Part of COSD user guide v10.2.8
Appendix and downloads
Appendix G: Timetable for implementation of COSD version 10.0
Submissions are accepted as follows for Version 9.0 and/or v10.0
Diagnosis month |
data set |
schema |
Accepted MDT system submission format |
---|---|---|---|
January 2024 |
v9.0 |
v9.0 |
XML only |
February 2024 |
v9.0 |
v9.0 |
XML only |
March 2024 |
v9.0 |
v9.0 |
XML only |
April 2024 |
v9.0 or v10.0 |
v9.0 or v10.0 |
XML only |
May 2024 |
v9.0 or v10.0 |
v9.0 or v10.0 |
XML only |
June 2024 |
v9.0 or v10.0 |
v9.0 or v10.0 |
XML only |
July 2024 |
v10.0 |
v10.0 |
XML only |
August 2024 |
v10.0 |
v10.0 |
XML only |
September 2024 |
v10.0 |
v10.0 |
XML only |
October 2024 |
v10.0 |
v10.0 |
XML only |
November 2024 |
v10.0 |
v10.0 |
XML only |
December 2024 |
v10.0 |
v10.0 |
XML only |
January 2025 |
v10.0 |
v10.0 |
XML only |
Notes:
- it is important to remember that there is a 25 working day period (post the end of each diagnosis month) before data should be reported, therefore:
- April's data would be reported June
- May's data would be reported in July
- June's data would be reported in August
- both v9.0 and v10.0 can be submitted during this period, until the Trust updates its cancer information system
- all Trusts must be submitting v10 from September 2024 onwards (July's data)
*Site specific stage items to be submitted from start of implementation
Additional notes:
Clinical site |
Site specific staging classification |
---|---|
CNS - CTYA |
Chang Staging System Stage |
CTYA |
International Staging System for Retinoblastoma |
|
International Neuroblastoma Risk Group (INGR) Staging System |
|
Pretext Staging System Stage |
|
Wilms Tumour Stage |
|
TNM Stage Grouping for Non CNS Germ Cell Tumours |
Gynaecological |
Final Figo Stage |
Haematological |
Ann Arbor Stage |
|
Binet Stage |
|
R-ISS Stage for Myeloma |
Haem - CTYA |
Ann Arbor Stage |
|
Murphy (St Jude) Stage |
|
Children’s Oncology Group (COG) Staging System Stage |
|
Central Nervous System Involvement |
Liver |
Barcelona Clinic Liver Cancer (BCLC) Stage |
Urological |
Stage Grouping (Testicular) as defined by The Royal Marsden Hospital (RMH) |
Appendix H: referral scenarios
Referral information is required once for each cancer diagnosis and is completed by the Provider which diagnosed the cancer. This should therefore be recorded from the beginning of the referral pathway within the Provider which led to the cancer diagnosis. It will normally begin at the referral to outpatients from primary care, from emergency services or from another Provider.
Cancer Waiting Times only requires this information for 2ww and screening referrals but for COSD it is essential that details of the referral section of the pathway are recorded for all cases.
Data items from referral to first seen date
The following data items should be completed according to the scenarios following:
- Priority Type Code
- Source of Referral for Out-Patients
- Date First Seen
- Consultant Code
- Organisation Code (Provider First Seen)
- Scenarios
Scenario 1:
‘2 Week Wait and Screening Cases’:
- details as covered by Cancer Waiting Times guidance
Scenario 2:
‘Patients Initially Referred To Out-Patients’:
- ‘Source of Referral for Out-Patients’ will normally be
National Code |
National code definition |
---|---|
03 |
Referral from a general medical practitioner |
92 |
Referral from a general dental practitioner |
12 |
referral from a General Practitioner with an Extended Role (GPwER) or Dentist with |
- if referred from another hospital
National Code |
National code definition |
---|---|
05 |
referral from a consultant, other than in an Emergency Care Department |
Scenario 3:
‘Patients Initially Seen as Emergencies but then referred to another consultant’:
- ‘Source of Referral for Out-Patients’ will be either:
National Code |
National code definition |
---|---|
01 |
following an emergency admission |
10 |
following an Emergency Care Attendance (including Minor Injuries, Walk In Centres and Urgent Treatment Centres) |
04 |
referral from an Emergency Care Department (including Minor Injuries Units, Walk In Centres and Urgent Treatment Centres) |
Date First Seen’:
- will be the first out-patient appointment following the emergency presentation or the first consultation with the specialist if patient remained as an inpatient
‘Consultant Code’:
- relates to ‘Date First Seen’ so will be the consultant who the patient was referred to following the emergency presentation
‘Organisation Code (Provider First Seen)’:
- relates to the ‘Date First Seen’ so will be the organisation the patient was referred to following the emergency presentation
Scenario 4:
Where a patient’s cancer was initially diagnosed and first treated as an emergency:
‘Source of Referral for Out-Patients’:
- will normally be one of the emergency codes above
‘Date First Seen’:
- will be the date of the emergency first treatment
‘Consultant Code’:
- relates to ‘Date First Seen’ so will be the consultant carrying out the first treatment
‘Organisation Code (Provider First Seen)’:
- relates to the ‘Date First Seen’ so will be the organisation carrying out the first treatment
Scenario 5:
Where a patient’s cancer was an incidental finding of another treatment or process.
- ‘Source of Referral for Out-Patients’ will be
National Code |
National code definition |
---|---|
11 |
Other (not listed) - initiated by the consultant responsible for the ‘Consultant Out-Patient Episode’ |
-
'Date First Seen' will be the date of the incidental finding
-
'Consultant Code' relates to Date First Seen, so will be the consultant who made the incidental findings during another treatment or process
-
'Organisation Code (Provider First Seen)' relates to the Date First Seen, so will be the organisation where the incidental findings were made
Data items for cancer specialist
The following data items should be completed according to the scenarios following:
- ‘First Seen by Specialist Date (Cancer)’
- ‘Organisation Code (Provider First Cancer Specialist)’
Scenario 1:
Patient was first seen by the appropriate cancer specialist. Use same details as ‘Date First Seen’ and ‘Organisation Code (Provider First Seen)’.
Scenario 2:
Initial referral was not to the appropriate cancer specialist. Record details for the first appointment with the appropriate cancer specialist to progress this cancer diagnosis.
Last edited: 20 March 2025 11:31 am