Change Request |
Reference: | Change Request 273 |
Version No: | 1.3 |
Subject: | DSCN 10/2002 |
Type of Change: | Changes to NHS data standards |
Effective Date: | 1 October 2002 |
Reason for Change: | Integrating Reference Costs for Radiotherapy Services into the NHS Data Standards |
Also, the National Cancer Data Set Project, run by the NHS Information Authority, has produced a set of core data items relating to the diagnosis and management of cancer including Radiotherapy.
This DSCN details changes to the NHS data standards to support the integration of the Radiotherapy HRGs, together with the Radiotherapy element of the National Cancer Data Set, into the NHS data standards.
Summary of changes:Name: | Barbara Fogarty |
Date: | 28 November 2002 |
Sponsor: | Data Standards Team |
A type of RADIOTHERAPY HRG TREATMENT COURSE.
A prescribed course of radiotherapy brachytherapy treatment for a PATIENT which is recorded by the RADIOTHERAPY DEPARTMENT for the purposes of deriving Reference Costs for radiotherapy services based upon Healthcare Resource Groups (HRGs).
Context | Alias |
---|---|
plural | BRACHYTHERAPY HRG TREATMENT COURSES |
Attributes of this Class are:
Each EXPOSURE
K | must be performed by one and only one RADIOTHERAPY MACHINE |
may be related to one and only one FRACTION | |
Each FRACTION
K | must be related to one and only one RADIOTHERAPY TREATMENT COURSE |
may be related to one or more EXPOSURE |
Each PATIENT
may be absent for one or more ABSENCE WITHOUT LEAVE | |
may be related to one or more ACCIDENT AND EMERGENCY EPISODE | |
may be associated with one or more CLINICAL INTERVENTION | |
may be related to one or more COMMUNITY EPISODE | |
may be the subject of one or more CONSULTANT EPISODE (ACUTE HOME-BASED) | |
may be related to one or more CONSULTANT OUT-PATIENT EPISODE | |
may be related to one or more DECISION TO ADMIT | |
may be related to one or more DENTAL EPISODE | |
may be related to one DISABLEMENT APPLIANCE | |
may be related to one or more DISABLEMENT APPLIANCE REPAIR | |
may be in receipt of one or more DISPENSED ITEM | |
may be related to one or more DOMICILIARY CONSULTATION | |
may be related to one or more ELECTIVE ADMISSION LIST ENTRY | |
may be related to one or more EMERGENCY DENTAL ATTENDANCE | |
may be related to one or more FACE TO FACE CONTACT DENTAL | |
may be the subject of one or more FACE TO FACE CONTACT OPTICAL | |
may be related to one or more GENITO-URINARY EPISODE | |
may be related to one or more HOME DIALYSIS EPISODE | |
may be related to one or more HOME LEAVE | |
may be the subject of one or more HONOS SCORE FOR PERSON | |
may be related to one or more HOSPITAL PROVIDER SPELL | |
may be granted leave for one or more LEAVE OF ABSENCE | |
may be related to one or more LEGAL STATUS | |
may be related to one or more LITHOTRIPSY COURSE ATTENDANCE | |
may be related to one or more MATERNITY DOMICILIARY VISIT | |
may be subject to one or more MENTAL HEALTH CARE SPELL | |
may be related to one or more MIDWIFE EPISODE | |
may be related to one or more NURSING EPISODE | |
may be related to one or more NURSING HOME STAY (MIDWIFE CARE) | |
may be related to one or more NURSING HOME STAY (NURSING CARE) | |
may be in receipt of health care services under one or more OUT OF AREA TREATMENT | |
may be related to one or more OUT-PATIENT APPOINTMENT | |
may be related to one or more PATIENT JOURNEY | |
may be issued with one or more POWERED WHEELCHAIR | |
may be related to one or more PREGNANCY EPISODE | |
may be in receipt of one or more PRESCRIPTION | |
may be related to one or more PROFESSIONAL STAFF GROUP EPISODE | |
may be related to one or more RADIOTHERAPY TREATMENT COURSE | |
may be related to one or more REFERRAL FOR BIOPSY | |
may be related to one or more REFERRAL FOR BREAST ASSESSMENT | |
may be related to one or more REFERRAL FOR BREAST TREATMENT | |
may be related to one or more REFERRAL FOR SCREENING TEST | |
may be related to one or more REFERRAL REQUEST | |
may be related to one or more REGULAR ATTENDER EPISODE | |
may be related to one or more REQUEST FOR DIAGNOSTIC TEST | |
may be related to one or more RESIDENTIAL CARE OR GROUP HOME STAY | |
may be the subject of one or more ROAD TRAFFIC ACCIDENT TREATMENT | |
may be identified as needing one or more SECURE ACCOMMODATION REQUIREMENT | |
may be related to one or more SERVICE REPORT HEADER | |
may be related to one or more THEATRE CASE | |
may be related to one or more WARD ATTENDANCE | |
may be issued with one or more WHEELCHAIR SERVICES VOUCHER |
Each RADIOTHERAPY DEPARTMENT
K | must be related to one and only one HEALTH CARE PROVIDER |
must be related to one and only one SERVICE POINT | |
may be related to one or more RADIOTHERAPY MACHINE | |
may be responsible for one or more RADIOTHERAPY TREATMENT COURSE |
A set of FRACTIONS for an individual PATIENT which have been planned and prescribed as a whole. It should be noted that the following all constitute one course of treatment:
a. | Set of |
b. | Set of |
c. | Set of |
If a
Each RADIOTHERAPY TREATMENT COURSE has a sub-type of BRACHYTHERAPY HRG TREATMENT COURSE or TELETHERAPY HRG TREATMENT COURSE or UNSEALED SOURCE HRG TREATMENT COURSE.
