Version 6.0 - Final Wales |
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Data item No. |
Data Item Section |
Data Item Name |
Data Item Description |
Format |
National Code |
National code definition |
Additional Information |
Data Dictionary Element |
Other collections |
Schema Specification* |
Mapping to National Cancer Data Standards |
LINKAGE |
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These items are required for every record in order to link patient records. |
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Must be one occurrence per submission (1..1) |
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LINKAGE GROUP: PATIENT IDENTITY DETAILS |
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To carry patient identity details for linkage. |
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Must be one occurrence per submission (1..1) |
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LINKAGE IDENTIFIER CHOICE |
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One of the following Linkage Identifier sections MUST be provided per record |
Choice |
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Must be at least one of the following choices per record (1..2) |
1..2 |
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CHOICE 1 |
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LG1 |
LINKAGE GROUP: PATIENT IDENTITY DETAILS |
NHS NUMBER |
*For
linkage purposes NHS NUMBER |
n10 |
NHS NUMBER |
NEW |
Mandatory* |
New
Data Item | |||
END OF CHOICE 1 |
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CHOICE 2 |
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LG2 |
LINKAGE GROUP: PATIENT IDENTITY DETAILS |
LOCAL PATIENT IDENTIFIER |
*For
linkage purposes NHS NUMBER |
min an1 max an20 |
LOCAL PATIENT IDENTIFIER (EXTENDED) |
NEW |
Mandatory* |
New
Data Item | |||
END OF CHOICE 2 |
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END OF LINKAGE IDENTIFIER CHOICE |
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LG3 |
LINKAGE GROUP: PATIENT IDENTITY DETAILS |
NHS NUMBER STATUS INDICATOR CODE |
The NHS NUMBER STATUS INDICATOR CODE is the trace status of the NHS NUMBER |
an2 |
01 |
Number present and verified |
NHS NUMBER STATUS INDICATOR CODE |
NEW |
Mandatory |
New
Data Item | |
02 |
Number present but not traced | ||||||||||
03 |
Trace required | ||||||||||
04 |
Trace attempted - No match or multiple match found | ||||||||||
05 |
Trace needs to be resolved - (NHS Number or PATIENT detail conflict) | ||||||||||
06 |
Trace in progress | ||||||||||
07 |
Number not present and trace not required | ||||||||||
08 |
Trace postponed (baby under six weeks old) | ||||||||||
LG4 |
LINKAGE GROUP: PATIENT IDENTITY DETAILS |
PERSON BIRTH DATE |
The date on which a PERSON was born or is officially deemed to have been born. |
an10 ccyy-mm-dd |
PERSON BIRTH DATE |
NEW |
Mandatory |
New
Data Item | |||
LG5 |
LINKAGE GROUP: PATIENT IDENTITY DETAILS |
ORGANISATION IDENTIFIER (CODE OF PROVIDER) |
ORGANISATION IDENTIFIER (CODE OF PROVIDER) is the ORGANISATION IDENTIFIER of the Organisation acting as a Health Care Provider. |
min an3 max an5 |
ORGANISATION IDENTIFIER (CODE OF PROVIDER) |
NEW |
Mandatory |
New
Data Item | |||
LINKAGE GROUP: DIAGNOSTIC DETAILS |
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To carry diagnostic details for linkage. |
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Must be one occurrence per submission (1..1) |
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LG6 |
LINKAGE GROUP: DIAGNOSTIC DETAILS |
RADIOTHERAPY DIAGNOSIS (ICD) |
This
is the PATIENT DIAGNOSIS for: |
min an4 max an6 |
Previously in the Data Group Radiotherapy Episode (RE6) |
RADIOTHERAPY DIAGNOSIS (ICD) |
Mandatory |
Moved data item into new section in V6 to V5 | |||
LG7 |
LINKAGE GROUP: DIAGNOSTIC DETAILS |
RADIOTHERAPY DIAGNOSIS (SNOMED CT) |
DIAGNOSIS
CODE (SNOMED CT) is the SNOMED CT concept ID which is used to identify the
clinical diagnosis given to the patient. |
min n6 max n18 |
More details available within the user guide |
RADIOTHERAPY DIAGNOSIS (SNOMED CT) |
NEW |
Required |
New Data Item | ||
LG8 |
LINKAGE GROUP: DIAGNOSTIC DETAILS |
TUMOUR LATERALITY |
Tumour laterality identifies the side of the body for a tumour relating to paired organs within a PATIENT. |
an1 |
L |
Left |
TUMOUR LATERALITY |
NEW |
Mandatory |
New
Data Item | |
R |
Right | ||||||||||
M |
Midline | ||||||||||
B |
Bilateral | ||||||||||
8 |
Not applicable | ||||||||||
9 |
Not Known | ||||||||||
PATIENT GROUP: DEMOGRAPHIC DETAILS |
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To carry demographic details of the patient. |
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May be one occurrence per submission (0..1) |
