Element: New DataElement

MARKER RESPONSE STATUS

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralMARKER RESPONSE STATUSES


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M CATEGORY (FINAL PRETREATMENT)

Change to Data Element: New DataElement

M CATEGORY (FINAL PRETREATMENT)

Format/length: an5
HES item:
National Codes:
Default Codes:  

This is the TNM TYPE with National Code 3. 'Metastasis component', where the CANCER STAGING TYPE is 1. 'Final pre-treatment stage'.



This data element is also known by these names:
ContextAlias
pluralM CATEGORIES (FINAL PRETREATMENT)


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M CATEGORY (INTEGRATED STAGE)

Change to Data Element: New DataElement

M CATEGORY (INTEGRATED STAGE)

Format/length: an5
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

This is the TNM TYPE with National Code 3. 'Metastasis component', where the CANCER STAGING TYPE is 3. 'Integrated stage'.



This data element is also known by these names:
ContextAlias
pluralM CATEGORIES (INTEGRATED STAGE)


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M CATEGORY (PATHOLOGICAL)

Change to Data Element: New DataElement

M CATEGORY (PATHOLOGICAL)

Format/length: an5
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

This is the TNM TYPE with National Code 3. 'Metastasis component', where the CANCER STAGING TYPE is 2. 'Pathological stage'.



This data element is also known by these names:
ContextAlias
pluralM CATEGORIES (PATHOLOGICAL)


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METASTATIC STATUS

Change to Data Element: New DataElement

METASTATIC STATUS

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes: 9 - Not known



This data element is also known by these names:
ContextAlias
pluralMETASTATIC STATUSES


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MORBIDITY CODE (CANCER SURGERY)

Change to Data Element: New DataElement

MORBIDITY CODE (CANCER SURGERY)

Format/length: an6
HES item:
National Codes:
Default Codes:  

This is PATIENT DIAGNOSIS with a PATIENT DIAGNOSIS CODING SIGNIFICANCE of not 'Primary'.

This is any morbidity, relevant to previous surgical treatments that the patient has received.



This data element is also known by these names:
ContextAlias
pluralMORBIDITY CODES (CANCER SURGERY)


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MORBIDITY CODE (CHEMOTHERAPY)

Change to Data Element: New DataElement

MORBIDITY CODE (CHEMOTHERAPY)

Format/length: n1
HES item:
National Codes:
Default Codes:  

MORBIDITY CODE (CHEMOTHERAPY) is the same as attribute MORBIDITY CODE for Chemotherapy.

This is any morbidity relevant to previous chemotherapy treatments that the patient has received.



This data element is also known by these names:
ContextAlias
pluralMORBIDITY CODES (CHEMOTHERAPY)


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MORBIDITY CODE (COMBINATION)

Change to Data Element: New DataElement

MORBIDITY CODE (COMBINATION)

Format/length: n1
HES item:
National Codes:
Default Codes:  

MORBIDITY CODE (COMBINATION) is the same as attribute MORBIDITY CODE for Combination treatments.

This is any morbidity relevant to previous combination treatments that the patient has received.



This data element is also known by these names:
ContextAlias
pluralMORBIDITY CODES (COMBINATION)


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MORBIDITY CODE (RADIOTHERAPY)

Change to Data Element: New DataElement

MORBIDITY CODE (RADIOTHERAPY)

Format/length: n1
HES item:
National Codes:
Default Codes:  

MORBIDITY CODE (RADIOTHERAPY) is the same as attribute MORBIDITY CODE for Radiotherapy.

This is any morbidity relevant to previous radiotherapy treatments that the patient has received.



This data element is also known by these names:
ContextAlias
pluralMORBIDITY CODES (RADIOTHERAPY)


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N CATEGORY (FINAL PRETREATMENT)

Change to Data Element: New DataElement

N CATEGORY (FINAL PRETREATMENT)

Format/length: an5
HES item:
National Codes:
Default Codes:  

This is the TNM TYPE with National Code 2. 'Node component', where the CANCER STAGING TYPE is 1. 'Final pre-treatment stage'.



This data element is also known by these names:
ContextAlias
pluralN CATEGORIES (FINAL PRETREATMENT)


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N CATEGORY (INTEGRATED STAGE)

Change to Data Element: New DataElement

N CATEGORY (INTEGRATED STAGE)

Format/length: an5
HES item:
National Codes:
Default Codes:  

This is the TNM TYPE with National Code 2. 'Node component', where the CANCER STAGING TYPE is 3. 'Integrated stage'.



This data element is also known by these names:
ContextAlias
pluralN CATEGORIES (INTEGRATED STAGE)


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N CATEGORY (PATHOLOGICAL)

Change to Data Element: New DataElement

N CATEGORY (PATHOLOGICAL)

Format/length: an5
HES item:
National Codes:
Default Codes:  

This is the TNM TYPE with National Code 2. 'Node component', where the CANCER STAGING TYPE is 2. 'Pathological stage'.



This data element is also known by these names:
ContextAlias
pluralN CATEGORIES (PATHOLOGICAL)


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NO CANCER TREATMENT REASON

Change to Data Element: New DataElement

NO CANCER TREATMENT REASON

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes: 99 - Not known



This data element is also known by these names:
ContextAlias
pluralNO CANCER TREATMENT REASONS


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NODAL STATUS

Change to Data Element: New DataElement

NODAL STATUS

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralNODAL STATUSES


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NODES EXAMINED NUMBER

Change to Data Element: New DataElement

NODES EXAMINED NUMBER

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralNODES EXAMINED NUMBERS


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NODES POSITIVE NUMBER

Change to Data Element: New DataElement

NODES POSITIVE NUMBER

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralNODES POSITIVE NUMBERS


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ORGANISATION CODE (OF REPORTING PATHOLOGY)

Change to Data Element: New DataElement

ORGANISATION CODE (OF REPORTING PATHOLOGY)

Format/length: an5
HES item:
National Codes:
Default Codes:  

This is the ORGANISATION CODE of the ORGANISATION at which the authorising pathologist is based.



This data element is also known by these names:
ContextAlias
pluralORGANISATION CODES (OF REPORTING PATHOLOGY)


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ORGANISATION CODE (RESPONSIBLE PCT)

Change to Data Element: New DataElement

ORGANISATION CODE (RESPONSIBLE PCT)

Format/length: an5
HES item:
National Codes:
Default Codes:  

This is the ORGANISATION CODE of the responsible PRIMARY CARE TRUST.