Context | Alias |
---|---|
plural | RADIOTHERAPY TREATMENT COURSES |
Attributes of this Class are:
K | START DATE | |
O | END DATE | |
PRIMARY OR SUBSEQUENT COURSE | ||
O | RADIOTHERAPY ACTUAL DOSE | |
RADIOTHERAPY ANAESTHETIC | ||
O | RADIOTHERAPY PRESCRIBED DOSE | |
RADIOTHERAPY PRESCRIBED DURATION | ||
O | TREATMENT COURSE STATUS |
Each RADIOTHERAPY TREATMENT COURSE
K | must be related to one and only one PATIENT |
must be provided by one and only one RADIOTHERAPY DEPARTMENT | |
must be related to one and only one SERVICE PROVIDED | |
may be a set of one or more FRACTION |
Each SERVICE PROVIDED
K | must be a treatment or service provided by one and only one HEALTH CARE PROVIDER |
may be part of one and only one HEALTH AUTHORITY PROGRAMME | |
or may be related to one and only one SURVEILLANCE PROGRAMME STAGE | |
may be related to one or more GROUP SESSION | |
or may be related to one or more HEALTH PROMOTION OTHER ACTIVITY | |
or may be related to one or more PERSON IN A CONTACT TRACING PROGRAMME | |
or may be related to one or more PERSON IN A SCREENING PROGRAMME | |
may be related to one or more ACCIDENT AND EMERGENCY DEPARTMENT | |
may be related to one or more ADMINISTRATIVE CATEGORY IN EPISODE | |
may be related to one or more ADMINISTRATIVE CATEGORY IN SPELL | |
may be related to one or more AMBULANCE SERVICE | |
may be provided as one or more ANTI-CANCER DRUG PROGRAMME | |
may be related to one or more AUDIOLOGY ATTENDANCE | |
may be provided within one and only one CARE PLAN | |
may be provided as one or more CARE PROGRAMME APPROACH EPISODE | |
may be for care responsibility part of one and only one CARE SPELL | |
may be related to one or more CLINICAL INTERVENTION | |
may be related to one or more CLINIC ATTENDANCE NON-CONSULTANT | |
may be related to one or more COMMUNITY EPISODE | |
may be provided as one or more CONSULTANT EPISODE (ACUTE HOME-BASED) | |
may be related to one or more CONSULTANT EPISODE (HOSPITAL PROVIDER) | |
may be provided as one or more CONSULTANT OUT-PATIENT EPISODE | |
may be related to one or more DENTAL EPISODE | |
may be related to one or more DENTAL STAFF MEMBER IN PROGRAMME | |
may be related to one or more DOMICILIARY CONSULTATION | |
may be related to one or more ELECTIVE ADMISSION LIST ENTRY | |
may be related to one or more FACE TO FACE CONTACT OPTICAL | |
may be provided as one or more FACE TO FACE CONTACT SOCIAL WORKER | |
may be related to one or more FAMILY PLANNING DOMICILIARY VISIT | |
may be related to one or more HEALTH PROMOTION ACTIVITY HIV AND AIDS | |
may be related to one or more HEALTHY PERSON STAY | |
may be related to one or more HOME ASSESSMENT VISIT | |
may be related to one or more HOME DIALYSIS EPISODE | |
may be provided as one or more HOME HELP VISIT | |
may be related to one or more IMMUNISATION PROGRAMME FOR PERSON | |
may be related to one or more LABOUR AND DELIVERY | |
may be related to one or more LITHOTRIPSY COURSE ATTENDANCE | |
may be provided in one and only one LOCATION | |
may be related to one or more MATERNITY DOMICILIARY VISIT | |
may be related to one or more MIDWIFE EPISODE | |
may be related to one or more NHS SERVICE AGREEMENT CHANGE | |
may be related to one or more NURSE OR MIDWIFE CONTACT | |
may be related to one or more NURSING EPISODE | |
may be provided as one or more NURSING HOME STAY (CONSULTANT CARE) | |
