1 | Ear operation details cluster | 567130 |
|
| |
1 | Service contact date | 527660 | Date/Time
[8]
| DDMMYYYY The day of a particular month and year. | DSS specific information: This data element is used to record the date of the operation. The date is recorded as DD/MM/YY. Slashes must be entered. '01/01/1800' is used to record data that is invalid. '01/01/1900' is used to record data that is not stated. |
2 | Name of Northern Territory hospital | 567585 | String
[3]
| ASH | Alice Springs Hospital | GDH | Gove District Hospital | KH | Katherine Hospital | RDH | Royal Darwin Hospital | TCH | Tennant Creek Hospital | NS | Not stated |
| DSS specific information: This data element is used to record the name of the hospital performing the ear surgery. |
3 | Post-operative transport home | 567624 | Number
[1]
| 1 | Car/bus | 2 | Plane | 8 | Unknown | 9 | Not stated/inadequately described |
| |
4 | Discrete Indigenous community name | 507610 | String
[40]
| AA[A(38)] A combination of alphabetic characters. | Conditional obligation: Applicable if the Indigenous community identifier has not been provided. DSS specific information: This data element is used to record the name of the community, town camp or homeland where the service was provided. |
5 | Discrete Indigenous community identifier | 507630 | String
[5]
| AANNA A logical combination of numeric and alphanumeric characters that identify an entity. | Conditional obligation: Applicable if the Indigenous community name has not been provided. DSS specific information: This data element is used to record the identifier of the community, town camp or homeland where the service was provided. |
6 | Given name(s) | 453734 | String
[40]
| X[X(39)] A combination of alphanumeric characters. | DSS specific information: This data element is used to record the given name for the patient and the specialist. |
7 | Family name | 453750 | String
[40]
| X[X(39)] A combination of alphanumeric characters. | DSS specific information: This data element is used to record the family name for the patient and the specialist. |
8 | Date of birth | 287007 | Date/Time
[8]
| DDMMYYYY The day of a particular month and year. | DSS specific information: The date is recorded as DD/MM/YY. Slashes must be entered. '01/01/1800' is used to record data that is invalid. '01/01/1900' is used to record data that is not stated. |
9 | Sex | 287316 | Number
[1]
| 1 | Male | 2 | Female | 3 | Intersex or indeterminate | 9 | Not stated/inadequately described |
| DSS specific information: In this data set Code 9 is used to record data that is missing. |
10 | Person identifier | 290046 | String
[20]
| XXXXXX[X(14)] A logical combination of valid alphanumeric characters that identify an entity. | DSS specific information: This data element is used to record the Hospital Registration Number (HRN). HRNs are allocated to people when they are born in Northern Territory public hospitals or when they first attend a Northern Territory public hospital to receive a service. It is a unique number that is not associated with a Medicare number. As at May 2013, the HRNs are either 6 or 7 digits long but there is capacity to increase to more digits as required. A person's HRN does not change. It remains with them for the duration of their life. '88888888' is used to record data that is invalid. '99999999' is used to record data that is not stated. |
2 | Pre-operative examination of ear cluster | 567654 |
|
| DSS specific information: In the case where a pre-operative examination is performed on both the left and right ear, data elements in this cluster should be used to record information for each ear. |
1 | Side of ear | 586306 | String
[1]
| | |
2 | Ear assessment indicator | 567690 | Number
[1]
| 1 | Yes | 2 | No | 8 | Unknown | 9 | Not stated/inadequately described |
| |
3 | External auditory meatus condition | 567772 | Number
[2]
| 1 | Clear | 2 | Wax/debris | 3 | Discharge | 4 | Foreign body | 5 | Otitis externa | 88 | Other | 98 | Unknown | 99 | Not stated/inadequately described |
| Conditional obligation: Conditional on a 'yes' response to Patient—ear assessment indicator, yes/no code N. |
4 | Intact tympanic membrane indicator | 682256 | Number
[1]
| 1 | Yes | 2 | No | 8 | Unknown | 9 | Not stated/inadequately described |
| |
5 | Intact tympanic membrane condition | 507838 | Number
[1]
| 1 | Normal | 2 | Scarred/abnormal | 3 | Dull | 4 | Immobile | 5 | Retracted | 8 | Unknown | 9 | Not stated/inadequately described |
| Conditional obligation: Conditional on a 'yes' response to Patient—intact tympanic membrane indicator, yes/no code N. |
6 | Tympanic membrane perforation indicator | 507593 | Number
[1]
| 1 | Yes | 2 | No | 8 | Unknown | 9 | Not stated/inadequately described |
| Conditional obligation: Conditional on a 'no' response to Patient—intact tympanic membrane indicator, yes/no code N. |
