Cancer Care Spell Delay is a REFERRAL DELAY.

A delay in either an Out-Patient Appointment or treatment for suspected cancer after a referral has been received. A Cancer Care Spell Delay should be recorded for each delay.A Cancer Care Spell Delay is a delay in either an Out-Patient Appointment or treatment for suspected cancer after a referral has been received.

Cancer Dental Assessment Date is an ACTIVITY DATE TIME.

The date on which a pre-treatment dental assessment was performed during a Head And Neck Cancer Care Spell.Cancer Dental Assessment Date is the date on which a pre-treatment dental assessment was performed during a Head And Neck Cancer Care Spell.

Identifies whether minimally invasive surgery was used during Joint Replacement Surgery.An indicator of whether minimally invasive surgery was used during Joint Replacement Surgery.

National Codes:

References:
National Joint Registry Dataset: v.1: 24th March 2003

This data item is mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set. It is applicable and must be recorded if the existing standards were breached (after any adjustments have been made).

It is the free text comment that describes why the maximum two week wait fromCANCER REFERRAL TO TREATMENT PERIOD START DATE to DATE FIRST SEEN (less WAITING TIME ADJUSTMENT (FIRST SEEN)) could not be met.

See DATE FIRST SEEN for guidance on determining the appropriate first seen date.

If DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS) is recorded as National Code 99 'Other reason' then DELAY REASON COMMENT (FIRST SEEN) must explain the full reason for the delay.

This is the code of the GP Practice that the PATIENT is registered with.

Use of  Organisation Data Service Default Codes

• V81997 should be used when a PATIENT presents, who is not currently registered at a GP Practice, but is eligible to be registered should they wish to.
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• V81998 should be used where a PATIENT should not have a registered GP Practice, due for instance to them having only recently entered the country.
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• V81999 should be used where it is not possible to determine a PATIENT's registered GP Practice code, but it is known that they should have one, or where it is impossible to determine whether they should or shouldn't have a registered practice (for instance the PATIENT cannot communicate and is unidentified).

CODE OF GP PRACTICE (REGISTERED GMP) DESCRIPTION REPLACED 1 JUNE 2008.

The code of the practice is an ORGANISATION CODE.

This is the code of the practice of the PATIENT's registered GENERAL MEDICAL PRACTITIONER which lets him or her be notified about treatment received by the PATIENT. The registered GENERAL MEDICAL PRACTITIONER may or may not be the same as the referring GENERAL MEDICAL PRACTITIONER.

Notes:
START DATE (ACTIVE MONITORING) should be recorded if the PLANNED CANCER TREATMENT TYPE is National Code 09 - Active Monitoring.START DATE (ACTIVE MONITORING) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'

START DATE (ACTIVE MONITORING) is the CARE PLAN AGREED DATE of the Cancer Care Plan where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 09 'Active monitoring' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a.START DATE (ACTIVE MONITORING) is the CARE PLAN AGREED DATEof the Cancer Care Plan where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 'Active Monitoring' and the FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

Notes:
START DATE (ANTI-CANCER DRUG REGIMEN) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Anti-Cancer Drug Regimen.START DATE (ANTI-CANCER DRUG REGIMEN) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Anti-Cancer Drug Regimen.

This should be recorded if the first definitive treatment is chemotherapy and/or other anti-cancer drug treatments.

START DATE (ANTI-CANCER DRUG REGIMEN) is the ACTIVITY DATE of the Anti-Cancer Drug Programme where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 03 'Chemotherapy' or 04 'Hormone therapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

Notes:
START DATE (BRACHYTHERAPY TREATMENT COURSE) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Brachytherapy Treatment Course.START DATE (BRACHYTHERAPY TREATMENT COURSE) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Brachytherapy Treatment Course. This should be recorded if the first definitive treatment is brachytherapy.

START DATE (BRACHYTHERAPY TREATMENT COURSE) is the START DATE of the Brachytherapy Treatment Course which is a Brachytherapy Treatment Course where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 06 'Brachytherapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

Notes:
START DATE (SPECIALIST PALLIATIVE TREATMENT COURSE) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'. START DATE (SPECIALIST PALLIATIVE TREATMENT COURSE) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'. This should be recorded if the first definitive treatment is specialist palliative care.

START DATE (SPECIALIST PALLIATIVE TREATMENT COURSE) is the ACTIVITY DATE on which the first treatment or support from specialist palliative care was given to a PATIENT with diagnosed cancer within the Cancer Care Spell and where the Planned Cancer Treatment is for Planned Cancer Treatment National Code 05 'Specialist palliative care' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

Notes:
START DATE (SURGERY HOSPITAL PROVIDER SPELL) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'.START DATE (SURGERY HOSPITAL PROVIDER SPELL) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'. This should be recorded if the first definitive treatment is surgery.

START DATE (SURGERY HOSPITAL PROVIDER SPELL) is the Start Date of the Hospital Provider Spell the PATIENT was admitted to for the anti-cancer surgery to be performed and where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 01 'Surgery' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

Notes:
START DATE (TELETHERAPY TREATMENT COURSE) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'.START DATE (TELETHERAPY TREATMENT COURSE) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'. This should be recorded if the First Definitive Treatment is teletherapy.

START DATE (TELETHERAPY TREATMENT COURSE) is the Start Date of the Radiotherapy Treatment Course which is a Teletherapy Treatment Course where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 02 'Teletherapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.