|
Data Items Collected | Classification
|
|
Estimated Length Of Procedure | Activity / Efficiency
|
Induction Start Time | Activity / Efficiency
|
Non Attendance Reason | Activity / Efficiency
|
Non Attendance Reason For Admission | Activity / Efficiency
|
Postop Appointment Non Attendance Reason |
Activity / Efficiency
|
Recovery End Time | Activity / Efficiency
|
Time Into Theatre | Activity / Efficiency
|
Time Out Of Theatre | Activity / Efficiency
|
Allergies | Clinical
|
ASA Status | Clinical
|
Deaths | Clinical
|
Diagnosis | Clinical
|
Discharge Comments | Clinical
|
Discipline | Clinical
|
District Nurse Comments | Clinical
|
Evidence Of Wasting | Clinical
|
Has The Patient Been Readmitted to GMSCDetails
| Clinical |
Has The Patient Been Readmitted to GMSC? |
Clinical |
Has The Patient Been Readmitted to HospitalDetails
| Clinical |
Has The Patient Been Readmitted to Hospital?
| Clinical |
Has The Patient Had An Uneventful RecoveryDetails
| Clinical |
Has The Patient Had An Uneventful Recovery?
| Clinical |
Height | Clinical
|
Histology Results Available | Clinical
|
Histology Results Available Comments | Clinical
|
Histology Taken | Clinical
|
Indications For Surgery | Clinical
|
IntraOperative Blood Loss | Clinical
|
IntraOperative Complications | Clinical
|
IntraOperative Complications Details | Clinical
|
Is Chair or Stretcher Required For Admission
| Clinical |
Is Chair or Stretcher Required For Further Postop Appointment
| Clinical |
Is Chair or Stretcher Required For Postop Appointment
| Clinical |
Is Chair or Stretcher Required For Preop Assessment
| Clinical |
Is The Patient Taking Medication | Clinical
|
Is The Patient Taking Medication (Confirmation At Preop Assessment)
| Clinical |
Laterality Operated On | Clinical
|
Laterality To Be Operated On | Clinical
|
Medication Dose | Clinical
|
Medication Dose (Confirmation At Preop Assessment)
| Clinical |
Medication Frequency | Clinical
|
Medication Frequency (Confirmation At Preop Assessment)
| Clinical |
Medication Name | Clinical
|
Medication Name (Confirmation At Preop Assessment)
| Clinical |
Medication route | Clinical
|
Medication route (Confirmation At Preop Assessment)
| Clinical |
Medication To Take HomeDose | Clinical
|
Medication To Take HomeFrequency |
Clinical |
Medication To Take HomeFurther Supply From GP Required
| Clinical |
Medication To Take HomeName | Clinical
|
Medication To Take HomeRoute | Clinical
|
Occupational Therapist Comments | Clinical
|
Occupational Therapist Comments (Confirmation At Preop Assessment)
| Clinical |
Other Procedures Performed | Clinical
|
Patient MobilityBed Bound | Clinical
|
Patient MobilityHouse Bound | Clinical
|
Patient MobilityStairs | Clinical
|
Patient MobilityTransfer | Clinical
|
Patient MobilityWalking | Clinical
|
Patient MobilityWalking Aid Used |
Clinical |
Patient MobilityWheelchair Bound |
Clinical |
Patient Passed Away | Clinical
|
Patient Related Outcome MeasuresAnderson-McGall Hand Function Questionnaire
| Clinical |
Patient Related Outcome MeasuresFoot Function Index
| Clinical |
Patient Related Outcome MeasuresGeneric Patient Follow Up Questionnaire
| Clinical |
Patient Related Outcome MeasuresHip Harris Score
| Clinical |
Patient Related Outcome MeasuresKnee Injury & Osteoarthritis Outcome Score
| Clinical |
Patient Related Outcome MeasuresKnee Society Rating Score
| Clinical |
Patient Related Outcome MeasuresLeeds Dyspepsia
| Clinical |
Patient Related Outcome MeasuresLower Extremity Range of Motion - Foot
| Clinical |
Patient Related Outcome MeasuresOxford Hip Score
| Clinical |
Patient Related Outcome MeasuresUpper Extremity Range of Motion - Hand
| Clinical |
Physiotherapist Comments | Clinical
|
Physiotherapist Comments (Confirmation At Preop Assessment)
| Clinical |
Post Operative Complications | Clinical
|
Post Operative Complications Details | Clinical
|
Preop Assessment Fit For Surgery Classification
| Clinical |
Preop Assessment Fit For Surgery Classification Temporary or Permanent
| Clinical |
Preop Assessment Fit For Surgery Classification Unfit Reason
| Clinical |
Primary Procedure Performed | Clinical
|
Procedure As Per Consent | Clinical
|
Prosthesis Used | Clinical
|
Prosthesis Used Details | Clinical
|
Readmissions | Clinical
|
Reason For Admission | Clinical
|
Region Operated On | Clinical
|
Region To Be Operated On | Clinical
|
Returns To Theatre | Clinical
|
Significant Co-Pathology | Clinical
|
Social Circumstances | Clinical
|
Surgical Fit For Surgery Classification |
Clinical |
Surgical Fit For Surgery Classification Temporary or Permanent
| Clinical |
Surgical Fit For Surgery Classification Unfit Reason
| Clinical |
Surgical Technique Used | Clinical
|
Sutures / Stitches Removed When | Clinical
