Cancer Outcomes and Services Data Set - Pathology

PathologyFrom January 2016 Pathology Laboratories across England were mandated through SCCI1521 17/2014, to collect and return structured pathology using the COSDS XML Schema.

Overview

Due to Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) version 9 was deferred until 1 July 2020.

Introduction

The Cancer Outcomes and Services Data Set is a compiled data set which provides the standard for secondary uses information required to support national cancer registration and associated analysis (at local, regional, national and international level), as well as other national cancer audit programmes

The standard and XML Schema consists of:

  • a set of individual data items, with their definitions

  • the assemblage of data items into discrete data sets

  • the means of flowing the data items

  • compilation of the data items into a reconciled and verified data set.

Additionally, the output supports commissioning and service development through provision of relevant information on service delivery and outcomes.

All PATIENTS diagnosed with or receiving cancer treatment in or funded by the NHS in England are covered by the standard. This includes adult and paediatric cancer PATIENTS. The standard applies to all ORGANISATIONS providing Cancer Services within secondary care. It does not apply to general practice ORGANISATIONS.

The Cancer Outcomes and Services Data Set covers diseases as defined by the United Kingdom and Ireland Association of Cancer Registries (UKIACR) as described in the  User Guide  at Appendix A and B.

Unless otherwise specified, the term cancer is used throughout the standard and related documents to cover all conditions registerable by the United Kingdom and Ireland Association of Cancer Registries.

Submission Information

Providers of Cancer Services are required to provide a monthly return on all cancer PATIENTS using the Cancer Outcomes and Services Data Set.

The Cancer Outcomes and Services Data Set  is submitted to the National Cancer Registration and Analysis Service (NCRAS) using the COSDS  XML Schema.

While the core and cancer site specific data sets are shown as separate data sets within the NHS Data Model and Dictionary, the COSDS  XML Schema integrates each core and cancer site specific set of data elements. Documentation provided on the Technology Reference Data Update Distribution (TRUD)  page at: NHS Data Model and Dictionary: DD XML Schemas gives full details of the specification.

For all diagnoses not covered by a cancer site specific data set, only the Core Data Set  should be completed. A full list of diagnoses mapped to the appropriate data set is provided in the National Cancer Registration and Analysis Service   User Guide.

Pathology

From January 2016 Pathology Laboratories across England were mandated through SCCI1521 17/2014, to collect and return structured pathology using the COSDS  XML Schema.

This replaced the current reporting to the National Cancer Registration and Analysis Service  of electronic pathology reports which were then transcribed by the  National Cancer Registration and Analysis Service into the Cancer Registration Reports. This also prevented Cancer Service  teams, for example, Multidisciplinary Teams, Pathway Co-ordinators, duplicating the work, which had been happening as part of their data collection process.

From April 2020, the pathology data can only be collected and submitted using the separate Pathology Data Set  and Pathology XML Schema. Pathology data items have been removed from the main Cancer Outcomes and Services Data Set.

This allows the Cancer Service teams to concentrate on collecting and reporting all the other clinical data required for the Cancer Outcomes and Services Data Set  and the Pathologists to collect and report the pathology items. This will reduce the burden of data collection for the Cancer Service teams and allow for more accurate pathology reporting to be submitted to the National Cancer Registration and Analysis Service.

There will be no requirement for Pathology Laboratories  to double report. Once their Laboratory Information Management Systems (LIMS) are updated to report in the COSDS  XML Schema, all other pathology reporting can cease.

Further Guidance

Further guidance for submission of the Cancer Outcomes and Services Data Set  is provided by the  National Cancer Registration and Analysis Service  at  Cancer Outcomes and Services Dataset.

Mandation

The Mandation column indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present

  • R = Required: NHS business processes cannot be delivered without this data element

  • O = Optional: the inclusion of this data element is optional as required for local purposes.

XML Schema

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

Specification

SUBMISSION HEADER

To carry the submission header details.One occurrence of this group is required.