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PG1 |
PATIENT GROUP: DEMOGRAPHIC DETAILS |
PERSON FAMILY NAME |
That part of a PERSON's name which is used to describe family, clan, tribal group, or marital association. |
max an35 |
PERSON FAMILY NAME |
NEW |
Required |
New
Data Item | |||
PG2 |
PATIENT GROUP: DEMOGRAPHIC DETAILS |
PERSON GIVEN NAME |
The forename(s) or given name(s) of a PERSON. |
max an35 |
PERSON GIVEN NAME |
NEW |
Required |
New
Data Item | |||
PG3 |
PATIENT GROUP: DEMOGRAPHIC DETAILS |
POSTCODE OF USUAL ADDRESS |
POSTCODE OF USUAL ADDRESS nominated by the PATIENT is the POSTCODE with ADDRESS ASSOCIATION TYPE of 'Main Permanent Residence' or 'Other Permanent Residence'. |
max an8 |
POSTCODE OF USUAL ADDRESS |
NEW |
Required |
New
Data Item | |||
PG4 |
PATIENT GROUP: DEMOGRAPHIC DETAILS |
PERSON STATED GENDER CODE |
Person's gender as self-declared (or inferred by observation for those unable to declare their PERSON STATED GENDER). |
an1 |
1 |
Male |
PERSON STATED GENDER CODE |
NEW |
Required |
New
Data Item | |
2 |
Female | ||||||||||
9 |
Indeterminate (Unable to be classified as either male or female) | ||||||||||
X |
Not Known (PERSON STATED GENDER CODE not recorded) | ||||||||||
PG5 |
PATIENT GROUP: DEMOGRAPHIC DETAILS |
ADMINISTRATIVE CATEGORY CODE (RADIOTHERAPY) |
The administrative category, which best describes the patients administrative pathway |
an2 |
01 |
NHS Patient |
ADMINISTRATIVE CATEGORY CODE (RADIOTHERAPY) |
NEW |
Required |
New Data Item | |
02 |
Private Patient | ||||||||||
09 |
Not Known | ||||||||||
PG6 |
PATIENT GROUP: DEMOGRAPHIC DETAILS |
TRUST INTERNAL SYSTEM PATIENT ID |
The ID used to identify the patient on the Trusts R+V system this record is recorded on |
min an1 max an20 |
Must be unique per patient per submission, as will be used to link patient across the reporting .csv files |
RADIOTHERAPY PATIENT IDENTIFIER |
NEW |
Required |
New Data Item | ||
PG7 |
PATIENT GROUP: DEMOGRAPHIC DETAILS |
GENERAL MEDICAL PRACTITIONER (SPECIFIED) |
GENERAL
MEDICAL PRACTITIONER (SPECIFIED) is the GENERAL MEDICAL PRACTITIONER PPD
CODE of the GENERAL MEDICAL PRACTITIONER specified by the
PATIENT. |
an8 |
GENERAL MEDICAL PRACTITIONER (SPECIFIED) |
NEW |
Required |
New
Data Item | |||
PG8 |
PATIENT GROUP: DEMOGRAPHIC DETAILS |
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) |
The GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) is an ORGANISATION CODE. This is the code of the GP Practice that the PATIENT is registered with. |
an6 |
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) |
NEW |
Required |
New
Data Item | |||
DATA GROUP: RADIOTHERAPY EPISODE |
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To carry the details of the Radiotherapy Episode. |
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May be up to one occurrence per submission (0..1) |
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RE1 |
DATA GROUP: RADIOTHERAPY EPISODE |
RADIOTHERAPY EPISODE IDENTIFIER |
The identifier that is used to identify the 'Radiotherapy Episode' on the Radiotherapy Record and Verify System |
max an50 |
RADIOTHERAPY EPISODE IDENTIFIER |
Mandatory |
Data
Label as V5 | ||||
RE2 |
DATA GROUP: RADIOTHERAPY EPISODE |
DECISION TO TREAT DATE (RADIOTHERAPY TREATMENT EPISODE) |
The
date on which it was decided that the PATIENT required a specific planned
radiotherapy treatment episode. |
an10 ccyy-mm-dd |
DECISION TO TREAT DATE (RADIOTHERAPY EPISODE) |
Mandatory |
Data
Label as V5 | ||||
RE3 |
DATA GROUP: RADIOTHERAPY EPISODE |
EARLIEST CLINICALLY APPROPRIATE DATE |
This is the first date that the patient would have been available to start radiotherapy |
an10 ccyy-mm-dd |
EARLIEST CLINICALLY APPROPRIATE DATE |
Mandatory |
Data Item as V5 | ||||
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RE8 |
DATA GROUP: RADIOTHERAPY EPISODE |
REFERRAL DATE |
The date the patient was referred to the Radiotherapy department |
an10 ccyy-mm-dd |
ACTIVITY SERVICE REQUEST DATE (RADIOTHERAPY DEPARTMENT) |
NEW |
Required |
New Data Item | |||
DATA GROUP: RADIOTHERAPY PRESCRIPTION |
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To carry the details of each radiotherapy Prescription. |
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May be multiple occurrences per submission (0..*) |
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RP1 |
DATA GROUP: RADIOTHERAPY PRESCRIPTION |
RADIOTHERAPY PRESCRIPTION IDENTIFIER |
The identifier that is used to identify the 'Radiotherapy Prescription' on the Radiotherapy Record and Verify System |
max an50 |
RADIOTHERAPY PRESCRIPTION IDENTIFIER |
Mandatory |
Amended data