The PRIMARY CARE TRUST is responsible for a population which comprises:

- those persons registered with GPs whose practices are within the PRIMARY CARE TRUST, irrespective of whether they reside within the boundary of the PRIMARY CARE TRUST, plus
- those persons who are not registered with any GP but who reside in the PRIMARY CARE TRUST's geographic area.



This data element is also known by these names:
ContextAlias
pluralORGANISATION CODES (RESPONSIBLE PCT)


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PATHOLOGY INVESTIGATION TYPE

Change to Data Element: New DataElement

PATHOLOGY INVESTIGATION TYPE

Format/length: a1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralPATHOLOGY INVESTIGATION TYPES


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PATIENT FAMILY OR SURNAME

Change to Data Element: New DataElement

PATIENT FAMILY OR SURNAME

Format/length: an35
HES item:
National Codes:
Default Codes:  

This is the PERSON NAME WORD TYPE where b. is the 'Family Name or Surname'.



This data element is also known by these names:
ContextAlias
pluralPATIENT FAMILY OR SURNAMES


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PATIENT FAMILY OR SURNAME (AT BIRTH)

Change to Data Element: New DataElement

PATIENT FAMILY OR SURNAME (AT BIRTH)

Format/length: an35
HES item:
National Codes:
Default Codes:  

This is the PERSON NAME WORD TYPE b. 'Family Name or Surname', where the PERSON NAME TYPE is b. 'Birth Name'.



This data element is also known by these names:
ContextAlias
pluralPATIENT FAMILY OR SURNAMES (AT BIRTH)


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PATIENT FOLLOW-UP STATUS (CANCER)

Change to Data Element: New DataElement

PATIENT FOLLOW-UP STATUS (CANCER)

Format/length: n1
HES item:
National Codes:
Default Codes:  

The follow-up status of the PATIENT at the time of the CLINICAL STATUS ASSESSMENT DATE (CANCER).

National Codes: .
1 Under follow-up - where the CONSULTANT OUT-PATIENT EPISODE is open with OUT-PATIENT ATTENDANCE CONSULTANT
2 Lost to follow-up - where there are OUT-PATIENT APPOINTMENT / ATTENDED OR DID NOT ATTEND code is 2. 'Appointment cancelled by patient' or 3. 'Did not attend, no advance warning given' and no further appointments have been made
3 Discharged - where the CONSULTANT OUT-PATIENT EPISODE is closed and there are no OUT-PATIENT APPOINTMENT / ATTENDED OR DID NOT ATTEND code is 2. 'Appointment cancelled by patient' or 3. 'Did not attend, no advance warning given'
4 Transferred to another unit - where episodes are closed and new episodes opened under a new HEALTH CARE PROVIDER



This data element is also known by these names:
ContextAlias
pluralPATIENT FOLLOW-UP STATUSES (CANCER)


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PATIENT FORENAME OR PERSONAL NAME

Change to Data Element: New DataElement

PATIENT FORENAME OR PERSONAL NAME

Format/length: an35
HES item:
National Codes:
Default Codes:  

This is the PERSON NAME WORD TYPE c. 'Forename or Personal Name'.



This data element is also known by these names:
ContextAlias
pluralPATIENT FORENAMES OR PERSONAL NAMES


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PATIENT TRIAL STATUS (CANCER)

Change to Data Element: New DataElement

PATIENT TRIAL STATUS (CANCER)

Format/length: an2
HES item:
National Codes:
Default Codes:  

PATIENT TRIAL STATUS (CANCER) is the same as attribute PATIENT TRIAL STATUS.



This data element is also known by these names:
ContextAlias
pluralPATIENT TRIAL STATUSES (CANCER)


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PATIENT USUAL ADDRESS (AT DIAGNOSIS)

Change to Data Element: New DataElement

PATIENT USUAL ADDRESS (AT DIAGNOSIS)

Format/length: an175 (5 lines each an35)
HES item:
National Codes:
Default Codes:  

PATIENT USUAL ADDRESS (AT DIAGNOSIS) is the same as data item note PATIENT USUAL ADDRESS.



This data element is also known by these names:
ContextAlias
pluralPATIENT USUAL ADDRESSES (AT DIAGNOSIS)


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PERFORMANCE STATUS (ADULT)

Change to Data Element: New DataElement

PERFORMANCE STATUS (ADULT)

Format/length: n1
HES item:
National Codes:
Default Codes:  

PERFORMANCE STATUS (ADULT) is the same as entity PERFORMANCE STATUS.



This data element is also known by these names:
ContextAlias
pluralPERFORMANCE STATUSES (ADULT)


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PERSON BODY SURFACE AREA (PRETREATMENT)

Change to Data Element: New DataElement

PERSON BODY SURFACE AREA (PRETREATMENT)

Format/length: n.nn
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

PERSON BODY SURFACE AREA (PRETREATMENT) is the same as attribute PERSON BODY SURFACE AREA.



This data element is also known by these names:
ContextAlias
pluralPERSON BODY SURFACE AREAS (PRETREATMENT)


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PLANNED CANCER TREATMENT TYPE

Change to Data Element: New DataElement

PLANNED CANCER TREATMENT TYPE

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes: 99 - Not known



This data element is also known by these names:
ContextAlias
pluralPLANNED CANCER TREATMENT TYPES


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PLANNED TREATMENT CHANGE REASON

Change to Data Element: New DataElement

PLANNED TREATMENT CHANGE REASON

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes: 9 - Not known



This data element is also known by these names:
ContextAlias
pluralPLANNED TREATMENT CHANGE REASONS


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POSTCODE OF USUAL ADDRESS (AT DIAGNOSIS)

Change to Data Element: New DataElement

POSTCODE OF USUAL ADDRESS (AT DIAGNOSIS)

Format/length: an8
HES item:
National Codes:
Default Codes:  

POSTCODE OF USUAL ADDRESS (AT DIAGNOSIS) is the same as data element POSTCODE OF USUAL ADDRESS.



