Cancer Outcomes and Services Data Set - Core

For all diagnoses not covered by a cancer site specific data set, only the Core Data Set should be completed.

Overview

Due to Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) version 9 was deferred until 1 July 2020.

Introduction

The Cancer Outcomes and Services Data Set is a compiled data set which provides the standard for secondary uses information required to support national cancer registration and associated analysis (at local, regional, national and international level), as well as other national cancer audit programmes.

The standard and XML Schema consists of:

a set of individual data items, with their definitions
the assemblage of data items into discrete data sets
the means of flowing the data items
compilation of the data items into a reconciled and verified data set.

Additionally, the output supports commissioning and service development through provision of relevant information on service delivery and outcomes.

All PATIENTS diagnosed with or receiving cancer treatment in or funded by the NHS in England are covered by the standard. This includes adult and paediatric cancer PATIENTS. The standard applies to all ORGANISATIONS providing Cancer Services within secondary care. It does not apply to general practice ORGANISATIONS.

The Cancer Outcomes and Services Data Set covers diseases as defined by the United Kingdom and Ireland Association of Cancer Registries (UKIACR) as described in the User Guide at Appendix A and B.

Unless otherwise specified, the term cancer is used throughout the standard and related documents to cover all conditions registerable by the United Kingdom and Ireland Association of Cancer Registries.

Submission Information

Providers of Cancer Services are required to provide a monthly return on all cancer PATIENTS using the Cancer Outcomes and Services Data Set.

The Cancer Outcomes and Services Data Set is submitted to the National Cancer Registration and Analysis Service (NCRAS) using the COSDS XML Schema.

While the core and cancer site specific data sets are shown as separate data sets within the NHS Data Model and Dictionary, the COSDS XML Schema integrates each core and cancer site specific set of data elements. Documentation provided on the Technology Reference Update Distribution (TRUD) page at: NHS Data Model and Dictionary XML Schemas gives full details of the specification.

For all diagnoses not covered by a cancer site specific data set, only the Core Data Set should be completed. A full list of diagnoses mapped to the appropriate data set is provided in the National Cancer Registration and Analysis Service User Guide.

Pathology

From January 2016 Pathology Laboratories across England were mandated through DCB1521 17/2014, to collect and return structured pathology using the COSDS XML Schema.

This replaced the current reporting to the National Cancer Registration and Analysis Service of electronic pathology reports which were then transcribed by the National Cancer Registration and Analysis Service into the Cancer Registration Reports. This also prevented Cancer Service teams, for example, Multidisciplinary Teams, Pathway Co-ordinators, duplicating the work, which had been happening as part of their data collection process.

From April 2020, the pathology data can only be collected and submitted using the separate Pathology Data Set and Pathology XML Schema. Pathology data items have been removed from the main Cancer Outcomes and Services Data Set.

This allows the Cancer Service teams to concentrate on collecting and reporting all the other clinical data required for the Cancer Outcomes and Services Data Set and the Pathologists to collect and report the pathology items. This will reduce the burden of data collection for the Cancer Service teams and allow for more accurate pathology reporting to be submitted to the National Cancer Registration and Analysis Service.

There will be no requirement for Pathology Laboratories to double report. Once their Laboratory Information Management Systems (LIMS) are updated to report in the COSDS XML Schema, all other pathology reporting can cease.

Further Guidance

Further guidance for submission of the Cancer Outcomes and Services Data Set is provided by the National Cancer Registration and Analysis Service at Cancer Outcomes and Services Dataset.

Mandation

The Mandation column indicates the recommendation for the inclusion of data.

M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
R = Required: NHS business processes cannot be delivered without this data element
O = Optional: the inclusion of this data element is optional as required for local purposes.