item from V5 | ||||
RP2 |
DATA GROUP: RADIOTHERAPY PRESCRIPTION |
RADIOTHERAPY TREATMENT REGION |
The specific area to be treated with radiotherapy. |
max an2 |
P |
Primary |
RADIOTHERAPY TREATMENT REGION |
Mandatory |
Data Item as V5 | ||
R |
Regional Nodes | ||||||||||
PR |
Primary & Regional Nodes | ||||||||||
A |
Non-anatomically specific primary site | ||||||||||
O |
Prophylactic (to non primary site) | ||||||||||
M |
Metastasis | ||||||||||
RP3 |
DATA GROUP: RADIOTHERAPY PRESCRIPTION |
ANATOMICAL TREATMENT SITE (RADIOTHERAPY) |
The part of the body to which the RADIOTHERAPY ACTUAL DOSE has been administered. |
an4 |
OPCS 'Z' code for anatomical treatment site. Only to be complete for entries A, O or M in ‘Treatment Region field |
RADIOTHERAPY ANATOMICAL TREATMENT SITE (OPCS) |
Mandatory |
Amended
data item from V5 | |||
RP9 |
DATA GROUP: RADIOTHERAPY PRESCRIPTION |
RADIOTHERAPY TREATMENT MODALITY |
Identifies the modality of each record |
an1 |
1 |
External Beam Radiotherapy (excluding Proton Therapy) |
RADIOTHERAPY TREATMENT MODALITY |
Mandatory |
Amended
data item from V5 | ||
2 |
Brachytherapy | ||||||||||
3 |
Proton Therapy | ||||||||||
4 |
Radioisotope Therapy (including Radioiodine) | ||||||||||
8 |
Other Treatment | ||||||||||
RP10 |
DATA GROUP: RADIOTHERAPY PRESCRIPTION |
RADIOTHERAPY PRESCRIPTION PRIORITY |
The priority for the RADIOTHERAPY PRESCRIPTION as classified by the requesting clinician |
an1 |
E |
Emergency (treatment required within 24 hours) |
Previously in the Data Group Radiotherapy Episode (RE4) |
RADIOTHERAPY PRESCRIPTION PRIORITY |
Mandatory |
Moved
data item into new section in V6 to V5 | |
U |
Urgent (to include the Royal College of Radiologists Category I) | ||||||||||
R |
Routine (to include the Royal College of Radiologists Category II) | ||||||||||
D |
Elective delay (Treatment delayed for reason) | ||||||||||
Start of SECTION - Radiotherapy Prescribed Authorising Clinician |
Section |
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May be one occurrence per Data Group: Radiotherapy Prescription (0..1) |
0..1 |
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RP11 |
DATA GROUP: RADIOTHERAPY PRESCRIPTION |
PROFESSIONAL REGISTRATION ISSUER CODE - RADIOTHERAPY PRESCRIBED AUTHORISING CLINICIAN |
A code which identifies the PROFESSIONAL REGISTRATION BODY. |
an2 |
03 |
General Medical Council |
PROFESSIONAL REGISTRATION ISSUER CODE (RADIOTHERAPY PRESCRIPTION AUTHORISER) |
NEW |
Mandatory |
New Data Item | |
08 |
Health and Care Professions Council | ||||||||||
RP12 |
DATA GROUP: RADIOTHERAPY PRESCRIPTION |
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER - RADIOTHERAPY PRESCRIBED AUTHORISING CLINICIAN |
The registration identifier allocated by an Organisation for the Consultant or health care professional who is the authorising clinician of the prescribed radiotherapy. |
min an1 max an32 |
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RADIOTHERAPY PRESCRIPTION AUTHORISER) |
NEW |
Mandatory |
New Data Item | |||
End of SECTION - Radiotherapy Prescribed Authorising Clinician |
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RP13 |
DATA GROUP: RADIOTHERAPY PRESCRIPTION |
RADIOTHERAPY LATERALITY (ANATOMICAL TREATMENT SITE) |
Radiotherapy Laterality (Anatomical Treatment Site) identifies the side of the body relating to the treatment site where the treatment has been administered |
an1 |
L |
Left |
ANATOMICAL TREATMENT SIDE (RADIOTHERAPY) |
NEW |
Required |
New Data Item | |
R |
Right | ||||||||||
M |
Midline | ||||||||||
B |
Bilateral | ||||||||||
8 |
Not applicable | ||||||||||
9 |
Not Known | ||||||||||
RP14 |
DATA GROUP: RADIOTHERAPY PRESCRIPTION |
ROYAL COLLEGE OF RADIOLOGISTS (RCR) CATEGORY |
The category of the patient, as defined by the RCR document "The timely delivery of radical radiotherapy: guidelines for the management of unscheduled treatment interruptions, Fourth Edition" |
an1 |
1 |
Patients whom the RCR defines as having the tumour types for which there is evidence that prolongation of treatment affects outcome, and who are being treated radically with curative intent. |
ROYAL COLLEGE OF RADIOLOGISTS PATIENT CATEGORY |
NEW |
Required |
New Data Item | |
2 |
Patients whom the RCR defines as having slower growing tumour types, who are being treated radically, where interruptions in radiotherapy leading to an extension of overall treatment time of more than five days are detrimental to both local control and survival. | ||||||||||
3 |
Patients being treated palliatively. | ||||||||||
RP15 |
DATA GROUP: RADIOTHERAPY PRESCRIPTION |
RADIOTHERAPY ROUTES AND METHODS OF ADMINISTRATION |
Record
the administration route and method for the treatment delivered.
