Cancer Outcomes and Services Data Set - Pathology

SUBMISSION HEADER

To carry the submission header details.
One occurrence of this group is required.
M/R/OData Set Data Elements
MCOSDS SUBMISSION IDENTIFIER
MORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)
MCOSDS SUBMISSION RECORD COUNT
MREPORTING PERIOD START DATE
MREPORTING PERIOD END DATE
MDATE AND TIME DATA SET CREATED

RECORD IDENTIFIER

To carry the record identifier details.
One occurrence of this group is required.
M/R/OData Set Data Elements
MCOSDS UNIQUE IDENTIFIER

LINKAGE IDENTIFIER CHOICE - CORE - PATHOLOGY

One of the following Core Linkage sections MUST be provided
CHOICE 1 - NHS NUMBER
To carry patient identity details for linkage.
One occurrence of this group is required.
M/R/OData Set Data Elements
MNHS NUMBER
OR
CHOICE 2 - LOCAL PATIENT IDENTIFIER
To carry patient identity details for linkage.
One occurrence of this group is required.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)

LINKAGE IDENTIFIER - CORE - PATHOLOGY

To carry patient identity details for linkage.
One occurrence of this group is required.
M/R/OData Set Data Elements
MNHS NUMBER STATUS INDICATOR CODE
MPERSON BIRTH DATE
MORGANISATION IDENTIFIER (CODE OF PROVIDER)

DEMOGRAPHICS - CORE - PATHOLOGY

To carry patient demographic details.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RPERSON FAMILY NAME
RPERSON GIVEN NAME
RPATIENT USUAL ADDRESS (AT DIAGNOSIS) - ADDRESS STRUCTURED
or
PATIENT USUAL ADDRESS (AT DIAGNOSIS) - ADDRESS UNSTRUCTURED
RPOSTCODE OF USUAL ADDRESS (AT DIAGNOSIS)
RPERSON STATED GENDER CODE

PATHOLOGY DETAILS PART 1 - CORE - PATHOLOGY
 
To carry pathology details.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MINVESTIGATION RESULT DATE
MSERVICE REPORT IDENTIFIER
RPATHOLOGY OBSERVATION REPORT IDENTIFIER
RSERVICE REPORT STATUS
MPROFESSIONAL REGISTRATION ISSUER CODE (PATHOLOGY TEST REQUESTED BY)
MPROFESSIONAL REGISTRATION ENTRY IDENTIFIER (PATHOLOGY TEST REQUESTED BY)
RORGANISATION SITE IDENTIFIER (OF PATHOLOGY TEST REQUEST)
RSAMPLE COLLECTION DATE
RSAMPLE RECEIPT DATE
RORGANISATION IDENTIFIER (OF AUTHORISING PATHOLOGIST)
MPROFESSIONAL REGISTRATION ISSUER CODE (PATHOLOGY REPORT AUTHORISED BY)
MPROFESSIONAL REGISTRATION ENTRY IDENTIFIER (PATHOLOGY REPORT AUTHORISED BY)
RCANCER SPECIMEN NATURE

TOPOGRAPHY/MORPHOLOGY - CORE - PATHOLOGY

To carry Topography/Morphology SNOMED pathology details.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
MSNOMED VERSION (PATHOLOGY)

TOPOGRAPHY/MORPHOLOGY CHOICE - CORE - PATHOLOGY

One of the following MUST be provided
CHOICE 1 - TOPOGRAPHY SNOMED
To carry pathology Topography SNOMED details.
One occurrence of this group is required.
M/R/OData Set Data Elements
MTOPOGRAPHY (SNOMED PATHOLOGY)
Multiple occurrences of this item are permitted
OR
CHOICE 2 - MORPHOLOGY SNOMED
To carry pathology Morphology SNOMED details.
One occurrence of this group is required.
M/R/OData Set Data Elements
MMORPHOLOGY (SNOMED PATHOLOGY)
Multiple occurrences of this item are permitted

