the wales national bowel cancer audit data manual

The Wales National Bowel Cancer Audit

DATA MANUAL

Version: 2

December 2008

Wales National Bowel Cancer Audit Data Manual

2

Manual Authors

Jeff Stamatakis

Bowel Cancer Audit Advisor to CSCG

Martin Harris

Information Analyst, Cancer Information Framework

Linda Roberts

Lead Canisc Information Specialist for Bowel Cancer: Cancer Information

Framework

Jackie Davies: Canisc Dataset Quality Manager, Cancer Information

Framework

[email protected] nhs.uk

Further information:

Queries about the extraction of data from Canisc contact:

[email protected]

Queries about interpretation of data items contact:

[email protected]

Queries about the use of the Canisc data validation and data completeness

wizards contact:

[email protected]

mailto:[email protected]




Wales National Bowel Cancer Audit Data Manual

3

CONTENTS

Introduction……………………………………………………...……4

Data items 1-38……………………...……………………………..…5

Data validation tool…………….…………………………………....22

Data completeness tool………………………………………………25

National Bowel Cancer Audit Data Manual v2

4

INTRODUCTION

The Wales Bowel Cancer Audit (WBCA) and the National Bowel Cancer Audit Project

(NBOCAP)

Welsh trusts take part in two bowel cancer audits both of which use common data items, the

same rules and definitions, and are all held in Canisc. This means that data needs to be

entered, validated and completeness checked once only. Data required for both audits is

extracted from Canisc centrally and trusts have the opportunity to check this before analysis is

carried out. The two audits use different time frames, which is not a problem for Canisc as

the date parameter can be changed to fit the audit requirement. The WBCA runs from April

to March every year. The NBOCAP previously used these dates but has recently changed and

now covers August to July. The WBCA reports on the disease profile, process of care and

outcomes of all 12 multidisciplinary teams that treat patients with Bowel Cancer in Wales.

This focus on the disease in Wales would not be possible in the NBOCAP report where the

data of 12 Welsh Trusts would be buried within that of the 180 or so participating trusts in

England, Scotland and Ireland. NBOCAP allows the MDT in Welsh trusts to compare all

aspects of their involvement with bowel cancer both within Wales and with that in the rest of

the UK. Welsh trusts play an essential part in contributing to the national picture.

Trust participation in this National Audit is a requirement of Designed for Life and meets the

National Welsh Cancer Standards

This manual is intended to support MDT Coordinators and data clerks who have the

responsibility of collecting data for their trust‟s participation in the Wales Bowel Cancer

Audit (WBCA).

The Wales Bowel Cancer Audit is held annually and published on the CSCG website

(inter and intranet). Data for the audit is taken from Canisc and sent to trusts for local

validation and completeness before analysis is carried out

The Essential Dataset used for the WBCA defines the 38 essential items needed to measure

the patient‟s process of care and risk adjusted clinical outcomes.

All information required for the WBCA is held in Canisc. This manual has been produced to

assist non-clinicians in understanding the clinical context and relevance of the data items used

for the audit.

STRUCTURE OF THIS MANUAL

The organisation of this manual corresponds with the order of sections and fields in

the Essential Dataset (www. http://www.nbocap.org.uk)

Each of the 38 data items is shown in tabular form as it appears in the NHS Wales

Clinical Datasets Catalogue, followed by an explanatory text with specific guidance

on correct completion of the item in Canisc.

In most instances a screen shot showing the location of the data item in Canisc is

included

appendices 1 and 2 give step –by –step instructions for running the validation and

completeness tools in Canisc


5

DATA ITEMS

Patients included in the audit should have a new diagnosis of primary colon or rectal cancer

made during the period of the audit. Excluded from the audit are patients with anal cancer,

recurrent colon or rectal cancer, and disease metastatic to the large bowel. NHS and private

patients should be included.

data item 1 Description

Organisation code

Unique identifier for each organisation or site within an

organisation

This is the 5 character organisation code (autogenerated), the rules for correct recording in the

audit, are as follows:

1. If the patient has surgery the organisation code of the hospital carrying out the operation

should be recorded here as the outcome of surgical treatment is attributed to that hospital.