Only required if 06 (brachytherapy) or 19 (radioisotope) is selected in
the modality field RP9 |
min n6 max n18 |
As
defined within the SNOMED CT radiotherapy routes and methods of
administration reference set # 51971000001109 |
RADIOTHERAPY ROUTES AND METHODS OF ADMINISTRATION (SNOMED CT DM+D) |
NEW |
Required |
New Data Item | ||
RP16 |
DATA GROUP: RADIOTHERAPY PRESCRIPTION |
PRACTITIONER LICENCE HOLDER |
Licence number for the Practitioner who justified this therapy, which is issued by the Administration of Radioactive Substances Advisory Committee (ARSAC) |
min an2 max an5 |
Only if modality is 19, radioisotope |
RADIOTHERAPY CARE PROFESSIONAL LICENCE IDENTIFIER |
NEW |
Required |
New Data Item | ||
RP17 |
DATA GROUP: RADIOTHERAPY PRESCRIPTION |
ORGANISATION IDENTIFIER (CODE OF ORGANISATION COMMISSIONED TO PROVIDE ACTIVITY) |
The ORGANISATION IDENTIFIER of the Organisation who have been commissioned to provide this activity. This is only applicable for NHS activity |
min an3 max an5 |
ORGANISATION IDENTIFIER (CODE OF ORGANISATION COMMISSIONED TO PROVIDE ACTIVITY) |
NEW |
Required |
New Data Item | |||
RP18 |
DATA GROUP: RADIOTHERAPY PRESCRIPTION |
RADIOTHERAPY INTENT OF TREATMENT |
The intent of the treatment being delivered |
an2 |
01 |
Adjuvant |
RADIOTHERAPY TREATMENT INTENT |
New |
Mandatory |
New Data Item | |
02 |
Neoadjuvant | ||||||||||
03 |
Radical (and either not adjuvant or neo adjuvant or not more specifically known) | ||||||||||
04 |
Disease modifying (palliative) | ||||||||||
05 |
Symptom controlling (palliative) | ||||||||||
97 |
Other (non cancer treatment) | ||||||||||
98 |
Other | ||||||||||
99 |
Not Known | ||||||||||
RP19 |
DATA GROUP: RADIOTHERAPY PRESCRIPTION |
PRESCRIBED RADIOTHERAPY CLINICAL TRIAL |
To record whether this prescription is part of a trial that has a component of radiotherapy delivery included |
an1 |
Y |
Yes - this prescription was part of a radiotherapy clinical trial |
RADIOTHERAPY CLINICAL TRIAL PRESCRIPTION INDICATOR |
NEW |
Required |
New Data Item | |
N |
No - this prescription was not part of a radiotherapy clinical trial | ||||||||||
9 |
Not Known | ||||||||||
DATA GROUP: RADIOTHERAPY PLAN |
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To carry the details of each radiotherapy plan. |
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May be multiple occurrences per submission (0..*) |
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RPL1 |
DATA GROUP: RADIOTHERAPY PLAN |
RADIOTHERAPY PLAN IDENTIFIER |
The identifier that is used to identify the 'Radiotherapy Plan' on the Radiotherapy Record and Verify System |
max an50 |
RADIOTHERAPY PLAN IDENTIFIER |
Mandatory |
New Data Item | ||||
RPL2 |
DATA GROUP: RADIOTHERAPY PLAN |
TYPE OF PLAN |
An indicator used to state whether the plan is for a new prescription or, if it represents a replan for an existing prescription, whether it represents the remainder of the prescription or the complete prescription, including that already delivered. |
an1 |
C |
Complete - the plan represents a complete prescription, and includes the complete dose to be delivered in the prescription. It may be either a new original plan or a revised version of the plan, but represents the complete dose both delivered and to be delivered. |
RADIOTHERAPY PRESCRIPTION STATUS |
NEW |
Required |
New Data Item | |
P |
Partial - the plan represents an existing prescription, and includes only the remaining undelivered portion of the prescription (commonly known as a replan) | ||||||||||
RPL3 |
DATA GROUP: RADIOTHERAPY PLAN |
DATE OF PLANNING APPOINTMENT |
The date of the first planning appointment in the radiotherapy department attended by the patient. |
an10 ccyy-mm-dd |
