Brachytherapy > Patient

Entity

Data Element

Definition

Format

Valid Values

Purpose and Use

Changes

Patient

Facility ID

The Facility code of the RCC applying for reimbursement.

VARCHAR(4)

4 digit numerical entry. Refer to Appendix A for codes.

Used to identify the RCC for the purpose of determining eligibility for brachytherapy reimbursement and for health system planning.

Patient

Medical Record Number

Internal patient identifier in the hospital.

VARCHAR2 (12)

12-digit numerical entry.

Used to identify the patient for the purpose of determining eligibility for brachytherapy reimbursement and for health system planning.

Patient

Ontario Health Insurance Number

The OHIN number of the patient requesting brachytherapy reimbursement.

VARCHAR2 (12)

10-digit numerical entry.

Used to identify the patient for the purpose of reimbursement and health system planning.

Patient

Patient Surname

The surname of the patient requesting brachytherapy reimbursement.

VARCHAR2 (20)

Alphabetic entry. 

Used to identify the patient for the purpose of determining eligibility for brachytherapy reimbursement and for health system planning.

Patient

Patient First Name

The first name of the patient requesting brachytherapy reimbursement.

VARCHAR2 (15)

Alphabetic entry.

Used to identify the patient for the purpose of determining eligibility for brachytherapy reimbursement and for health system planning.

Patient

Patient Date of Birth

The date of birth of the patient requesting brachytherapy reimbursement.

DATE

DD-MM-YYYY.

Used to identify the patient for the purpose of determining eligibility for brachytherapy reimbursement and for health system planning.

Patient

Date of Prostate Biopsy

The date the prostate biopsy was performed that lead to a treatable cancer diagnosis.

DATE

DD-MM-YYYY.

Used to identify the date of diagnosis for the purpose of determining eligibility for brachytherapy reimbursement and for health system planning.

Patient

Combined Gleason Score

Prostate cancer grading score.

NUMBER (2)

Numeric entry, within the range of 2 to 6.

Used to ensure that the request for reimbursement fits within the predefined reimbursement guidelines for the purpose of determining eligibility for brachytherapy reimbursement and for health system planning.

Patient

Clinical Stage

Clinical stage of the patient.

VARCHAR2 (2)

Alphanumeric entry.  Refer to Appendix C for the Ontario Health (Cancer Care Ontario) staging policy.

Used to ensure that the request for reimbursement fits within the predefined reimbursement guidelines for the purpose of determining eligibility for brachytherapy reimbursement and for health system planning.

Patient

Serum PSA (Prior to Any Hormone Use)

Prostate specific antigen in serum.

NUMBER (4,2)

Numeric values between 0.01 to 10.00, up to 2 decimal places.

Used to ensure that the request for reimbursement fits within the predefined reimbursement guidelines and health system planning.

Patient

Neo-adjuvant Hormone Use

Use of hormone prior to radiation treatment.

VARCHAR2 (1)

Y = Yes, or, N = No.

For patient clinical data for the purpose of determining eligibility for brachytherapy reimbursement and for health system planning.

Patient

Brachythreapy Indication

Treatment plan type

VARCHAR (40)

Brachytherapy as Monotherapy, Brachythreapy as Boost

Used to ensure that the request for reimbursement fits within the predefined reimbursement guidelines for the purpose of determining eligibility for brachytherapy reimbursement and for health system planning.

Patient

Attending Radiation Oncologist

Name of responsible radiation oncologise

VARCHAR (40)

Alphabetic entry.

Used to identify the attending physician for the purpose of determining eligibility for brachytherapy reimbursement and for health system planning.

Patient

RTOG Study

Recognized participation in Radiation Therapy Oncology Group studies (RTOG).

VARCHAR2 (1)

Y = Yes, or, N = No.

Used to ensure that the request for reimbursement fits within the predefined reimbursement guidelines for the purpose of determining eligibility for brachytherapy reimbursement and for health system planning.

Patient

Comments

Comments

VARCHAR (100)

Alphabetic entry.

Used to allow attending radiation oncologist to track comments for the purpose of determining eligibility for brachytherapy reimbursement and for health system planning.