Updated in December 2020

Access Pre Scan

Entity	Data Element	Definition	Format	Valid Values	Purpose and Use	Change
Request Specific Information
Access Pre_Scan	Province	Province code where PET Centre of Choice is located	CHAR 2	Use official 2-letter abbreviation as per CIHI for Canadian provinces. See abbreviation for Canadian provinces in the Appendix B.	Required in order to see the list of available PET Centres within that province	New in 2017-18
Access Pre_Scan	PET Centre	The PET Centre of choice chosen by the referring physician.	char100	For the list of available PET centres see Appendix 13.11.	Required for scheduling scans.
Access Pre_Scan	Disease Category	Category of the disease.	char50	Oncology (adult), Oncology (paediatric).	Required for request adjudication.
Access Pre_Scan	Disease Site (Topography)	Disease site of origin of a neoplasm.	char100	Valid ICD-0-3 diagnoses are accepted. See Appendix 13.1.	Required for request adjudication. Used to report requests by diseases site group.
Access Pre_Scan	Disease Site (Topography) Other (specify):	Disease site of origin of a neoplasm if not is the provided pre-defined list of Diagnosis (Topography).	char100	Alphanumeric with special characters, only available when Disease Site (Topography) - other category selected.	Required for request adjudication. Used to report requests by diseases site group.
Access Pre_Scan	Histology Confirmation Flag	A flag that states whether histology has been confirmed.	char1	Checked or not checked.	Required for request adjudication. Used to report requests by histology.
Access Pre_Scan	Histology	Tumour or cell type.	char100	Valid ICD-0-3 histology codes are accepted. See Appendix 13.2.	Required for request adjudication. Used to report requests by histology.
Access Pre_Scan	Histology Other (specify)	Tumour or cell type if not is the provided pre-defined list of Histology.	char100	Alphanumeric with special characters, only available when Histology - other category selected.	Required for request adjudication; Used to report requests by histology
Access Pre_Scan	Reason why histology not confirmed	Provides a reason why the histology is not confirmed.	char100	Alphanumeric including special characters.	Required for request adjudication.
Access Pre_Scan	Clinical stage - Stage Group	The extent and severity of the cancer reported by clinicians before cancer surgery has been performed.	char10	Valid cancer stage group values are accepted. See Appendix 13.3.	Required for request adjudication and clinical reporting.
Access Pre_Scan	Clinical stage T category	The extent of the primary tumour reported by clinicians before cancer directed surgery has been performed.	char10	Valid cancer stage T category values are accepted. See Appendix 13.4.	Required for request adjudication and clinical reporting.
Access Pre_Scan	Clinical stage N category	The absence or presence and extent of regional lymph node metastatic reported by clinicians before cancer surgery has been performed.	char10	Valid cancer stage N category values are accepted. See Appendix 13.5.	Required for request adjudication and clinical reporting.
Access Pre_Scan	Clinical stage M category	The absence or presence of distant metastasis reported by clinicians before cancer directed surgery has been performed.	char10	Valid cancer stage M category values are accepted. See Appendix 13.6.	Required for request adjudication and clinical reporting.
Access Pre_Scan	Pathological stage - Stage Group	Pathologic Staging is applied to cases where surgery was completed to remove or explore the extent of the cancer.	char10	Valid cancer pathological stage values are accepted. See Appendix 13.3.	Required for request adjudication and clinical reporting.
Access Pre_Scan	Pathological stage T category	The extent of the primary tumour reported by a pathologist after cancer directed surgery has been performed.	char10	Valid cancer stage T category values are accepted. See Appendix 13.4.	Required for request adjudication and clinical reporting.
Access Pre_Scan	Pathological stage N category	The absence or presence and extent of regional lymph node metastasis reported by a pathologist after cancer surgery has been performed.	char10	Valid cancer stage N category values are accepted. See Appendix 13.5.	Required for request adjudication and clinical reporting.
Access Pre_Scan	Pathological stage M category	The absence or presence of distant metastatic reported by a pathologist after cancer surgery has been performed.	char10	Valid cancer stage M category values are accepted. See Appendix 13.6.	Required for request adjudication and clinical reporting.
Access Pre_Scan	Purpose of scan	The purpose for the request.	char100	Pre-defined PET Scan indications: Diagnosis, Staging, Prognostic value, Risk stratification/Response Assessment, Response-adapted Therapy, Surveillance/Recurrence, Restaging, Treatment planning, Other (specify)	Required for request adjudication.
Access Pre_Scan	Purpose of scan (Other)	Text free field "Other" that will be available when check box "Other" is selected in the purpose section.	char100	Alphanumeric and special characters, only available when Purpose of scan - Other (specify) is selected.	Required for request adjudication.