PATHOLOGY DETAILS PART 2 CORE - PATHOLOGY

To carry pathology details.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
RDIAGNOSIS (ICD PATHOLOGICAL)
Multiple occurrences of this item are permitted
RTUMOUR LATERALITY (PATHOLOGICAL)
RPATHOLOGY INVESTIGATION TYPE
RPATHOLOGY REPORT TEXT
RLESION SIZE (PATHOLOGICAL)
RGRADE OF DIFFERENTIATION (PATHOLOGICAL)
RCANCER VASCULAR OR LYMPHATIC INVASION
REXCISION MARGIN INDICATION CODE
RSYNCHRONOUS TUMOUR INDICATOR
RNUMBER OF NODES EXAMINED
RNUMBER OF NODES POSITIVE
RTNM CODING EDITION
RTNM VERSION NUMBER (PATHOLOGICAL)
RT CATEGORY (PATHOLOGICAL)
RN CATEGORY (PATHOLOGICAL)
RM CATEGORY (PATHOLOGICAL)
RTNM STAGE GROUPING (PATHOLOGICAL)
RNEOADJUVANT THERAPY INDICATOR
RKI-67 STAINING PERFORMED INDICATION CODE
RKI-67 PERCENTAGE RESULT
RMLH1 IMMUNOHISTOCHEMISTRY NUCLEAR EXPRESSION INTACT INDICATION CODE
RPMS2 IMMUNOHISTOCHEMISTRY NUCLEAR EXPRESSION INTACT INDICATION CODE
RMSH2 IMMUNOHISTOCHEMISTRY NUCLEAR EXPRESSION INTACT INDICATION CODE
RMSH6 IMMUNOHISTOCHEMISTRY NUCLEAR EXPRESSION INTACT INDICATION CODE
RMICROSATELLITE INSTABILITY TESTING RESULT

BREAST - PATHOLOGY

To carry pathology details for Breast cancer.
One occurrence of this data group is permitted.
M/R/OData Set Data Elements
RMULTIFOCAL TUMOUR INDICATOR (BREAST)
RDUCTAL CARCINOMA IN SITU GRADE
RNON INVASIVE TUMOUR SIZE
RWHOLE TUMOUR SIZE
RMETASTASIS EXTENT CODE
RDISTANCE TO MARGIN
OALLRED SCORE (ESTROGEN RECEPTOR)
RESTROGEN RECEPTOR STATUS
OALLRED SCORE (PROGESTERONE RECEPTOR)
OBREAST PROGESTERONE RECEPTOR STATUS
RHUMAN EPIDERMAL GROWTH FACTOR RECEPTOR STATUS (BREAST)
RHUMAN EPIDERMAL GROWTH FACTOR IN SITU HYBRIDISATION RECEPTOR STATUS (BREAST)
RCYTOLOGY RESULT CODE (BREAST)
RCYTOLOGY RESULT CODE (NODE)
RNEEDLE CORE BIOPSY RESULT CODE (BREAST)
RNEEDLE CORE BIOPSY RESULT CODE (AXILLARY LYMPH NODE)

CENTRAL NERVOUS SYSTEM (CNS) - PATHOLOGY

To carry pathology details for Central Nervous System (CNS) cancer.
One occurrence of this data group is permitted.
M/R/OData Set Data Elements
RMOLECULAR DIAGNOSTIC CODE
Multiple occurrences of this item are permitted
RHORMONE EXPRESSION TYPE
Multiple occurrences of this item are permitted

COLORECTAL - PATHOLOGY

To carry pathology details for Colorectal cancer.
One occurrence of this data group is permitted.
M/R/OData Set Data Elements
RMARGIN INVOLVED INDICATION CODE (COLORECTAL PROXIMAL OR DISTAL RESECTION MARGIN)
RDISTANCE TO CLOSEST NON PERITONEALISED RESECTION MARGIN
RPLANE OF SURGICAL EXCISION INDICATOR
RDISTANCE FROM DENTATE LINE
RDISTANCE BEYOND MUSCULARIS PROPRIA
RPREOPERATIVE THERAPY RESPONSE TYPE
RMARGIN INVOLVED INDICATION CODE (CIRCUMFERENTIAL MARGIN)

CHILDREN, TEENAGERS AND YOUNG ADULTS (CTYA): RENAL PATHOLOGY (PAEDIATRIC KIDNEY) - PATHOLOGY

To carry renal (paediatric kidney) pathology details for Children, Teenagers, and Young Adults (CTYA) cancer.
One occurrence of this data group is permitted.
M/R/OData Set Data Elements
RTUMOUR RUPTURE INDICATOR (PATHOLOGICAL)
RANAPLASTIC NEPHROBLASTOMA TYPE
RTUMOUR INVASION INDICATOR (PERIRENAL FAT)
RTUMOUR INVASION INDICATOR (RENAL SINUS)
RRENAL VEIN TUMOUR INDICATOR (PAEDIATRIC KIDNEY)
RVIABLE TUMOUR EVIDENCE AT RESECTION MARGIN
RINTERNATIONAL SOCIETY OF PAEDIATRIC ONCOLOGY TUMOUR LOCAL STAGE

GYNAECOLOGICAL - PATHOLOGY

To carry pathology details for Gynaecological cancer.
One occurrence of this data group is permitted.
M/R/OData Set Data Elements
RMICROSCOPIC INVOLVEMENT INDICATION CODE (FALLOPIAN TUBE)
RMICROSCOPIC INVOLVEMENT INDICATION CODE (OVARIAN)
RMICROSCOPIC INVOLVEMENT INDICATION CODE (UTERINE SEROSA)
ROMENTUM INVOLVEMENT INDICATION CODE