2. If the patient does not have surgery the organisation code is that of the hospital where the

diagnosis of cancer was made should be recorded here.

3. If the patient has chemo/radiotherapy the organisation code is that of the hospital where

the diagnosis of cancer was made should be recorded here. Treatment at a tertiary

Oncology centre is recorded elsewhere in the Canisc database.

data item 2 Description

NHS Number

The NHS number is allocated to an individual, to enable

unique identification for NHS health care purposes.

This links different data sources in the NHS, for example Canisc and PEDW for data

validation or WCISU, the Office for National Statistics and Canisc for survival.

data item 3 description

Local patient identifier

The case record number. It is a unique identifier for a

patient within a health care provider.

The hospital number used for patient identification and to help coordinators identify the

patient in local trust information systems (RADIS etc)


Birth date

Date of Birth of Patient. Canisc format is DD/MM/YYY

Used for risk adjustment of outcomes and survival statistics


Height

In meters to two decimal places


Weight

In Kilograms to one decimal place

These two items are as measured at presentation and are used to determine BMI, for risk

adjustment and epidemiology.


6

DATA ITEM 6: Location in Canisc: Patient tab.


Sex

male / female

Used for risk adjustment and epidemiology


Post code

The postcode applied to the usual address nominated by

the patient at the time of admission or attendance

Data item essential for deprivation studies and risk adjustment


Date of diagnosis

DD/MM/YYYY

For the purpose of the audit the date recorded should be the date the cancer was first

diagnosed by any means. This may be clinical (e.g. rectal examination in the clinic),

radiological (e.g. caecal cancer diagnosed on barium enema) or histology (e.g. flexisig biopsy

of sigmoid cancer). It is used in for risk adjustment and in the calculation of survival.

DATA ITEM 9: Location in Canisc: CCMDS page


7


Patient procedure result

colonoscopy

01 – Normal, cancer not seen

02 – Abnormal cancer or polyp seen

03 – Inadequate (bowel not fully visualised)

04 – Not done

1. Normal is only in the context of cancer, if there are other abnormalities (such as colitis)

normal is the correct option here.

2. If cancer is diagnosed option 02 should be selected whether the examination was

complete or not. If the examination was incomplete give the reason in data item 11.

3. Inadequate is the same as incomplete and the reason for this should be given in the next

data item “reason incomplete”. The NBOCAP submission uses one data item for

colonoscopy result and one for reason examination incomplete. Canisc combines these

into a single item. Complete the entry in Canisc and when the data is uploaded to

NBOCAP an automated matching will take place.

4. National guidelines are that total colonoscopy should be carried out before surgery on all

patients with bowel cancer. The guidelines have a qualifier of “before or within 6 months

of surgery” but best practice is colonoscopy before planning treatment.

5. The patient who does not have surgery because of advanced disease, co-morbidity or their

choice would not be expected to have the examination and option 04 should be recorded.

DATA ITEM 10: Location in Canisc: Investigations (Other)

DATA ITEM 10: Location in Canisc: Investigations - Result Options


8


Colonoscopy incomplete

reason

01 – Obstructing cancer

02 – Poor bowel prep

04 – Other

05 – Patient intolerance

06 – Technical reason

(Note there is no option 03 in keeping with the English Cancer Dataset used for NBOCAP

01 - Obstructing cancer means the lumen of the bowel is too narrowed to allow the

colonoscope to pass, the patient may not have signs of bowel obstruction. 02 - With poor

bowel prep the colon is too loaded with faecal matter to allow a complete examination. 05 -

Patient intolerance should be rare and implies that the examination is abandoned as the patient

experiences pain. 06 - Technical reason covers equipment failure or non availability.

