DSC Notice: 35/2003
Date of Issue: November 2003
NHS Information
Standards Board
Subject:
Data Standards:
National Joint Registry Data Set
st
Implementation Date: 1
April 2003
DATA SET CHANGE CONTROL PROCEDURE
This paper gives notification of changes to be included in the NHS Data Dictionary and the NHS CDS
Manual as appropriate. These will be consolidated into the publications in due course.
Summary of Changes:
Changes to data standards in the NHS Data Dictionary to support the introduction of
the National Joint Registry Data Set.
The NHS Information Standards Board (NHS ISB) is responsible for approving information standards.
The NHS ISB is supported by the NHS Information Standards Advisory Board
http://www.nhsia.nhs.uk/dscn/pages/default.asp and on the NHSnet at:
http://nww.nhsia.nhs.uk/dscn/pages/default.asp
DSC Notice: 35/2003
Change Request
NHS Information Authority
Data Standards and Information Programme
Reference:
Version No:
Subject:
Type of Change:
Effective Date:
Reason for Change:
Change Request 323
1.73
National Joint Registry Data Set
Incorporation of a Data Set into the NHS Data Dictionary
1 April 2003
Incorporation of elements from the National Joint Registry Data Set
was required in the NHS Data Dictionary.
Background:
Hip and knee joints comprise the largest number of joint replacements used in the UK and both are subject to
a high proliferation of different implant types that commonly lack data on their long-term effectiveness.
The National Joint Registry is a keystone to delivering the commitment of both the Department of Health and
the Welsh Assembly Government to improve the health and wellbeing of the population and is a vital tool for
improving clinical standards for hip and knee replacements.
At the heart of the NJR is a database of information collected from all the hip and knee replacement
procedures in England and Wales.
The NJR data is being used to bring direct benefits to patients by:
- Improving patient awareness of the outcomes of hip and knee joint replacement
- Finding out how long the different joint replacements last
- Helping to identify individual patients who have received an implant if there is a need for urgent clinical
review.
The National Joint Registry commenced collecting the Data Set on the 1st April 2003 and this DSCN has
incorporated the National Joint Registry Data Set into the NHS Data Dictionary.
The National Joint Registry website is accessible at: http://www.njrcentre.org.uk/index.htm.
Summary of changes:
Class Definitions
CLINICAL CLASSIFICATION
HEALTH CARE PROFESSIONAL
HIP CEMENTING TECHNIQUE
HIP REPLACEMENT SURGERY
IMPLANT
JOINT REPLACEMENT REVISION CLASSIFICATION
JOINT REPLACEMENT REVISION INDICATION
JOINT REPLACEMENT SURGERY
KNEE REPLACEMENT SURGERY
LANGUAGE
OPERATING THEATRE
PATIENT DIAGNOSIS
PATIENT PROCEDURE
Change to Attributes
Change to Attributes
New Class
New Class
New Class
New Class
New Class
New Class
New Class
New Class
Change to Attributes
Change to Relationships
Change to Attributes
PROSTHETIC DEVICE
THROMBO PROPHYLAXIS REGIME
New Class
New Class
Attribute Definitions
CARE PROFESSIONAL INVOLVEMENT ROLE
CEMENT GUN USED
CEMENT MIXING SYSTEM
CEMENT PRESSURISER USED
GRADE OF RESPONSIBLE HCP
HIP CEMENTING TECHNIQUE TYPE
HIP REPLACEMENT BONEGRAFT
HIP SURGERY INCISION TYPE
HIP SURGERY PATIENT POSITION