Mandation

Data Elements

M

COSDS SUBMISSION IDENTIFIER

M

ORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)

M

COSDS SUBMISSION RECORD COUNT

M

REPORTING PERIOD START DATE

M

REPORTING PERIOD END DATE

M

DATE AND TIME DATA SET CREATED

RECORD IDENTIFIER

To carry the record identifier details.One occurrence of this group is required.

Mandation

Data Elements

M

COSDS UNIQUE IDENTIFIER

LINKAGE IDENTIFIER CHOICE - CORE - PATHOLOGY
Mandation CHOICE 1 - NHS NUMBER

To carry patient identity details for linkage.One occurrence of this group is required.

M

NHS NUMBER

Or
Mandation CHOICE 2 - LOCAL PATIENT IDENTIFIER

To carry patient identity details for linkage.One occurrence of this group is required.

M

LOCAL PATIENT IDENTIFIER (EXTENDED)

LINKAGE IDENTIFIER - CORE - PATHOLOGY

To carry patient identity details for linkage.One occurrence of this group is required.

Mandation

Data Elements

M

NHS NUMBER STATUS INDICATOR CODE

M

PERSON BIRTH DATE

M

ORGANISATION IDENTIFIER (CODE OF PROVIDER)

DEMOGRAPHICS - CORE - PATHOLOGY

To carry patient demographic details.One occurrence of this group is permitted.

Mandation

Data Elements

R

PERSON FAMILY NAME

R

PERSON GIVEN NAME

R

PATIENT USUAL ADDRESS (AT DIAGNOSIS) - ADDRESS STRUCTURED

Or

PATIENT USUAL ADDRESS (AT DIAGNOSIS) - ADDRESS UNSTRUCTURED

R

POSTCODE OF USUAL ADDRESS (AT DIAGNOSIS)

R

PERSON STATED GENDER CODE

PATHOLOGY DETAILS PART 1 - CORE - PATHOLOGY

To carry pathology details.Multiple occurrences of this group are permitted.

Mandation

Data Elements

M

INVESTIGATION RESULT DATE

M

SERVICE REPORT IDENTIFIER

R

PATHOLOGY OBSERVATION REPORT IDENTIFIER

R

SERVICE REPORT STATUS

M

PROFESSIONAL REGISTRATION ISSUER CODE (PATHOLOGY TEST REQUESTED BY)

M

PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (PATHOLOGY TEST REQUESTED BY)

R

ORGANISATION SITE IDENTIFIER (OF PATHOLOGY TEST REQUEST)

R

SAMPLE COLLECTION DATE

R

SAMPLE RECEIPT DATE

R

ORGANISATION IDENTIFIER (OF AUTHORISING PATHOLOGIST)

M

PROFESSIONAL REGISTRATION ISSUER CODE (PATHOLOGY REPORT AUTHORISED BY)

M

PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (PATHOLOGY REPORT AUTHORISED BY)

R

CANCER SPECIMEN NATURE

TOPOGRAPHY/MORPHOLOGY - CORE - PATHOLOGY

To carry Topography/Morphology SNOMED pathology details.One occurrence of this group is permitted.

Mandation

Data Elements

M

SNOMED VERSION (PATHOLOGY)

TOPOGRAPHY/MORPHOLOGY CHOICE - CORE - PATHOLOGY
Mandation CHOICE 1 - TOPOGRAPHY SNOMED

To carry pathology Topography SNOMED details.One occurrence of this group is required.

M

TOPOGRAPHY (SNOMED PATHOLOGY)

Multiple occurrences of this item are permitted

Or
Mandation CHOICE 2 - MORPHOLOGY SNOMED

To carry pathology Morphology SNOMED details.One occurrence of this group is required.

M

MORPHOLOGY (SNOMED PATHOLOGY)

Multiple occurrences of this item are permitted

PATHOLOGY DETAILS PART 2 CORE - PATHOLOGY

To carry pathology details.Multiple occurrences of this group are permitted.

