Radiotherapy Data Set

The Radiotherapy Data Set (RTDS) allows for the routine collection of clinically and managerially relevant ACTIVITY data from Radiotherapy centres to provide operational data to enable bench marking and to support enhancing clinical practice, in addition to commissioning or monitoring Radiotherapy Services in an evidence-based manner.

Overview

Introduction

Radiotherapy is a major modality in the treatment of cancer and also represents a significant sector within the NHS, in terms of both workforce and capital investment.

All NHS funded facilities in England providing Radiotherapy Services are required to return data to Public Health England (PHE) for all ACTIVITY undertaken on External Beam Radiotherapy (Teletherapy) and Brachytherapy MACHINES, or with radioisotopes not contained within an External Beam Radiotherapy (Teletherapy) or Brachytherapy MACHINE.

The Radiotherapy Data Set accompanies the Out-Patient Commissioning Data Set for PATIENTS attending for Radiotherapy.

Where admitted PATIENTS attend for Radiotherapy, a Radiotherapy Attendance record should be submitted to Public Health England along with the Out-Patient Commissioning Data Set for the In-Patient Attendance.

Data Submission

The Radiotherapy Data Set should be submitted to Public Health England by the 20th working day of each month. The extracts should include all Radiotherapy Attendance records for the previous calendar month.

Data should be submitted using the National Cancer Registration and Analysis Service (NCRAS) upload portal at: NCRAS Login.

Further Guidance

Further guidance for submission of the Radiotherapy Data Set is provided by the National Disease Registration Service at: National Radiotherapy Data Set (RTDS).

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.

Specification


LINKAGE: PATIENT IDENTITY CHOICE
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 To carry patient identity details for linkage.One occurrence of this groupis required.
Mandation	Data Elements
M	NHS NUMBER STATUS INDICATOR CODE
M	PERSON BIRTH DATE
M	ORGANISATION IDENTIFIER (CODE OF PROVIDER)


LINKAGE: DIAGNOSTIC DETAILS To carry diagnostic details for linkage.One occurrenceof this group is required.
Mandation	Data Elements
M	RADIOTHERAPY DIAGNOSIS (ICD)
R	RADIOTHERAPY DIAGNOSIS (SNOMED CT)
M	TUMOUR LATERALITY


PATIENT GROUP: DEMOGRAPHIC DETAILS To carry demographic details of the patient.One occurrence of this group is permitted.
Mandation	Data Elements
R	PERSON FAMILY NAME
R	PERSON GIVEN NAME
R	POSTCODE OF USUAL ADDRESS
R	PERSON STATED GENDER CODE
R	ADMINISTRATIVE CATEGORY CODE (RADIOTHERAPY)
R	RADIOTHERAPY PATIENT IDENTIFIER
R	GENERAL MEDICAL PRACTITIONER (SPECIFIED)
R	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)


RADIOTHERAPY EPISODE To carry details of the Radiotherapy Episode.One occurrence of this group is permitted.
Mandation	Data Elements
M	RADIOTHERAPY EPISODE IDENTIFIER
M	DECISION TO TREAT DATE (RADIOTHERAPY EPISODE)
M	EARLIEST CLINICALLY APPROPRIATE DATE
R	ACTIVITY SERVICE REQUEST DATE (RADIOTHERAPY DEPARTMENT)


RADIOTHERAPY PRESCRIPTION To carry details of each Radiotherapy Prescription.Multiple occurrences of this group are permitted.
Mandation	Data Elements
M	RADIOTHERAPY PRESCRIPTION IDENTIFIER
M	RADIOTHERAPY TREATMENT REGION
M	RADIOTHERAPY ANATOMICAL TREATMENT SITE (OPCS)
M	RADIOTHERAPY TREATMENT MODALITY
M	RADIOTHERAPY PRESCRIPTION PRIORITY
M	PROFESSIONAL REGISTRATION ISSUER CODE (RADIOTHERAPY PRESCRIPTION AUTHORISER)
M	PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RADIOTHERAPY PRESCRIPTION AUTHORISER)
R	ANATOMICAL TREATMENT SIDE (RADIOTHERAPY)
R	ROYAL COLLEGE OF RADIOLOGISTS PATIENT CATEGORY
R	RADIOTHERAPY ROUTES AND METHODS OF ADMINISTRATION (SNOMED CT DM+D)
R	RADIOTHERAPY CARE PROFESSIONAL LICENCE IDENTIFIER
R	ORGANISATION IDENTIFIER (CODE OF ORGANISATION COMMISSIONED TO PROVIDE ACTIVITY)
M	RADIOTHERAPY TREATMENT INTENT
R	RADIOTHERAPY CLINICAL TRIAL PRESCRIPTION INDICATOR