HIP SURGERY TROCHANTER INDICATOR
IMAGE GUIDED SURGERY INDICATOR
IMPLANT BATCH OR LOT NUMBER
IMPLANT CATALOGUE NUMBER
IMPLANT CLASSIFICATION CODE
IMPLANT MANUFACTURER
IMPLANT MODEL
INTERPRETER REQUIRED INDICATOR
JOINT IMPLANT REVISION INDICATOR
JOINT IMPLANT REVISION REASON
JOINT REPLACEMENT ANATOMICAL SIDE
JOINT REPLACEMENT PRIMARY OR REVISION
JOINT REPLACEMENT REVISION NUMBER
KNEE REPLACEMENT CEMENT INDICATOR
KNEE SURGERY FAT PAD REMOVED
KNEE SURGERY SKIN INCISION METHOD
KNEE SURGERY SURGICAL APPROACH
KNEE SURGERY TOURNIQUET USED
LAMINAR FLOW SYSTEM INDICATOR
LANGUAGE USAGE
LOCUM INDICATOR
MINIMALLY INVASIVE SURGERY INDICATOR
OVERSEAS SURGICAL TEAM MEMBER
PATIENT DIAGNOSIS IMPLANT INDICATION
PATIENT PHYSICAL STATUS
PATIENT PROCEDURE IMPLANT INDICATION
PROSTHESIS CEMENTED
PROSTHETIC DEVICE CODE
PROSTHETIC DEVICE TYPE
PULSATILE LAVAGE
SURGICAL DEFAULT TECHNIQUE INDICATOR
THROMBO PROPHYLAXIS REGIME TYPE
TYPE OF ANAESTHETIC
New Attribute
New Attribute
New Attribute
New Attribute
Change to Description
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
New Attribute
Data Elements
CEMENT GUN USED
CEMENT MIXING SYSTEM
CEMENT PRESSURISER USED
New Data Element
New Data Element
New Data Element
HIP CEMENTING TECHNIQUE TYPE
HIP REPLACEMENT BONEGRAFT
HIP SURGERY INCISION TYPE
HIP SURGERY PATIENT POSITION
HIP SURGERY TROCHANTER INDICATOR
IMAGE GUIDED SURGERY INDICATOR
IMPLANT BATCH OR LOT NUMBER
IMPLANT CATALOGUE NUMBER
IMPLANT CLASSIFICATION CODE
IMPLANT MANUFACTURER
IMPLANT MODEL
JOINT IMPLANT REVISION INDICATOR
JOINT IMPLANT REVISION REASON
JOINT REPLACEMENT ANATOMICAL SIDE
JOINT REPLACEMENT PRIMARY OR REVISION
JOINT REPLACEMENT REVISION NUMBER
KNEE REPLACEMENT CEMENT INDICATOR
KNEE SURGERY FAT PAD REMOVED
KNEE SURGERY SKIN INCISION METHOD
KNEE SURGERY SURGICAL APPROACH
KNEE SURGERY TOURNIQUET USED
LAMINAR FLOW SYSTEM INDICATOR
LANGUAGE
LANGUAGE USAGE
LOCUM INDICATOR
MINIMALLY INVASIVE SURGERY INDICATOR
OVERSEAS SURGICAL TEAM MEMBER
PATIENT CONSENT TO RECORDING DATA
PATIENT DIAGNOSIS IMPLANT INDICATION
PATIENT PHYSICAL STATUS
PATIENT PROCEDURE IMPLANT INDICATION
PROSTHESIS CEMENTED
PULSATILE LAVAGE
SURGICAL DEFAULT TECHNIQUE INDICATOR
THROMBO PROPHYLAXIS REGIME TYPE
TYPE OF ANAESTHETIC
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
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New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
New Data Element
Data Sets (CDS, CMDS, HES)
NATIONAL JOINT REGISTRY DATA SET
New Data Set (CDS, CMDS, HES)
Diagrams
CL010 PERSON OBSERVATIONS AND CHARACTERISTICS
NJR1 NATIONAL JOINT REGISTRY - DATA COLLECTION
NJR1 NATIONAL JOINT REGISTRY DATA SET 1
Change to Diagram Contents
New Diagram
New Diagram
Supporting Information
DATA SETS DIAGRAM MIDDLE PANE
NATIONAL JOINT REGISTRY DIAGRAM
NATIONAL JOINT REGISTRY DIAGRAM CLASS DEFINITIONS
NJR DATA SET OVERVIEW
Change to Supporting Information
New Supporting Information
New Supporting Information
New Supporting Information
Packages
NATIONAL JOINT REGISTRY DATA SET
NATIONAL JOINT REGISTRY DATA COLLECTION
NATIONAL JOINT REGISTRY DATA SET
New Package
New Package
New Package
Michelle Cambridge
Name:
12 November 2003
Date:
Sponsor: Data and Information Standards Programme
Note: Additions shown in highlighted with a blue background. Deletions are shown using strikeout.