7 | Ear grommet indicator | 505157 | Number
[1]
| 1 | Yes | 2 | No | 7 | Not applicable | 8 | Unknown | 9 | Not stated/inadequately described |
| DSS specific information: Code 7 is not used in this data set. In this data set, code 8 is used to record data that is invalid and code 9 is used to record data that is missing. |
8 | Tympanic membrane perforation location (code) | 505084 | Number
[1]
| 1 | Central | 2 | Marginal | 3 | Attic | 8 | Unknown | 9 | Not stated/inadequately described |
| Conditional obligation: Conditional on a 'yes' response to Patient—tympanic membrane perforation indicator, yes/no code N. DSS specific information: In this data set, code 8 is used to record when the data is invalid and code 9 is used to record when the data is missing. |
9 | Tympanic membrane perforation status | 498146 | Number
[1]
| 1 | Wet | 2 | Dry | 8 | Unknown | 9 | Not stated/inadequately described |
| Conditional obligation: Conditional on a 'yes' response to Patient—tympanic membrane perforation indicator, yes/no code N. DSS specific information: In this data set, code 8 is used to record when the data is invalid and code 9 is used to record when the data is missing. |
10 | Tympanic membrane perforation wet condition | 534464 | Number
[1]
| 1 | Purulent | 2 | Moist (serous) | 9 | Not stated |
| Conditional obligation: Conditional on a 'wet' response to Patient—tympanic membrane perforation status, code N. |
11 | Tympanic membrane perforation size | 567834 | Number
[1]
| 1 | Pinhole | 2 | Less than 40% of tympanic membrane | 3 | Greater than 40% of tympanic membrane | 4 | Subtotal/total | 8 | Unknown | 9 | Not stated/inadequately described |
| Conditional obligation: Conditional on a 'yes' response to Patient—tympanic membrane perforation indicator, yes/no code N. |
12 | Pre-operative diagnosis cluster | 567842 |
|
| |
1 | Pre-operative ear health diagnosis | 567913 | Number
[2]
| 1 | Normal | 2 | Chronic otitis media (COM) | 3 | Otitis media with effusion (OME) | 4 | Acute otitis media (AOM) | 5 | Acute otitis media (AOM) with perforation | 6 | Other ear health diagnosis | 98 | Unknown | 99 | Not stated/inadequately described |
| |
2 | Pre-operative ear health diagnosis (text) | 567930 | String
[100]
| X[X(99)]
A combination of alphanumeric characters. | Conditional obligation: Conditional on an 'Other ear health diagnosis' response to Patient—pre-operative ear health diagnosis, code N[N]. DSS specific information: This data element is used to record the health-care professional's comments about a patient's pre-operative ear health diagnosis. |
3 | Chronic otitis media type | 567962 | Number
[2]
| 1 | Healed (intact abnormal) | 2 | Active (purulent discharge) | 3 | Inactive (dry or serous perforation) | 4 | Squamous | 5 | Mucosal | 98 | Unknown | 99 | Not stated/inadequately described |
| Conditional obligation: Conditional on a 'Chronic Otitis Media (COM)' response to Patient—pre-operative ear health diagnosis, code N[N]. |
3 | Ear and nose surgery cluster | 567979 |
|
| DSS specific information: In the case where surgery is performed on both the left and right ear, data elements in this cluster should be used to record information for each ear. |
1 | Side of ear | 586306 | String
[1]
| | DSS specific information: The side of the ear is to be recorded when 'yes' is recorded for the following data elements: |
2 | Myringoplasty cluster | 567985 |
|
| |
1 | Myringoplasty indicator | 572383 | Number
[1]
| 1 | Yes | 2 | No | 8 | Unknown | 9 | Not stated/inadequately described |
| |
2 | Revision myringoplasty indicator | 568031 | Number
[1]
| 1 | Yes | 2 | No | 8 | Unknown | 9 | Not stated/inadequately described |
| Conditional obligation: Conditional on a 'yes' response to Patient—myringoplasty indicator, yes/no code N. |
3 | Myringoplasty approach type | 568242 | Number
[1]
| 1 | Transcanal | 2 | Endaural | 3 | Postaural | 8 | Unknown | 9 | Not stated/inadequately described |
| Conditional obligation: Conditional on a 'yes' response to Patient—myringoplasty indicator, yes/no code N. |
4 | Myringoplasty graft type | 568308 | Number
[2]
| 1 | Temporalis fascia | 2 | Cartilage | 3 | Cartilage/perichondrium | 4 | Fat | 5 | Other | 98 | Unknown | 99 | Not stated/inadequately described |
| Conditional obligation: Conditional on a 'yes' response to Patient—myringoplasty indicator, yes/no code N. |
5 | Myringoplasty graft attachment type | 568365 | Number
[2]
| 1 | Underlay | 2 | Inlay | 3 | Onlay | 4 | Butterfly | 5 | Patch | 98 | Unknown | 99 | Not stated/inadequately described |
| Conditional obligation: Conditional on a 'yes' response to Patient—myringoplasty indicator, yes/no code N. |
6 | State of middle ear | 568392 | Number
[1]
| 1 | Healthy | 2 | Oedematous | 3 | Purulent | 8 | Unknown | 9 | Not stated/inadequately described |