GYNAECOLOGICAL: FALLOPIAN TUBE, OVARIAN EPITHELIAL AND PRIMARY PERITONEAL - PATHOLOGY

To carry pathology details for Gynaecological cancer for Fallopian Tube, Ovarian Epithelial and Primary Peritoneal.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RGYNAECOLOGICIAL CAPSULE STATUS
ROVARY SURFACE INVOLVEMENT INDICATOR
RPERITONEAL CYTOLOGY RESULT CODE
RPERITONEAL INVOLVEMENT INDICATION CODE

GYNAECOLOGICAL: ENDOMETRIAL - PATHOLOGY

To carry pathology details for Gynaecological cancer for Endometrial.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RMICROSCOPIC INVOLVEMENT INDICATOR (CERVICAL STROMA)
RMYOMETRIAL INVASION IDENTIFICATION CODE
RMICROSCOPIC INVOLVEMENT INDICATOR (PARAMETRIUM)
RPERITONEAL WASHINGS IDENTIFIED
RPERITONEAL INVOLVEMENT INDICATOR (ENDOMETRIAL CANCER)
RGYNAECOLOGICIAL CANCER SITE OF PERITONEAL INVOLVEMENT

GYNAECOLOGICAL: CERVICAL - PATHOLOGY

To carry pathology details for Gynaecological cancer for Cervical.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RCERVICAL GLANDULAR INTRAEPITHELIAL NEOPLASIA PRESENCE AND GRADE
RCERVICAL INTRAEPITHELIAL NEOPLASIA PRESENCE AND GRADE
RSMILE INDICATION CODE
RRESECTION MARGIN INVOLVEMENT INDICATOR
RPARACERVICAL OR PARAMETRIAL INVOLVEMENT INDICATOR
RUNINVOLVED CERVICAL STROMA THICKNESS
RMICROSCOPIC INVOLVEMENT INDICATOR (VAGINAL)
RINVASIVE THICKNESS

GYNAECOLOGICAL: NODES - PATHOLOGY

To carry pathology details for Gynaecological cancer for Nodes.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RNUMBER OF NODES EXAMINED (PARA-AORTIC)
RNUMBER OF NODES POSITIVE (PARA-AORTIC)
RNUMBER OF NODES EXAMINED (PELVIC)
RNUMBER OF NODES POSITIVE (PELVIC)
RNUMBER OF NODES EXAMINED (INGUINO-FEMORAL)
RNUMBER OF NODES POSITIVE (INGUINO-FEMORAL)
REXTRANODAL SPREAD INDICATOR

HEAD AND NECK: VARIOUS - PATHOLOGY

To carry pathology details for various Head and Neck cancers.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RMAXIMUM DEPTH OF INVASION
RBONE INVASION INDICATION CODE
RCARTILAGE INVASION INDICATION CODE
RANATOMICAL SIDE (NECK DISSECTION)

HEAD AND NECK: SALIVARY - PATHOLOGY

To carry salivary pathology details for Head and Neck cancer.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
MMACROSCOPIC EXTRAGLANDULAR EXTENSION INDICATION CODE

HEAD AND NECK: GENERAL AND SALIVARY - PATHOLOGY

To carry general and salivary pathology details for Head and Neck cancer.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RANATOMICAL SIDE (POSITIVE NODES)
RLARGEST METASTASIS (LEFT NECK)
RLARGEST METASTASIS (RIGHT NECK)
REXTRACAPSULAR SPREAD INDICATION CODE

HEAD AND NECK: HUMAN PAPILLOMAVIRUS (HPV) - PATHOLOGY

To carry human papilloma virus pathology details for Head and Neck cancer.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RP16 IMMUNOHISTOCHEMISTRY TEST RESULT
RHUMAN PAPILLOMAVIRUS IN SITU HYBRIDISATION TEST RESULT

LUNG - PATHOLOGY

To carry pathology details for Lung cancer.
One occurrence of this data group is permitted.
M/R/OData Set Data Elements
REXTENT OF ATELECTASIS
REXTENT OF PLEURAL INVASION
RTUMOUR INVASION INDICATOR (PERICARDIUM)
RTUMOUR INVASION INDICATOR (DIAPHRAGM)
RTUMOUR INVASION INDICATOR (GREAT VESSELS)
RTUMOUR INVASION INDICATOR (HEART)
RMALIGNANT PLEURAL EFFUSION INDICATOR
RTUMOUR INVASION INDICATOR (MEDIASTINUM) 
RSATELLITE TUMOUR NODULES LOCATION

SARCOMA: BONE AND SOFT TISSUE - PATHOLOGY

To carry pathology details for Sarcoma for Bone and Soft Tissue.
One occurrence of this data group is permitted.
M/R/OData Set Data Elements
RGENETIC CONFIRMATION INDICATOR