Anything else is grouped under 04-other.




CT scan

01 – M0 (normal)

02 – M1 (metastases)

03 – Uncertain

04 – Not done

In the audit this item refers to liver CT scan result only, as a preoperative CT scan of the liver

is a NICE guideline and is audited here to quality assure staging.



9

DATA ITEM 12 : Location in Canisc: Investigations – Results Options

Canisc has no option 04, “Other” should be ignored and will be deleted from the Canisc

dataset, the audit is only interested in recording metastatic disease not other pathology. If

none of the 3 Canisc options are entered, it will be assumed that a liver CT was not done.

When this item is missing it can be found on RADIS. CT scan is a NICE recommendation

and used in the Wales audit as a quality marker for process of care, as well as being the

principal indicator that a cancer stage is Dukes‟ D, when an M1 liver scan over-rides

whatever stage is recorded on the histology report. It is essential for your trust that this item

is recorded as it is used for risk adjustment of operative mortality and survival statistics

Note: if the CT scan includes the lung or elsewhere and identifies metastatic disease it is

important to record the modified Dukes’ stage as D. There is the facility to do this either the

CCMDS page where the individual sites are listed or from the Investigation (other) page

which includes the CT scan result.

DATA ITEM 12: Location in Canisc: CCMDS – Staging History



first MRI T-stage

01 – TX

02 – T1

03 – T2

04 – T3

05 – T4

This item records the T stage of a rectal cancer as shown on a pelvic MRI scan. It is only

applicable for rectal cancer, recto sigmoid tumours are excluded. If no scan is done the item

should not be completed. All patients having surgery for rectal cancer should have an MRI

scan, in the audit this item is filtered by date of surgery so that the analysis includes only

those patients having an operation. The T stage should be recorded in the radiologists report

and can be confirmed at the MDT meeting. If the item is missing in Canisc please complete

from the report in RADIS.


10

DATA ITEMS 13 & 14: Location in Canisc: Investigations (Other)



first MRI N-stage

1 = N0

2 = N1

3 = N2

Like the T stage above, this item records the N stage of a rectal cancer as shown on a pelvic

MRI scan. It is only applicable for rectal cancer, recto sigmoid tumours are excluded. If no

scan is done the item should not be completed.

All patients having surgery for rectal cancer should have an MRI scan, in the audit this item is

filtered by date of surgery so that the analysis includes only those patients having an

operation. The N stage should be recorded in the radiologists report and can be confirmed at

the MDT meeting. If the item is missing in Canisc please complete from the report in

RADIS.



first MRI scan margins

threatened.

0 = no

1 = yes

Records whether there is radiological evidence of the primary cancer, involved lymph nodes

or tumour deposits crossing or within 1 mm of the mesorectal plane (see below), which

identifies the extent of surgery in a curative operation. The result informs decisions about the

use of chemo/radiotherapy allowing a tailored approach to an individual patient‟s treatment

plan.


11

The dotted line shows where the surgeon dissects to remove the rectum, this is the mesorectal

plane. Threatened margin refers to cancers breaching or within 1mm of this boundary. The

information should be in the radiologists report and confirmed at the MDT meeting.



Management plan

discussed at the MDT

01 – yes

02 – no

Records that the care was formally reviewed by a specialist team


12

DATA ITEM 16: Location in Canisc: Cancer Management Plan


Specialist nurse seen

01 – yes

02 – no

Record yes if the patient has seen a specialist nurse, the title may vary and includes bowel

cancer nurse specialist, colorectal nurse and stoma nurse.

DATA ITEM 17: Location in Canisc: Cancer Standards

Data item 18 description

Primary cancer site

1 = caecum

2 = appendix

3= ascending colon

4 = hepatic flexure

5 = transverse colon

6 = Splenic flexure

7 = Descending colon

8 = Sigmoid colon

9 = Recto-sigmoid

10 = Rectum

Record main cancer site only, synchronous tumours not recorded for the audit. Please ensure

that the 4-digit ICD-10 code is used in Canisc (generated from the referral wizard).


