CANCER REFERRAL TO TREATMENT PERIOD START DATE is the Start Date of the Cancer Referral To Treatment Period.

A CANCER REFERRAL TO TREATMENT PERIOD START DATE will be one of the following:

• The REFERRAL REQUEST RECEIVED DATE of the SERVICE REQUEST:
  • to secondary care by a GENERAL MEDICAL PRACTITIONER or GENERAL DENTAL PRACTITIONER where the PRIORITY TYPE is National Code 'Two Week Wait' *
  • to secondary care where the PATIENT was subsequently upgraded onto a Cancer Pathway. The CONSULTANT UPGRADE DATE will also be recorded, as this is the date used to calculate the start of the two month (62 day) waiting time target for PATIENTS who have been upgraded to a Cancer Pathway
  • into secondary care when the PATIENT was referred urgently for 'breast symptoms', where the PRIORITY TYPE is National Code 'Two Week Wait' *
  • to an Assessment Clinic following the identification of an abnormality by an NHS Cancer Screening Service, where the PRIORITY TYPE is National Code 'Urgent' *
• The ORIGINAL REFERRAL REQUEST RECEIVED DATE for the initial SERVICE REQUEST to secondary care by an NHS Cancer Screening Service, where the PRIORITY TYPE is National Code 'Routine', and where the PATIENT was subsequently upgraded onto a Cancer Pathway. The CONSULTANT UPGRADE DATE will also be recorded.

Notes:

• * The start of the Cancer Faster Diagnosis Pathway will be the CANCER REFERRAL TO TREATMENT PERIOD START DATE for the items annotated.
• For a SERVICE REQUEST received from the Choose and Book system, the referral is received when the PATIENT's Unique Booking Reference Number (UBRN) is used to book the first Out-Patient Appointment slot (i.e. converted). See REFERRAL REQUEST RECEIVED DATE.

This data element is also known by these names:

Context	Alias
plural	CANCER REFERRAL TO TREATMENT PERIOD START DATES