Key Investigations

 

 

Reporting Data Item

Business Justification

Definition

Note: Where ‘NHS Wales Data Dictionary’ the definition is as per the Data Dictionary.

Permissible Values

3. KEY INVESTIGATIONS

3.0

ENCDv4.5b (3.3)

 

DAHNO

 

HNCI

Cancer Imaging modality

To estimate the level of accuracy of the diagnosis and staging when accounting for casemix and outcome analysis. Required for the use of the Multi Disciplinary Meeting (MDM) module.

 

The types of investigations performed to diagnose and stage the patient.

Permissible values are agreed by the clinical steering groups and conform to the requirements of the reporting output specifications. Currently there is no explicit requirement to map to terminologies or classifications. This will be kept under review.

3.1

ENCDv4.5b (3.2)

 

DAHNO

 

HNCI

Date of investigation

 

Required for audit of the National Cancer Standards, and the use of the Multi Disciplinary Meeting (MDM) module.

The date the investigation was performed.

 

3.2

DAHNO

Date of image request

To determine the time interval between investigations being requested and reported. Required for submission to the national clinical head & neck cancer audit.

The date on which imaging is requested that contributes to pre-treatment staging.

 

3.3

DAHNO

 

HNCI

Date of image report

To determine the time interval between investigations being requested and reported. Required for submission to the national clinical head & neck cancer audit.

The date of the report of the image test performed.

 

3.4

DAHNO

Anatomical examination site (diagnostic investigation)

To enable analysis of investigative examination sites. Required for submission to the national clinical head & neck cancer audit.

The part(s) of the body which were examined during the investigation.

Permissible values are agreed by the clinical steering groups and conform to the requirements of the reporting output specifications. Currently there is no explicit requirement to map to terminologies or classifications. This will be kept under review.

3.5

DAHNO

Recorded height at presentation

To derive BMI. Required for submission to the national clinical head & neck cancer audit.

The height of the patient, in metres to 2 decimal places

Metres

3.6

DAHNO

Date of recorded height at presentation

To determine when the height was recorded. Required for submission to the national clinical head & neck cancer audit.

The date the recorded height was taken.

 

3.7

DAHNO

Recorded weight at presentation

To assess weight loss and derive BMI. Required for submission to the national clinical head & neck cancer audit.

Weight of the patient, in kilograms with up to three decimal places.

Kilograms

3.8

DAHNO

Date of recorded weight at presentation

To determine when the weight was recorded. Required for submission to the national clinical head & neck cancer audit.

The date the recorded weight was taken.