FIRST RADIOTHERAPY PLANNING APPOINTMENT DATE |
NEW |
Optional |
New Data Item | |||
RPL4 |
DATA GROUP: RADIOTHERAPY PLAN |
PLAN NAME |
The name given to the plan using a combination of Side/Site/Orientation e.g. RTLUNGAP |
max an50 |
RADIOTHERAPY PLAN NAME |
NEW |
Required |
New Data Item | |||
RPL5 |
DATA GROUP: RADIOTHERAPY PLAN |
SPECIALIST RADIOTHERAPY TREATMENTS |
Identifies a specialist type of radiotherapy being delivered for the plan |
an2 |
01 |
Simple (direct or parallel opposed fields) |
More details available within the user guide |
SPECIALIST RADIOTHERAPY TREATMENT TYPE |
NEW |
Required |
New Data Item |
02 |
Conformal | ||||||||||
03 |
Intensity-Modulated Radiation Therapy (IMRT) excluding more specific definitions | ||||||||||
04 |
Rotational IMRT - Inc. Volumetric Modulated Arc Therapy (VMAT)/RapidArc | ||||||||||
05 |
Intraoperative Radiation Therapy (IORT) | ||||||||||
06 |
Total Body/Skin Radiotherapy - Inc. Total Body Irradiation (TBI) and Total Body Electrons (TBE) | ||||||||||
07 |
Stereotactic Ablative Body Radiotherapy (SABR) | ||||||||||
08 |
Stereotactic Radiotherapy/Radiosurgery (SRT/SRS) excluding SABR | ||||||||||
09 |
Proactive Adaptive Radiotherapy - Inc. the Magnetic Resonance Linear Accelerator (MR-Linac) | ||||||||||
10 |
Real-Time Adaptive Radiotherapy | ||||||||||
11 |
Contact Radiotherapy | ||||||||||
98 |
Other Treatment | ||||||||||
RPL6 |
DATA GROUP: RADIOTHERAPY PLAN |
OTHER SPECIALIST RADIOTHERAPY TREATMENTS |
Specify any other specialist radiotherapy treatment, which is not listed in either RP9 or RPL5 |
max an75 |
OTHER SPECIALIST RADIOTHERAPY TREATMENT DESCRIPTION |
NEW |
Optional |
New Data Item | |||
Start of repeating item - Radiotherapy Plan Procedure (OPCS) |
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Multiple occurrences of this item are permitted |
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RPL7 |
DATA GROUP: RADIOTHERAPY PLAN |
RADIOTHERAPY PLAN PROCEDURE (OPCS) |
Record the radiotherapy procedure(s) as described within the plan using OPCS. This maybe recorded in addition to RADIOTHERAPY PLAN PROCEDURE (SNOMED CT) |
an4 |
The codes for OPCS-4 maintained by NHS Digital |
RADIOTHERAPY PLAN PROCEDURE (OPCS) |
NEW |
Mandatory |
New Data Item | ||
End of repeating item - Radiotherapy Plan Procedure (OPCS) |
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Start of repeating item - Radiotherapy Plan Procedure (SNOMED CT) |
|||||||||||
Multiple occurrences of this item are permitted |
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RPL8 |
DATA GROUP: RADIOTHERAPY PLAN |
RADIOTHERAPY PLAN PROCEDURE (SNOMED CT) |
Record the radiotherapy procedure(s) as described within the plan using SNOMED CT. This maybe recorded in addition to RADIOTHERAPY PLAN PROCEDURE (OPCS) |
max an100 |
More details available within the user guide |
RADIOTHERAPY PLAN PROCEDURE (SNOMED CT EXPRESSION) |
NEW |
Required |
New Data Item | ||
End of repeating item - Radiotherapy Plan Procedure (SNOMED CT) |
|||||||||||
Start of repeating item -Radiotherapy Plan Procedure (CODE CAPTURE ADDITIONAL PROCEDURES) |
|||||||||||
Multiple occurrences of this item are permitted |
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RPL9 |
DATA GROUP: RADIOTHERAPY PLAN |
RADIOTHERAPY PLAN PROCEDURE (CODE CAPTURE ADDITIONAL PROCEDURES) |
Radiotherapy
plan procedures that are required for the accurate radiotherapy plan which
are not currently defined in OPCS or SNOMED CT codes (indicated on code
list). |
an2 |
01 |
CT Planning 4D scan |
RADIOTHERAPY PLAN OTHER PROCEDURE |
NEW |
Required |
New Data Item | |
02 |
CT Planning 4D scan with contrast | ||||||||||
03 |
CT Planning 3D scan | ||||||||||
04 |
CT Planning 3D scan with contrast | ||||||||||
05 |