This data element is also known by these names:
ContextAlias
pluralPOSTCODES OF USUAL ADDRESS (AT DIAGNOSIS)


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PRIMARY TUMOUR STATUS

Change to Data Element: New DataElement

PRIMARY TUMOUR STATUS

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralPRIMARY TUMOUR STATUSES


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RADIOTHERAPY ACTUAL DOSE

Change to Data Element: New DataElement

RADIOTHERAPY ACTUAL DOSE

Format/length: n4
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralRADIOTHERAPY ACTUAL DOSES


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RADIOTHERAPY ANAESTHETIC

Change to Data Element: New DataElement

RADIOTHERAPY ANAESTHETIC

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralRADIOTHERAPY ANAESTHETICS


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RADIOTHERAPY PRESCRIBED DOSE

Change to Data Element: New DataElement

RADIOTHERAPY PRESCRIBED DOSE

Format/length: n4
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralRADIOTHERAPY PRESCRIBED DOSES


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RADIOTHERAPY PRESCRIBED DURATION

Change to Data Element: New DataElement

RADIOTHERAPY PRESCRIBED DURATION

Format/length: nnn
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralRADIOTHERAPY PRESCRIBED DURATIONS


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RECORDED HEIGHT (CANCER DRUG TREATMENT)

Change to Data Element: New DataElement

RECORDED HEIGHT (CANCER DRUG TREATMENT)

Format/length: n.nn
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

RECORDED HEIGHT (CANCER DRUG TREATMENT) is the same as attribute RECORDED HEIGHT.



This data element is also known by these names:
ContextAlias
pluralRECORDED HEIGHTS (CANCER DRUG TREATMENT)


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RECORDED WEIGHT (CANCER DRUG TREATMENT)

Change to Data Element: New DataElement

RECORDED WEIGHT (CANCER DRUG TREATMENT)

Format/length: nnn.nnn
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

RECORDED WEIGHT (CANCER DRUG TREATMENT) is the same as attribute RECORDED WEIGHT.



This data element is also known by these names:
ContextAlias
pluralRECORDED WEIGHTS (CANCER DRUG TREATMENT)


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RECURRENCE INDICATOR

Change to Data Element: New DataElement

RECURRENCE INDICATOR

Format/length: an1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralRECURRENCE INDICATORS


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REFERRER CODE

Change to Data Element: change to description

Format/length: an8
HES item: REFERRER
National Codes:
Default Codes: R9999981 - Referrer other than GMP, GDP or Consultant
X9999998 - Not applicable: or not known

Notes:
This requires the code of the PERSON making the referral. This will normally be a HEALTH CARE PRACTITIONER - a GMP or a consultant. This will normally be a HEALTH CARE PROFESSIONAL - a GMP or a consultant.

The intention is for this item to reflect the actual (true) referrer. For example, following a GMP referral, a consultant may subsequently refer the PATIENT to another consultant within the HOSPITAL PROVIDER SPELL. The code of the consultant making the referral and the consultant’s organisation should be recorded in the CDS rather than the code of the GMP referrer. Where the Consultant Code is unknown, the default value C9999998 should be used.

In all other cases, the code of the referring GMP should be recorded, if applicable.

See CONSULTANT CODE and GMP (CODE OF REGISTERED OR REFERRING GMP) for the codes available for consultants and General Medical and Dental Practitioners, MoD and Prison Doctors. See also NHS Administrative Codes.

If the Referrer code is not known or not applicable e.g. the patient has self-presented, the default code (X9999998) should be used.



This data element is also known by these names:
ContextAlias
pluralREFERRER CODES


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SAMPLE RECEIPT DATE

Change to Data Element: New DataElement

SAMPLE RECEIPT DATE

Format/length: ccyymmdd
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralSAMPLE RECEIPT DATES


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SERVICE REPORT IDENTIFIER

Change to Data Element: New DataElement

SERVICE REPORT IDENTIFIER

Format/length: n18
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralSERVICE REPORT IDENTIFIERS


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SERVICE REPORT STATUS

Change to Data Element: New DataElement

SERVICE REPORT STATUS

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralSERVICE REPORT STATUSES


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SITE CODE (OF BRACHYTHERAPY)

Change to Data Element: New DataElement

SITE CODE (OF BRACHYTHERAPY)

Format/length: an5
HES item:
National Codes:
Default Codes:  

SITE CODE (OF BRACHYTHERAPY) is the ORGANISATION SITE CODE of ORGANISATION SITE of the ORGANISATION at which the brachytherapy took place.



This data element is also known by these names:
ContextAlias
pluralSITE CODES (OF BRACHYTHERAPY)


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SITE CODE (OF CANCER DRUG TREATMENT)

Change to Data Element: New DataElement

SITE CODE (OF CANCER DRUG TREATMENT)

Format/length: an5
HES item:
National Codes:
Default Codes:  

SITE CODE (OF CANCER DRUG TREATMENT) is the ORGANISATION SITE CODE of ORGANISATION SITE of the ORGANISATION at which the drug treatment took place.



This data element is also known by these names:
ContextAlias
pluralSITE CODES (OF CANCER DRUG TREATMENT)


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SITE CODE (OF IMAGING)

Change to Data Element: New DataElement

SITE CODE (OF IMAGING)

Format/length: an5
HES item:
National Codes:
Default Codes:  

SITE CODE (OF IMAGING) is the ORGANISATION SITE CODE of ORGANISATION SITE of the ORGANISATION at which the imaging took place.



This data element is also known by these names:
ContextAlias
pluralSITE CODES (OF IMAGING)


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SITE CODE (OF SURGERY)

Change to Data Element: New DataElement

SITE CODE (OF SURGERY)

Format/length: an5
HES item:
National Codes:
Default Codes:  

SITE CODE (OF SURGERY) is the ORGANISATION SITE CODE of ORGANISATION SITE of the ORGANISATION at which the surgery took place.



This data element is also known by these names:
ContextAlias
pluralSITE CODES (OF SURGERY)


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SITE CODE (OF TELETHERAPY)

Change to Data Element: New DataElement

SITE CODE (OF TELETHERAPY)

Format/length: an5
HES item:
National Codes:
Default Codes:  

SITE CODE (OF TELETHERAPY) is the ORGANISATION SITE CODE of ORGANISATION SITE of the ORGANISATION at which the teletherapy took place.



This data element is also known by these names:
ContextAlias
pluralSITE CODES (OF TELETHERAPY)


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SITE SPECIFIC STAGING CLASSIFICATION

Change to Data Element: New DataElement

SITE SPECIFIC STAGING CLASSIFICATION

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralSITE SPECIFIC STAGING CLASSIFICATIONS


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SOURCE OF REFERRAL FOR CANCER

Change to Data Element: New DataElement

SOURCE OF REFERRAL FOR CANCER

Format/length: an2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes: 99 - Not known



This data element is also known by these names:
ContextAlias
pluralSOURCES OF REFERRAL FOR CANCER


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SPECIMEN NATURE

Change to Data Element: New DataElement

SPECIMEN NATURE

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes: 9 - Not known



This data element is also known by these names:
ContextAlias
pluralSPECIMEN NATURES


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STAGING CERTAINTY FACTOR (M CATEGORY)

Change to Data Element: New DataElement

STAGING CERTAINTY FACTOR (M CATEGORY)

Format/length: an2
HES item:
National Codes:
Default Codes:  

STAGING CERTAINTY FACTOR (M CATEGORY) is the same as attribute STAGING CERTAINTY FACTOR where the TNM TYPE is National Code 3. 'Metastasis component'.



