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:
Queries about interpretation of data items contact:
Queries about the use of the Canisc data validation and data completeness
wizards contact:
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CONTENTS
Introduction……………………………………………………...……4
Data items 1-38……………………...……………………………..…5
Data validation tool…………….…………………………………....22
Data completeness tool………………………………………………25
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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
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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)
data item 4 description
Birth date
Date of Birth of Patient. Canisc format is DD/MM/YYY
Used for risk adjustment of outcomes and survival statistics
data item 5 description
Height
In meters to two decimal places
data item 6 description
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.
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DATA ITEM 6: Location in Canisc: Patient tab.
data item 7 description
Sex
male / female
Used for risk adjustment and epidemiology
data item 8 description
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
data item 9 description
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
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data item 10 description
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
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data item 11 description
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.
DATA ITEM 11: Location in Canisc: Investigations (Other)
data item 12 description
Patient procedure result
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.
DATA ITEM 12: Location in Canisc: Investigations (Other)
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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
data item 13 description
Patient procedure result
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.
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DATA ITEMS 13 & 14: Location in Canisc: Investigations (Other)
data item 14 description
Patient procedure result
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.
data item 15 description
Patient procedure result
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.
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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.
DATA ITEM 15: Location in Canisc: Investigations (Other)
data item 16 description
Management plan
discussed at the MDT
01 – yes
02 – no
Records that the care was formally reviewed by a specialist team
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DATA ITEM 16: Location in Canisc: Cancer Management Plan
data item 17 description
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).
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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
Data item 19 description
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.
DATA ITEM 19: Location in Canisc: CCMDS page
Data item 20 description
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.
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Data item 21 description
Date Surgical procedure
carried out
dd/mm/yyyy
Data item 22 description
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.
Data item 23 description
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
Data item 24 description
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
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Data item 25 description
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
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Data item 26 description
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)
Data item 27 description
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
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Data item 28 description
Nodes examined number
2 digit integer
A NICE standard used to QA surgery and pathology. Should always be included in the histology
report
Data item 29 description
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.
Data item 30 description
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
Data item 31 description
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.
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DATA ITEM 31: Location in Canisc: CCMDS page
Data item 32 description
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
Data item 33 description
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
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Data item 34 description
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
Data item 35 description
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
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Data item 36 description
Date of death dd/mm/yyyy
Data item 37 description
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.
Data item 38 description
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).
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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
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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:
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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
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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.
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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
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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.
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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:
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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.
National Bowel Cancer Audit Data Manual v2
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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