XML Schema

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

Specification


SUBMISSION HEADER To carry the submission header details.One occurrence of this group is required.
Mandation	Data Elements
M	COSDS SUBMISSION IDENTIFIER
M	ORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)
M	COSDS SUBMISSION RECORD COUNT
M	REPORTING PERIOD START DATE
M	REPORTING PERIOD END DATE
M	DATE AND TIME DATA SET CREATED


RECORD IDENTIFIER To carry the record identifier details.One occurrence of this group is required.
Mandation	Data Elements
M	COSDS UNIQUE IDENTIFIER


LINKAGE: IDENTIFIER CHOICE - CORE
Mandation	CHOICE 1 - NHS NUMBER To carry patient identity details for linkage.One occurrence of this group is required if selected as the choice.
M	NHS NUMBER
Or
Mandation	CHOICE 2 - LOCAL PATIENT IDENTIFIER To carry patient identity details for linkage.One occurrence of this group is required if selected as the choice.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)


LINKAGE: PATIENT IDENTITY DETAILS - CORE To carry patient identity details for linkage.One occurrence of this group is required if selected as the choice.
Mandation	Data Elements
M	NHS NUMBER STATUS INDICATOR CODE
M	PERSON BIRTH DATE
M	ORGANISATION IDENTIFIER (CODE OF PROVIDER)


DIAGNOSTIC: CANCER PATHWAY CHOICE - CORE
Mandation	CHOICE 1 - PRIMARY CANCER PATHWAY To carry diagnostic details for linkage.One occurrence of this group is required if selected as the choice.
M	PRIMARY DIAGNOSIS (ICD)
M	TUMOUR LATERALITY
M	DATE OF PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED)
Or
Mandation	CHOICE 2 - NON PRIMARY CANCER PATHWAY To carry diagnostic details for linkage.One occurrence of this group is required if selected as the choice.
M	DATE OF NON PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED)


DIAGNOSTIC: NON PRIMARY CANCER PATHWAY - CORE
Mandation	CHOICE 1 - CANCER RECURRENCE To carry patient pathway details required to define the Non Primary Cancer Pathway for Cancer Recurrence.One occurrence of this group is required if selected as the choice.
R	PRIMARY DIAGNOSIS (ICD ORIGINAL)
M	CANCER METASTATIC DISEASE TYPE Multiple occurrences of this item are permitted
M	METASTATIC SITE (AT DIAGNOSIS) Multiple occurrences of this item are permitted
R	PALLIATIVE CARE SPECIALIST SEEN INDICATOR (CANCER RECURRENCE)
R	RELAPSE METHOD DETECTION TYPE Multiple occurrences of this item are permitted
Or
Mandation	CHOICE 2 - CANCER PROGRESSION To carry patient pathway details required to define the Non Primary Cancer Pathway for Cancer Progression.One occurrence of this group is required if selected as the choice.
M	CANCER PROGRESSION (ICD ORIGINAL)
M	CANCER METASTATIC DISEASE TYPE Multiple occurrences of this item are permitted
M	METASTATIC SITE (AT DIAGNOSIS) Multiple occurrences of this item are permitted
Or
Mandation	CHOICE 3 - CANCER TRANSFORMATION To carry patient pathway details required to define the Non Primary Cancer Pathway for Cancer Transformation.One occurrence of this group is required if selected as the choice.
R	MORPHOLOGY (ICD-O CANCER TRANSFORMATION ORIGINAL)
R	MORPHOLOGY (SNOMED CANCER TRANSFORMATION ORIGINAL)


DIAGNOSTIC: NON PRIMARY CANCER PATHWAY: TRANSFORMATION CURRENT MORPHOLOGY CHOICE - CORE
Mandation	CHOICE 1 - CANCER TRANSFORMATION: CURRENT MORPHOLOGY ICD To carry patient pathway details required to define the Non Primary Cancer Pathway for Cancer Transformation Current Morphology (ICD).One occurrence of this group is required if selected as the choice.
M	MORPHOLOGY (ICD-O CANCER TRANSFORMATION)
Or
Mandation	CHOICE 2 - CANCER TRANSFORMATION: CURRENT MORPHOLOGY SNOMED To carry patient pathway details required to define the Non Primary Cancer Pathway for Cancer Transformation Current Morphology (SNOMED).One occurrence of this group is permitted if selected as the choice.
M	MORPHOLOGY (SNOMED CANCER TRANSFORMATION)
M	SNOMED VERSION (CANCER TRANSFORMATION)