This data element is also known by these names:
ContextAlias
pluralSTAGING CERTAINTY FACTORS (M CATEGORY)


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STAGING CERTAINTY FACTOR (N CATEGORY)

Change to Data Element: New DataElement

STAGING CERTAINTY FACTOR (N CATEGORY)

Format/length: an2
HES item:
National Codes:
Default Codes:  

STAGING CERTAINTY FACTOR (N CATEGORY) is the same as attribute STAGING CERTAINTY FACTOR where the TNM TYPE is classification 2. 'Node component'.



This data element is also known by these names:
ContextAlias
pluralSTAGING CERTAINTY FACTORS (N CATEGORY)


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STAGING CERTAINTY FACTOR (T CATEGORY)

Change to Data Element: New DataElement

STAGING CERTAINTY FACTOR (T CATEGORY)

Format/length: an2
HES item:
National Codes:
Default Codes:  

STAGING CERTAINTY FACTOR (T CATEGORY) is the same as attribute STAGING CERTAINTY FACTOR where the TNM TYPE is National Code 1. 'Tumour component'.



This data element is also known by these names:
ContextAlias
pluralSTAGING CERTAINTY FACTORS (T CATEGORY)


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STAGING CERTAINTY FACTOR (TNM CATEGORY)

Change to Data Element: New DataElement

STAGING CERTAINTY FACTOR (TNM CATEGORY)

Format/length: an2
HES item:
National Codes:
Default Codes:  

STAGING CERTAINTY FACTOR (TNM CATEGORY) is the same as attribute STAGING CERTAINTY FACTOR where the TNM TYPE iiis National Code 4. 'Overall TNM stage'.



This data element is also known by these names:
ContextAlias
pluralSTAGING CERTAINTY FACTORS (TNM CATEGORY)


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START DATE (ANTI-CANCER DRUG FRACTION)

Change to Data Element: New DataElement

START DATE (ANTI-CANCER DRUG FRACTION)

Format/length: ccyymmdd
HES item:
National Codes:
Default Codes:  

START DATE (ANTI-CANCER DRUG FRACTION) is the same as attribute START DATE of the ANTI-CANCER DRUG FRACTION.



This data element is also known by these names:
ContextAlias
pluralSTART DATES (ANTI-CANCER DRUG FRACTION)


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SYNCHRONOUS TUMOUR INDICATOR

Change to Data Element: New DataElement

SYNCHRONOUS TUMOUR INDICATOR

Format/length: an1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes: 9 - Not known



This data element is also known by these names:
ContextAlias
pluralSYNCHRONOUS TUMOUR INDICATORS


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T CATEGORY (FINAL PRETREATMENT)

Change to Data Element: New DataElement

T CATEGORY (FINAL PRETREATMENT)

Format/length: an5
HES item:
National Codes:
Default Codes:  

This is the TNM TYPE with National Code 1. 'Tumour component', where the CANCER STAGING TYPE is 1. 'Final pre-treatment stage'.



This data element is also known by these names:
ContextAlias
pluralT CATEGORIES (FINAL PRETREATMENT)


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T CATEGORY (INTEGRATED STAGE)

Change to Data Element: New DataElement

T CATEGORY (INTEGRATED STAGE)

Format/length: an5
HES item:
National Codes:
Default Codes:  

This is the TNM TYPE with National Code 1. 'Tumour component', where the CANCER STAGING TYPE is 3. 'Integrated stage'.



This data element is also known by these names:
ContextAlias
pluralT CATEGORIES (INTEGRATED STAGE)


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T CATEGORY (PATHOLOGICAL)

Change to Data Element: New DataElement

T CATEGORY (PATHOLOGICAL)

Format/length: an5
HES item:
National Codes:
Default Codes:  

This is the TNM TYPE with National Code 1. 'Tumour component', where the CANCER STAGING TYPE is 2. 'Pathological stage'.



This data element is also known by these names:
ContextAlias
pluralT CATEGORIES (PATHOLOGICAL)


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TELETHERAPY ACTUAL FRACTIONS

Change to Data Element: New DataElement

TELETHERAPY ACTUAL FRACTIONS

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralTELETHERAPY ACTUAL FRACTIONS


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TELETHERAPY BEAM ENERGY

Change to Data Element: New DataElement

TELETHERAPY BEAM ENERGY

Format/length: n1
HES item:
National Codes:
Default Codes:  

TELETHERAPY BEAM ENERGY is the same as attribute TELETHERAPY PHOTON ENERGY for high energy photon beams or TELETHERAPY ELECTRON ENERGY for high energy electron beams.



This data element is also known by these names:
ContextAlias
pluralTELETHERAPY BEAM ENERGIES


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TELETHERAPY BEAM TYPE

Change to Data Element: New DataElement

TELETHERAPY BEAM TYPE

Format/length: an2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralTELETHERAPY BEAM TYPES


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TELETHERAPY COMPLEXITY GROUP

Change to Data Element: New DataElement

TELETHERAPY COMPLEXITY GROUP

Format/length: an1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralTELETHERAPY COMPLEXITY GROUPS


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TELETHERAPY FIELDS

Change to Data Element: New DataElement

TELETHERAPY FIELDS

Format/length: an1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralTELETHERAPY FIELDS


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TELETHERAPY MULTIPLE PLANNING

Change to Data Element: New DataElement

TELETHERAPY MULTIPLE PLANNING

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralTELETHERAPY MULTIPLE PLANNINGS


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TELETHERAPY PRESCRIBED FRACTIONS

Change to Data Element: New DataElement

TELETHERAPY PRESCRIBED FRACTIONS

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralTELETHERAPY PRESCRIBED FRACTIONS


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TMN CATEGORY (FINAL PRETREATMENT)

Change to Data Element: New DataElement

TMN CATEGORY (FINAL PRETREATMENT)

Format/length: an5
HES item:
National Codes:
Default Codes:  

This is the TNM TYPE with National Code 4. 'Overall TNM stage', where the CANCER STAGING TYPE is 1. 'Final pre-treatment stage'.