13

DATA ITEM 18: Location in Canisc: New Disease Episode Wizard

The definition of rectal cancer: Lower margin of cancer 15cm or less from anal verge at

sigmoidoscopy.

C18.0 – Caecum

C18.1 – Appendix

C18.2 – Ascending colon

C18.3 – Hepatic flexure

C18.4 – Transverse colon

C18.5 – Splenic flexure

C18.6 – Descending colon

C18.7 – Sigmoid colon

C19.X – Recto-sigmoid

C20.X – Rectum


Height above anal verge

Measured in cm to nearest whole number

Item for rectal cancer only, the distance is measured by rigid or flexible sigmoidoscopy,

although digital rectal examination may be applicable for very low rectal tumours. Data used

for analysis of stoma rates and abdominoperineal resection.



Distant metastases

1 = none

2 = certain

3 = uncertain

Refers to metastases in any organ, M stage information obtained from MDT meeting or by

searching RADIS for the result of any imaging done at the time of diagnosis such as chest

xray, bone scan or CT chest (done in some units at the time of liver CT). Metastatic disease

may be recorded on the CCMDS page – Staging History tab. the data item is derived from this

location in the audit.


14


Date Surgical procedure

carried out

dd/mm/yyyy


Surgical urgency

1=elective

2= scheduled

3= urgent

4= emergency

01 – Elective: Operation at a time to suit both patient and surgeon e.g. after an elective

admission.

02 – Scheduled (Expedited): An early operation but not immediately life-saving.

03 – Urgent: As soon as possible after resuscitation. Operation within 24 hours.

04 – Emergency (immediate): Immediate and life-saving operation. Resuscitation

simultaneous with surgical treatment. Operation usually within 1 hour.

Used for risk adjustment , an important variable to record as the average mortality after an

emergency/urgent operation is 4 times greater than after one that is elective/scheduled.


ASA grade

1 = fit

2 = relevant disease

3 = restrictive disease

4 = life threatening disease

5 = moribund

This item is almost always recorded by the anaesthetist and can be found on the anaesthetic

chart in many hospitals. It is the most important variable in risk adjustment of postoperative

death, non- recording of this item may adversely affect the adjusted mortality rate of the

trust

ITEM 23: location in Canisc Treatment tab – Surgery – Colorectal Surgery 2


Surgical access

1 = Open operation

2 = laparoscopic then open surgery*

3 = Laparoscopic converted to open**

4 = Laparoscopic completed***

Identifies the surgical approach for the definitive procedure:

* targeted incision after laparoscopic assessment

** inability to complete operation laparoscopically, incision larger than that required for

extraction

*** laparoscopic dissection with small incision sufficient to extract specimen

used to determine the use of laparoscopic surgery for bowel cancer in Wales


15


Surgical procedure carried out

1 = Right Hemicolectomy (H07.9)

2 = Extended right hemicolectomy (H06.9)

3 = Transverse Colectomy (H08.9)

4 = Left Hemicolectomy (H09.9)

5 = Sigmoid colectomy (H10.9)

6 = Anterior Resection (H33.4)

7 = APER (H33.1)

8 = Hartmann‟s procedure (H33.5)

9 = Total Colectomy and ileorectal anastomosis

(H051)

10 = TART (H41.9)

11 = Total excision of colon and rectum (H04.1)

12 = Total excision of colon & rectum and

anastomosis of ileum to anus & creation of a

pouch (H04.2)

13 = TEMS (H41.2)

14 = Stent (H24.3)

15 = Polypectomy (H20.1 & H23.9)

16 = NOT USED

17 = EUA only (H44.4)

18 = Laparotomy only (T30.9)

19 = Laparoscopy only (T43.9)

20 = Stoma - ileostomy only (G74.9)

21 = Stoma - colostomy only (H15.9)

98 = OTHER

Records the main operative procedure carried out

Please try to use the main operations as listed and not OTHER unless absolutely necessary

– pelvic exenteration SHOULD BE CODED as other, not as anterior resection or APER

the OPCS4 codes used in Canisc are shown after the procedure in the table above.