Mandation

Data Elements

R

DIAGNOSIS (ICD PATHOLOGICAL)

Multiple occurrences of this item are permitted

R

TUMOUR LATERALITY (PATHOLOGICAL)

R

PATHOLOGY INVESTIGATION TYPE

R

PATHOLOGY REPORT TEXT

R

LESION SIZE (PATHOLOGICAL)

R

GRADE OF DIFFERENTIATION (PATHOLOGICAL)

R

CANCER VASCULAR OR LYMPHATIC INVASION

R

EXCISION MARGIN INDICATION CODE

R

SYNCHRONOUS TUMOUR INDICATOR

R

NUMBER OF NODES EXAMINED

R

NUMBER OF NODES POSITIVE

R

TNM CODING EDITION

R

TNM VERSION NUMBER (PATHOLOGICAL)

R

T CATEGORY (PATHOLOGICAL)

R

N CATEGORY (PATHOLOGICAL)

R

M CATEGORY (PATHOLOGICAL)

R

TNM STAGE GROUPING (PATHOLOGICAL)

R

NEOADJUVANT THERAPY INDICATOR

R

KI-67 STAINING PERFORMED INDICATION CODE

R

KI-67 PERCENTAGE RESULT

R

MLH1 IMMUNOHISTOCHEMISTRY NUCLEAR EXPRESSION INTACT INDICATION CODE

R

PMS2 IMMUNOHISTOCHEMISTRY NUCLEAR EXPRESSION INTACT INDICATION CODE

R

MSH2 IMMUNOHISTOCHEMISTRY NUCLEAR EXPRESSION INTACT INDICATION CODE

R

MSH6 IMMUNOHISTOCHEMISTRY NUCLEAR EXPRESSION INTACT INDICATION CODE

R

MICROSATELLITE INSTABILITY TESTING RESULT

BREAST - PATHOLOGY

To carry pathology details for Breast cancer.One occurrence of this data group is permitted.

Mandation

Data Elements

R

MULTIFOCAL TUMOUR INDICATOR (BREAST)

R

DUCTAL CARCINOMA IN SITU GRADE

R

NON INVASIVE TUMOUR SIZE

R

WHOLE TUMOUR SIZE

R

METASTASIS EXTENT CODE

R

DISTANCE TO MARGIN

O

ALLRED SCORE (ESTROGEN RECEPTOR)

R

ESTROGEN RECEPTOR STATUS

O

ALLRED SCORE (PROGESTERONE RECEPTOR)

O

BREAST PROGESTERONE RECEPTOR STATUS

R

HUMAN EPIDERMAL GROWTH FACTOR RECEPTOR STATUS (BREAST)

R

HUMAN EPIDERMAL GROWTH FACTOR IN SITU HYBRIDISATION RECEPTOR STATUS (BREAST)

R

CYTOLOGY RESULT CODE (BREAST)

R

CYTOLOGY RESULT CODE (NODE)

R

NEEDLE CORE BIOPSY RESULT CODE (BREAST)

R

NEEDLE CORE BIOPSY RESULT CODE (AXILLARY LYMPH NODE)

CENTRAL NERVOUS SYSTEM (CNS) - PATHOLOGY

To carry pathology details for Central Nervous System (CNS) cancer.One occurrence of this data group is permitted.

Mandation

Data Elements

R

MOLECULAR DIAGNOSTIC CODE

Multiple occurrences of this item are permitted

R

HORMONE EXPRESSION TYPE

Multiple occurrences of this item are permitted

COLORECTAL - PATHOLOGY

To carry pathology details for Colorectal cancer.One occurrence of this data group is permitted.

Mandation

Data Elements

R

MARGIN INVOLVED INDICATION CODE (COLORECTAL PROXIMAL OR DISTAL RESECTION MARGIN)

R

DISTANCE TO CLOSEST NON PERITONEALISED RESECTION MARGIN

R

PLANE OF SURGICAL EXCISION INDICATOR

R

DISTANCE FROM DENTATE LINE

R

DISTANCE BEYOND MUSCULARIS PROPRIA

R

PREOPERATIVE THERAPY RESPONSE TYPE

R

MARGIN INVOLVED INDICATION CODE (CIRCUMFERENTIAL MARGIN)

CHILDREN, TEENAGERS AND YOUNG ADULTS (CTYA): RENAL PATHOLOGY (PAEDIATRIC KIDNEY) - PATHOLOGY

To carry renal (paediatric kidney) pathology details for Children, Teenagers, and Young Adults (CTYA) cancer.One occurrence of this data group is permitted.

