Colorectal screening up-to-date (FIT, colonoscopy, or sigmoidoscopy)
Clinical Quality & Outcomes
How this indicator is defined
Methodology version v1.0
Percentage of rostered patients eligible for colorectal cancer screening who are up to date by any accepted modality (FIT, colonoscopy, or flexible sigmoidoscopy).
Proportion of eligible patients (composite)
The percentage of eligible patients (the denominator) who meet ANY of these criteria: FIT (fecal immunochemical test) (within 2 years) OR Colonoscopy (within 10 years) OR Flexible sigmoidoscopy (within 5 years). Each patient is counted once.
Data inputs
- FIT (fecal immunochemical test) — LOINC 57905-2
- Colonoscopy — SNOMED CT 73761001
- Flexible sigmoidoscopy
Derived from
What this indicator measures— Name, alignment, goal, rationale.
- Indicator nameField 1 — Indicator name
- Colorectal screening up-to-date (FIT, colonoscopy, or sigmoidoscopy)
- AlignmentField 2 — Alignment
- ColonCancerCheck (Ontario Health) — colorectal screening program
- Ontario Health MyPractice Primary Care indicator catalogue
- Strategic goalField 3 — Strategic goal
- Ensure eligible patients are up to date on colorectal cancer screening by ANY accepted modality, reflecting the real-world choice between stool-based and endoscopic screening.
- RationaleField 5 — Rationale
- Colorectal cancer screening is effective through multiple modalities with different intervals. A composite 'up-to-date by any modality' measure reflects how screening is actually delivered and avoids under-counting patients screened by colonoscopy.
How it's computed— Scoring method, numerator, denominator, inclusions, exclusions.
- NumeratorField 6 — Numerator
- Active rostered patients in the denominator with at least one FIT within 2 years OR one colonoscopy within 10 years OR one flexible sigmoidoscopy within 5 years of period end.
- DenominatorField 7 — Denominator
Active rostered patients, sex=F or M, age 50–74 at reporting-period end.
- Sex eligibility: F, M
- Age range: 50–74
- Active as of reporting-period end: yes
- ExclusionsField 9 — Exclusions
- Patients with total colectomy.
- Patients with inflammatory bowel disease (higher-risk surveillance pathway).
- Patients deceased before the reporting-period end date.
How patients are attributed— Attribution rule and risk adjustment.
- Attribution ruleField 10 — Attribution rule
- Enrolment (rostered)
- Risk-adjustment modelField 11 — Risk-adjustment model
- None
How comparison works— Peer group, reliability threshold, peer comparator.
- Reliability thresholdField 13 — Reliability threshold
- 30
Data + reporting— Data source, reporting frequency, direction of improvement, limitations.
- Reporting frequencyField 15 — Reporting frequency
- quarterly
- Direction of improvementField 16 — Direction of improvement
- Higher is better
Targets + governance— Target, justification, owner, review, approval, version, notes.
- TargetField 18 — Target
- 65.0% — the clinic's target for this indicator, set by the product owner.
- Methodology versionField 23 — Methodology version
- v1.0