DATA ITEMS 21-25: Location in Canisc: Treatment tab –Surgery –

Colorectal Surgery 1/2


16


Treatment intent -

radiotherapy

1 = none

2 = pre-op short course

3 = pre-op long course

4 = post-op

5 = definitive (with no plan for surgery)

6 = palliative

Canisc

Mapping in nbocap

If no radiotherapy given leave this item

blank

none

01 – Adjuvant post-op

02 – Neoadjuvant = pre-op short course or pre-op long course

03 – Radical (curative) definitive (with no plan for surgery)

04 – Palliative palliative

99 – Not known

Record radiotherapy given for rectal cancer. Neoadjuvant recorded in Canisc but not long or

short course treatment, this item will require a change when the colorectal dataset is revised.

Important item taken in conjunction with the results of the MRI scan and the histological

examination of the mesorectal margin.

Definitions:

Adjuvant: an adjunct to a potentially ablative local treatment

Neoadjuvant: an adjuvant treatment given prior to a potentially ablative local treatment

Radical (curative): with curative intent: any treatment where long-term survival is the intent.

Palliative: any treatment where the clear intention is to improve symptoms and possibly

prolong life but where long-term survival is unlikely. (Cancer Centres only)


Extramural venous invasion 0 = no

1 = yes

This is a prognostic marker and also recommended for use by the Royal College of

Pathologists to QA histology standards.

DATA ITEM 27: Location in Canisc: Investigation – Histopathology


17


Nodes examined number

2 digit integer

A NICE standard used to QA surgery and pathology. Should always be included in the histology

report


Nodes positive number

2 digit integer

A vital item to determine the N stage, should be included in the histology report, pN1

corresponds to involvement of 1–3 nodes and pN2 to involvement of four or more nodes.


CIRCUMFERENTIAL_MARGINS

0 = margin not involved

1 = margin involved

Circumferential margin (also known as radial margin) involvement with cancer is predictive

of local recurrence and poor survival in rectal tumours and in patients that have not received

neoadjuvant therapy it may be an indication for postoperative adjuvant therapy. It refers to the

completeness of the surgeon's resection margin in the opinion of the histopathologist and is a

QA measure of rectal cancer surgery and the decision making of the MDT.

Definition of positivity of margin: When the cancer is 1mm or less from the surgical

resection circumferential margin.

DATA ITEM 30: Location in Canisc: Investigation - Histopathology


Site-specific staging

classification

- Dukes”

1 = A

2 = B

3 = C1

4 = C2

5 = D*

This is the clinicopathological stage and takes account of the pathologist‟s stage on the

histology report, preoperative imaging and operative findings.

Regardless of the histology report staging, if metastases have been found, the stage is always

D. There are no exceptions to this.

Dukes‟ A: tumour limited to bowel wall (not extending beyond muscularis propria).

Dukes‟ B: tumour extending through the wall (into subserosa and / or serosa, or extra

rectal tissues).

Dukes‟ C1: tumour spread to lymph nodes but not to apical node.

Dukes‟ C2: tumour involves the apical node.

Dukes‟ D: tumour beyond the limits of surgical resection, either locally or due to

metastatic disease.