Click here for a printer friendly view of this page.
CLINICAL CLASSIFICATION
Change to Class: Change to Attributes
Attributes of this Class are:
K
CLINICAL CLASSIFICATION CODE
PATIENT DIAGNOSIS IMPLANT INDICATION
O
top
HEALTH CARE PROFESSIONAL
Change to Class: Change to Attributes
Attributes of this Class are:
CARE PROFESSIONAL INVOLVEMENT ROLE
O
O
GRADE OF RESPONSIBLE HCP
O
GYNAECOLOGICAL ONCOLOGY ACCREDITATION
LOCUM INDICATOR
O
OVERSEAS SURGICAL TEAM MEMBER
O
for lead operating surgeon or first assistant only
SPECIALIST HIV SKILLS AVAILABLE
O
O
SPECIALIST REGISTRAR FLAG
for paediatric surgery only
top
HIP CEMENTING TECHNIQUE
Change to Class: New Class
HIP CEMENTING TECHNIQUE
The HIP CEMENTING TECHNIQUE of a HIP REPLACEMENT SURGERY.
References:
National Joint Registry Data Set: v.1: 24th March 2003
Attributes of this Class are:
CEMENT GUN USED
CEMENT MIXING SYSTEM
CEMENT PRESSURISER USED
HIP CEMENTING TECHNIQUE TYPE
PROSTHESIS CEMENTED
PULSATILE LAVAGE
Each HIP CEMENTING TECHNIQUE
must be used during one and only one HIP REPLACEMENT SURGERY
top
HIP REPLACEMENT SURGERY
Change to Class: New Class
HIP REPLACEMENT SURGERY
A type of JOINT REPLACEMENT SURGERY to fit in place a joint IMPLANT.
JOINT REPLACEMENT SURGERY where non-default surgical techniques are used.
References:
National Joint Registry Data Set: v.1: 24th March 2003
This class is also known by these names:
Context
plural
Alias
HIP REPLACEMENT SURGERIES
Attributes of this Class are:
HIP REPLACEMENT BONEGRAFT
HIP SURGERY INCISION TYPE
HIP SURGERY PATIENT POSITION
HIP SURGERY TROCHANTER INDICATOR
Each HIP REPLACEMENT SURGERY
may be made up of one or more HIP CEMENTING TECHNIQUE
top
IMPLANT
Change to Class: New Class
IMPLANT
A type of PROSTHETIC DEVICE.
An artificial component used to replace a part of the human body that is no longer functioning correctly as it is
worn or damaged.
An example being the use of an IMPLANT in JOINT REPLACEMENT SURGERY, where an IMPLANT is used
to replace a worn or damaged joint (the commonest joint replacements being of the hip and knee).
References:
National Joint Registry Data Set: v.1: 24th March 2003
This class is also known by these names:
Context
plural
Alias
IMPLANTS
Attributes of this Class are:
IMPLANT CATALOGUE NUMBER
K
IMPLANT MANUFACTURER
K
IMPLANT BATCH OR LOT NUMBER
IMPLANT CLASSIFICATION CODE
IMPLANT MODEL
This class has no relationships.
top
JOINT REPLACEMENT REVISION CLASSIFICATION
Change to Class: New Class
JOINT REPLACEMENT REVISION CLASSIFICATION
A classification that identifies the reason why a revision of a joint IMPLANT is needed (indicating the
requirement for further JOINT REPLACEMENT SURGERY on a hip or knee).
The JOINT REPLACEMENT REVISION INDICATION identifies where the revision of a joint replacement is
required on the basis of a JOINT REPLACEMENT REVISION CLASSIFICATION.
