Site specific - Lung

Some items in the Lung site specific data set may not be available until sometime after the initial record has been uploaded. For surgery patients, treatment record and pathology details may be completed by a different Provider from the First Seen Provider.

ICD-10 codes

Note:

• please refer to Appendix A and B for site specific registerable ICD codes for lung cancer patients

Retired data items

The following data item has been retired from v10:

• LU10350 – Transthoracic Echocardiogram Result
• LU10420 – Cardiopulmonary Test Type
• LU10370 – Cardiopulmonary Exercise Test Result (NLCA)
• LU10090 – Epidermal Growth Factor Receptor Mutational Status
• LU10500 – ALK Fusion Status
• LU10510 – ROS1 Fusion Status
• LU10520 – PD-L1 Expression

National Cancer Audit Collaborating Centre (NATCAN)

Future contracting of NLCA

With the formation of the new National Cancer Audit Collaborating Centre (NATCAN), all previously independent cancer audits have been brought into one organisation. Part of the rationale for this is to reduce the burden of data collection and reporting across the NHS.

As a result, all data moving forward will be from existing data sources. It is important therefore for Trusts to collect all the site specific data items within COSD, as these will form a large part of future analysis by the National Lung Cancer Audit (NLCA).

More information about NATCAN can be found via their official website.

This is a child of 'CORE – Diagnostic Procedures'. This mandates the collection of the following data items alongside each choice:

• Organisation Site Identifier (Diagnostic Procedure)
• Diagnostic Procedure Date
• Diagnostic Procedure (OPCS)
• Diagnostic Procedure (SNOMED CT)

The OPCS and SNOMED CT can be either supplied individually or together but you cannot submit a record without one or the other.

Lung - Diagnostic Procedures Choice 0..1
Lung - Diagnostic Procedures - Choice 1

End of Lung - Diagnostic Procedures - Choice 1
Lung - Diagnostic Procedures - Choice 2

End of Lung - Diagnostic Procedures - Choice 2
Lung - Diagnostic Procedures - Choice 3

End of Lung - Diagnostic Procedures - Choice 3
End of Lung - Diagnostic Procedures Choice

Cautionary notes:

• the choice order and selections within each choice may have changed between v9 to v10
• the following data items form a 3-choice menu and if applicable, can be one occurrence per ‘CORE – Diagnostic Procedure group (0..1)’, additional information is supplied below each choice to support this linkage

Diffusion Capacity (DLCO Or TLCO) Result

Where applicable, this is a mandatory data item. The ‘Diffusion Capacity (DLCO)’ or Transfer factor of the lungs for carbon monoxide (TLCO) result (% predicted range 0 to 200).

Additional Information:

• OPCS code
• SNOMED CT code – 23426006

Note:

• it is possible that these codes change over time, it is the responsibility of the reporting Trust to ensure correct codes are used

FEV1 Percentage

The Forced Expiratory Volume in the first second as a percentage of the predicted value.
Must be an integer in the range of 1 to 200

FEV1 Absolute Value

The absolute value of the patient's Forced Expiratory Volume in the first second in litres.

Must be numeric in the range of 0.10 to 9.99.

Additional information:

• OPCS code - E93.4
• SNOMED CT code - 313223002

Note:

• it is possible that these codes change over time, it is the responsibility of the reporting Trust to ensure correct codes are used

Bronchoscopy Performed Type

Where applicable, this is a mandatory data item. What type of bronchoscopy performed on the patient?

Additional Information:

• OPCS code (Flexible Bronchoscopy) - E49
• OPCS code (Rigid Bronchoscopy) - E51/E51.8/E51.9
• SNOMED CT code (Bronchoscopy) - 10847001
• SNOMED CT code (Endobronchial Ultrasound) - 439939004

Notes:

• ‘5 – Bronchoscopy not performed’ is a new selection in v10

• it is possible that these codes change over time, it is the responsibility of the reporting Trust to ensure correct codes are used

• for Bronchoscopy Type, you can use only the SNOMED CT code (in the ‘Diagnostic Procedures’ section), and then specify the type using this field

• to accurately collect ‘Bronchoscopy not performed’ and ‘Not known’ from the ‘Bronchoscopy Performed Type’ field, we have separated these out and unlinked them from the ‘Core - Diagnostic Procedures’ section in the schema

To accurately collect ‘Bronchoscopy not performed’ and ‘Not known’ from the ‘Bronchoscopy Performed Type’ field, we have separated these out and unlinked them from the ‘Core - Diagnostic Procedures’ section in the schema

Bronchoscopy Performed Type

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

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

Mediastinal Sampling Indicator

Record if the patient had a mediastinoscopy, mediastinotomy, open mediastinal sampling or other type of mediastinal biopsy (for example, Endobronchial ultrasound or transbronchial needle aspiration biopsy). This data item will be recorded by the specialist centres.

This is a child of ‘CORE – Treatment’ and will mandate:

• the date the treatment started
• the treatment modality
• the organisation that provided the treatment

May be up to one occurrence per CORE - Treatment - Surgery (0..1)

Regional Anaesthetic Technique

Record the regional anaesthetic technique used on the patient.

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).

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

Lung Health Check Indication

Record if the patient attended a Targeted Lung Health Check (TLHC) appointment.