Sign-Off Name Title and Business Unit Other Comments Date of Approval & Signature Sherrie Hertz Group Manager Specialized Services Oversight Document Concurrences Name and Business Unit Other Comments Victoria Hagens Group Manager, Performance Management Cancer Planning and Regional Program Development Harry Johnson Project Manager Specialized Services Oversight Cassandra McKay Senior Specialist, Policy Specialized Services Oversight Amanda Wong Coordinator, Program Specialized Services Oversight
08 IR Multidisciplinary Cancer Conference Review MCC_Review Was this case discussed at MCC prior to the procedure? Drop Down: Yes No If provided, must be one of the options in the drop down All Quality assurance Optional 09 IR Date of MCC Date_of_MCC Date of MCC review (if MCC Review is Yes) CHAR(8) YYYYMMDD Valid Date If provided, must be on or before procedure date All Quality assurance Optional 10 IR Type of Ablation Procedure Type of procedure used for ablation Drop Down: RFA - Radio Frequency Ablation TACE - Conventional / Ethiodol Based TACE - Drug Eluting Select from drop down All Funding Yes (Yes) 11 IR Procedure Date Date of procedure CHAR(8) YYYYMMDD Valid Date Must be on or after date of consultation and must be in current reporting period All Funding Yes (Yes) 12 IR Specialty of Primary Operator Specialty of Primary Operator Drop Down: Radiologist / Interventional Radiologist Surgeon Other, Specify Select from drop down All Planning Yes 13 IR Specialty, Other Specialty_Other Other, Specify CHAR(80) Free text All Planning Only if Specialty of Primary Operator = “Other, Specify” 14 IR Procedure Site and Disease Procedure site and disease Drop Down: - Hepatocellular carcinoma Liver - Colorectal Cancer Metastases Lung - Primary Lung - Metastases Kidney - Renal cell carcinoma Select from drop down All Funding Yes 15 IR Number of Probes Used Number of RFA probes used Number (1) Integer number between 1 and 9 RFA Only Funding Optional
16 IR Number of Lesions Treated Number of lesions treated Drop down: 1 2 3 4 5 or more If provided, must be one of the options in the drop down RFA Only Clinical criteria For RFA Only 17 IR Size of Largest Lesion Size (diameter) of largest lesion in cm Number (2.1) If provided, must be a number between 0.1 and 30.0 RFA Only Clinical Criteria For RFA Only 18 IR Image Guidance Image_Guidance Type of image guidance used during the procedure Drop down: CT Fluoroscopy MRI Ultrasound CT + Ultrasound CT + Fluoroscopy If provided, must be one of the options in the drop down All Planning Optional 19 IR Tumour Access Tumour_Access Level of procedure invasiveness Drop down: Percutaneous Laparoscopic Open Surgical If provided, must be one of the options in the drop down All Planning / Quality Optional 20 IR Patient Stay Patient_Stay Modality of patient stay Drop down: In-patient procedure Out-patient procedure If provided, must be one of the options in the drop down TACE Only Funding For TACE only
Validations: Content Errors, Record Not Rejected 400) Number Entity Data Element Condition Error Message Reject 491 Procedure Site and Disease Procedure_Site_and_Disease Procedure Site and Disease <> 'Liver - Hepatocellular carcinoma' and Type_of_Ablation_Procedure <> ‘RFA’ A site other than "Liver - Hepatocellular carcinoma" was reported for a TACE procedure. Is this correct? No 492 Number of Probes Used Number_of_Probes_Used Is Null and Type_of_Ablation_Procedure = ‘RFA’ Warning: since "number of probes used" was not entered for an RFA procedure, it is assumed one probe was used. No 493 Number of Probes Used Number_of_Probes_Used Is not Null and Type_of_Ablation_Procedure <> ‘RFA’ Number of Probes Used was reported for a TACE procedure. This is expected only for RFA. No 494 Number of Lesions Treated Number_of_Lesions_Treated Is not Null and Type_of_Ablation_Procedure <> ‘RFA’ Number of lesions treated was reported for a TACE procedure. This is expected only for RFA. No 495 Size of Largest Lesion Size_of_Largest_Lesion Is not Null and Type_of_Ablation_Procedure <> ‘RFA’ Size of largest lesion was reported for a TACE procedure. This is expected only for RFA. No 496 Patient Stay Patient_Stay Is not Null and Type_of_Ablation_Procedure = ‘RFA’ Patient Stay Modality was reported for an RFA procedure. This information is not required for RFA. No Validations: Duplicate or Apparent Duplicate Records (Level 500) No. Entity Data Element Condition Error Message Reject 501 Uniqueness of procedure Health Card Number Facility Number Procedure Date Type of Ablation Procedure The four data elements (Health Card Number, Facility Number, Procedure Date, and Procedure Type) are the same for two records in the same file. Error: Apparent duplicate records Yes 502 Facility number Facility Number Facility number in the data does not match with the facility number selected on user interface. Facility number mismatch Yes