DATE FIRST SEEN (CANCER SPECIALIST)

DATE FIRST SEEN (CANCER SPECIALIST) is the date that the PATIENT is first seen by the appropriate specialist for cancer care within a Cancer Care Spell.

This is the PERSON or PERSONS who are most able to progress the diagnosis of the primary Tumour.

DATE FIRST SEEN (CANCER SPECIALIST)  will be one of the following, whichever is the earlier ACTIVITY related to the Cancer Care Spell where the PATIENT saw an appropriate specialist for cancer care:

• first Out-Patient Appointment with an appropriate cancer specialist; 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  (i.e. date of the Imaging or Radiodiagnostic Event)

• first seen as an emergency; this is the START DATE (HOSPITAL PROVIDER SPELL)  or EMERGENCY CARE ARRIVAL DATE

• first seen following recall by screening unit; this is the SCREENING TEST DATE.

DATE FIRST SEEN (CANCER SPECIALIST)  may be the same as DATE FIRST SEEN if the initial consultation was with an appropriate cancer specialist in the Trust that receives the first referral.