Core – Cancer Care Plan

This section includes details applicable to care planning, including performance status, prognostic factors and treatment options which are normally discussed at the MDT meeting. Many of the site-specific data items will be recorded at this point in the patient pathway. See site-specific sections for further details.

The ‘Cancer Care Plan Date’ will be the MDT after all the investigations have been completed and the treatment plan is agreed. At this point all the information will be available to record the Final pre-treatment TNM and Stage Grouping too.

Important notes ‘Cancer Care Plan’:

• there will only be one cancer care plan section completed for each record
• most of the data items in this section will normally be available at the meeting at which the first definitive treatment was discussed
• after treatment starts, the treatment plan may change due to medical reasons, this does not create a new cancer care plan, merely changes the treatment plan

Important notes ‘Predefined Standard of Care reviewed outside MDTM’:

• for patients on a ‘Predefined Standard of Care reviewed outside MDTM’, the ‘Cancer Care Plan Date’ will be the MDT after all the investigations have been completed and the treatment plan is agreed, that the patient was minuted at (as per the MDT Section)
• the additional information would be obtained by the MDT Coordinator, liaising with the clinical team responsible for the patients care pathway

Some of the data items in the Care Plan sections of the site-specific data sets will only be available after the initial treatment has been completed or at a subsequent MDT discussion. The items in this section will not therefore necessarily relate to the date of the MDT recorded as ‘Multidisciplinary Team Discussion Date (Cancer)’.

Additional notes:

• if a patient is treated prior to MDT, they should be added to the next MDT for discussion
• this can be classed as discussed at MDT at the point of treatment, for the cancer care plan episode
• therefore, if a patient has a treatment prior to MDT and is subsequently added to the next MDT, the care plan can be documented as care plan agreed (this often happens for skin)

May be up to one occurrence per Record (0..1)

Start of repeating item - 'Planned Cancer Treatment Type'

End of repeating item - 'Planned Cancer Treatment Type'

The following data items have been retired from v10:

• CR8200 - Professional Registration Issuer Code – Consultant Multidisciplinary Team Lead)
• CR8210 - Professional Registration Entry Identifier - Consultant (Multidisciplinary Team Lead)
• CR2060 - Adult Comorbidity Evaluation - 27 Score

Multidisciplinary Team Discussion Date (Cancer)

This is the date when a treatment planning decision was made.

Cancer Care Plan Intent

The intention of a Cancer Care Plan developed within a Cancer Care Spell.

Note:

• this only needs to be recorded when the care plan is agreed and for Haematology, it is understood that for the majority of cases this would be [Z- Non Curative]

Planned Cancer Treatment Type

This is the clinically proposed treatment, usually agreed at a Multidisciplinary Team Meeting, and may not be the same as the treatment which is subsequently agreed with the patient.

More than one planned treatment type may be recorded, and these may either be alternative or sequential treatments. This only needs to be recorded when the first treatment planning decision is made.

Notes:

• 02 – Teletherapy has been updated to External Beam Radiotherapy (excluding Proton Therapy) to mirror current clinical terminology
• 12 – Biphosphonates has been corrected to Bisphosphonates

No Cancer Treatment Reason

The main reason why no active cancer treatment is specified within a Cancer Care Plan.