Change Request
 
NHS Information Authority

Data Standards Programme

Reference: Change Request 372
Version No: 1.12
Subject: Head and Neck Cancer - Additional Data Items
Type of Change: Revision of NHS data standards
Effective Date: Immediate
Reason for Change: Integration of the National Cancer Data Set Head and Neck Specific additional data items into the NHS Data Dictionary

Background:

The National Cancer Data Set Project, run by the NHS Information Authority, has produced a set of data items relating to the diagnosis and management of cancer.

The purpose of the National Cancer Minimum Data Set is to advise organisations within the National Health Service on a transferable set of data. These data will meet the needs of clinical audit, assist in the generation of National Performance Indicators and will allow outcome assessment.

More information about the project and the Data Set can be found at:

http://www.nhsia.nhs.uk/cancer/pages/default.asp

This DSCN defines NHS data standards to support additional data items specific to head and neck cancer. The National Codes for Tobacco Chewing History have been aligned with those for Smoking Status.

Summary of changes:
 
Class Definitions
CANCER CARE PLAN    Change to attributes
HEAD AND NECK CANCER CARE SPELL    Change to attributes
 
Attribute Definitions
CANCER DENTAL ASSESSMENT DATE    New Attribute
PRIMARY CARE COMMUNICATION SENT DATE    New Attribute
SPEECH AND SWALLOWING ASSESSMENT DATE    New Attribute
TOBACCO CHEWING HISTORY    Change to description
 
Data Elements
CANCER DENTAL ASSESSMENT DATE    New DataElement
IMAGE REQUEST DATE    New DataElement
PRIMARY CARE COMMUNICATION SENT DATE    New DataElement
SPEECH AND SWALLOWING ASSESSMENT DATE    New DataElement

Name: Barbara Fogarty
Date: 20 August 2003
Sponsor: Data and Information Standards Programme

Note: Additions shown in highlighted with a blue background. Deletions are shown using strikeout.


CANCER CARE PLAN

Change to Class: change to attributes

Attributes of this Class are:
CANCER CARE PLAN INTENT
O MULTIDISCIPLINARY TEAM DISCUSSION DATE
O NO CANCER TREATMENT REASON
O PATIENT ON IMMUNOSUPPRESSIVE THERAPY
   for skin cancer only
PRIMARY CARE COMMUNICATION SENT DATE
   for head and neck cancer only
RECURRENCE INDICATOR


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    HEAD AND NECK CANCER CARE SPELL

    Change to Class: change to attributes

    Attributes of this Class are:
    O CANCER DENTAL ASSESSMENT DATE
    O NUTRITIONAL SUPPORT PROVIDED TYPE
       if nutritional support given
    PREVIOUS TREATMENT ELSEWHERE
    O SPEECH AND SWALLOWING ASSESSMENT DATE


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      CANCER DENTAL ASSESSMENT DATE

      Change to Attribute: New Attribute

      CANCER DENTAL ASSESSMENT DATE

      The date on which a pre-treatment dental assessment was done for head and neck cancer.



      This attribute is also known by these names:
      Context Alias
      plural CANCER DENTAL ASSESSMENT DATES


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        PRIMARY CARE COMMUNICATION SENT DATE

        Change to Attribute: New Attribute

        PRIMARY CARE COMMUNICATION SENT DATE

        The date on which communication was first sent to primary care regarding the CANCER CARE PLAN for head and neck cancer.



        This attribute is also known by these names:
        Context Alias
        plural PRIMARY CARE COMMUNICATION SENT DATES


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          SPEECH AND SWALLOWING ASSESSMENT DATE

          Change to Attribute: New Attribute

          SPEECH AND SWALLOWING ASSESSMENT DATE

          The date on which a pre-operative speech, language and swallowing assessment was done for head and neck cancer.



          This attribute is also known by these names:
          Context Alias
          plural SPEECH AND SWALLOWING ASSESSMENT DATES


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            TOBACCO CHEWING HISTORY

            Change to Attribute: change to description

            The PATIENT's history of tobacco chewing as part of their TOBACCO USAGE.

            National Codes:
            1 Current
            2 Ex
            3 Never
            4 Never
            3 Unknown
            9 Unknown

            References:
            National Cancer Data Set Version 1.1_ISB October 2001



            This attribute is also known by these names:
            Context Alias
            plural TOBACCO CHEWING HISTORY'S


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              CANCER DENTAL ASSESSMENT DATE

              Change to Data Element: New DataElement

              CANCER DENTAL ASSESSMENT DATE

              Format/length: n8 - ccyymmdd
              HES item:
              National Codes:
              Default Codes:



              This data element is also known by these names:
              Context Alias
              plural CANCER DENTAL ASSESSMENT DATES


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                IMAGE REQUEST DATE

                Change to Data Element: New DataElement

                IMAGE REQUEST DATE

                Format/length: n8 - ccyymmdd
                HES item:
                National Codes:
                Default Codes:

                IMAGE REQUEST DATE is the same as attribute DIAGNOSTIC REQUEST DATE.

                This data item is only mandatory when applicable in the National Cancer Data Set for head and neck cancer. This is when the pre-treatment imaging was requested.

                It is the DIAGNOSTIC REQUEST DATE of the first REQUEST FOR DIAGNOSTIC TEST of a SERVICE PROVIDED of the CANCER CARE SPELL of subtype HEAD AND NECK CANCER CARE SPELL where the request results in an IMAGING OR RADIODIAGNOSTIC EVENT where the CANCER IMAGING MODALITY is CT scan or MRI.



                This data element is also known by these names:
                Context Alias
                plural IMAGE REQUEST DATES


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                  PRIMARY CARE COMMUNICATION SENT DATE

                  Change to Data Element: New DataElement

                  PRIMARY CARE COMMUNICATION SENT DATE

                  Format/length: n8 - ccyymmdd
                  HES item:
                  National Codes:
                  Default Codes:



                  This data element is also known by these names:
                  Context Alias
                  plural PRIMARY CARE COMMUNICATION SENT DATES


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                    SPEECH AND SWALLOWING ASSESSMENT DATE

                    Change to Data Element: New DataElement

                    SPEECH AND SWALLOWING ASSESSMENT DATE

                    Format/length: n8 - ccyymmdd
                    HES item:
                    National Codes:
                    Default Codes:



                    This data element is also known by these names:
                    Context Alias
                    plural SPEECH AND SWALLOWING ASSESSMENT DATES


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