Core - Imaging

Imaging procedures carried out to diagnose or stage the cancer are included in this section. Generic (core) imaging data may be provided through alternative methods and should be discussed with the local NDRS office.

Details of specific imaging procedures and outcomes required for specific disease groups are included in the appropriate site-specific sections and must be included in monthly submissions.

There are 3 choices to make when adding data within this section as explained below. This is because not all data are required, if the NICIP or SNOMED CT data items are completed.

Note:

• if Trust A performs the imaging but due to capacity it is reported in another Trust (Trust B), or is sent there for a second opinion, it is the responsibility of Trust A to report this through COSD and not Trust B

May be multiple occurrences per record (0..*)

Imaging Location Choice - Choice 1..3

Imaging Location Choice 1

End of Imaging Location - Choice 1

Imaging Location Choice 2

End of Imaging Location - Choice 2

Image Location Choice 3

Start of section - Imaging Location Group

May one occurrences per CORE - Imaging (0..1)

End of repeating section - Imaging Location Group

End of Imaging Location - Choice 3

End of Imaging Location Choice

The following data item has been retired from v10:

• CR0350 - Lesion Size (Radiological)

Note:

• image guided procedures (such as breast wire guided biopsies) should be recorded under the new ‘Diagnostic Procedures’ section - using OPCS code B32.3

It is possible that some legacy data may not have all the required mandatory fields. The recommendation is for Trusts to update their data to meet the new requirements and improve/enrich their data submissions, or not upload the legacy data items in the new record (if that data is not available).

Organisation Site Identifier (of Imaging)

This is a mandatory data item, required to improve data quality. This is the 'Organisation Identifier' of the organisation site where the imaging took place.

Procedure Date (Cancer Imaging)

This is a mandatory data item, required to improve data quality. The date the cancer imaging was carried out.

Imaging Outcome

Record the outcome for the imaging event as agreed with the radiologist or clinical team.

Note:

• the next 5 data items form a 3 choice menu as follows

Choice 1

Neither choice 2 nor choice 3 are required if this is completed.

Imaging Code (NICIP)

If this choice is selected, this becomes a mandatory data item, required to improve data quality. This is the National Interim Clinical Imaging Procedure Code Set code which is used to identify both the test modality and body site of the test. More information on NICIP can be found on the NHS Digital website.

Choice 2

Neither choice 1 nor choice 3 are required if this is completed.

Imaging Code (SNOMED CT)

If this choice is selected, this becomes a mandatory data item, required to improve data quality. Imaging Code (SNOMED-CT) is the SNOMED CT concept ID which is used to identify both the test modality and body site of the test.

Choice 3

This covers all of the next 3 data items, these are grouped and only one occurrence can be recorded against each imaging event. This is only required if either choice 1 or choice 2 are not completed (however you can return these data as well as choice 1 and choice 2 if preferred).

Cancer Imaging Modality

If this choice is selected, this becomes a mandatory data item, required to improve data quality. The type of imaging procedure used during an Imaging or Radiodiagnostic Event for a cancer care spell.

Imaging Anatomical Site

A classification of the part of the body that is the subject of an Imaging or Radiodiagnostic Event. The coding frame used is the OPCS-4 'Z' coding, plus 2 additional local codes:

• Whole body CZ001
• Multiple sites CZ002

For the purposes of recording Imaging Site for COSD the following high-level codes are sufficient, although more detailed codes can be used if preferred:

Anatomical Side (Imaging)

The side of the body that is the subject of an Imaging or Radiodiagnostic Event.

Imaging Report Text

This is the full text provided in the imaging report, this is required by registries to derive final stage and diagnosis date for registration.