may be related to one or more NURSING HOME STAY (NURSING CARE) | |
may be related to one or more OUT-PATIENT CLINIC | |
may be related to one or more OVERSEAS VISITOR STATUS | |
may be provided as one or more PALLIATIVE CARE EPISODE | |
may be related to one or more PATIENT JOURNEY | |
may be related to one or more PERSON IN ADVICE AND SUPPORT PROGRAMME | |
may be related to one or more PERSON IN A SURVEILLANCE STAGE | |
may be related to one or more PERSON OBSERVATION | |
may be providing one or more PERSON SMOKING CESSATION EPISODE | |
may be related to one or more POST MORTEM | |
may be related to one or more PROFESSIONAL STAFF GROUP EPISODE | |
may be related to one or more PROFESSIONAL STAFF GROUP SERVICE | |
may be part of one or more RADIOTHERAPY TREATMENT COURSE | |
may be initiated by one and only one REFERRAL REQUEST | |
may be provided as one or more REGULAR ATTENDER EPISODE | |
may be related to one or more REQUEST FOR DIAGNOSTIC TEST | |
may be provided as one or more RESIDENTIAL CARE OR GROUP HOME STAY | |
may be subdivided into one or more SERVICE PROVIDED | |
may be a subdivision of one or more SERVICE PROVIDED | |
may be related to one or more SERVICE PROVIDED UNDER AGREEMENT | |
may be provided at one or more SERVICE PROVISION POINT | |
may be related to one or more SERVICE REPORTED | |
may be reported by one and only one SERVICE REPORT HEADER | |
may be provided as one or more SHELTERED WORK ATTENDANCE | |
may be part of one and only one SMOKING CESSATION SERVICE | |
may be provided as one or more SOCIAL SERVICES STATUTORY ASSESSMENT | |
may be related to one or more VASECTOMY PERFORMED | |
may be related to one or more WARD ATTENDANCE | |
may be related to one or more WARD STAY |
A type of RADIOTHERAPY HRG TREATMENT COURSE. A type of RADIOTHERAPY TREATMENT COURSE.
A prescribed course of radiotherapy teletherapy treatment for a PATIENT which is recorded by the RADIOTHERAPY DEPARTMENT for the purposes of deriving Reference Costs for radiotherapy services based upon Healthcare Resource Groups (HRGs). A prescribed course of radiotherapy teletherapy treatment for a PATIENT.
Context | Alias |
---|---|
plural | TELETHERAPY HRG TREATMENT COURSES |
Attributes of this Class are:
A type of RADIOTHERAPY HRG TREATMENT COURSE.
A prescribed course of radiotherapy treatment for a PATIENT which is recorded by the RADIOTHERAPY DEPARTMENT for the purposes of deriving Reference Costs for radiotherapy services based upon Healthcare Resource Groups (HRGs)
Context | Alias |
---|---|
plural | UNSEALED SOURCE HRG TREATMENT COURSES |
Attributes of this Class are:
UNSEALED SOURCE ISOTOPE TYPE | ||
UNSEALED SOURCE PATIENT TYPE |
The prescribed type of delivery system of a BRACHYTHERAPY HRG TREATMENT COURSE. The prescribed type of delivery system of a BRACHYTHERAPY TREATMENT COURSE.
Classification:
a. | Manual afterloading |
b. | Mechanical afterloading |
c. | Live source |
Context | Alias |
---|---|
plural | BRACHYTHERAPY DELIVERY TYPES |
The prescribed dose rate of a BRACHYTHERAPY HRG TREATMENT COURSE. The prescribed dose rate of a BRACHYTHERAPY TREATMENT COURSE.
Classification:
a. | High/medium |
b. | Low |
Context | Alias |
---|---|
plural | BRACHYTHERAPY DOSE RATES |
The prescribed type of isotope of a BRACHYTHERAPY HRG TREATMENT COURSE. The prescribed type of isotope of a BRACHYTHERAPY TREATMENT COURSE.