References:
National Joint Registry Data Set: v.1: 24th March 2003
This class is also known by these names:
Context
Alias
plural
JOINT REPLACEMENT REVISION CLASSIFICATION
Attributes of this Class are:
JOINT IMPLANT REVISION REASON
K
Each JOINT REPLACEMENT REVISION CLASSIFICATION
may be the classification of one or more JOINT REPLACEMENT REVISION INDICATION
top
JOINT REPLACEMENT REVISION INDICATION
Change to Class: New Class
JOINT REPLACEMENT REVISION INDICATION
An indication that a joint replacement needs revising, perhaps because the IMPLANT used to replace a joint
has become worn over time or the IMPLANT has been fitted recently and is not working correctly (perhaps as
a result of the IMPLANT being faulty).
The reasons behind the required revision of a joint replacement are identified through the JOINT
REPLACEMENT REVISION CLASSIFICATION.
References:
National Joint Registry Data Set: v.1: 24th March 2003
This class is also known by these names:
Alias
Context
plural
JOINT REPLACEMENT REVISION INDICATIONS
Attributes of this Class are:
JOINT IMPLANT REVISION INDICATOR
K
Each JOINT REPLACEMENT REVISION INDICATION
must be linked to one and only one JOINT REPLACEMENT REVISION CLASSIFICATION
K
must be the indication for one and only one JOINT REPLACEMENT SURGERY
top
JOINT REPLACEMENT SURGERY
Change to Class: New Class
JOINT REPLACEMENT SURGERY
A type of PATIENT PROCEDURE.
JOINT REPLACEMENT SURGERY is identified by the use of a metal/plastic IMPLANT to replace a diseased
or worn joint or part of a joint.
References:
National Joint Registry Data Set: v.1: 24th March 2003
This class is also known by these names:
Alias
Context
plural
JOINT REPLACEMENT SURGERIES
Attributes of this Class are:
IMAGE GUIDED SURGERY INDICATOR
JOINT REPLACEMENT ANATOMICAL SIDE
JOINT REPLACEMENT PRIMARY OR REVISION
JOINT REPLACEMENT REVISION NUMBER
O
MINIMALLY INVASIVE SURGERY INDICATOR
PATIENT PROCEDURE IMPLANT INDICATION
O
SURGICAL DEFAULT TECHNIQUE INDICATOR
Each JOINT REPLACEMENT SURGERY
may be indicated by one or more JOINT REPLACEMENT REVISION INDICATION
may be indicated for revision by one or more PATIENT DIAGNOSIS
may be indicated by one or more PATIENT DIAGNOSIS
may be the fitting of one or more PROSTHETIC DEVICE
may be related to one or more THROMBO PROPHYLAXIS REGIME
top
KNEE REPLACEMENT SURGERY
Change to Class: New Class
KNEE REPLACEMENT SURGERY
A type of JOINT REPLACEMENT SURGERY to fit in place a joint IMPLANT.
JOINT REPLACEMENT SURGERY where non-default surgical techniques are used.
References:
National Joint Registry Data Set: v.1: 24th March 2003
This class is also known by these names:
Alias
Context
plural
KNEE REPLACEMENT SURGERIES
Attributes of this Class are:
KNEE REPLACEMENT CEMENT INDICATOR
KNEE SURGERY FAT PAD REMOVED
KNEE SURGERY SKIN INCISION METHOD
KNEE SURGERY SURGICAL APPROACH
KNEE SURGERY TOURNIQUET USED
This class has no relationships.
top
LANGUAGE
Change to Class: New Class
LANGUAGE
A type of CHARACTERISTIC.
A classification of a LANGUAGE used by a PERSON, recorded during or as a result of a course of treatment.
Identifies the LANGUAGE that is used by a PERSON and the LANGUAGE USAGE, i.e. their preferred
LANGUAGE.