DEMOGRAPHICS - CORE To carry patient demographic details.One occurrence of this group is permitted.
Mandation	Data Elements
R	PERSON FAMILY NAME
R	PERSON GIVEN NAME
R	PATIENT USUAL ADDRESS (AT DIAGNOSIS) - ADDRESS STRUCTURED Or PATIENT USUAL ADDRESS (AT DIAGNOSIS) - ADDRESS UNSTRUCTURED
R	POSTCODE OF USUAL ADDRESS (AT DIAGNOSIS)
R	PERSON STATED GENDER CODE
R	PERSON STATED SEXUAL ORIENTATION CODE (AT DIAGNOSIS)
R	GENERAL MEDICAL PRACTITIONER (SPECIFIED)
R	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
R	PERSON FAMILY NAME (AT BIRTH)
R	ETHNIC CATEGORY


REFERRALS AND FIRST STAGE OF PATIENT PATHWAY - CORE To carry patient referral details to the trust that receives the first referral.These details include information relating to the first stage of the Patient Pathway.One occurrence of this group is permitted per Primary Cancer Pathway.
Mandation	Data Elements
R	SOURCE OF REFERRAL FOR OUT-PATIENTS
R	DATE FIRST SEEN
M	PROFESSIONAL REGISTRATION ISSUER CODE (CANCER FIRST SEEN)
M	PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (CANCER FIRST SEEN)
R	ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN)
R	DATE FIRST SEEN (CANCER SPECIALIST)
R	ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST CANCER SPECIALIST)
R	CANCER SYMPTOMS FIRST NOTED DATE


NON PRIMARY CANCER PATHWAY: REFERRAL - CORE To carry non primary cancer pathway details.One occurrence of this group is permitted per Non Primary Cancer Pathway.
Mandation	Data Elements
R	SOURCE OF REFERRAL FOR OUT-PATIENTS (NON PRIMARY CANCER PATHWAY)
R	DATE FIRST SEEN (NON CANCER PRIMARY PATHWAY)
R	ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN NON PRIMARY CANCER PATHWAY)


IMAGING - CORE To carry imaging details.Multiple occurrences of this group are permitted.
Mandation	Data Elements
M	ORGANISATION SITE IDENTIFIER (OF IMAGING)
M	PROCEDURE DATE (CANCER IMAGING)
R	CANCER IMAGING OUTCOME


IMAGING: CANCER SITE LOCATION CHOICE - CORE
Mandation	CHOICE 1 - NICIP To carry imaging NICIP details.Multiple occurrences of this group are permitted per Core Imaging.
M	IMAGING CODE (NICIP)
Or
Mandation	CHOICE 2 - SNOMED CT To carry imaging SNOMED CT details.Multiple occurrences of this group are permitted per Core Imaging.
M	IMAGING CODE (SNOMED CT)
Or
Mandation	CHOICE 3 - CANCER SITE IMAGING LOCATION GROUP To carry imaging details.Multiple occurrences of this group are permitted per Core Imaging.
M	CANCER IMAGING MODALITY
R	IMAGING ANATOMICAL SITE
R	ANATOMICAL SIDE (IMAGING)

Mandation	To carry imaging details To carry imaging details.Multiple occurrences of this group are permitted.
R	IMAGING REPORT TEXT
R	LESION SIZE (RADIOLOGICAL)


DIAGNOSTIC PROCEDURES - CORE To carry diagnostic procedure details.Multiple occurrences of this group are permitted.
Mandation	Data Elements
M	ORGANISATION SITE IDENTIFIER (OF DIAGNOSTIC PROCEDURE)
M	PROCEDURE DATE (DIAGNOSTIC PROCEDURE)