This data element is also known by these names:
ContextAlias
pluralTMN CATEGORIES (FINAL PRETREATMENT)


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TMN CATEGORY (INTEGRATED)

Change to Data Element: New DataElement

TMN CATEGORY (INTEGRATED)

Format/length: an5
HES item:
National Codes:
Default Codes:  

This is the TNM TYPE with National Code 4. 'Overall TNM stage', where the CANCER STAGING TYPE is 3. 'Integrated stage'.



This data element is also known by these names:
ContextAlias
pluralTMN CATEGORIES (INTEGRATED)


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TMN CATEGORY (PATHOLOGICAL)

Change to Data Element: New DataElement

TMN CATEGORY (PATHOLOGICAL)

Format/length: an5
HES item:
National Codes:
Default Codes:  

This is the TNM TYPE with National Code 4. 'Overall TNM stage', where the CANCER STAGING TYPE is 2. 'Pathological stage'.



This data element is also known by these names:
ContextAlias
pluralTMN CATEGORIES (PATHOLOGICAL)


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TREATMENT COURSE STATUS

Change to Data Element: New DataElement

TREATMENT COURSE STATUS

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes: 9 - Not known



This data element is also known by these names:
ContextAlias
pluralTREATMENT COURSE STATUSES


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TREATMENT TYPE (CANCER MORBIDITY)

Change to Data Element: New DataElement

TREATMENT TYPE (CANCER MORBIDITY)

Format/length: n1
HES item:
National Codes:
Default Codes:  

TREATMENT TYPE (CANCER MORBIDITY) is the same as attribute TREATMENT TYPE.



This data element is also known by these names:
ContextAlias
pluralTREATMENT TYPES (CANCER MORBIDITY)


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TREATMENT TYPE SEQUENCE

Change to Data Element: New DataElement

TREATMENT TYPE SEQUENCE

Format/length: n3
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralTREATMENT TYPE SEQUENCES


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UNSEALED SOURCE PATIENT TYPE

Change to Data Element: New DataElement

UNSEALED SOURCE PATIENT TYPE

Format/length: an1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralUNSEALED SOURCE PATIENT TYPES


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NCDS1 NATIONAL CANCER DATA SET PART 1

Change to Diagram: New Diagram


 NCDS1 National Cancer Data Set Part 1 


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NCDS2 NATIONAL CANCER DATA SET PART 2

Change to Diagram: New Diagram


 NCDS2 National Cancer Data Set Part 2 


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NCDS3 NATIONAL CANCER DATA SET PART 3

Change to Diagram: New Diagram


 NCDS3 National Cancer Data Set Part 3 


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AD010

Change to Supporting Information: Change to supporting information

Model View Diagram - Overview

AD010 - Core Administrative Data - Person Details

  1. This diagram shows the classes concerned with the administrative data recorded for PERSONS.

    Each PERSON must have one PERSON IDENTIFIER which is their primary identifier.

  1. A person may act in a different number of PERSON ROLES IN ORGANISATIONS each of which is identified by a PERSON IDENTIFIER by an ORGANISATION or HEALTH CARE PROVIDER. The particular PERSON IDENTIFIER for PERSON ROLE IN ORGANISATION is given by PERSON IDENTIFIER USED BY ROLE.

    A PERSON may be a PATIENT in a number of different ORGANISATIONS and each of these instances is a PERSON ROLE IN ORGANISATION.

  1. A PERSON has their PERSON NAME recorded in a structured or unstructured format. PERSON NAME UNSTRUCTURED has a person name type of "Whole Name". PERSON NAME STRUCTURED allows resequencing of the PERSON NAME by breaking the name by person name word type into Title, Family Name, Forename and Suffix. In addition PERSON NAME STRUCTURED allows person name types of "Preferred Name" and "Birth Name".

  2. A PERSON may have many PERSON CHARACTERISTICS. Examples of these CHARACTERISTICS relating to administrative data are SEX, ETHNIC CATEGORY, ETHNIC GROUP and MARITAL STATUS.

  3. A PERSON may be contacted using many TELE-COMMUNICATION CONTACT STRINGS.

  1. A PERSON may have many ADDRESS ASSOCIATIONS e.g. Main Permanent Residence or Correspondence address. Each ADDRESS ASSOCIATION is linked to a known ADDRESS. An ADDRESS is stored only once and may be associated with many PERSONS or ORGANISATIONS.(See AD020).

  1. Each ADDRESS may be defined as being in many GEOGRAPHIC AREAS and may have a corresponding ADDRESS IN GEOGRAPHIC AREA entry. In addition each ADDRESS must fall within one Postcode area. (see AD030).

  1. A PERSON may be subject to REGISTRATION with a GENERAL MEDICAL PRACTITIONER. A GENERAL MEDICAL PRACTITIONER is in turn a GENERAL PRACTITIONER, who is a HEALTH CARE PRACTITIONER, a PERSON ROLE IN ORGANISATION.

  1. A PERSON may be subject to REGISTRATION with a GENERAL MEDICAL PRACTITIONER. A GENERAL MEDICAL PRACTITIONER is in turn a GENERAL PRACTITIONER, who is a HEALTH CARE PROFESSIONAL, a PERSON ROLE IN ORGANISATION.


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CC010

Change to Supporting Information: Change to supporting information

Model View Diagram - Overview

CC010 - Paediatric Operations and Interventions

  1. This diagram shows the classes and relationships relevant to the clinical audit dataset in paediatric surgery and interventions, developed by the Paediatric Cardiac Surgery Project Team. The data are collected by paediatric centres and submitted to the Central Cardiac Audit Database (CCAD).

  1. Both the paediatric cardiac procedure which is being reported and any previous procedures are PATIENT PROCEDURES, classified via PATIENT PROCEDURE CLASSIFICATION by an OPERATIVE PROCEDURE or a READ CLASSIFICATION. The pre-procedure PATIENT DIAGNOSIS is recorded.

  1. The HEALTH CARE PRACTITIONER responsible for the surgery may be a CONSULTANT or may be a specialist registrar.

  1. The HEALTH CARE PROFESSIONAL responsible for the surgery may be a CONSULTANT or may be a specialist registrar.

  1. Among the patient details collected in the dataset is WEIGHT, a subtype of CHARACTERISTIC, which is the patient’s weight at the time of the surgery.


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CL010

Change to Supporting Information: Change to supporting information

Model View Diagram - Overview

CL010 - Person Observations and Characteristics

  1. This diagram shows the classes concerned with CHARACTERISTIC and observations recorded about a PERSON.

  1. CHARACTERISTICS refer to features relating to an individual and include ethnicity, sex, weight, marital and smoking status.