18



T category

1 = Tx

2 = pT0

3 = pT1

4 = pT2

5 = pT3

6 = pT4

This is the pathologists grading, pT – the audit takes account of the y-stage providing the

radiotherapy item has been completed. Allows for stage to be taken into account in the

analysis of treatment and outcome.

pT Primary tumour

pTX Primary tumour cannot be assessed

pT0 No evidence of primary tumour this may occur after radiotherapy for rectal cancer

pT1 Tumour invades submucosa

pT2 Tumour invades muscularis propria, this is the main muscle tube of the bowel.

pT3 Tumour invades through muscularis propria into subserosa or non-peritonealised

pericolic

or perirectal tissues

pT4 Tumour directly invades other organs and/or involves the visceral peritoneum, perforated

tumours are pT4


N category

1 = Nx

2 = pN0

3 = pN1

4 = pN2

This is the pathologists grading, pN – the audit takes account of the y-stage providing the

radiotherapy item has been completed. Allows for stage to be taken into account in the

analysis of treatment and outcome.

1-3 +ve nodes = pN1

>4 +ve nodes = pN2


19


M category

1 = Mx

2 = M0

3 = M1

True Pathological M staging (pM) can only be based on tissue submitted for histology by the

surgeon and will therefore underestimate the true M stage. The M stage (taking account of

the criteria for Dukes‟ D above) should be recorded here

DATA ITEMS 32-34: Location in Canisc: CCMDS page - Staging


Stoma

0 = not done

1 = ileostomy temporary

2 = ileostomy permanent

3 = colostomy temporary

4 = colostomy permanent

1. after an abdominopperineal resection the colostomy is always permanent.

2. after a Hartmann operation the colostomy is usually intended as temporary but may be

permanent in some cases ( elderly patient, poor anal sphincters) if in doubt ask the

surgeon.

3. Temporary includes all stomas where the intention is to close the stoma – no time

limit is attached.

4. an ileostomy is usually temporary, for example after an anterior resection for rectal

cancer, however it would be permanent after a proctocolectomy

DATA ITEM 35: Location in Canisc: Treatment – Surgery – Colorectal Surgery 2


20


Date of death dd/mm/yyyy


Discharge date dd/mm/yyyy

Canisc uses a single item, date of death or discharge, nbocap records the same information in

two fields two fields, DATE_DEATH and DATE_OF_DEATH_DISCHARGE, if the patient

dies the date of death is the same as the date of discharge.

Discharge or death date location in Canisc: Referral –Registration (or in the case of a

deceased Patient – Patient – Death Report where Canisc requirements are for the collection

of the date of death only)

DATA ITEM 36: Location in Canisc: Patient – Death Report

DATA ITEM 37: Location in Canisc: Referral – Discharge from care

The audit auto-calculates 30-day, in-patient and non-operative mortality and the length of stay

based on the rest of the data submitted.


Surgical complications

1 = none

2 = leak

3 = abscess – any

4 = bleed – any

5 = obstruction

6 = stoma (as a 2nd procedure)

7 = readmission within 14-days.

8 = Other

Definition of „Major complication‟ is a complication that required re-operation, interventional

radiology, ITU/HDU care or delayed discharge by more than 72 hours. If there is more than

one major complication record the most severe (clinical judgement).


21

Canisc definitions of complications are:

– None

– Leak: unequivocal clinical evidence of anastomotic breakdown with or without radiology

T81.4 – Abscess: any wound (wound infection = pus in wound = abscess), intra abdominal of

pelvic pus

T81.0 – Bleed: any gastrointestinal, intra abdominal or wound bleed – Obstruction: any

postoperative bowel obstruction

K91.4 – Stoma – Readmission within 14 days

K91.0 – Other

DATA ITEM 38: Location in Canisc: Treatment – Complications or alternatively there

is a quick Link from the Surgery Page


22

Appendix 1 – NBOCAP/WBCA Data Analysis Wizard

This tool will allow trusts to validate data via a report, which shows the items for submission

to the Wales and NBOCAP audits.

