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)

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)

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)

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

WBCCA

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 Wales Data Dictionary

6.4

WBCCA

Consultant code (Surgeon)

To enable surgical analysis by consultant responsible for the operation. Required for submission to the Welsh Breast Cancer Clinical 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