  1. PERSON OBSERVATIONS refer to observations made by a HEALTH CARE PRACTITIONER or PERSON about another PERSON. These include clinical diagnosis.

  1. PERSON OBSERVATIONS refer to observations made by a HEALTH CARE PROFESSIONAL or PERSON about another PERSON. These include clinical diagnosis.

  1. Clinical observations must be classified using the appropriate CLINICAL CLASSIFICATION, for example Read Codes.


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CL020

Change to Supporting Information: Change to supporting information

Model View Diagram - Overview

CL020 - Clinical Interventions

  1. This diagram shows the classes concerned with CLINICAL INTERVENTIONS associated with a PATIENT.

  1. CLINICAL INTERVENTIONS include treatments, investigations and any procedures performed on the PATIENT.

  1. PATIENT PROCEDURES must be classified by the appropriate CLINICAL CLASSIFICATION.

  1. HEALTH CARE PRACTITIONER INVOLVEMENT shows the HEALTH CARE PRACTITIONER who had involvement in the intervention.

  1. HEALTH CARE PROFESSIONAL INVOLVEMENT shows the HEALTH CARE PROFESSIONAL who had involvement in the intervention.


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HP010

Change to Supporting Information: Change to supporting information

Model View Diagram - Overview

HP010 - REFERRAL REQUESTS

  1. This diagram shows classes relevant to REFERRAL REQUESTS.

  1. Each GP REFERRAL REQUEST relates to the GENERAL PRACTITIONER and GP PRACTICE from which the referral came.

  1. A CONSULTANT REFERRAL REQUEST relates to the CONSULTANT that made the request.

  1. OTHER REFERRAL REQUESTS relate to referrals that have NOT been made by either a CONSULTANT or GENERAL PRACTITIONER such as referrals from other HEALTH CARE PRACTITIONERS. OTHER REFERRAL REQUESTS may be related to the ORGANISATION that made the referral.

  1. OTHER REFERRAL REQUESTS relate to referrals that have NOT been made by either a CONSULTANT or GENERAL PRACTITIONER such as referrals from other HEALTH CARE PROFESSIONALS. OTHER REFERRAL REQUESTS may be related to the ORGANISATION that made the referral.

  1. Each REFERRAL REQUEST is directed to a CONSULTANT or SERVICE POINT. A REFERRAL REQUEST may be classified by a SPECIALTY FUNCTION and/or a LOCAL SUB-SPECIALTY.

  1. Each REFERRAL REQUEST may be subsequent to an original REFERRAL REQUEST.


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HP240

Change to Supporting Information: Change to supporting information

Model View Diagram - Overview

HP240 - RADIOLOGY SERVICE REQUESTS-GP HOSPITAL COMMUNICATIONS

  1. This diagram shows the classes relevant to Radiology services and communication with GPs.

  1. A REQUEST FOR RADIOLOGICAL PROCEDURE is a sub-type of REQUEST FOR DIAGNOSTIC TEST. The REQUEST FOR DIAGNOSTIC TEST results in an IMAGING OR RADIODIAGNOSTIC EVENT for a PATIENT.

  1. A RADIOLOGY INVESTIGATION PLAN may be created either by the RADIOLOGY DEPARTMENT or the HEALTH CARE PRACTITIONER and is carried out by CLINICAL INVESTIGATION SERVICE PROVIDERS. Alternatively a plan may not be produced.

  1. A RADIOLOGY INVESTIGATION PLAN may be created either by the RADIOLOGY DEPARTMENT or the HEALTH CARE PROFESSIONAL and is carried out by CLINICAL INVESTIGATION SERVICE PROVIDERS. Alternatively a plan may not be produced.

  1. IMAGING OR RADIODIAGNOSTIC EVENTS result in CLINICAL INVESTIGATION RESULT ITEMS, in this case they are specifically RADIOLOGY INVESTIGATION RESULT ITEMS.


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HP350

Change to Supporting Information: Change to supporting information

Model View Diagram - Overview

HP350 - NHS DAY CARE FACILITIES

  1. This diagram shows the classes relevant to NHS DAY CARE FACILITIES.

  1. A DAY CARE FACILITY is a SERVICE POINT. Each DAY CARE FACILITY has at least one DAY CARE OPERATIONAL PLAN for the use of the facility.

  1. Each DAY CARE SESSION will have a number of DAY CARE ATTENDANCES. A DAY CARE ATTENDANCE will either be by a regular attender and be part of a REGULAR ATTENDER EPISODE, or by a PATIENT who is currently using a hospital bed and be part of a CONSULTANT EPISODE (HOSPITAL PROVIDER). For patients using a hospital bed, the CONSULTANT in charge of the CONSULTANT EPISODE (HOSPITAL PROVIDER) may or may not be the same as the CONSULTANT in charge of the relevant day care function.

  1. A DAY CARE SESSION must be managed by a HEALTH CARE PRACTITIONER

  1. A DAY CARE SESSION must be managed by a HEALTH CARE PROFESSIONAL


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HP360

Change to Supporting Information: Change to supporting information

Model View Diagram - Overview

HP360 - PSYCHIATRIC HEALTH OF THE NATION OUTCOME SCALES (HONOS)

  1. This diagram shows the classes relevant to the psychiatric Health of the Nation Outcome Scales or HONOS.

  1. A PATIENT may be the subject of a number of HONOS SCORES FOR PERSONS each of which is an evaluation made by a HEALTH CARE PRACTITIONER of a particular HONOS RATING.

  1. A PATIENT may be the subject of a number of HONOS SCORES FOR PERSONS each of which is an evaluation made by a HEALTH CARE PROFESSIONAL of a particular HONOS RATING.


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MS010

Change to Supporting Information: Change to supporting information

Model View Diagram - Overview

MS010 - GP Hospital Communication Messages - Clinical Information

  1. This diagram shows the classes concerned with the Clinical Information associated with GP-Hospital communication messages.

  1. Existing detail relating to the dialogue between GPs and Hospital services has been collected together into sub types of PERSON OBSERVATIONS, CLINICAL INTERVENTIONS and CLINICAL INVESTIGATION RESULT ITEMS.

  1. PERSON OBSERVATIONS refer to the diagnosis and CLINICAL INTERVENTIONS refer to investigation and treatment of PATIENTS by HEALTH CARE PRACTITIONERS and ORGANISATIONS. CLINICAL INTERVENTIONS may be sub-typed as DRUG TREATMENTS.