National codes:
001
002
003
004
005
006
007
008
009
010
011
012
013
014
015
016
017
018
019
020
021
022
023
024
025
026
027
Akan (Ashanti)
Albanian
Amharic
Arabic
Bengali & Sylheti
Brawa & Somali
British Signing Language
Cantonese
Cantonese and Vietnamese
Creole
Dutch
English
Ethiopian
Farsi (Persian)
Finnish
Flemish
French
French creole
Gaelic
German
Greek
Gujarati
Hakka
Hausa
Hebrew
Hindi
Igbo (Ibo)
Italian
Japanese
Korean
Kurdish
Lingala
Luganda
Maketon (sign language)
Malayalam
Mandarin
Norwegian
Pashto (Pushtoo)
Patois
Polish
Portuguese
Punjabi
Russian
Serbian/Croatian
Sinhala
Somali
Spanish
Swahili
Swedish
Sylhethi
Tagalog (Filipino)
Tamil
Thai
Tigrinya
Turkish
Urdu
Vietnamese
Welsh
Yoruba
Other
028
029
030
031
032
033
034
035
036
037
038
039
040
041
042
043
044
045
046
048
049
050
051
052
053
054
055
056
057
058
059
060
200
References:
National Joint Registry Data Set: v.1: 24th March 2003
This class is also known by these names:
Context
plural
Alias
LANGUAGES
Attributes of this Class are:
INTERPRETER REQUIRED INDICATOR
LANGUAGE USAGE
O
for JOINT REPLACEMENT SURGERY only
This class has no relationships.
top
OPERATING THEATRE
Change to Class: Change to Attributes
Attributes of this Class are:
K
OPERATING THEATRE CODE
ANAESTHETIC ROOM PRESENT
LAMINAR FLOW SYSTEM INDICATOR
O
for JOINT REPLACEMENT SURGERY only
OPERATING THEATRE NAME
OPERATING THEATRE TYPE
POST OPERATIVE ROOM PRESENT
top
PATIENT DIAGNOSIS
Change to Class: Change to Relationships
Each PATIENT DIAGNOSIS
may be recorded for one CONSULTANT EPISODE (ACUTE HOME-BASED)
or may be related to one CONSULTANT EPISODE (HOSPITAL PROVIDER)
or may be related to one OUT-PATIENT ATTENDANCE CONSULTANT
may be the primary diagnosis of one or more CANCER CARE SPELL
may be recorded for one CARE PROGRAMME APPROACH REVIEW
may be the indication for revision of one JOINT REPLACEMENT SURGERY
may be the indication for implantation of one JOINT REPLACEMENT SURGERY
may be recorded for highest one NEONATAL LEVEL OF CARE PERIOD
top
PATIENT PROCEDURE
Change to Class: Change to Attributes
Attributes of this Class are:
O
COLONOSCOPY INCOMPLETE REASON
if procedure is colonoscopy
NEW LESIONS TREATED NUMBER
O
if procedure is for treatment of Basal Cell or Squamous Cell Carcinoma only
OPERATIVE PATIENT PROCEDURE INDICATOR
O
PATIENT INFORMED BIOPSY RESULT DATE
colposcopy only
PATIENT PHYSICAL STATUS
O
for OPERATIVE PROCEDURES only and where an anaesthetist is present to record the
physical status
PATIENT PROCEDURE RESULT
O
O
O
O
O
if procedure is colonoscopy or other for cancer detection
RECURRENT LESIONS TREATED NUMBER
if procedure is for treatment of Basal Cell or Squamous Cell Carcinoma only
SARCOMA SURGICAL MARGIN
if procedure is for treatment of sarcoma
SARCOMA SURGICAL PROCEDURE TYPE
if procedure is for treatment of sarcoma
SURGICAL URGENCY
for operative procedures only
TYPE OF ANAESTHETIC
top
PROSTHETIC DEVICE
Change to Class: New Class
PROSTHETIC DEVICE
An artificial IMPLANT or other device. An artificial organ, limb or joint, made of metal, plastic or ceramic.
