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National Bowel Cancer Screening Program: PI 03-Diagnostic assessment rate

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termNational Bowel Cancer Screening Program diagnostic assessment rate
Synonymous names:Help on this termNBCSP diagnostic assessment rate
METeOR identifier:Help on this term694162
Registration status:Help on this termHealth, Standard 06/09/2018
Description:Help on this term

The proportion of people who returned a positive National Bowel Cancer Screening Program (NBCSP) screening test in a defined 12-month period, and had a follow-up diagnostic assessment, measured 12 months after the defined period.

Rationale:Help on this term

The appropriate movement of people from participation to diagnostic assessment is a key indicator of the efficiency and the impact of the program in reducing morbidity and mortality from colorectal cancer.

While not all participants with a positive screen will necessarily undergo assessment, according to the Population Based Screening Framework (APHDPC 2008), systems should be in place to ensure timely follow-up to diagnostic assessment for individuals with a positive screening test.

Assessment services should be managed in a way that provides equity of access to the relevant assessment services regardless of geographic location, ethnicity or socioeconomic status. Annual monitoring of the diagnostic assessment rate by various stratifications may reveal emerging positive or negative trends that need to be investigated and rectified if necessary.

To reduce the effect of any lag time between invitation, positive screen and diagnostic assessment, this indicator includes all those with a positive screen in the defined period, not all those invited in the defined period.

Indicator set:Help on this termNational Bowel Cancer Screening Program performance indicators 2019– Health, Standard 06/09/2018

Collection and usage attributes

Computation:Help on this term

100 x (Numerator ÷ Denominator)

Numerator:Help on this term

The number of people who received a positive NBCSP screen in a defined 12-month period and had a follow-up assessment within the defined period or the following 12 months.

Numerator data elements:Help on this term
Data Element / Data SetPerson—person identifier, X[X(19)]
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPatient—cancer diagnostic assessment type, bowel cancer code N
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—cancer screening test result, bowel cancer code N[A]
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—disease screening test results sent date, DDMMYYYY
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Denominator:Help on this term

The number of people who received a positive screen in a defined 12-month period.

Denominator data elements:Help on this term
Data Element / Data SetPerson—person identifier, X[X(19)]
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—cancer screening test result, bowel cancer code N[A]
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—disease screening test results sent date, DDMMYYYY
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—disease screening test analysis date, DDMMYYYY
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Disaggregation:Help on this term

Items will be presented by sex and age group, by:

  • State and territory
  • Socioeconomic status
  • Remoteness area
  • Indigenous status
  • Main language spoken at home
  • Disability status
  • Diagnostic assessment type
  • Patient election status

Some disaggregation may result in numbers too small for publication.

Disaggregation data elements:Help on this term
Data Element / Data SetPerson—sex, code X
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—age, total years N[NN]
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—Australian state/territory identifier, code N
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—area of usual residence, statistical area level 1 (SA1) code (ASGS 2016) N(11)
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—geographic remoteness, classification (ASGS-RA) N
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—main language other than English spoken at home, code (ASCL 2016) N[NNN]
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—disability status, yes/no/not stated/inadequately described code N
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPatient—cancer diagnostic assessment type, bowel cancer code N
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPatient—election status, code N
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termPerson
Format:Help on this term

NN.N

Data source attributes

Data sources:Help on this term
Data SourceNational Bowel Cancer Screening Program (NBCSP)
Frequency
6-monthly (register snapshot)
Data custodian

Medicare Australia (Medicare Australia merged with the Department of Human Services in 2011)


Source and reference attributes

Submitting organisation:Help on this term

Australian Institute of Health and Welfare

Reference documents:Help on this term

APHDPC (Australian Population Health Development Principal Committee) 2008. Population Based Screening Framework. Canberra: Commonwealth of Australia. Viewed 28 March 2018, http://www.health.gov.au/internet/screening/
publishing.nsf/Content/population-based-screening-framework

Relational attributes

Related metadata references:Help on this term

Supersedes National Bowel Cancer Screening Program: PI 03-Diagnostic assessment rate Health, Superseded 06/09/2018

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