SARCOMA: BONE - PATHOLOGY

To carry pathology details for Sarcoma for Bone.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RSARCOMA TUMOUR BREACH IDENTIFIER
RTUMOUR NECROSIS PERCENTAGE

SARCOMA: SOFT TISSUE - PATHOLOGY

To carry pathology details for Sarcoma for Soft Tissue.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RSARCOMA TUMOUR DEPTH
RMITOTIC RATE (SARCOMA)

SKIN: BASAL CELL CARCINOMAS (BCC) - PATHOLOGY

To carry pathology details for Basal Cell Carcinoma (BCC) for skin cancer.
One occurrence of this group is required.
M/R/OData Set Data Elements
RSKIN CANCER LESION SPECIMEN IDENTIFIER
RPERINEURAL INVASION INDICATOR (SKIN)  
RLESION DIAMETER GREATER THAN 20MM INDICATION CODE

SKIN: SQUAMOUS CELL CARCINOMA (SCC) - PATHOLOGY

To carry pathology details for Squamous Cell Carcinoma (SCC) for skin cancer.
One occurrence of this group is required.
M/R/OData Set Data Elements
RSKIN CANCER LESION SPECIMEN IDENTIFIER
RPERINEURAL INVASION INDICATOR (SKIN)
RLESION DIAMETER GREATER THAN 20MM INDICATION CODE
RCLARKS LEVEL IV INDICATION CODE
RLESION VERTICAL THICKNESS GREATER THAN 2MM INDICATION CODE

SKIN: MALIGNANT MELANOMA (MM) - PATHOLOGY

To carry pathology details for Malignant Melanoma (MM) for skin cancer.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RSKIN CANCER LESION SPECIMEN IDENTIFIER
RSKIN ULCERATION INDICATION CODE
RMITOTIC RATE (SKIN)
RMICROSATELLITE OR IN-TRANSIT METASTASIS INDICATION CODE
RTUMOUR REGRESSION INDICATION CODE (SKIN)
RBRESLOW THICKNESS
RTUMOUR INFILTRATING LYMPHOCYTE TYPE
RNUMBER OF SENTINEL NODES SAMPLED
RNUMBER OF SENTINEL NODES POSITIVE
RNUMBER OF NODES SAMPLED (POST SENTINEL NODE COMPLETION LYMPHADENECTOMY)
RNUMBER OF NODES POSITIVE (POST SENTINEL NODE COMPLETION LYMPHADENECTOMY)

UPPER GASTROINTESTINAL (GI): VARIOUS - PATHOLOGY

To carry pathology details for various Upper Gastrointestinal (GI) cancers.
One occurrence of this data group is permitted.
M/R/OData Set Data Elements
RNUMBER OF COLORECTAL METASTASES IN LIVER
RMARGIN INVOLVED INDICATION CODE (PROXIMAL OR DISTAL RESECTION MARGIN)
RMARGIN INVOLVED INDICATION CODE (CIRCUMFERENTIAL MARGIN)

UROLOGICAL: BLADDER - PATHOLOGY

To carry pathology details for Urological cancer for the bladder.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RDETRUSOR MUSCLE PRESENCE INDICATION CODE
RTUMOUR GRADE (UROLOGY)

UROLOGICAL: KIDNEY - PATHOLOGY

To carry pathology details for Urological cancer for the kidney.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RTUMOUR NECROSIS INDICATION CODE
RTUMOUR INVASION INDICATOR (PERINEPHRIC FAT)
RTUMOUR INVASION INDICATION CODE (DIRECT ADRENAL)
RRENAL VEIN TUMOUR THROMBUS INDICATION CODE (UROLOGICAL)
RTUMOUR INVASION INDICATOR (GEROTAS FASCIA)

UROLOGICAL: PENIS - PATHOLOGY

To carry pathology details for Urological cancer for the penis.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RTUMOUR INVASION INDICATOR (CORPUS SPONGIOSUM)
RTUMOUR INVASION INDICATOR (CORPUS CAVERNOSUM)
RTUMOUR INVASION INDICATOR (URETHRA OR PROSTATE)

UROLOGICAL: PROSTATE - PATHOLOGY

To carry pathology details for Urological cancer for prostate.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RGLEASON GRADE (PRIMARY)
RGLEASON GRADE (SECONDARY)
RGLEASON GRADE (TERTIARY)
RPERINEURAL INVASION INDICATOR (UROLOGICAL)
RTURP TUMOUR PERCENTAGE

UROLOGICAL: TESTICULAR - PATHOLOGY

To carry pathology details for Urological cancer for testicular.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
MTUMOUR INVASION INDICATOR (RETE TESTIS)
ISO 9001 CERTIFICATION EUROPE