Classification:
a. | Caesium 137 |
b. | Iridium 192 |
c. | Strontium 90 |
d. | Iodine 125 |
e. | Colbalt 60 |
f. | Gold grains Au 198 |
g. | Other |
Context | Alias |
---|---|
plural | BRACHYTHERAPY HRG ISOTOPE TYPES |
The prescribed number of fractions of a BRACHYTHERAPY HRG TREATMENT COURSE.
References:
National Cancer Data Set Version1.1_ISB October 2001
Reference Costs for Radiotherapy Services based on Healthcare Resource Groups
The type of BRACHYTHERAPY HRG TREATMENT COURSE being used.
National Codes:
BI | Interstitial |
BC | Intra-cavity |
BT | Not otherwise specified |
US | Unsealed Source |
References:
National Cancer Data Set Version1.1_ISB October 2001
Context | Alias |
---|---|
plural | BRACHYTHERAPY TYPES |
The total actual absorbed radiation dose given in Grays.
References:
National Cancer Data Set Version1.1_ISB October 2001
Context | Alias |
---|---|
plural | RADIOTHERAPY ACTUAL DOSES |
An indication of whether anaesthetic is required during a TELETHERAPY HRG TREATMENT COURSE or a BRACHYTHERAPY HRG TREATMENT COURSE. An indication of whether anaesthetic is required during a TELETHERAPY TREATMENT COURSE or a BRACHYTHERAPY HRG TREATMENT COURSE.
Classification:
a. | Yes |
b. | No |
Context | Alias |
---|---|
plural | RADIOTHERAPY ANAESTHETICS |
The total prescribed absorbed radiation dose in Grays.
References:
National Cancer Data Set Version1.1_ISB October 2001
Context | Alias |
---|---|
plural | RADIOTHERAPY PRESCRIBED DOSES |
The prescribed number of days over which the RADIOTHERAPY HRG TREATMENT COURSE is planned to be given.
References:
National Cancer Data Set Version1.1_ISB October 2001
Context | Alias |
---|---|
plural | RADIOTHERAPY PRESCRIBED DURATIONS |
The prescribed type of beam of a TELETHERAPY HRG TREATMENT COURSE. The prescribed type of beam of a TELETHERAPY TREATMENT COURSE.
Classification:
a. | Photon |
b. | Electron |
c. | Other |
d. | Photon and Electron |
e. | Photon and Other |
f. | Electron and Other |
g. | Photon, Electron and Other |
Context | Alias |
---|---|
plural | TELETHERAPY BEAM TYPES |
The grouping which classifies the complexity of a TELETHERAPY HRG TREATMENT COURSE. The grouping which classifies the complexity of a TELETHERAPY TREATMENT COURSE.
Classification:
a. | Superficial/Orthovoltage; Beam energy of less than 500kv. Manual calculation. Typical superficial treatments include any use of pre-prepared lead cut-outs, lead rubber, eye shields, etc. Excludes individually crafted items for specific patients as these should be covered by the Technical Support complexity group. |
b. | Simple; Megavoltage, including electrons. Manual calculation. No simulation. Multiple single fields to different sites should be coded individually. Includes use of pre-prepared lead cut-outs, lead rubber, eye shields, etc. Excludes individually crafted items for specific patients as these should be covered by the Technical Support complexity group. |
c. | Simple with Simulation; Megavoltage. Simulation prior to treatment. Manual calculation. Includes simple parallel pairs calculated manually and the use of thermoplastic immobilsation devices. |
d. | Complex; Megavoltage. Computer calculation with or without simulation. Includes treatments which are simulated that might involve planning and production of an individual isodose chart. |
e. | Complex with imaging; Megavoltage. Two or three dimensional planning with dedicated CT or MRI imaging. Includes conformal radiotherapy using multi-columnators. Excludes imaging done separately as part of the staging process. |
f. | Technical Support; Any treatment irrespective of complexity or beam energy which requires individually crafted items for specific patients such as casts, shells or other individually produced positioning devices or individually crafted beam shapers or modifiers. Includes techniques such as whole or hemibody irradiation that produce major disruption to routine practice with special positioning or dose measuring problems. Also includes teletherapy treatments which require anaesthetic and conformal radiotherapy using shells and stereotactic radiotherapy. Excludes use of thermoplastic materials. |
Context | Alias |
---|---|
plural | TELETHERAPY COMPLEXITY GROUPS |
The prescribed electron energy of a TELETHERAPY HRG TREATMENT COURSE. The prescribed electron energy of a TELETHERAPY TREATMENT COURSE.