DIAGNOSTIC PROCEDURES: CHOICE - CORE
Mandation	CHOICE 1 - OPCS To carry OPCS diagnostic procedure details.Multiple occurrences of this group are permitted per Core Diagnostic Procedures.
M	DIAGNOSTIC PROCEDURE (OPCS)
Or
Mandation	CHOICE 2 - SNOMED CT To carry SNOMED CT diagnostic procedure details.Multiple occurrences of this group are permitted per Core Diagnostic Procedures.
M	DIAGNOSTIC PROCEDURE (SNOMED CT)


DIAGNOSTIC PROCEDURES: SENTINEL NODE BIOPSY - CORE To carry diagnostic details for Sentinel Node Biopsy.One occurrence of this group is permitted per Core Diagnostic Procedures.
Mandation	Data Elements
R	SENTINEL LYMPH NODE BIOPSY OUTCOME


DIAGNOSIS - CORE To carry diagnostic details for the Primary Diagnosis.One occurrence of this group is permitted per Primary Cancer Pathway.
Mandation	Data Elements
R	ORGANISATION SITE IDENTIFIER (OF DIAGNOSIS)
R	BASIS OF DIAGNOSIS (CANCER)
R	MORPHOLOGY (ICD-O DIAGNOSIS)
M	MORPHOLOGY (SNOMED DIAGNOSIS)
M	SNOMED VERSION (DIAGNOSIS)
R	TOPOGRAPHY (ICD-O)
R	GRADE OF DIFFERENTIATION (AT DIAGNOSIS)
R	PERFORMANCE STATUS (ADULT)
R	DIAGNOSIS (SNOMED CT)
M	CANCER METASTATIC DISEASE TYPE Multiple occurrences of this item are permitted
M	METASTATIC SITE (AT DIAGNOSIS) Multiple occurrences of this item are permitted


DIAGNOSIS: ADDITIONAL ITEMS - CORE To carry additional diagnostic details.One occurrence of this group is permitted per Core Diagnosis.
Mandation	Data Elements
R	PRIMARY DIAGNOSIS (CANCER COMMENT)
R	SECONDARY DIAGNOSIS (ICD) Multiple occurrences of this item are permitted
R	SECONDARY DIAGNOSIS (CANCER COMMENT)
R	FAMILIAL CANCER SYNDROME INDICATOR
R	FAMILIAL CANCER SYNDROME COMMENT


DIAGNOSIS: CANCER PROGRESSION - CORE To carry additional diagnostic details for Cancer Progression.May be multiple occurrences per Core Diagnosis.
Mandation	Data Elements
M	CANCER METASTATIC DISEASE TYPE Multiple occurrences of this item are permitted
M	METASTATIC SITE (AT DIAGNOSIS) Multiple occurrences of this item are permitted
M	CANCER PROGRESSION AGREED DATE (PRIMARY CANCER PATHWAY)


DIAGNOSIS: CANCER TRANSFORMATION - CORE To carry additional diagnostic details for Cancer Transformation.May be multiple occurrences per Core Diagnosis.
Mandation	Data Elements
M	CANCER TRANSFORMATION AGREED DATE (PRIMARY CANCER PATHWAY)


DIAGNOSIS: CANCER TRANSFORMATION CHOICE - CORE
Mandation	CHOICE 1 - ICD To carry ICD additional diagnostic details for Cancer Transformation.One occurrence of this group is required per Core Diagnosis Cancer Transformation.
M	MORPHOLOGY (ICD-O CANCER TRANSFORMATION)
Or
Mandation	CHOICE 2 - SNOMED To carry additional diagnostic details for Cancer Transformation.One occurrence of this group is required per Core Diagnosis Cancer Transformation.
M	MORPHOLOGY (SNOMED CANCER TRANSFORMATION)
M	SNOMED VERSION (CANCER TRANSFORMATION)