| Conditional obligation: Conditional on a 'yes' response to Patient—myringoplasty indicator, yes/no code N. |
7 | Olivocochlear (OC) intact indicator | 572360 | Number
[1]
| 1 | Yes | 2 | No | 8 | Unknown | 9 | Not stated/inadequately described |
| Conditional obligation: Conditional on a 'yes' response to Patient—myringoplasty indicator, yes/no code N. |
8 | Olivocochlear mobile indicator | 568450 | Number
[1]
| 1 | Yes | 2 | No | 8 | Unknown | 9 | Not stated/inadequately described |
| Conditional obligation: Conditional on a 'yes' response to Patient—myringoplasty indicator, yes/no code N. |
3 | Myringotomy cluster | 568006 |
|
| |
1 | Myringotomy indicator | 572716 | Number
[1]
| 1 | Yes | 2 | No | 8 | Unknown | 9 | Not stated/inadequately described |
| |
2 | Fluid in middle ear indicator | 568448 | Number
[1]
| 1 | Yes | 2 | No | 8 | Unknown | 9 | Not stated/inadequately described |
| Conditional obligation: Conditional on a 'yes' response to Patient—myringotomy indicator, yes/no code N. |
3 | Type of fluid in middle ear | 568486 | Number
[1]
| 1 | Serous | 2 | Mucoid | 8 | Unknown | 9 | Not stated/inadequately described |
| Conditional obligation: Conditional on a 'yes' response to Patient—fluid in middle ear indicator, yes/no code N. |
4 | Ear grommet indicator | 505157 | Number
[1]
| 1 | Yes | 2 | No | 7 | Not applicable | 8 | Unknown | 9 | Not stated/inadequately described |
| Conditional obligation: Conditional on a 'yes' response to Patient—myringotomy indicator, yes/no code N. DSS specific information: If 'yes' is selected, the data element: Patient—type of grommet, text X[X(99)] should also be completed. Code 7 is not used for this data element. Code 8 is used to record data that is invalid. Code 9 is used to record data that is missing. |
5 | Type of grommet (text) | 568520 | String
[100]
| X[X(99)]
A combination of alphanumeric characters. | Conditional obligation: Conditional on a 'yes' response to Patient—ear grommet indicator, yes/no code N. DSS specific information: This data element is used to record the health-professional's comments on the type of grommet a patient has inserted through their tympanic membrane. |
6 | Comment (text) | 507906 | String
[100]
| X[X(99)]
A combination of alphanumeric characters. | DSS specific information: This data element is used to record the health-care professional's comments about a patient's myringotomy. |
4 | Adenoidectomy indicator | 568533 | Number
[1]
| 1 | Yes | 2 | No | 8 | Unknown | 9 | Not stated/inadequately described |
| |
5 | Exploration under anaesthesia indicator | 568551 | Number
[1]
| 1 | Yes | 2 | No | 8 | Unknown | 9 | Not stated/inadequately described |
| |
6 | Exploration of middle ear indicator | 568562 | Number
[1]
| 1 | Yes | 2 | No | 8 | Unknown | 9 | Not stated/inadequately described |
| |
7 | Comment (text) | 507906 | String
[100]
| X[X(99)]
A combination of alphanumeric characters. | DSS specific information: This data element should be used to record: - a description of the Exploration under anaesthesia
- a description of the Exploration of the middle ear
- the reason the surgery performed is different to the surgery requested.
|
8 | Remove tubes indicator | 568574 | Number
[1]
| 1 | Yes | 2 | No | 8 | Unknown | 9 | Not stated/inadequately described |
| |
9 | Other surgical procedure performed indicator | 568590 | Number
[1]
| 1 | Yes | 2 | No | 8 | Unknown | 9 | Not stated/inadequately described |
| |
4 | Comment (text) | 507906 | String
[100]
| X[X(99)]
A combination of alphanumeric characters. | DSS specific information: This data element is used to record comments that have not be collected elsewhere. |
5 | Given name(s) | 453734 | String
[40]
| X[X(39)] A combination of alphanumeric characters. | DSS specific information: This data element is used to record the given name of the health-care professional completing and signing the form. |
6 | Family name | 453750 | String
[40]
| X[X(39)] A combination of alphanumeric characters. | DSS specific information: This data element is used to record the family name of the health-care professional completing and signing the form. |
7 | Form signed indicator | 568610 | Number
[1]
| 1 | Yes | 2 | No | 8 | Unknown | 9 | Not stated/inadequately described |
| DSS specific information: This data element is used to record whether the ENT Operation summary form has been signed by the health-care professional completing it. |
8 | Date form signed | 568628 | Date/Time
[8]
| DDMMYYYY The day of a particular month and year. | Conditional obligation: Conditional on a 'yes' response to Patient—form signed indicator, yes/no code N. DSS specific information: This data element is used to record the date the ENT Operation summary form was completed and signed by the health-care professional. |