MRI Planning 3D scan | ||||||||||
06 |
MRI Planning 4D scan | ||||||||||
07 |
Active Breathing Control (ABC) | ||||||||||
08 |
Deep Inspiration breath hold (DIBH) | ||||||||||
09 |
Abdominal compression device | ||||||||||
10 |
Fiducial markers | ||||||||||
11 |
Rectal spacer | ||||||||||
12 |
Surface guided imaging | ||||||||||
13 |
Ultrasound guided imaging | ||||||||||
14 |
PET CT scan for the purpose of radiotherapy planning | ||||||||||
15 |
PET MRI scan for the purpose of radiotherapy planning | ||||||||||
98 |
Other | ||||||||||
End of repeating item -Radiotherapy Plan Procedure (CODE CAPTURE ADDITIONAL PROCEDURES) |
|||||||||||
Start of repeating item - Other Radiotherapy Plan Procedure (CODE CAPTURE ADDITIONAL PROCEDURES) |
|||||||||||
Multiple occurrences of this item are permitted |
|||||||||||
RPL10 |
DATA GROUP: RADIOTHERAPY PLAN |
OTHER RADIOTHERAPY PLAN PROCEDURE (CODE CAPTURE ADDITIONAL PROCEDURES) |
If '98 - Other' selected in RPL9, specify any other 'Additional Plan Procedures', which are currently not listed |
max an40 |
OTHER RADIOTHERAPY PLAN PROCEDURE DESCRIPTION |
NEW |
Required |
New Data Item | |||
End of repeating item - Other Radiotherapy Plan Procedure (CODE CAPTURE ADDITIONAL PROCEDURES) |
|||||||||||
Start of SECTION - Radiotherapy Prescribed Dose |
Section |
| |||||||||
May be one occurrence per Data Group: Radiotherapy Plan (0..1) |
0..1 |
| |||||||||
RPL11 |
DATA GROUP: RADIOTHERAPY PLAN |
RADIOTHERAPY PRESCRIBED DOSE |
The total prescribed absorbed radiation dose |
max n4.max n4 |
Previously in the Data Group Radiotherapy Prescription (RP5) |
RADIOTHERAPY PRESCRIBED DOSE |
Mandatory |
Moved
data item into new section in V6 to V5 | |||
RPL12 |
DATA GROUP: RADIOTHERAPY PLAN |
RADIOTHERAPY PRESCRIBED DOSE UNIT OF MEASUREMENT (SNOMED CT DM+D) |
The
total prescribed absorbed radiation dose measurement |
min n6 max n18 |
As
difined within the radiotherapy units of measure simple reference set |
RADIOTHERAPY PRESCRIBED DOSE UNIT OF MEASUREMENT (SNOMED CT DM+D) |
New |
Mandatory |
New Data Item | ||
End of SECTION - Radiotherapy Prescribed Dose |
|||||||||||
RPL13 |
DATA GROUP: RADIOTHERAPY PLAN |
PRESCRIBED FRACTIONS |
The prescribed number of Radiotherapy Fractions delivered to a PATIENT as described in the Radiotherapy Plan |
max n2 |
Previously in the Data Group Radiotherapy Prescription (RP6) |
RADIOTHERAPY PRESCRIBED FRACTIONS |
Mandatory |
Moved
data item into new section in V6 to V5 | |||
Start of SECTION - Radiotherapy Actual Dose |
Section |
| |||||||||
May be one occurrence per Data Group: Radiotherapy Plan (0..1) |
0..1 |
| |||||||||
RPL14 |
DATA GROUP: RADIOTHERAPY PLAN |
RADIOTHERAPY ACTUAL DOSE |
The total actual absorbed radiation dose |
max n4.max n4 |
Previously in the Data Group Radiotherapy Prescription (RP7) |
RADIOTHERAPY ACTUAL DOSE |
Mandatory |
Moved
data item into new section in V6 to V5 | |||
RPL15 |
DATA GROUP: RADIOTHERAPY PLAN |
RADIOTHERAPY ACTUAL DOSE UNIT OF MEASUREMENT (SNOMED CT DM+D) |
The
total actual absorbed radiation dose measurement |
min n6 max n18 |
As
difined within the radiotherapy units of measure simple reference set |
RADIOTHERAPY ACTUAL DOSE UNIT OF MEASUREMENT (SNOMED CT DM+D) |
New |
Mandatory |
New Data Item | ||
End of SECTION - Radiotherapy Actual Dose |
|||||||||||
DATA GROUP: RADIOTHERAPY EXPOSURE |
|||||||||||
To carry the details of each radiotherapy exposure. |
|||||||||||
May be multiple occurrences per submission (0..*) |
|||||||||||
RX1 |
DATA GROUP: RADIOTHERAPY EXPOSURE |
RADIOTHERAPY EXPOSURE IDENTIFIER |
The identifier that is used to identify the 'Radiotherapy Exposure' on the Radiotherapy Record and Verify System |
max an50 |
RADIOTHERAPY EXPOSURE IDENTIFIER |
Mandatory |
Amended data