|
Theatre Nurse Name | Clinical
|
Transfers Out | Clinical
|
Weight | Clinical
|
Admitting Ward | Non-Clinical
|
Anaesthetist | Non-Clinical
|
Anaesthetist Nurse Name | Non-Clinical
|
Arrival Date | Non-Clinical
|
Arrival Time | Non-Clinical
|
Consent For Surgery Obtained | Non-Clinical
|
Consultant Surgeon | Non-Clinical
|
Date of Procedure | Non-Clinical
|
Did Patient Attend Preop | Non-Clinical
|
Discharge Date | Non-Clinical
|
Discharge Equipment | Non-Clinical
|
Discharge Equipment Instructions | Non-Clinical
|
Discharge Equipment Quantity | Non-Clinical
|
Discharge Time | Non-Clinical
|
District Nurse Comments (Confirmation At Preop Assessment)
| Non-Clinical |
District Nurse Contact Details | Non-Clinical
|
District Nurse Contact Details (Confirmation At Preop Assessment)
| Non-Clinical |
District Nurse Name | Non-Clinical
|
District Nurse Name (Confirmation At Preop Assessment)
| Non-Clinical |
Escort To Travel For Admission | Non-Clinical
|
Escort To Travel For Further Postop Appointment
| Non-Clinical |
Escort To Travel For Postop Appointment |
Non-Clinical |
Escort To Travel For Preop Assessment | Non-Clinical
|
Ethnicity | Non-Clinical
|
Follow Up Appointment Required In Units (Weeks or Months)
| Non-Clinical |
Follow Up Appointment Required In Value |
Non-Clinical |
Follow Up Appointment Required? | Non-Clinical
|
Further Follow Up Required | Non-Clinical
|
Gender | Non-Clinical
|
GP Code | Non-Clinical
|
GP Name | Non-Clinical
|
GP Practice Address | Non-Clinical
|
GP Practice Code | Non-Clinical
|
GP Practice Email Address | Non-Clinical
|
GP Practice Fax Number | Non-Clinical
|
GP Practice Name | Non-Clinical
|
GP Practice Postcode | Non-Clinical
|
GP Practice Telephone Number | Non-Clinical
|
Intended HRG Code | Non-Clinical
|
Intended HRG Description | Non-Clinical
|
Intended OPCS Code | Non-Clinical
|
Interpreter Required | Non-Clinical
|
Is Patient A Direct Referral | Non-Clinical
|
Is Patient Off Waiting List | Non-Clinical
|
Is Transport Required For Admission | Non-Clinical
|
Is Transport Required For Further Postop Appointment
| Non-Clinical |
Is Transport Required For Postop Appointment
| Non-Clinical |
Is Transport Required For Preop Assessment |
Non-Clinical |
Language | Non-Clinical
|
Next Of KinAdditional Contact Telephone Number
| Non-Clinical |
Next Of KinAddress | Non-Clinical
|
Next Of KinName | Non-Clinical
|
Next Of KinPostcode | Non-Clinical
|
Next Of KinTelephone Number | Non-Clinical
|
NHS Breach Date | Non-Clinical
|
Notes | Non-Clinical
|
Occupational Therapist Contact Details |
Non-Clinical |
Occupational Therapist Contact Details (Confirmation At Preop Assessment)
| Non-Clinical |
Occupational Therapist Name | Non-Clinical
|
Occupational Therapist Name (Confirmation At Preop Assessment)
| Non-Clinical |
Occupational Therapist Requirements | Non-Clinical
|
Occupational Therapist Requirements (Confirmation At Preop Assessment)
| Non-Clinical |
Patient Address | Non-Clinical
|
Patient Attended Admission | Non-Clinical
|
Patient Attended Postop Appointment | Non-Clinical
|
Patient Date of Birth | Non-Clinical
|
Patient Forename | Non-Clinical
|
Patient NHS Number | Non-Clinical
|
Patient Postcode | Non-Clinical
|
Patient Satisfaction Surveys | Non-Clinical
|
Patient Surname | Non-Clinical
|
Patient Telephone Number | Non-Clinical
|
Patient Title | Non-Clinical
|
PCT Code | Non-Clinical
|
PCT Name | Non-Clinical
|
Physiotherapist Contact Details | Non-Clinical
|
Physiotherapist Contact Details (Confirmation At Preop Assessment)
| Non-Clinical |
Physiotherapist Name | Non-Clinical
|
Physiotherapist Name (Confirmation At Preop Assessment)
| Non-Clinical |
Postop Appointment Arrival Date | Non-Clinical
|
Postop Appointment Arrival Time | Non-Clinical
|
Pre-op Anaesthetist | Non-Clinical
|
Preop Arrival Date | Non-Clinical
|
Preop Arrival Time | Non-Clinical
|
Preop Assessment Appointment End Time | Non-Clinical
|
Preop Assessment Appointment Start Time |
Non-Clinical |
Pre-op Assessment Consultant | Non-Clinical
|
Referred HRG Code | Non-Clinical
|
Referred HRG Description | Non-Clinical
|
Referred OPCS Code | Non-Clinical
|
Referrer Address | Non-Clinical
|
Referrer Name | Non-Clinical
|
Referrer Postcode | Non-Clinical
|
Referrer Telephone Number | Non-Clinical
|
Surgical Assistant Name | Non-Clinical
|
Verbal Consent To Access Medical Records Obtained
| Non-Clinical |
Which Type Of Ambulance Crew Required For Admission
| Non-Clinical |
Which Type Of Ambulance Crew Required For Further Postop Appointment
| Non-Clinical |
Which Type Of Ambulance Crew Required For Postop Appointment
| Non-Clinical |
Which Type Of Ambulance Crew Required For Preop Assessment
| Non-Clinical |
|
Netcare Healthcare Ltd
March 2006
| |