DIAGNOSIS: BANKED TISSUE - CORE To carry Banked Tissue details.One occurrence of this group is permitted per Core Diagnosis.
Mandation	Data Elements
R	PATIENT CONSENT FOR TISSUE BANKED AT DIAGNOSIS INDICATION CODE
R	TISSUE TYPE BANKED AT DIAGNOSIS (CANCER) Multiple occurrences of this item are permitted


PERSON OBSERVATION - CORE To carry person observation details.Multiple occurrences of this group are permitted.
Mandation	Data Elements
R	PERSON HEIGHT IN METRES
R	PERSON WEIGHT
R	BODY MASS INDEX
M	OBSERVATION DATE


CLINICAL NURSE SPECIALIST AND RISK FACTOR ASSESSMENT - CORE To carry Clinical Nurse Specialist and risk factor assessment details.One occurrence of this group is permitted.
Mandation	Data Elements
R	CLINICAL NURSE SPECIALIST INDICATION CODE
R	SMOKING STATUS (CANCER)
R	TOBACCO SMOKING CESSATION TREATMENT INDICATION CODE
R	ALCOHOL HISTORY (CANCER IN LAST THREE MONTHS)
R	ALCOHOL HISTORY (CANCER BEFORE LAST THREE MONTHS)
R	PATIENT DIAGNOSIS INDICATOR (DIABETES)
R	MENOPAUSAL STATUS (AT DIAGNOSIS)
R	PHYSICAL ACTIVITY VITAL SIGN LEVEL (CURRENT)


CLINICAL NURSE SPECIALIST: HOLISTIC NEEDS ASSESSMENT (HNA) - CORE To carry details of Clinical Nurse Specialist, Holistic Needs Assessments.Multiple occurrences of this group are permitted.
Mandation	Data Elements
R	OFFER STATUS (HOLISTIC NEEDS ASSESSMENT)
R	HOLISTIC NEEDS ASSESSMENT COMPLETED DATE
R	HOLISTIC NEEDS ASSESSMENT POINT OF PATHWAY (CANCER)
R	STAFF ROLE CARRYING OUT HOLISTIC NEEDS ASSESSMENT


CLINICAL NURSE SPECIALIST: PERSONALISED CARE AND SUPPORT PLANNING - CORE To carry details of Clinical Nurse Specialist, Personalised Care and Supportive Planning Assessments.Multiple occurrences of this group are permitted.
Mandation	Data Elements
R	OFFER STATUS (PERSONALISED CARE AND SUPPORT PLANNING)
R	PERSONALISED CARE AND SUPPORT PLANNING COMPLETED DATE
R	PERSONALISED CARE AND SUPPORT PLANNING POINT OF CANCER PATHWAY
R	STAFF ROLE CARRYING OUT PERSONALISED CARE AND SUPPORT PLANNING


MULTIDISCIPLINARY TEAM MEETINGS CHOICE - CORE
Mandation	CHOICE 1 - NOT DISCUSSED To carry details of all multidisciplinary team meetings where the patient was not discussed.One occurrence of this group is required per Core Multidisciplinary Team Meetings if selected as the choice.
M	MULTIDISCIPLINARY TEAM MEETING CANCER CARE PLAN NOT DISCUSSED INDICATION CODE
Or
Mandation	CHOICE 2 - DISCUSSED To carry details of all multidisciplinary team meetings where the patient was discussed.One occurrence of this group is required per Core Multidisciplinary Team Meetings if selected as the choice.
M	MULTIDISCIPLINARY TEAM MEETING CANCER CARE PLAN DISCUSSION TYPE
M	MULTIDISCIPLINARY TEAM MEETING DATE (CANCER)
M	ORGANISATION SITE IDENTIFIER (OF MULTIDISCIPLINARY TEAM MEETING)
M	MULTIDISCIPLINARY TEAM MEETING TYPE (CANCER)
R	MULTIDISCIPLINARY TEAM MEETING TYPE COMMENT (CANCER)


