Colorectal Cancer MRR

Change History	Title
DDCN 2012 / 06	To remove all references to 'Health Solutions Wales', 'Business Services Centre' and 'Information Products Unit' and replace with 'NHS Wales Informatics Service'
CDSCN 2011 / 02	Colorectal Cancer Minimum Reporting Requirements v9.0 including Core Reporting Items v5.0

Data Items Colorectal Cancer Minimum Reporting Requirements

Summary Table of Reporting Requirements

The following tables outline the matrix of data items against reporting requirements.

ALL WALES COLORECTAL CANCER MINIMUM REPORTING REQUIREMENT V9.0

Key: ENCDv4.5b = English National Cancer Dataset version 4.5b; matched data item

SPCDv1.0 = Specialist Palliative Care Dataset version 1.0; matched data item

NBOCAP / WBCA = National / Welsh Bowel Cancer Audit

CCI = Colorectal Clinical Indicator

Summary of Reporting Data Items:	Minimum Reporting Requirements
	Core			Colorectal Site Specific
	National Cancer Standards	WCISU: Cancer Registry	AOF: CWT	NBOCAP	WBCA inc. Screening	Colorectal Clinical Indicators
Section 1: Identification of Patient
NHS Number	ü	ü	ü	ü	ü
Birth date	ü	ü		ü	ü
Sex	ü	ü		ü	ü
GP practice code	ü	ü
Ethnic group	ü	ü
Case record number	ü	ü		ü	ü
Patient’s name(s)	ü	ü
Patient’s address at date of diagnosis	ü	ü
Patient’s postcode at date of diagnosis	ü	ü		ü	ü
Section 2: Referral
Source of (cancer) referral	ü
Organisation code (referred to)	ü			ü	ü
Consultant code (referred to)	ü
Date of receipt of cancer referral	ü
Presentation of disease at referral	ü	ü	ü	ü	ü
Section 3: Key Investigations
Cancer imaging modality	ü	ü				ü
Date of investigation	ü	ü				ü
Recorded height at initial presentation				ü	ü
Recorded weight at initial presentation				ü	ü
Patient procedure result – colonoscopy				ü	ü
Colonoscopy incomplete reason				ü	ü
Patient procedure result – CT (computerised tomography) scan liver				ü	ü
Patient procedure result – CT (computerised tomography) scan lung				ü	ü
Patient procedure result – first MRI (magnetic resonance imaging) T (Tumour) stage				ü	ü
Patient procedure result – first MRI (magnetic resonance imaging) N (Node) stage				ü	ü
Patient procedure result – first MRI (magnetic resonance imaging) scan margins threatened				ü	ü
Patient procedure result – endoanal ultrasound Sm (Submucosa) / T (Tumour) stage					ü
Patient procedure result – endoanal ultrasound N (Node) stage					ü
Height of tumour above anal verge				ü	ü
Section 4: Diagnosis
Date of diagnosis (cancer registry definition)	ü	ü		ü	ü
Basis of diagnosis (cancer registry definition)	ü	ü
Primary cancer site	ü	ü				ü
Pre-treatment morphology	ü	ü	ü	ü	ü
Pre-treatment staging agreed by the multi disciplinary team cT (clinical Tumour) stage	ü	ü		ü	ü
Pre-treatment staging agreed by the multi disciplinary team cN (clinical Node) stage	ü	ü		ü	ü
Pre-treatment staging agreed by the multi disciplinary team cM (clinical Metastasis) stage	ü	ü		ü	ü
Section 5: Multi Disciplinary Team Outcomes
Treatment plan discussed by the multi disciplinary team	ü			ü	ü	ü
Multi disciplinary meeting identifier	ü
Date treatment plan discussed by the multi disciplinary team	ü
Cancer treatment plan intent	ü
Reason for no specific anti-cancer treatment	ü
Final pre-treatment performance status agreed by the multi disciplinary team	ü	ü
Planned cancer treatment type	ü
Treatment type sequence	ü
Colorectal clinical nurse specialist seen				ü	ü
Date colorectal clinical nurse specialist first seen						ü
Section 6: Surgery
Surgical intent		ü
Date on which surgical procedure(s) carried out		ü		ü	ü	ü
Surgical procedure(s) carried out		ü		ü	ü	ü
Site code (of surgery)				ü	ü
Surgical urgency				ü	ü	ü
ASA (American Society of Anaesthesiologists) grade				ü	ü
Surgical access				ü	ü
Stoma				ü	ü
Surgical complications				ü	ü
Reason for no surgical treatment				ü	ü
Discharge date (of surgery)				ü	ü
Section 7: Pathology
Date specimen taken		ü
Histological diagnosis		ü
Grade of differentiation		ü
T (Tumour) category (pathological)		ü		ü	ü
N (Node) category (pathological)		ü		ü	ü
M (Metastasis) category (pathological)		ü		ü	ü
pT1 (pathological) tumours – Haggitt level (polypoid tumours)					ü
pT1 (pathological) tumours – Kikuchi level (sessile / flat tumours)					ü
Extramural venous invasion				ü	ü
Nodes examined number				ü	ü	ü
Nodes positive number				ü	ü
Non-peritonealised ‘circumferential’ margin – positivity				ü	ü	ü
Non-peritonealised ‘circumferential’ margin – distance				ü	ü	ü
Cut specimen margin (including tissue doughnut)				ü	ü	ü
Dukes’ staging classification				ü	ü
Plane of surgical excision (rectal only)						ü
Response to neo adjuvant therapy					ü
Section 8: Drug Therapy
Date treatment started (drug therapy)		ü
Treatment intent (drug therapy)		ü
Drug therapy type		ü
Section 9: Radiotherapy
Date treatment started (radiotherapy)		ü
Treatment intent (radiotherapy)		ü		ü	ü
Radiotherapy type		ü
Timing of radiotherapy				ü	ü
Section 10: Palliative Care
Member of specialist palliative care team seen		ü
Section 11: Clinical Status Assessment
Date of death		ü	ü	ü	ü
Section 12: AOF: Cancer Waiting Times
Priority of referral			ü
Date of decision to treat			ü
Date of start of first definitive procedure			ü
First procedure			ü
Suspension start date			ü
Suspension end date			ü
Reason for breach			ü
Total number of data items: 89