Data Set Structure

 

Version 6.0 - Final Wales

 

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

These items are required for every record in order to link patient records.

Must be one occurrence per submission (1..1)

LINKAGE GROUP: PATIENT IDENTITY DETAILS

To carry patient identity details for linkage.

Must be one occurrence per submission (1..1)

LINKAGE IDENTIFIER CHOICE

One of the following Linkage Identifier sections MUST be provided per record

Choice

 

Must be at least one of the following choices per record (1..2)

1..2

 

CHOICE 1

LG1

LINKAGE GROUP: PATIENT IDENTITY DETAILS

NHS NUMBER

*For linkage purposes NHS NUMBER
and/or
 LOCAL PATIENT IDENTIFIER  (EXTENDED)
is required.

The NHS NUMBER, the primary identifier of a PERSON, is a unique identifier for a PATIENT within the NHS in England and Wales. This will not vary by any ORGANISATION of which a PERSON is a PATIENT.

n10

NHS NUMBER 

NEW

Mandatory* 
0..1

New Data Item

Data Label - NHS Number
Format - 10 digit numeric
Definition - The NHS number is allocated to an individual, to enable unique identification for NHS health care purposes

END OF CHOICE 1

CHOICE 2

LG2

LINKAGE GROUP: PATIENT IDENTITY DETAILS

LOCAL PATIENT IDENTIFIER

*For linkage purposes NHS NUMBER
and/or
 LOCAL PATIENT IDENTIFIER  (EXTENDED)
is required.

This is a number used to identify a PATIENT uniquely within a Health Care Provider. It may be different from the PATIENT's casenote number and may be assigned automatically by the computer system.

min an1 max an20

LOCAL PATIENT IDENTIFIER (EXTENDED)

NEW

Mandatory* 
0..1

New Data Item

Data Label - Case Record Number
Format - 10 character alpha-numeric
Definition - This is the case record number. It is a unique identifier for a patient within a health care provider.

END OF CHOICE 2

END OF LINKAGE IDENTIFIER CHOICE

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
1..1

New Data Item

Data Label - NHS Number Status Indicator
Format - 2 digit numeric
Definition - The status indicator provides information about the potential accuracy and reliablity of the NHS number and the use to which the number can be put.

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
1..1

New Data Item

Data Label - Birth Date
Format: 8 digit numeric CCYYMMDD
For Radiotherapy Data Set: Format required as CCYY-MM_DD

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
1..1

New Data Item

Data Label - Organisation Code (Referred To) (Code of Provider)
Format - min an3 max an5
Definition - This is the organisation code of the health care provider.   The provider code identifies the health care provider who is responsible for managing the treatment of the patient

LINKAGE GROUP: DIAGNOSTIC DETAILS

To carry diagnostic details for linkage.

Must be one occurrence per submission (1..1)

LG6

LINKAGE GROUP: DIAGNOSTIC DETAILS

RADIOTHERAPY DIAGNOSIS (ICD)

This is the PATIENT DIAGNOSIS for:
i. Patients with cancer, the primary tumour diagnosis code or
ii non-cancer diagnoses, the main condition being treated during the episode of radiotherapy

min an4 max an6

Previously in the Data Group Radiotherapy Episode (RE6)

RADIOTHERAPY DIAGNOSIS (ICD)

Mandatory
1..1

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.

This is optional for v6.0 but will be reviewed in future releases

min n6 max n18

More details available within the user guide

RADIOTHERAPY DIAGNOSIS (SNOMED CT)

NEW

Required
0..1

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
1..1

New Data Item

Data Label - NHS Number Status Indicator
Format - 2 digit numeric
Definition - Identifies the side of the body for a tumour relating to paird organs within a patient

R

Right

M

Midline

B

Bilateral

8

Not applicable

9

Not Known

PATIENT GROUP: DEMOGRAPHIC DETAILS

To carry demographic details of the patient.

May be one occurrence per submission (0..1)

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
0..1

New Data Item

Data Label
- Patient Name - Family Name (Surname)
Format:
an35

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
0..1

New Data Item

Data Label
- Patient Name - Person Given Name (Forename)
Format:
an35

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
0..1

New Data Item
Data Label:
Patient Postcode (at diagnosis)/Postcode of Usual Address
Definition -
The postcode nominated by the patient at the time of admission or attendance

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
0..1

New Data Item

Data Label -
Gender Identity
 

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
0..1

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
0..1

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.

This GENERAL MEDICAL PRACTITIONER works within the General Medical Practitioner Practice with which the PATIENT is registered.

an8

GENERAL MEDICAL PRACTITIONER (SPECIFIED) 

NEW

Required
0..1

New Data Item

Data Label
- General Medical Practitoner Code (GP Code)
Format:
8 character alpha numeric

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
0..1

New Data Item

Data Label -
General Medical Practitoner Practice Code (GP Practice Code)
Format:
 6 character alpha numeric

DATA GROUP: RADIOTHERAPY EPISODE

To carry the details of the Radiotherapy Episode.

May be up to one occurrence per submission (0..1)

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 
1..1

Data Label as V5
Amendment to definition

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.