CANCER CARE PLAN - CORE To carry cancer care plan details.One occurrence of this group is permitted per Primary Cancer Pathway.
Mandation	Data Elements
R	MULTIDISCIPLINARY TEAM DISCUSSION DATE (CANCER)
M	PROFESSIONAL REGISTRATION ISSUER CODE (MULTIDISCIPLINARY TEAM LEAD)
M	PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MULTIDISCIPLINARY TEAM LEAD)
R	CANCER CARE PLAN INTENT
R	PLANNED CANCER TREATMENT TYPE Multiple occurrences of this item are permitted
R	NO CANCER TREATMENT REASON
O	ADULT COMORBIDITY EVALUATION - 27 SCORE


MOLECULAR AND BIOMARKERS - GERMLINE TESTING FOR CANCER PREDISPOSITION - CORE To carry Molecular and Biomarkers (Germline Testing for Cancer Predisposition) details for a patient.Multiple occurrences of this group are permitted.
Mandation	Data Elements
R	OFFER STATUS (GERMLINE GENETIC TEST)
R	GERMLINE GENETIC TEST TYPE OFFERED Multiple occurrences of this item are permitted
R	OTHER GERMLINE GENETIC TEST TYPE OFFERED COMMENT Multiple occurrences of this item are permitted
R	ACTIVITY OFFER DATE (GERMLINE GENETIC TEST)
R	ORGANISATION IDENTIFIER (REPORTING LABORATORY)
R	OFFER STATUS (REFERRAL TO REGIONAL CLINICAL GENETICS SERVICE)


MOLECULAR AND BIOMARKERS - SOMATIC TESTING FOR TARGETED THERAPY AND PERSONALISED MEDICINE - CORE To carry Molecular and Biomarkers (Somatic Testing for Targeted Therapy and Personalised Medicine) details for a patient, where these have been performed by the clinical teams.Multiple occurrences of this group are permitted.
Mandation	Data Elements
R	GENE OR STRATIFICATION BIOMARKER TYPE ANALYSED Multiple occurrences of this item are permitted
R	OTHER GENE OR STRATIFICATION BIOMARKER TYPE ANALYSED COMMENT Multiple occurrences of this item are permitted
R	GENE OR STRATIFICATION BIOMARKER REPORTED DATE
R	ORGANISATION IDENTIFIER (REPORTING LABORATORY)


CLINICAL TRIALS - CORE To carry details for a patient who is eligible for a cancer clinical trial.Multiple occurrences of this group are permitted.
Mandation	Data Elements
R	PATIENT TRIAL STATUS (CANCER)
R	CLINICAL TRIAL DECISION DATE
R	CLINICAL TRIAL START DATE
R	CANCER CLINICAL TRIAL TREATMENT TYPE


STAGING - CORE To carry the staging details at the time that the first cancer care plan is agreed.One occurrence of this group is permitted per Primary Cancer Pathway.
Mandation	Data Elements
R	T CATEGORY (FINAL PRETREATMENT)
R	N CATEGORY (FINAL PRETREATMENT)
R	M CATEGORY (FINAL PRETREATMENT)
R	TNM STAGE GROUPING (FINAL PRETREATMENT)
R	ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING FINAL PRETREATMENT)
R	TNM STAGE GROUPING DATE (FINAL PRETREATMENT)
R	T CATEGORY (INTEGRATED STAGE)
R	N CATEGORY (INTEGRATED STAGE)
R	M CATEGORY (INTEGRATED STAGE)
R	TNM STAGE GROUPING (INTEGRATED)
R	ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING INTEGRATED)
R	TNM STAGE GROUPING DATE (INTEGRATED)
M	TNM CODING EDITION
M	TNM VERSION NUMBER (STAGING)