References:
National Joint Registry Data Set: v.1: 24th March 2003
This class is also known by these names:
Context
plural
Alias
PROSTHETIC DEVICES
Attributes of this Class are:
K
PROSTHETIC DEVICE CODE
PROSTHETIC DEVICE TYPE
Each PROSTHETIC DEVICE
must be fitted during one and only one JOINT REPLACEMENT SURGERY
top
THROMBO PROPHYLAXIS REGIME
Change to Class: New Class
THROMBO PROPHYLAXIS REGIME
A regime used in the reduction of platelet aggregation, which allows its prophylactic use at a low dose, as an
antiplatelet treatment. An example of such a regime is the taking of aspirin tablets following surgery to prevent
blood clots.
Page 12 of 62
References:
National Joint Registry Data Set: v.1: 24th March 2003
This class is also known by these names:
Context
plural
Alias
THROMBO PROPHYLAXIS REGIME
Attributes of this Class are:
K
THROMBO PROPHYLAXIS REGIME TYPE
Each THROMBO PROPHYLAXIS REGIME
must be related to one and only one JOINT REPLACEMENT SURGERY
top
CARE PROFESSIONAL INVOLVEMENT ROLE
Change to Attribute: New Attribute
CARE PROFESSIONAL INVOLVEMENT ROLE
Identifies the role undertaken by a HEALTH CARE PROFESSIONAL during a CLINICAL INTERVENTION.
Classifications:
a.
b.
c.
d.
Performs the procedure
General Anaesthesia Administrator
Local Anaesthesia Administrator
Assists the procedure
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
Alias
CARE PROFESSIONAL INVOLVEMENT ROLES
top
CEMENT GUN USED
Change to Attribute: New Attribute
CEMENT GUN USED
Page 13 of 62
An indicator to show whether a cementing gun has been used for the fitting of a joint IMPLANT, during HIP
REPLACEMENT SURGERY.
National Codes:
1
Yes
2
No
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
Alias
CEMENT GUNS USED
top
CEMENT MIXING SYSTEM
Change to Attribute: New Attribute
CEMENT MIXING SYSTEM
An indicator to identify the cement mixing system used for the fitting of a joint IMPLANT (to make the cement
required to fit in place a prosthesis), during HIP REPLACEMENT SURGERY.
National Codes:
01
Open bowl and spatula
02
Vacuum Mixing
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
Alias
CEMENT MIXING SYSTEMS
top
CEMENT PRESSURISER USED
Change to Attribute: New Attribute
CEMENT PRESSURISER USED
Page 14 of 62
An indicator to show whether a cementing pressuriser has been used for the fitting of a joint IMPLANT, during
HIP REPLACEMENT SURGERY.
National Codes:
1
Yes
2
No
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
Alias
CEMENT PRESSURISERS USED
top
GRADE OF RESPONSIBLE HCP
Change to Attribute: Change to Description
The grade of the operating surgeon.
National codes:
1
Consultant
2
Associate Specialist
3
Staff grade/clinical assistant
4
Specialist Registrar (SPR)
5
Senior House Officer (SHO)
6
House Officer (HO)
7
Other
7
Other Medical
8
Non medically qualified practitioner
References:
National Cancer Data Set Version 1.3_ISB October 2002
This attribute is also known by these names:
Context
plural
Alias
GRADES_OF_RESPONSIBLE_HCP
top
HIP CEMENTING TECHNIQUE TYPE
Page 15 of 62
Change to Attribute: New Attribute
HIP CEMENTING TECHNIQUE TYPE
An identifier for the cementing technique type used during HIP REPLACEMENT SURGERY.
National Codes:
Acetabular
01
Femoral
02
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Alias
Context
plural
HIP CEMENTING TECHNIQUE TYPES
top
HIP REPLACEMENT BONEGRAFT
Change to Attribute: New Attribute
HIP REPLACEMENT BONEGRAFT
An indicator to show whether a bonegraft has been used during HIP REPLACEMENT SURGERY.
National Codes:
01
02
03
04
Acetabular only
Femoral only
Both
Neither
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
Alias
HIP REPLACEMENT BONEGRAFTS
top
HIP SURGERY INCISION TYPE
Change to Attribute: New Attribute
HIP SURGERY INCISION TYPE
An identifier for an incision type used in a surgical approach, during HIP REPLACEMENT SURGERY.