Classification:
a. | Less than 12 MeV |
b. | Equal to or greater than 12MeV |
Context | Alias |
---|---|
plural | TELETHERAPY ELECTRON ENERGY |
The prescribed number of fields of a TELETHERAPY HRG TREATMENT COURSE. The prescribed number of fields of a TELETHERAPY TREATMENT COURSE.
Classification:
a. | Less than 3 |
b. | Equal to or greater than 3 |
c. | Whole body |
Context | Alias |
---|---|
plural | TELETHERAPY FIELDS |
An indication of whether a TELETHERAPY HRG TREATMENT COURSE (megavoltage, multiphase) requires a full repeat of planning and preparation to be undertaken, this excludes simple boosts and resimulation. An indication of whether a TELETHERAPY TREATMENT COURSE (megavoltage, multiphase) requires a full repeat of planning and preparation to be undertaken, this excludes simple boosts and resimulation.
Classification:
a. | Yes |
b. | No |
Context | Alias |
---|---|
plural | TELETHERAPY MULTIPLE PLANNINGS |
The prescribed photon energy of a TELETHERAPY HRG TREATMENT COURSE. The prescribed photon energy of a TELETHERAPY TREATMENT COURSE.
Classification:
a. | Equal to or less than 160kV (superficial) |
b. | Orthovoltage |
c. | Megavoltage |
d. | Greater than 160kV and less than 6MV |
e. | Equal to or greater than 6MV |
Context | Alias |
---|---|
plural | TELETHERAPY PHOTON ENERGY |
The prescribed number of fractions or hyperfractionation of a TELETHERAPY HRG TREATMENT COURSE.
References:
National Cancer Data Set Version1.1_ISB October 2001
Context | Alias |
---|---|
plural | TELETHERAPY PRESCRIBED FRACTIONS |
The status of the RADIOTHERAPY TREATMENT COURSE and the reason why it may not have been given or completed.
National Codes:
0 | Treatment completed as prescribed |
1 | Course not completed - Patient died |
2 | Course not completed - Progressive disease during Radiotherapy |
3 | Course not completed - Acute Radiotherapy toxicity |
4 | Course not completed - Technical or organisational problems |
5 | Treatment stopped or interrupted - Patient choice |
References:
National Cancer Data Set Version1.1_ISB October 2001
Context | Alias |
---|---|
plural | TREATMENT COURSE STATUSES |
The prescribed type of isotope of an UNSEALED SOURCE HRG TREATMENT COURSE. The prescribed type of isotope of an UNSEALED SOURCE TREATMENT COURSE.
Classification:
a. | Strontium 89 |
b. | Phosphorous 32 |
c. | Iodine 131 |
d. | MIBG 131 |
e. | Yttrium 90 |
f. | Other |
Context | Alias |
---|---|
plural | UNSEALED SOURCE ISOTOPE TYPES |
The classification of patient type for an UNSEALED SOURCE HRG TREATMENT COURSE. The classification of patient type for an UNSEALED SOURCE TREATMENT COURSE.
Classification:
a. | In-patient |
b. | Out-patient |
Context | Alias |
---|---|
plural | UNSEALED SOURCE PATIENT TYPES |
Model View Diagram - Overview |
This diagram shows the entity types relevant to RADIOTHERAPY DEPARTMENTS.
A
Each PATIENT may undergo one or more RADIOTHERAPY TREATMENT COURSES each comprising one or more EXPOSURES. A FRACTION is a set of EXPOSURESdelivered to a PATIENTin the course of one visit to a RADIOTHERAPY DEPARTMENT. An EXPOSUREmay be the single occasion on which a PATIENTis exposed to ionising radiation. For total body irradiation procedures the EXPOSUREmay last for several hours.
Each PATIENT may undergo one or more RADIOTHERAPY TREATMENT COURSES each comprising one or more FRACTIONS. A
The MACHINE OPERATIONAL PLAN is a prospective statement about the time each radiation and simulation machine is to be available for use or intended to be set aside for planned maintenance.
The use of each radiotherapy and simulation machine is measured retrospectively in terms of the time the machine was actually available and time spent on planned and unplanned maintenance. This is recorded on RADIOTHERAPY MACHINE AVAILABILITY.
The Reference Costs for radiotherapy services based upon Healthcare Resource Groups are derived from RADIOTHERAPY HRG TREATMENT COURSES.
The Reference Costs for radiotherapy services based upon Healthcare Resource Groups are derived from RADIOTHERAPY HRG TREATMENT COURSES.