RADIOTHERAPY PLAN To carry details of each Radiotherapy Plan.Multiple occurrences of this group are permitted.
Mandation	Data Elements
M	RADIOTHERAPY PLAN IDENTIFIER
R	RADIOTHERAPY PRESCRIPTION STATUS
O	FIRST RADIOTHERAPY PLANNING APPOINTMENT DATE
R	RADIOTHERAPY PLAN NAME
R	SPECIALIST RADIOTHERAPY TREATMENT TYPE
O	OTHER SPECIALIST RADIOTHERAPY TREATMENT DESCRIPTION


RADIOTHERAPY PLAN: PROCEDURE To carry details of each Radiotherapy Plan procedure.Multiple occurrences of this group are permitted.
Mandation	Data Elements
M	RADIOTHERAPY PLAN PROCEDURE (OPCS) Multiple occurrences of this item are permitted
R	RADIOTHERAPY PLAN PROCEDURE (SNOMED CT EXPRESSION) Multiple occurrences of this item are permitted
R	RADIOTHERAPY PLAN OTHER PROCEDURE Multiple occurrences of this item are permitted
R	OTHER RADIOTHERAPY PLAN PROCEDURE DESCRIPTION Multiple occurrences of this item are permitted


RADIOTHERAPY PLAN: RADIOTHERAPY PRESCRIBED DOSE To carry details of each Radiotherapy Prescribed Dose described in the Radiotherapy Plan.One occurrence of this group is permitted per Radiotherapy Plan.
Mandation	Data Elements
M	RADIOTHERAPY PRESCRIBED DOSE
M	RADIOTHERAPY PRESCRIBED DOSE UNIT OF MEASUREMENT (SNOMED CT DM+D)


RADIOTHERAPY PLAN: RADIOTHERAPY PRESCRIBED FRACTIONS To carry details of each Radiotherapy Prescribed Fractions described in the Radiotherapy Plan.One occurrence of this group is permitted per Radiotherapy Plan.
Mandation	Data Elements
M	RADIOTHERAPY PRESCRIBED FRACTIONS


RADIOTHERAPY PLAN: RADIOTHERAPY ACTUAL DOSE To carry details of each Radiotherapy Actual Dose as delivered in the Radiotherapy Plan.One occurrence of this group is permitted per Radiotherapy Plan.
Mandation	Data Elements
M	RADIOTHERAPY ACTUAL DOSE
M	RADIOTHERAPY ACTUAL DOSE UNIT OF MEASUREMENT (SNOMED CT DM+D)


RADIOTHERAPY EXPOSURE To carry details of each Radiotherapy Exposure.Multiple occurrences of this group are permitted.
Mandation	Data Elements
M	RADIOTHERAPY EXPOSURE IDENTIFIER
R	RADIOTHERAPY MACHINE IDENTIFIER
R	RADIOTHERAPY PRESCRIBED BEAM TYPE


RADIOTHERAPY EXPOSURE: RADIOTHERAPY BEAM ENERGY To carry details of the Radiotherapy Beam Energy delivered as part of the Radiotherapy Exposure.One occurrence of this group is permitted per Radiotherapy Exposure.
Mandation	Data Elements
M	RADIOTHERAPY PRESCRIBED BEAM ENERGY
M	RADIOTHERAPY PRESCRIBED BEAM ENERGY UNIT OF MEASUREMENT (SNOMED CT DM+D)


RADIOTHERAPY EXPOSURE: TIMESTAMP To carry details of the timestamp of each Radiotherapy Exposure.Multiple occurrences of this group are permitted.
Mandation	Data Elements
M	CODED PROCEDURE TIMESTAMP (RADIOTHERAPY EXPOSURE)


RADIOTHERAPY EXPOSURE: RADIOISOTOPE CHOICE
Mandation	CHOICE 1 - Radioisotope To carry Radioisotope details.One occurrence of this group is permitted if selected as the choice.
R	RADIOISOTOPE
Or
Mandation	CHOICE 2 - SNOMED CT To carry SNOMED CT Radioisotope details.One occurrence of this group is permitted if selected as the choice.
R	RADIOPHARMACEUTICAL PROCEDURE (SNOMED CT)


RADIOTHERAPY ATTENDANCE To carry the details of the Radiotherapy Attendance.Multiple occurrences of this group are permitted.
Mandation	Data Elements
M	RADIOTHERAPY ATTENDANCE IDENTIFIER
R	RADIOTHERAPY ADMITTED PATIENT INDICATOR
M	RADIOTHERAPY ATTENDANCE DATE AND TIME
M	RADIOTHERAPY ACTUAL PROCEDURE (OPCS) Multiple occurrences of this item are permitted
R	RADIOTHERAPY ACTUAL PROCEDURE (SNOMED CT EXPRESSION) Multiple occurrences of this item are permitted
R	RADIOTHERAPY ATTENDANCE ADDITIONAL PROCEDURE Multiple occurrences of this item are permitted
R	OTHER RADIOTHERAPY ATTENDANCE PROCEDURE DESCRIPTION Multiple occurrences of this item are permitted
R	RADIOTHERAPY RECORD AND VERIFY SYSTEM VERSION

Also Known As

This data set is also known by these names:

Context	Alias
Also known as	RTDS
Short name	Radiotherapy