Surgery

 

 

Reporting Data Item

Business Justification

Definition

Note: Where ‘NHS Wales Data Dictionary’ the definition is as per the Data Dictionary.

Permissible Values

6. SURGERY

6.0

ENCDv4.5b (7.4)

 

NOGCA

 

GOCI

Surgical intent

 

To enable analysis by surgical intent.

The purpose of the surgical procedure(s) being carried out.

 

Permissible values are agreed by the clinical steering groups and conform to the requirements of the reporting output specifications. Currently there is no explicit requirement to map to terminologies or classifications. This will be kept under review.

      Diagnostic

      Staging

      Curative

      Palliative

6.1

ENCDv4.5b (7.9)

 

NOGCA

Date on which surgical procedure(s) started

 

Diagnostic and staging procedures

To estimate the level of accuracy of the diagnosis and staging when accounting for casemix and outcome analysis.

Curative and palliative procedures

To identify the date diagnostic and staging procedures were performed. To determine the time interval between referral and diagnosis by the specialist team and the start of treatment. Required to be able to measure survival time from the start of treatment. To enable the date of first definitive treatment to be recorded.

The date on which the surgical procedure was performed.

 

6.2

ENCDv4.5b (7.10 & 7.11)

 

NOGCA

 

GOCI

Surgical procedure(s) carried out

 

To determine type of surgery performed to enable analysis of surgically related data. To measure the effectiveness of surgical procedures performed and to be used as a measure for survival.

The type of procedure performed.

See the current version of the Office of Population, Censuses and Surveys Classification of Surgical Operations and Procedures (OPCS) of interventions and procedures.

 

*Permissible grouped values and labels will be dependent upon the output specifications.

6.3

NOGCA

Site code (of surgery)

To enable surgical analysis by organisation / surgical centre. Required for submission to the national clinical cancer audits.

The organisation code for the site where the patient is treated.

NHS Data Dictionary

6.4

NOGCA

Consultant code (surgeon)

To enable surgical analysis by consultant responsible for the operation. Required for submission to the national oesophago-gastric cancer audit.

This item relates to the consultant surgeon who has overall surgical responsibility for the patient and operations performed. This may or may not be the same consultant as the consultant (referred to)).

 

This item uses the nationally agreed form for consultant code or Independent Nurse. It is the General Medical Council (GMC) code for the Consultant or the GP acting as a Consultant or locum Consultant, which is the unique identifier. The nurse's Registration Number will be used to identify the Independent Nurse.

NHS Wales Data Dictionary

6.5

GOCI

Death in hospital

To monitor the proportion of deaths for surgically treated patients. Required for submission to the national oesophago-gastric cancer audit.

Indicates whether the patient died in hospital following surgical treatment.

      Yes

      No