Mandation

Data Elements

R

TUMOUR RUPTURE INDICATOR (PATHOLOGICAL)

R

ANAPLASTIC NEPHROBLASTOMA TYPE

R

TUMOUR INVASION INDICATOR (PERIRENAL FAT)

R

TUMOUR INVASION INDICATOR (RENAL SINUS)

R

RENAL VEIN TUMOUR INDICATOR (PAEDIATRIC KIDNEY)

R

VIABLE TUMOUR EVIDENCE AT RESECTION MARGIN

R

INTERNATIONAL SOCIETY OF PAEDIATRIC ONCOLOGY TUMOUR LOCAL STAGE

GYNAECOLOGICAL - PATHOLOGY

To carry pathology details for Gynaecological cancer.One occurrence of this data group is permitted.

Mandation

Data Elements

R

MICROSCOPIC INVOLVEMENT INDICATION CODE (FALLOPIAN TUBE)

R

MICROSCOPIC INVOLVEMENT INDICATION CODE (OVARIAN)

R

MICROSCOPIC INVOLVEMENT INDICATION CODE (UTERINE SEROSA)

R

OMENTUM INVOLVEMENT INDICATION CODE

GYNAECOLOGICAL: FALLOPIAN TUBE, OVARIAN EPITHELIAL AND PRIMARY PERITONEAL - PATHOLOGY

To carry pathology details for Gynaecological cancer for Fallopian Tube, Ovarian Epithelial and Primary Peritoneal.One occurrence of this group is permitted.

Mandation

Data Elements

R

GYNAECOLOGICIAL CAPSULE STATUS

R

OVARY SURFACE INVOLVEMENT INDICATOR

R

PERITONEAL CYTOLOGY RESULT CODE

R

PERITONEAL INVOLVEMENT INDICATION CODE

GYNAECOLOGICAL: ENDOMETRIAL - PATHOLOGY

To carry pathology details for Gynaecological cancer for Endometrial.One occurrence of this group is permitted.

Mandation

Data Elements

R

MICROSCOPIC INVOLVEMENT INDICATOR (CERVICAL STROMA)

R

MYOMETRIAL INVASION IDENTIFICATION CODE

R

MICROSCOPIC INVOLVEMENT INDICATOR (PARAMETRIUM)

R

PERITONEAL WASHINGS IDENTIFIED

R

PERITONEAL INVOLVEMENT INDICATOR (ENDOMETRIAL CANCER)

R

GYNAECOLOGICIAL CANCER SITE OF PERITONEAL INVOLVEMENT

GYNAECOLOGICAL: CERVICAL - PATHOLOGY

To carry pathology details for Gynaecological cancer for Cervical.One occurrence of this group is permitted.

Mandation

Data Elements

R

CERVICAL GLANDULAR INTRAEPITHELIAL NEOPLASIA PRESENCE AND GRADE

R

CERVICAL INTRAEPITHELIAL NEOPLASIA PRESENCE AND GRADE

R

SMILE INDICATION CODE

R

RESECTION MARGIN INVOLVEMENT INDICATOR

R

PARACERVICAL OR PARAMETRIAL INVOLVEMENT INDICATOR

R

UNINVOLVED CERVICAL STROMA THICKNESS

R

MICROSCOPIC INVOLVEMENT INDICATOR (VAGINAL)

R

INVASIVE THICKNESS

GYNAECOLOGICAL: NODES - PATHOLOGY

To carry pathology details for Gynaecological cancer for Nodes.One occurrence of this group is permitted.

