radiotherapy data collection helen forbes national cancer services analysis team
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Radiotherapy DataRadiotherapy DataCollectionCollection
Helen ForbesHelen ForbesNational Cancer Services Analysis TeamNational Cancer Services Analysis Team
National Cancer Services Analysis National Cancer Services Analysis TeamTeam
Partly funded by Cancer Action Team in Partly funded by Cancer Action Team in EnglandEngland
Remainder from project workRemainder from project work Carry out a range of innovative healthcare Carry out a range of innovative healthcare
data analysisdata analysis Accessible presentation of routine hospital Accessible presentation of routine hospital
admission/attendance data admission/attendance data Geographical MappingGeographical Mapping Web data collection and reporting toolsWeb data collection and reporting tools
RTDSRTDS
‘‘A dataset intended to A dataset intended to collect data regarding collect data regarding every patient treated with every patient treated with radiotherapy in the NHS radiotherapy in the NHS in the UK’in the UK’
Data ExtractionData Extraction
Vast majority of data items already held and Vast majority of data items already held and entered by radiographers using verify & entered by radiographers using verify & record system databasesrecord system databases
No requirement (when the project began) to No requirement (when the project began) to report any radiotherapy activityreport any radiotherapy activity– No agreed coding methodsNo agreed coding methods– No agreed currencies (courses, prescriptions No agreed currencies (courses, prescriptions
etc.)etc.)
HRGs/OPCDSHRGs/OPCDS
In parallel to the development of the RTDSIn parallel to the development of the RTDS– HRG 4 releasedHRG 4 released– Recommendation to use out-patient Recommendation to use out-patient
commissioning dataset to report HRGcommissioning dataset to report HRG– Potential requirement to re-key all radiotherapy Potential requirement to re-key all radiotherapy
attendances into PAS (Patient Administration attendances into PAS (Patient Administration Systems) in order to generate the OPCDSSystems) in order to generate the OPCDS
DatasetDataset
In agreement withIn agreement with– Representatives of SCORRepresentatives of SCOR– Payment By Results TeamPayment By Results Team– Data Dictionary and Modelling TeamData Dictionary and Modelling Team– Information Centre HRG teamInformation Centre HRG team
To produce To produce ONEONE dataset which meets the dataset which meets the needs of the RTDS, the OPCDS and needs of the RTDS, the OPCDS and collects the HRG for PbRcollects the HRG for PbR
DatasetDataset
Allows Trusts to generate the OPCDS Allows Trusts to generate the OPCDS without entering radiotherapy attendances without entering radiotherapy attendances into PASinto PAS
Takes all ‘attendance specific’ information Takes all ‘attendance specific’ information from Radiotherapy Management Systemsfrom Radiotherapy Management Systems
Takes most information not routinely Takes most information not routinely recorded on Radiotherapy Management recorded on Radiotherapy Management Systems from PASSystems from PAS
DatasetDataset
Extraction routesExtraction routes– Reports are provided to facilitate extraction of Reports are provided to facilitate extraction of
data from Visir/Oncentra, Varis/Aria, data from Visir/Oncentra, Varis/Aria, Lantis/ImpacLantis/Impac
– Specification is provided to get relevant data Specification is provided to get relevant data from PAS (will need to use local information from PAS (will need to use local information people)people)
– Toolkit is provided to generate OPCDS (for Toolkit is provided to generate OPCDS (for commissioning/PbR) and radiotherapy ‘tail’ from commissioning/PbR) and radiotherapy ‘tail’ from the two data sourcesthe two data sources
DatasetDataset One record produced for each attendance for One record produced for each attendance for
radiotherapy (ie: one per fraction – unless patient has radiotherapy (ie: one per fraction – unless patient has concurrent radiotherapy)concurrent radiotherapy)
Record is made up ofRecord is made up of– OPCDS (a long-established dataset within the NHS in OPCDS (a long-established dataset within the NHS in
England)England)– Radiotherapy TailRadiotherapy Tail
Radiotherapy Tail is made up ofRadiotherapy Tail is made up of– One or more Episode records (which will be identical for One or more Episode records (which will be identical for
every fraction in this episode)every fraction in this episode)– One or more Prescription records (which will be identical for One or more Prescription records (which will be identical for
every fraction in this prescription)every fraction in this prescription)– One or more Exposure records (for each exposure given on One or more Exposure records (for each exposure given on
this attendancethis attendance
Data CollectionData Collection
DiagnosisDiagnosis Waiting timesWaiting times Anatomical site treatedAnatomical site treated Procedure codes for planning and Procedure codes for planning and
deliverydelivery
Data CollectionData Collection
Manual co-written with Varian to Manual co-written with Varian to advise on collection advise on collection methodology for Ariamethodology for Aria
Data ExtractionData Extraction
Demographic data extracted from PAS Demographic data extracted from PAS as per specificationas per specification
Radiotherapy data extracted from Aria Radiotherapy data extracted from Aria using reports developed by Varianusing reports developed by Varian
NATCANSAT Toolkit combines data NATCANSAT Toolkit combines data from both sources to generate from both sources to generate specified RTDS outputspecified RTDS output
Data SubmissionData Submission
Output file submitted directly to Output file submitted directly to NATCANSATNATCANSAT– Using ftp upload of encrypted file to nww serverUsing ftp upload of encrypted file to nww server– Using NHS Connecting for Health secure file Using NHS Connecting for Health secure file
transfer via nhs.nettransfer via nhs.net
OPCDS submitted via SUS in EnglandOPCDS submitted via SUS in England Quality Assurance process completed within Quality Assurance process completed within
24 hours24 hours QA Pass data uploaded to serverQA Pass data uploaded to server
ReportingReporting
Reports run from live server dataReports run from live server data New data has interim status for one New data has interim status for one
weekweek
ReportingReporting
NATCANSAT Analysis in combination NATCANSAT Analysis in combination with other data sourceswith other data sources
NCIN Central Data Repository in NCIN Central Data Repository in EnglandEngland
RTDS used to feed NCASP cancer RTDS used to feed NCASP cancer auditsaudits
Available to analysts/researchers for Available to analysts/researchers for other projects subject to governance other projects subject to governance frameworkframework
NATCANSAT SupportNATCANSAT Support
Telephone helpline (staffed by Telephone helpline (staffed by humans) in office hourshumans) in office hours
Support to modify the reports and Support to modify the reports and extraction tools to fit in with local data extraction tools to fit in with local data entry practiceentry practice
More InformationMore InformationGeneral website: www.canceruk.netGeneral website: www.canceruk.net
Analysis website: nww.natcansat.nhs.ukAnalysis website: nww.natcansat.nhs.uk
(only accessible from an NHSNet connection)(only accessible from an NHSNet connection)
Helpdesk 0870 840 8033Helpdesk 0870 840 8033
[email protected]@ccotrust.nhs.uk
[email protected]@ccotrust.nhs.uk