item from V5 | ||||
RX2 |
DATA GROUP: RADIOTHERAPY EXPOSURE |
MACHINE IDENTIFIER |
A unique code ascribed to the radiotherapy equipment used to treat this exposure. |
max an12 |
Unique code used to describe this machine as assigned by NCRAS (or historically NATCANSAT) |
RADIOTHERAPY MACHINE IDENTIFIER |
Required |
Amended data
item from V5 | |||
RX3 |
DATA GROUP: RADIOTHERAPY EXPOSURE |
RADIOTHERAPY BEAM TYPE |
The prescribed type of beam for a radiotherapy exposure. |
an2 |
T1 |
Photons |
RADIOTHERAPY PRESCRIBED BEAM TYPE |
Required |
Amended
data item from V5 | ||
T2 |
Electrons | ||||||||||
|
| ||||||||||
T8 |
Proton Only | ||||||||||
T9 |
Other | ||||||||||
Start of SECTION - Radiotherapy Beam Energy |
Section |
| |||||||||
May be one occurrence per Data Group: Radiotherapy Exposure (0..1) |
0..1 |
| |||||||||
RX4 |
DATA GROUP: RADIOTHERAPY EXPOSURE |
RADIOTHERAPY BEAM ENERGY |
The prescribed beam energy of a radiotherapy exposure used in external radiation therapy from the three types of particles as outlined in RX3 |
max n6 |
RADIOTHERAPY PRESCRIBED BEAM ENERGY |
Mandatory |
Amended
data item from V5 | ||||
RX7 |
DATA GROUP: RADIOTHERAPY EXPOSURE |
RADIOTHERAPY BEAM ENERGY UNIT OF MEASUREMENT (SNOMED CT DM+D) |
The
radiotherapy beam energy unit of measurement |
min n6 max n18 |
As
difined within the radiotherapy units of measure simple reference set |
RADIOTHERAPY PRESCRIBED BEAM ENERGY UNIT OF MEASUREMENT (SNOMED CT DM+D) |
New |
Mandatory |
New Data Item | ||
End of SECTION - Radiotherapy Beam Energy |
|||||||||||
RX5 |
DATA GROUP: RADIOTHERAPY EXPOSURE |
TIME AND DATE OF EXPOSURE |
Time and date when the exposure was initiated |
max an25 |
CODED PROCEDURE TIMESTAMP (RADIOTHERAPY EXPOSURE) |
Mandatory |
Amended data
item from V5 | ||||
RADIOISOTOPE CHOICE |
|||||||||||
One of the following Radioisotope data items MAY be provided per Data Group: Radiotherapy Exposure submission |
Choice |
| |||||||||
May be at least one of the following choices per submission (0..2) |
0..2 |
| |||||||||
RADIOISOTOPE - CHOICE 1 |
|||||||||||
RX6 |
DATA GROUP: RADIOTHERAPY EXPOSURE |
RADIOISOTOPE |
The radioisotope used to deliver radiotherapy where an isotope is used (including brachytherapy and molecular) |
max an6 |
RADIOISOTOPE |
Required |
Amended
data item from V5 | ||||
END OF RADIOISOTOPE - CHOICE 1 |
|||||||||||
RADIOISOTOPE - CHOICE 2 |
|||||||||||
RX8 |
DATA GROUP: RADIOTHERAPY EXPOSURE |
RADIOPHARMACEUTICAL PROCEDURE (SNOMED CT) |
Record the type of radiopharmaceutical procedure used to deliver radiotherapy where an isotope is used (including brachytherapy and molecular) using SNOMED CT. This maybe recorded in addition to RX6 |
min n6 max n18 |
As
defined in a new SNOMED CT reference set, which will be created and
available before April 2022 |
RADIOPHARMACEUTICAL PROCEDURE (SNOMED CT) |
NEW |
Required |
New Data Item | ||
END OF RADIOISOTOPE - CHOICE 2 |
|||||||||||
END OF RADIOISOTOPE CHOICE |
|||||||||||
DATA GROUP: RADIOTHERAPY ATTENDANCE |
|||||||||||
To carry the details of the Radiotherapy Attendance, each attendance will create a new row of reportable data that is defined by the 'Appointment Date:Time' |
|||||||||||
May be multiple occurrences per submission (0..*) |
|||||||||||
RA1 |
DATA GROUP: RADIOTHERAPY ATTENDANCE |
RADIOTHERAPY ATTENDANCE IDENTIFIER |
The identifier that is used to identify the 'Radiotherapy Attendance' on the Radiotherapy Record and Verify System |
max an50 |
RADIOTHERAPY ATTENDANCE IDENTIFIER |
Mandatory |
New Data Item | ||||
RA2 |
DATA GROUP: RADIOTHERAPY ATTENDANCE |
ADMITTED PATIENT ATTENDANCE INDICATOR |
An indication of whether the Radiotherapy treatment was delivered while the patient is also an admitted patient at either the Treating or another Health Care Provider |