Access Pre_Scan	Was this patient discussed at a Multiple Cancer Conference (MCC)?	Confirmation if patient was discussed at an MCC or not	CHAR 10	Numeric	Required for request adjudication.	New in 2020-21
Access Pre_Scan	What is the clinical question to be answered with PET?	Describes what the referring physician is trying to ascertain by using PET	CHAR 500	Alpharanumeric and special characters	Required for request adjudication.	New in 2020-21
Access Pre_Scan	Potential influence of PET scan results		char250	Pre-defined options: Determine whether treatment vs. observation; Determine whether surgery vs. chemotherapy/radiotherapy/combination; Determine whether to alter current therapy (continue, add, change dose or type); Determine whether to give curative vs. palliative treatment; If chemotherapy, determine single vs. combined treatment modality; Other (specify)	Required for request adjudication.
Access Pre_Scan	Potential influence of PET scan results: Other (Specify)	Text free field "Other" that will be available when "Other" is selected in the previous data field.	char100	Free text field; only available when Other is selected in the "Potential influence of PET scan results" field.	Required for request adjudication. Used to report requests by influence of PET scan result.
Access Pre_Scan	If PET scan is positive	Describes expected patient management if the PET scan result is positive.	char250	Alphanumeric and special characters.	Required for request adjudication.
Access Pre_Scan	If PET scan is negative	Describes expected patient management if the PET scan result is negative.	char250	Alphanumeric and special characters.	Required for request adjudication.
Access Pre_Scan	What will a PET scan demonstrate that cannot be proven by other means?	Details what a PET scan will demonstrate that cannot be proven by other means.	char500	Alphanumeric and special characters.	Required for request adjudication.
Access Pre_Scan	Type of Radiopharmaceutical.	The type of Radiopharmaceutical.	CHAR 50	Alphanumeric and special characters Valid Values include: - 'FDG' - 'Other (specify)' - Ga68-DOTATATE - PSMA	Required for request adjudication. Used to report requests by Type of Radiopharmaceutical	New in 2020-21
Access Pre_Scan	Type of Radiopharmaceutical - Other (specify)	The type of radipharmaceutical if not available in the predefined drop down list	CHAR 50	Alphanumeric and special characters	Used to report requests by Type of Radiopharmaceutical;and Provision of information to PET Steering and/or Ministry.	New in 2020-21
Relevant Imaging Studies
Access Pre_Scan	Prior Imaging Study	Type of imaging study.	char50	See Appendix 13.7 for the pre-defined list of the imaging studies.	Required for request adjudication.
Access Pre_Scan	Prior Imaging Study (other)	Free form text when Prior Imaging Study is set to Other.	char100	Free form text.	Required for request adjudication.
Access Pre_Scan	Body Region	Body region of the imaging study.	char50	See Appendix 13.8 for pre-defined list of Body regions.	Required for request adjudication.
Access Pre_Scan	Body Region (other)	Free form text when Body Region is set to Other.	char50	Free form text.	Required for request adjudication.
Access Pre_Scan	Date of Prior Imaging Study	Date of imaging study.	YYYYMMDD	Valid Date Value between 19000101 and current date.	Required for request adjudication.
Access Pre_Scan	Imaging Study To Be:	How the imaging study will be made available, either faxed or attached via the eTool.	char50	Pre-defined options: Faxed Uploaded in Attached Files section	Required for request adjudication.
Relevant Biomarkers
Access Pre_Scan	Biomarker	Name of biomarker tested.	char50	See Appendix 13.9 for the pre-defined list of the imaging studies.	Required for request adjudication.
Access Pre_Scan	Biomarker (other)	Free form text when biomarker is set to Other.	char100	Free form text.	Required for request adjudication.
Access Pre_Scan	Value	Result value of biomarker.	char50	Alphanumeric including special characters.	Required for request adjudication.
Access Pre_Scan	Units of Measure	Units of Measure for biomarker result value.	char10	Alphanumeric including special characters.	Required for request adjudication.
Access Pre_Scan	Test Date	Date biomarker test performed.	YYYYMMDD	Valid Date Value between 19000101 and current date.	Required for request adjudication.
Uploaded Files
Access Pre_Scan	File Type	Description of clinical document.	char500	See Appendix 13.10 for the list of clinical document types.	Required for request adjudication.
Access Pre_Scan	File	Uploaded electronic file.	char100	Supporting file types: PDF, DOC, DOCX, XLS, XLSX, PPT, PPTX, TXT	Required for request adjudication.
Access Pre_Scan	File Type (other)	Free form text when File Type is set to Other.	char100	Free form text.	Required for request adjudication.
Patient Consent
Access Pre_Scan	Patient consent flag	A flag that states whether the patient consents to his or her data being linked with other data sources, and/or consents to the scan.	char1	Checked or not checked.	Required for data collection and reporting.
General Comments
Access Pre_Scan	General Comments	General comments provided by the user.	char500	Alphanumeric including special characters.	Required for request adjudication.
Update/Appeal Comments (additional data fields only when requested)
Access Pre_Scan	Update comments	Reason for update (i.e., Updated Information, Seeking Second Opinion, etc.)b	char500	Alphanumeric including special characters.	Required for request adjudication.
Access Pre_Scan	Reason for appeal	Reason for appeal (i.e., Updated Information, etc.)b	char500	Alphanumeric including special characters.	Required for request adjudication.