Where the tool is located and what parameters to choose in the Wizard:

It is found in the User Menu under Group options for NCASP NBOCAP – select NBOCAP

Data Analysis Wizard

Step One:

Select date range – click Accept. It is possible to run the report on a monthly/quarterly

/financial etc basis for regular validation. Select either Preset ranges, 31 (takes you to the

calendar), T for today‟s date or enter date directly into data field.

Please Note the current Welsh Audit period is from 01.04.2007 to 31.03.2008.

Step Two:

The next screen shows the date range selected and the type of report. The report can be ran

by either Diagnosis (NBOCAP uses this as the report parameter) or First seen. Select

preference then click Next.

Step Three:


23

Category: Hospital name will be shown here – if a Trust has more than one hospital, then it

will be necessary to run this tool for each hospital site.

Type: The options provided give the choice (if not the surgical provider) of validating all

other information relating to the patient episode. Click Next.

Step Four:

Select Query –

Refine Disease Episodes for All Colorectal patients. This will highlight all patients

with a group code (i.e. C18.0 – C18.9). These patients will be omitted from the audit

unless the diagnosis code is amended and the .9 is taken to a more specific site code.

All Colorectal Patients

NBOCAP Patients ( or Wales Bowel Cancer Audit patients)

Click Next

Step Five:

Run Query


24

Step Six:

Analyze Data

Step Seven:

Data can now be viewed by selecting either the Patient Data tab, or building your own report

from the Pivot Table Field List. By clicking on the green export icon this will insert the

report into an excel file. Highlight data then click copy and it is then possible to export the

data into your own worksheet for further validation and analysis.


25

Appendix 2 - Data Completeness Wizard

NBOCAP/WBCA

This tool will allow trusts to print reports on a patient-by-patient basis which show the items

for submission to the NBOCAP/Welsh colorectal audit. If an item is complete in CANISC

this will be shown in the report, a box indicates a missing item. Please note: Not all items

will be applicable to all patients e.g. date of death.

IMPORTANT: This report is extremely complex and to avoid slowing down CANISC for all

users, the report is run on a separate server which is updated at the end of each working day,

so all data returned will be as at close of play yesterday. Also due to complexity of the report,

it may take up to 30 minutes to run depending on the number of patients being returned –

please be patient!

Where the tool is located and what parameters to choose in the Wizard:

It is found in the User Menu under Group options for Cancer Services Co-ordinators – select

Data Completion Wizard


26

Step One:

NBOCAP completion appears as an option in the pick list.

Step Two:

Select Show all patients.

Step Three:

Select Malignant Episode Types Only.

Step Four:

Select date range by either Preset Ranges, 31, T or entering date directly into data field.

The Welsh audit is running for the period 1st April 2007 to 31

st March 2008.


27

Step Five:

The audit is run by patients diagnosed within this period so select Date of Diagnosis.

Step Six:

Category: Your hospital name will be shown here – if you work for a trust which has more

than one hospital, you will need to run this tool for each individual hospital.

Leave the option as First Consultant.

Run the Wizard and the following report will be generated:


28

This tool works in the same way as other data completion tools in CANISC:

Totals show the total number of patients brought back within the tool.

The yellow boxes will show your hospital case record number.

The white boxes will show the patient name

The registration date is the date the patient was registered on the system.

Diagnosis is the free text diagnosis field on the Registration page.

Right click on Edit and the casenote can be opened, please note if you View Dataset

this will take some time to load.

Click on Preview Details – this will generate the reports per patient, as long as you

have registered your printer in CANISC, you can print the reports off. The report is

generated by key professional.

Right click on Edit gives the option to print off the report on a patient by patient basis

– it is envisaged that the full report will be generated initially and individual patients

reprinted as required.


29

Example of printed report for a patient:

The boxes indicate missing items which require validation. The “Authorised by” box is for

the Lead Colorectal Clinician to sign off.

Data Completeness for NBOCAP and WBCA Minimum Dataset Submission

the wales national bowel cancer audit data manual

Documents