Mandation

Data Elements

R

NUMBER OF NODES EXAMINED (PARA-AORTIC)

R

NUMBER OF NODES POSITIVE (PARA-AORTIC)

R

NUMBER OF NODES EXAMINED (PELVIC)

R

NUMBER OF NODES POSITIVE (PELVIC)

R

NUMBER OF NODES EXAMINED (INGUINO-FEMORAL)

R

NUMBER OF NODES POSITIVE (INGUINO-FEMORAL)

R

EXTRANODAL SPREAD INDICATOR

HEAD AND NECK: VARIOUS - PATHOLOGY

To carry pathology details for various Head and Neck cancers.One occurrence of this group is permitted.

Mandation

Data Elements

R

MAXIMUM DEPTH OF INVASION

R

BONE INVASION INDICATION CODE

R

CARTILAGE INVASION INDICATION CODE

R

ANATOMICAL SIDE (NECK DISSECTION)

HEAD AND NECK: SALIVARY - PATHOLOGY

To carry salivary pathology details for Head and Neck cancer.One occurrence of this group is permitted.

Mandation

Data Elements

M

MACROSCOPIC EXTRAGLANDULAR EXTENSION INDICATION CODE

HEAD AND NECK: GENERAL AND SALIVARY - PATHOLOGY

To carry general and salivary pathology details for Head and Neck cancer.One occurrence of this group is permitted.

Mandation

Data Elements

R

ANATOMICAL SIDE (POSITIVE NODES)

R

LARGEST METASTASIS (LEFT NECK)

R

LARGEST METASTASIS (RIGHT NECK)

R

EXTRACAPSULAR SPREAD INDICATION CODE

HEAD AND NECK: HUMAN PAPILLOMAVIRUS (HPV) - PATHOLOGY

To carry human papilloma virus pathology details for Head and Neck cancer.One occurrence of this group is permitted.

Mandation

Data Elements

R

P16 IMMUNOHISTOCHEMISTRY TEST RESULT

R

HUMAN PAPILLOMAVIRUS IN SITU HYBRIDISATION TEST RESULT

LUNG - PATHOLOGY

To carry pathology details for Lung cancer.One occurrence of this data group is permitted.

Mandation

Data Elements

R

EXTENT OF ATELECTASIS

R

EXTENT OF PLEURAL INVASION

R

TUMOUR INVASION INDICATOR (PERICARDIUM)

R

TUMOUR INVASION INDICATOR (DIAPHRAGM)

R

TUMOUR INVASION INDICATOR (GREAT VESSELS)

R

TUMOUR INVASION INDICATOR (HEART)

R

MALIGNANT PLEURAL EFFUSION INDICATOR

R

TUMOUR INVASION INDICATOR (MEDIASTINUM)

R

SATELLITE TUMOUR NODULES LOCATION

SARCOMA: BONE AND SOFT TISSUE - PATHOLOGY

To carry pathology details for Sarcoma for Bone and Soft Tissue.One occurrence of this data group is permitted.

Mandation

Data Elements

R

GENETIC CONFIRMATION INDICATOR

SARCOMA: BONE - PATHOLOGY

To carry pathology details for Sarcoma for Bone.One occurrence of this group is permitted.

Mandation

Data Elements

R

SARCOMA TUMOUR BREACH IDENTIFIER

R

TUMOUR NECROSIS PERCENTAGE

SARCOMA: SOFT TISSUE - PATHOLOGY

To carry pathology details for Sarcoma for Soft Tissue.One occurrence of this group is permitted.

Mandation

Data Elements

R

SARCOMA TUMOUR DEPTH

R

MITOTIC RATE (SARCOMA)

SKIN: BASAL CELL CARCINOMAS (BCC) - PATHOLOGY

To carry pathology details for Basal Cell Carcinoma (BCC) for skin cancer.One occurrence of this group is required.

Mandation

Data Elements

R

SKIN CANCER LESION SPECIMEN IDENTIFIER

R

PERINEURAL INVASION INDICATOR (SKIN)

R

LESION DIAMETER GREATER THAN 20MM INDICATION CODE

SKIN: SQUAMOUS CELL CARCINOMA (SCC) - PATHOLOGY

To carry pathology details for Squamous Cell Carcinoma (SCC) for skin cancer.One occurrence of this group is required.