This is the date that the consultation between the PATIENT and the clinician took place and a Planned Radiotherapy Treatment Episode was agreed.

an10 ccyy-mm-dd

DECISION TO TREAT DATE (RADIOTHERAPY EPISODE)

Mandatory 
1..1

Data Label as V5
Amendment to definition

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 
1..1

Data Item as V5

02

Anti-Cancer

03

Other

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
0..1

New Data Item

DATA GROUP: RADIOTHERAPY PRESCRIPTION

To carry the details of each radiotherapy Prescription.

May be multiple occurrences per submission (0..*)

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 
1..1

Amended data item from V5
Amendment to data label and description

RP2

DATA GROUP: RADIOTHERAPY PRESCRIPTION

RADIOTHERAPY TREATMENT REGION

The specific area to be treated with radiotherapy.

max an2

P

Primary

RADIOTHERAPY TREATMENT REGION

Mandatory 
1..1

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 
1..1

Amended data item from V5
New description

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 
1..1

Amended data item from V5
Amendment to format and picklist

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 
1..1

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

 

May be one occurrence per Data Group: Radiotherapy Prescription (0..1)

0..1

 

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
1..1

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
1..1

New Data Item

End of  SECTION - Radiotherapy Prescribed Authorising Clinician

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
0..1

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
0..1

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

This is the SNOMED CT - Concept ID found in the radiotherapy routes and methods of administration simple reference set

min n6 max n18

As defined within the SNOMED CT radiotherapy routes and methods of administration reference set # 51971000001109

More details available within the user guide

RADIOTHERAPY ROUTES AND METHODS OF ADMINISTRATION (SNOMED CT DM+D)

NEW

Required
0..1

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 
0..1

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
0..1

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 
1..1

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
0..1

New Data Item

N

No - this prescription was not part of a radiotherapy clinical trial

9

Not Known

DATA GROUP: RADIOTHERAPY PLAN

To carry the details of each radiotherapy plan.

May be multiple occurrences per submission (0..*)

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 
1..1

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
0..1

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
0..1

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
0..1

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
0..1

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
0..1

New Data Item

Start of repeating item - Radiotherapy Plan Procedure (OPCS)

Multiple occurrences of this item are permitted

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
1..*

New Data Item

End of repeating item - Radiotherapy Plan Procedure (OPCS)

Start of repeating item - Radiotherapy Plan Procedure (SNOMED CT)

Multiple occurrences of this item are permitted

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
0..*

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

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).

For codes designating a delivery of radiotherapy, the appropriate OPCS or SNOMED CT code must also be supplied.

an2

01

CT Planning 4D scan

RADIOTHERAPY PLAN OTHER PROCEDURE

NEW

Required
0..*

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
0..*

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 
1..1

Moved data item into new section in V6 to V5
Amended format

RPL12

DATA GROUP: RADIOTHERAPY PLAN

RADIOTHERAPY PRESCRIBED DOSE UNIT OF MEASUREMENT (SNOMED CT DM+D)

The total prescribed absorbed radiation dose measurement
The SNOMED CT® concept ID from the NHS Dictionary of Medicines and Devices which is used to identify the unit of measurement

min n6 max n18

As difined within the radiotherapy units of measure simple reference set
# 31491000001101

More details available within the user guide

RADIOTHERAPY PRESCRIBED DOSE UNIT OF MEASUREMENT (SNOMED CT DM+D)

New

Mandatory 
1..1

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 
1..1

Moved data item into new section in V6 to V5
Amended description and format

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 
1..1

Moved data item into new section in V6 to V5
Amended format

RPL15

DATA GROUP: RADIOTHERAPY PLAN

RADIOTHERAPY ACTUAL DOSE UNIT OF MEASUREMENT (SNOMED CT DM+D)

The total actual absorbed radiation dose  measurement
The SNOMED CT® concept ID from the NHS Dictionary of Medicines and Devices which is used to identify the unit of measurement

min n6 max n18

As difined within the radiotherapy units of measure simple reference set
# 31491000001101

More details available within the user guide

RADIOTHERAPY ACTUAL DOSE UNIT OF MEASUREMENT (SNOMED CT DM+D)

New

Mandatory 
1..1

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 
1..1

Amended data item from V5
Amendment to data label and description

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
1..1

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
0..1

Amended data item from V5
Additions to picklist

T2

Electrons

T3

Other

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 
1..1

Amended data item from V5
Amendment to format

RX7

DATA GROUP: RADIOTHERAPY EXPOSURE

RADIOTHERAPY BEAM ENERGY UNIT OF MEASUREMENT (SNOMED CT DM+D)

The radiotherapy beam energy unit of measurement

The SNOMED CT® concept ID from the NHS Dictionary of Medicines and Devices which is used to identify the unit of measurement

min n6 max n18

As difined within the radiotherapy units of measure simple reference set
# 31491000001101

More details available within the user guide

RADIOTHERAPY PRESCRIBED BEAM ENERGY UNIT OF MEASUREMENT (SNOMED CT DM+D)

New

Mandatory 
1..1

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 
1..1

Amended data item from V5
Amendment to data label, description and format

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
0..1

Amended data item from V5
Amendment to description

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

More details available within the user guide

RADIOPHARMACEUTICAL PROCEDURE (SNOMED CT)

NEW

Required 
0..1

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 
1..1

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
0..1

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 
1..1

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
1..*

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
0..*

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
0..*

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
0..*

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
0..1

New Data Item