SITE SPECIFIC STAGING - CORE To carry the site specific cancer staging details. These fields are only required where there is a site specific stage recorded for a patient and will not be applicable to every cancer.Multiple occurrences of this group are permitted.
Mandation	Data Elements
M	ORGANISATION SITE IDENTIFIER (OF CANCER SITE SPECIFIC STAGE)
M	STAGE DATE (CANCER SITE SPECIFIC STAGE)


TREATMENT - CORE To carry the cancer treatment details.Multiple occurrences of this group are permitted.
Mandation	Data Elements
R	ADJUNCTIVE THERAPY TYPE
R	CANCER TREATMENT INTENT
M	TREATMENT START DATE (CANCER)
M	CANCER TREATMENT MODALITY (REGISTRATION)
M	ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER TREATMENT START DATE)
M	PROFESSIONAL REGISTRATION ISSUER CODE (TREATMENT)
M	PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (TREATMENT)
O	CANCER END OF TREATMENT SUMMARY PLAN COMPLETION DATE Multiple occurrences of this item are permitted
R	DISCHARGE DATE (HOSPITAL PROVIDER SPELL)
R	DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL)


TREATMENT: SURGERY - CORE To carry the surgery details.One occurrence of this group is permitted per Core Treatment.
Mandation	Data Elements
M	PROCEDURE DATE
R	CANCER SURGICAL ADMISSION TYPE
M	PROFESSIONAL REGISTRATION ISSUER CODE (RESPONSIBLE SURGEON) Multiple occurrences of this item are permitted
M	PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE SURGEON) Multiple occurrences of this item are permitted
R	PRIMARY PROCEDURE (OPCS)
R	PRIMARY PROCEDURE (SNOMED CT)
R	PROCEDURE (OPCS) Multiple occurrences of this item are permitted
R	PROCEDURE (SNOMED CT) Multiple occurrences of this item are permitted
R	ADDITIONAL UNPLANNED PROCEDURE REQUIRED INDICATOR
R	ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE
R	SURGICAL ACCESS TYPE


TREATMENT: STEM CELL TRANSPLANTATION - CORE To carry surgery Stem Cell Transplantation details.One occurrence of this group is permitted per Core Treatment.
Mandation	Data Elements
R	STEM CELL INFUSION SOURCE CODE
R	STEM CELL INFUSION DONOR TYPE
R	STEM CELL TRANSPLANT CONDITIONING REGIMEN


ACUTE ONCOLOGY - CORE To carry Acute Oncology details.Multiple occurrences of this group are permitted.
Mandation	Data Elements
R	ACUTE ONCOLOGY ASSESSMENT COMPLETED DATE
R	ORGANISATION SITE IDENTIFIER (OF ACUTE ONCOLOGY ASSESSMENT)
R	ACUTE ONCOLOGY ASSESSMENT LOCATION
R	ACUTE ONCOLOGY ASSESSMENT PATIENT PRESENTATION TYPE Multiple occurrences of this item are permitted
R	ACUTE ONCOLOGY EPISODE OUTCOME


LABORATORY RESULTS - CORE To carry laboratory result details.Multiple occurrences of this group are permitted.
Mandation	Data Elements
M	LABORATORY RESULT AUTHORISED DATE
M	ORGANISATION IDENTIFIER (OF LABORATORY RESULT)


LABORATORY RESULTS: GENERAL - CORE To carry general laboratory result details.One occurrence of this group is permitted per Core Laboratory Results.
Mandation	Data Elements
R	LACTATE DEHYDROGENASE LEVEL (PEAK AT DIAGNOSIS)
R	BETA HUMAN CHORIONIC GONADOTROPIN (MAXIMUM AT DIAGNOSIS)
R	ALPHA FETOPROTEIN (MAXIMUM AT DIAGNOSIS)

Also Known As

This data set is also known by these names:

Context	Alias
Also known as	Cancer Outcomes and Services Data Set: Core
Full name	Core Data Set
Short name	Core