Mandation

Data Elements

R

SKIN CANCER LESION SPECIMEN IDENTIFIER

R

PERINEURAL INVASION INDICATOR (SKIN)

R

LESION DIAMETER GREATER THAN 20MM INDICATION CODE

R

CLARKS LEVEL IV INDICATION CODE

R

LESION VERTICAL THICKNESS GREATER THAN 2MM INDICATION CODE

SKIN: MALIGNANT MELANOMA (MM) - PATHOLOGY

To carry pathology details for Malignant Melanoma (MM) for skin cancer.One occurrence of this group is permitted.

Mandation

Data Elements

R

SKIN CANCER LESION SPECIMEN IDENTIFIER

R

SKIN ULCERATION INDICATION CODE

R

MITOTIC RATE (SKIN)

R

MICROSATELLITE OR IN-TRANSIT METASTASIS INDICATION CODE

R

TUMOUR REGRESSION INDICATION CODE (SKIN)

R

BRESLOW THICKNESS

R

TUMOUR INFILTRATING LYMPHOCYTE TYPE

R

NUMBER OF SENTINEL NODES SAMPLED

R

NUMBER OF SENTINEL NODES POSITIVE

R

NUMBER OF NODES SAMPLED (POST SENTINEL NODE COMPLETION LYMPHADENECTOMY)

R

NUMBER OF NODES POSITIVE (POST SENTINEL NODE COMPLETION LYMPHADENECTOMY)

UPPER GASTROINTESTINAL (GI): VARIOUS - PATHOLOGY

To carry pathology details for various Upper Gastrointestinal (GI) cancers.One occurrence of this data group is permitted.

Mandation

Data Elements

R

NUMBER OF COLORECTAL METASTASES IN LIVER

R

MARGIN INVOLVED INDICATION CODE (PROXIMAL OR DISTAL RESECTION MARGIN)

R

MARGIN INVOLVED INDICATION CODE (CIRCUMFERENTIAL MARGIN)

UROLOGICAL: BLADDER - PATHOLOGY

To carry pathology details for Urological cancer for the bladder.One occurrence of this group is permitted.

Mandation

Data Elements

R

DETRUSOR MUSCLE PRESENCE INDICATION CODE

R

TUMOUR GRADE (UROLOGY)

UROLOGICAL: KIDNEY - PATHOLOGY

To carry pathology details for Urological cancer for the kidney.One occurrence of this group is permitted.

Mandation

Data Elements

R

TUMOUR NECROSIS INDICATION CODE

R

TUMOUR INVASION INDICATOR (PERINEPHRIC FAT)

R

TUMOUR INVASION INDICATION CODE (DIRECT ADRENAL)

R

RENAL VEIN TUMOUR THROMBUS INDICATION CODE (UROLOGICAL)

R

TUMOUR INVASION INDICATOR (GEROTAS FASCIA)

UROLOGICAL: PENIS - PATHOLOGY

To carry pathology details for Urological cancer for the penis.One occurrence of this group is permitted.

Mandation

Data Elements

R

TUMOUR INVASION INDICATOR (CORPUS SPONGIOSUM)

R

TUMOUR INVASION INDICATOR (CORPUS CAVERNOSUM)

R

TUMOUR INVASION INDICATOR (URETHRA OR PROSTATE)

UROLOGICAL: PROSTATE - PATHOLOGY

To carry pathology details for Urological cancer for prostate.One occurrence of this group is permitted.

Mandation

Data Elements

R

GLEASON GRADE (PRIMARY)

R

GLEASON GRADE (SECONDARY)

R

GLEASON GRADE (TERTIARY)

R

PERINEURAL INVASION INDICATOR (UROLOGICAL)

R

TURP TUMOUR PERCENTAGE

UROLOGICAL: TESTICULAR - PATHOLOGY

To carry pathology details for Urological cancer for testicular.One occurrence of this group is permitted.

Mandation

Data Elements

M

TUMOUR INVASION INDICATOR (RETE TESTIS)

Also Known As

This data set is also known by these names:

Context Alias
Also known as Cancer Outcomes and Services Data Set: Pathology
Full name Pathology Data Set
Short name Pathology