Format/length: see DATE
HES item:  
National Codes:
Default Codes:  

This is the date that the PATIENT is first seen in the Trust that receives the first referral. This data item is mandatory for patients referred urgently by their GP for suspected cancer but can also be applied to other patients. The date will be one of the following, whichever is the earliest SERVICE relating to the REFERRAL REQUEST:

- first out-patient appointment; this is the FIRST ATTENDANCE of the OUT-PATIENT ATTENDANCE CONSULTANT
- first diagnostic procedure if this precedes the first out-patient appointment; this is the first CLINICAL INTERVENTION DATE of the IMAGING OR RADIODIAGNOSTIC EVENT or the CLINICAL INTERVENTION
- first seen as an emergency; this is the START DATE of the HOSPITAL PROVIDER SPELL or the ARRIVAL DATE of the ACCIDENT AND EMERGENCY ATTENDANCE
- first seen following recall by screening unit; this is the SCREENING TEST DATE of the SCREENING TEST.

DATE FIRST SEEN may not be the same as FIRST SEEN BY SPECIALIST DATE (CANCER) which records the first time the PATIENT sees an appropriate specialist in cancer care.


This data element is also known by these names:

Context Alias