  1. PERSON OBSERVATIONS refer to the diagnosis and CLINICAL INTERVENTIONS refer to investigation and treatment of PATIENTS by HEALTH CARE PROFESSIONALS and ORGANISATIONS. CLINICAL INTERVENTIONS may be sub-typed as DRUG TREATMENTS.

  1. CLINICAL INVESTIGATION RESULT ITEMS refer to Pathology and Radiology results.

  1. CLINICAL INVESTIGATION RESULT ITEMS, CLINICAL INTERVENTIONS and CLINICAL CLASSIFICATIONS FOR PERSON may be classified by a READ CLASSIFICATION. One of the relationships is to classify the results and the other is to classify the clinical investigation.


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MS020

Change to Supporting Information: Change to supporting information

Model View Diagram - Overview

MS020 - GP Hospital Communication Messages - Service Reports

  1. This diagram shows the classes concerned with the carriage of Clinical Information or planned services associated with GP-Hospital communication messages.

  1. As result of either a request for PLANNED SERVICE TO BE PROVIDED or the act of providing a SERVICE PROVIDED a SERVICE REPORTED is created. SERVICE REPORTED are grouped by SERVICE REPORT HEADERS for despatch purposes. A SERVICE REPORT HEADER may refer to a PATHOLOGY LAB SERVICE REPORT HEADER or a RADIOLOGY SERVICE REPORT HEADER.

  1. SERVICE REPORT HEADERS are requested by and issued by HEALTH CARE PRACTITIONERS or ORGANISATIONS. SERVICE REPORT HEADERS may be copied as SERVICE REPORT COPIES to either HEALTH CARE PRACTITIONERS or ORGANISATIONS.

  1. SERVICE REPORT HEADERS are requested by and issued by HEALTH CARE PROFESSIONALS or ORGANISATIONS. SERVICE REPORT HEADERS may be copied as SERVICE REPORT COPIES to either HEALTH CARE PROFESSIONALS or ORGANISATIONS.


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NATIONAL CANCER DATA SET DIAGRAM CLASS DEFINITIONS

Change to Supporting Information: New WebPage

National Cancer Data Set Diagram Class Definitions

The National Cancer Data Set is represented by diagrams which contain the class types and their relationships that are required to support the National Cancer Data Set.

By clicking on a class box on the diagram opposite, the selected class definition will display.

Any text within the displayed definition which is in blue, uppercase and underlined is the name of an class or an attribute and if clicked on will display the definition for the class or attribute.


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PC010

Change to Supporting Information: Change to supporting information

Model View Diagram - Overview

PC010 - GENERAL MEDICAL PRACTITIONERS AND POSTS IN GP PRACTICES

  1. This diagram shows the classes concerned with the posts within GP PRACTICES.

  1. A HEALTH CARE PRACTITIONER in the role of GENERAL MEDICAL PRACTITIONER is associated with a GP PRACTICE, as a PERSON ROLE IN ORGANISATION.

  1. A HEALTH CARE PROFESSIONAL in the role of GENERAL MEDICAL PRACTITIONER is associated with a GP PRACTICE, as a PERSON ROLE IN ORGANISATION.

  1. A GENERAL MEDICAL PRACTITIONER PRACTICE can have many POSTS IN GMP PRACTICES, for example Principal General Medical Practitioner or Locum General Medical Practitioner.

  1. A GENERAL MEDICAL PRACTITIONER can undertake more than one post via PERSON IN GMP PRACTICE POST, which contains the start and end dates of when the PERSON was in post.

  1. A PERSON IN GMP PRACTICE POST may be a GENERAL MEDICAL PRACTITIONER or another PERSON.


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PC020

Change to Supporting Information: Change to supporting information

Model View Diagram - Overview

PC020 - GMPS CLAIMS AND PAYMENTS OR REIMBURSEMENTS FROM PRIMARY CARE TRUSTS

  1. This diagram shows the classes concerned with the claims for payment which GENERAL MEDICAL PRACTITIONERS make to the PRIMARY CARE TRUST.

  1. A GENERAL MEDICAL PRACTITIONER may make a number of GMP CLAIMS FOR PAYMENT OR REIMBURSEMENTS. A GMP CLAIM FOR PAYMENT OR REIMBURSEMENT is either an ITEM OF SERVICE CLAIM or OTHER CLAIM BY GMP which may be in the context of a particular GENERAL MEDICAL PRACTITIONER PRACTICE.

  1. An ITEM OF SERVICE DELIVERY is delivered to a PERSON which may be recorded as delivered at a particular ADDRESS and claimed for by a particular ITEM OF SERVICE CLAIM. An ITEM OF SERVICE DELIVERY may be one of a number of subtypes: REGISTRATION HEALTH CHECK, MATERNITY MEDICAL SERVICE, ANAESTHETIC SERVICE, CONTRACEPTIVE SERVICE, EMERGENCY TREATMENT SERVICE, NIGHT CONSULTATION VISIT, DENTAL HAEMORRHAGE SERVICE, MINOR SURGERY PROCEDURE or VACCINATION SERVICE.

  1. A HEALTH CARE PRACTITIONER may undertake a particular role in the ITEM OF SERVICE DELIVERY as ITEM OF SERVICE DELIVERY ROLE such as responsible healthcare professional or healthcare professional taking material for pathology testing.

  1. A HEALTH CARE PROFESSIONAL may undertake a particular role in the ITEM OF SERVICE DELIVERY as ITEM OF SERVICE DELIVERY ROLE such as responsible healthcare professional or healthcare professional taking material for pathology testing.

  1. GENERAL MEDICAL PRACTITIONERS are paid via GMP PAYMENTS OR REIMBURSEMENTS for GMP CLAIMS FOR PAYMENT OR REIMBURSEMENTS.

  1. The applicable payment for a particular VACCINATION SERVICE is determined by the combination of IMMUNISATION DISEASE TYPE and IMMUNISATION COURSE TYPE.

  1. A MATERNITY MEDICAL SERVICE may result in a number of GMP CONSULTATIONS.


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PC100

Change to Supporting Information: Change to supporting information

Model View Diagram - Overview

PC100 - PRESCRIBING AND DISPENSING

  1. A PRESCRIPTION is a record of a request from a HEALTH CARE PRACTITIONER to dispense to a PATIENT.

  1. A PRESCRIPTION is a record of a request from a HEALTH CARE PROFESSIONAL to dispense to a PATIENT.

  1. Each PRESCRIPTION is made up of a number of PRESCRIBED ITEMS which may be a GENERIC PRESCRIBABLE ITEM or a PROPRIETARY PRODUCT.