an1 |
Y |
Yes - the patient is an admitted patient |
RADIOTHERAPY ADMITTED PATIENT INDICATOR |
NEW |
Required |
New Data Item | |
N |
No - the patient is not an admitted patient | ||||||||||
9 |
Not Known | ||||||||||
RA3 |
DATA GROUP: RADIOTHERAPY ATTENDANCE |
RADIOTHERAPY ATTENDANCE DATE AND TIME |
The date and time of the radiotherapy attendance |
an19 YYYY-MM-DDThh:mm:ss |
RADIOTHERAPY ATTENDANCE DATE AND TIME |
NEW |
Mandatory |
New Data Item | |||
Start of repeating item - Attendance Procedure (OPCS) |
|||||||||||
Multiple occurrences of this item are permitted |
|||||||||||
RA4 |
DATA GROUP: RADIOTHERAPY ATTENDANCE |
RADIOTHERAPY ATTENDANCE PROCEDURE (OPCS) |
Record the procedure(s) carried out using OPCS. This maybe recorded in addition to RADIOTHERAPY ATTENDANCE PROCEDURE (SNOMED CT) |
an4 |
The codes for OPCS-4 maintained by NHS Digital |
RADIOTHERAPY ACTUAL PROCEDURE (OPCS) |
NEW |
Mandatory |
New Data Item | ||
End of repeating item - Attendance Procedure (OPCS) |
|||||||||||
Start of repeating item - Attendance Procedure (SNOMED CT) |
|||||||||||
Multiple occurrences of this item are permitted |
|||||||||||
RA5 |
DATA GROUP: RADIOTHERAPY ATTENDANCE |
RADIOTHERAPY ATTENDANCE PROCEDURE (SNOMED CT) |
Record the procedure(s) carried out using SNOMED CT. This maybe recorded in addition to RADIOTHERAPY ATTENDANCE PROCEDURE (OPCS). |
min n6 max n18 |
More details available within the user guide |
RADIOTHERAPY ACTUAL PROCEDURE (SNOMED CT EXPRESSION) |
NEW |
Required |
New Data Item | ||
End of repeating item - Attendance Procedure (SNOMED CT) |
|||||||||||
Start of repeating item - Attendance Procedure (CODE CAPTURE ADDITIONAL PROCEDURES) |
|||||||||||
Multiple occurrences of this item are permitted |
|||||||||||
RA6 |
DATA GROUP: RADIOTHERAPY ATTENDANCE |
RADIOTHERAPY ATTENDANCE PROCEDURE (CODE CAPTURE ADDITIONAL PROCEDURES) |
Using codes for procedures not currently defined in the OPCS or SNOMED CT codes. For codes designating a delivery of radiotherapy, the appropriate OPCS or SNOMED CT code must also be supplied (indicated on code list). |
an2 |
01 |
Imaging KV2D |
RADIOTHERAPY ATTENDANCE ADDITIONAL PROCEDURE |
NEW |
Required |
New Data Item | |
02 |
Imaging KV3D | ||||||||||
03 |
Imaging KV4D | ||||||||||
04 |
Imaging MV2D | ||||||||||
05 |
Imaging MV3D | ||||||||||
06 |
MRI verification image | ||||||||||
07 |
Active Breathing Control (ABC) | ||||||||||
08 |
Deep Inspiration breath hold (DIBH) | ||||||||||
09 |
Fiducial markers | ||||||||||
10 |
Rectal spacer | ||||||||||
11 |
Abdominal compression device | ||||||||||
12 |
Surface guided imaging | ||||||||||
13 |
Ultrasound guided imaging | ||||||||||
98 |
Other | ||||||||||
End of repeating item - Attendance Procedure (CODE CAPTURE ADDITIONAL PROCEDURES) |
|||||||||||
Start of repeating item - Other Attendance Procedure (CODE CAPTURE ADDITIONAL PROCEDURES) |
|||||||||||
Multiple occurrences of this item are permitted |
|||||||||||
RA7 |
DATA GROUP: RADIOTHERAPY ATTENDANCE |
OTHER RADIOTHERAPY ATTENDANCE PROCEDURE (CODE CAPTURE ADDITIONAL PROCEDURES) |
If '98 - Other' selected in RA6, specify any other 'Additional Radiotherapy Attendance Procedures', which are currently not listed |
max an40 |
OTHER RADIOTHERAPY ATTENDANCE PROCEDURE DESCRIPTION |
NEW |
Required |
New Data Item | |||
End of repeating item - Other Attendance Procedure (CODE CAPTURE ADDITIONAL PROCEDURES) |
|||||||||||
RA8 |
DATA GROUP: RADIOTHERAPY ATTENDANCE |
LOCAL VERSION NUMBER (ATTENDANCE) |
The local R+V System version number, currently being used by the Health Care Provider submitting the data |
max an5 |
RADIOTHERAPY RECORD AND VERIFY SYSTEM VERSION |
NEW |
Required |
New Data Item |