  1. The DISPENSED ITEM in response to a PRESCRIPTION is dispensed by a HEALTH CARE PRACTITIONERS, to a PATIENT.

  1. The DISPENSED ITEM in response to a PRESCRIPTION is dispensed by a HEALTH CARE PROFESSIONALS, to a PATIENT.

  1. A DISPENSED ITEM is either a PROPRIETARY PRODUCT IN PACK or a NHS NOTIONAL PACK SIZE.


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PC120

Change to Supporting Information: Change to supporting information

Model View Diagram - Overview

PC120 - GENERAL OPHTHALMIC SERVICES

  1. This diagram shows the classes associated with General Ophthalmic Services (GOS).

  1. The current list of OPHTHALMIC OPTICIANS and OPHTHALMIC MEDICAL PRACTITIONERS for a PRIMARY CARE TRUST are held as a set of PERSON ROLES IN ORGANISATIONS. The list identifies the sex of a Practitioner as a PERSON CHARACTERISTIC and their OQC/GOC number as a PERSON IDENTIFIER.

  1. SIGHT TESTS are carried out by HEALTH CARE PRACTITIONERS operating for a particular PRIMARY CARE TRUST. They may be allocated to a particular SERVICE POINT, especially if they take place as part of a Hospital Eye Service. (See HP340).

  1. SIGHT TESTS are carried out by HEALTH CARE PROFESSIONALS operating for a particular PRIMARY CARE TRUST. They may be allocated to a particular SERVICE POINT, especially if they take place as part of a Hospital Eye Service. (See HP340).

  1. Spectacle details in terms of losses and recoveries are recorded by SPECTACLE SUPPLY OR REPAIRS FUNDEDS, SPECTACLE PAIRS, and SPECTACLE LENSES. Eligibility inspection outcomes are recorded as part of SPECTACLE SUPPLY OR REPAIR FUNDED.

  1. An OPHTHALMOLOGY SERVICE may be provided at an OPTICIAN SITE or an ORGANISATION SITE.


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PRACTITIONER CODES

Change to Supporting Information: Change to supporting information

Administrative Codes and Classifications

Administrative Codes and Classifications

PRACTITIONER CODES

  1. Practitioner Codes are used to identify individual HEALTH CARE PRACTITIONERS uniquely. This unique code allows for the identification of the health care professionals involved in patient referral and the subsequent episode of care.

  1. Practitioner Codes are used to identify individual HEALTH CARE PROFESSIONALS uniquely. This unique code allows for the identification of the health care professionals involved in patient referral and the subsequent episode of care.

  1. The OCS coding standard for practitioners follows long-standing NHS conventions. These coding standards have not been fundamentally changed, except for the GMC number which no longer has a check digit.

  1. All OCS Practitioner Codes are eight characters in length, of the general format:

    Char Position 1 2 3 4 5 6 7 8
    Format a n n n n n n n
    Practitioner Coding Frame Practitioner Type Indicator
    G or D
    Doctor's Index Number or DPB number check digit
    Practitioner Type Indicator
    C
    GMC Number

  1. The practitioner coding format allows the use of digits 0 (zero) to 9 and the use of selected upper-case alpha characters in the first character position indicate the practitioner type. G indicates a General Medical Practitioner, D indicates a General Dental Practitioner and C indicates a Hospital Consultant.

    About Practitioner Identifiers
  1. A doctor receives a GMC number on qualification as a doctor. If he/she chooses to enter general practice in England or Wales, a further 6-digit number is allocated by the Department of Health. This number is referred to as the Doctor's Index Number, the GP National Code or (less correctly) the PPA code. The latter reference arises as the number allocated by the DH is passed by the Primary Care Trust to the Prescription Pricing Authority who use it for the issue of prescription pads, etc.

  1. The Prescription Pricing Authority also use it to derive the GMP code which is used by the Organisation Codes Service. This takes the code issued by the DH, prefixes it with the character 'G' to indicate GMP and adds a check digit at the end.

  1. A General Dental Practitioner (GDP) code is based on the DPB code issued by the Dental Practice Board. The DPB code is prefixed with "D" and suffixed with a "137137" check digit. The code is used as the Practitioner Identifier for GDPs in England and Wales.

  1. The Practitioner Identifier for all other practitioners (except GPs in Northern Ireland) is based on their GMC number.

  1. In summary:

  1. The Practitioner Identifier for GPs in England and Wales is the 6-digit number issued by the DH - the Doctor's Index Number;
  1. The Practitioner Identifier for GDPs is the Dentist DPB code;
  1. The Practitioner Identifier for all other practitioners (except GPs in Northern Ireland) is based on their GMC number.

  1. Check digits are obtained using the 137137 algorithm on the 6 digit Doctor's Index Number or DPB code, as follows:

    first numeric character
    + 3 times second (numeric) character
    + 7 times third character
    + fourth numeric character
    + 3 times fifth character
    + 7 times sixth character

    The check digit is then the unit digit of the result of this calculation. For example, if a Doctor's Index Number is 334512, then the check digit is computed by:

    3 + 3*3 + 7*4 + 5 + 3*1 + 7*2 = 62 - the check digit is 2

    and the full code would be: G3345122

  1. The table below gives the structure and format of the Practitioner Codes found within the OCS files.

  2. Organisation Type Character Position Alloc. by Note
      1 2 3 4 5 6 7 8    
    GP (England & Wales) G 0-9 0-9 0-9 0-9 0-9 0-9 0-9 PPA  
    GP (Scotland) S 0-9 0-9 0-9 0-9 0-9 0-9 0-9 ISD, Scotland S prefix to avoid duplication
    GP (N. Ireland) E, N, S, W 0-9 0-9 0-9 0-9 0-9 0-9 0-9 NI HSS Executive OCS Standard code under development
    Dentist (GDP) England & Wales D 0-9 0-9 0-9 0-9 0-9 0-9 0-9 DPB  
    Consultant (England & Wales) C 0-9 0-9 0-9 0-9 0-9 0-9 0-9 DH  
    MoD Doctor A Not available - use default value
    see Default Codes Summary
    DH  
    Prison Doctor P Not available - use default value
    see Default Codes Summary
    DH  
    Midwife M Not available - use default value
    see Default Codes Summary
    DH  


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NATIONAL CANCER DATA SET

Change to Package: New ClassDiagram
Note, this package has a fully qualified name of: Change_Packages.CP289.Data_Dictionary.Diagrams.Data_Sets.National_Cancer_Data_Set.National_Cancer_Data_Set


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