National Codes:
Anterior/Antero-Lateral/Lateral
01
Posterior
02
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Alias
Context
plural
HIP SURGERY INCISION TYPES
top
HIP SURGERY PATIENT POSITION
Change to Attribute: New Attribute
HIP SURGERY PATIENT POSITION
An identifier for a patient position used in a surgical approach, during HIP REPLACEMENT SURGERY.
National Codes:
Lateral
01
Supine
02
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
Alias
HIP SURGERY PATIENT POSITIONS
top
HIP SURGERY TROCHANTER INDICATOR
Change to Attribute: New Attribute
HIP SURGERY TROCHANTER INDICATOR
An identifier as to whether a trochanteric osteotomy was used in a surgical approach, during HIP
REPLACEMENT SURGERY.
National Codes:
Yes
1
No
2
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Alias
Context
plural
HIP SURGERY TROCHANTER INDICATORS
top
IMAGE GUIDED SURGERY INDICATOR
Change to Attribute: New Attribute
IMAGE GUIDED SURGERY INDICATOR
An identifier for the presence of image guided surgery during JOINT REPLACEMENT SURGERY.
National Codes:
Yes
1
No
2
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
Alias
IMAGE GUIDED SURGERY INDICATORS
top
IMPLANT BATCH OR LOT NUMBER
Change to Attribute: New Attribute
IMPLANT BATCH OR LOT NUMBER
Identifies the IMPLANT BATCH OR LOT NUMBER of an IMPLANT.
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
Alias
IMPLANT BATCH OR LOT NUMBERS
top
IMPLANT CATALOGUE NUMBER
Change to Attribute: New Attribute
IMPLANT CATALOGUE NUMBER
Identifies the IMPLANT CATALOGUE NUMBER of an IMPLANT.
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
Alias
IMPLANT CATALOGUE NUMBERS
top
IMPLANT CLASSIFICATION CODE
Change to Attribute: New Attribute
IMPLANT CLASSIFICATION CODE
Identifies the IMPLANT CLASSIFICATION CODE of an IMPLANT.
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
Alias
plural
IMPLANT CLASSIFICATION CODES
top
IMPLANT MANUFACTURER
Change to Attribute: New Attribute
IMPLANT MANUFACTURER
Identifies the IMPLANT MANUFACTURER of an IMPLANT.
National codes:
ApaTech Products
01
Avatar
02
B Braun / Aesculap
03
Biomet
04
Centerpulse
05
Corin
06
DePuy
07
Endo Plus (UK) Limited
08
Finsbury
09
Intavent - Orthofix
10
Joint Replacement Instrumentation Ltd
11
Midland Medical Technologies Ltd
12
Orthodynamics
13
Plato Health Systems
14
Schering-Plough
15
Smith & Nephew
16
Sovereign Medical
17
Stryker Howmedica Osteonics
18
Summit Medical
19
Waldemar Link
20
Wright Cremascoli Ortho
21
Zimmer
22
Zynergy Orthopaedics
23
Other
90
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
top
Alias
IMPLANT MANUFACTURERS
IMPLANT MODEL
Change to Attribute: New Attribute
IMPLANT MODEL
Identifies the IMPLANT MODEL of an IMPLANT.
References:
National Joint Registry Data Set: v.1: 24th March 2003
top
INTERPRETER REQUIRED INDICATOR
Change to Attribute: New Attribute
INTERPRETER REQUIRED INDICATOR
Identifies whether an interpreter is required for the purposes of communication between a HEALTH CARE
PROFESSIONAL and a PATIENT, during a course of treatment.
Classification:
a.
b.
Yes
No
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Alias
Context
plural
INTERPRETER REQUIRED INDICATOR
top
JOINT IMPLANT REVISION INDICATOR
Change to Attribute: New Attribute
JOINT IMPLANT REVISION INDICATOR
Identifies whether the revision of a joint IMPLANT is required, on the basis of a JOINT IMPLANT REVISION
REASON
National Codes:
Yes
1
No
2
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Alias
Context
plural
JOINT IMPLANT REVISION INDICATORS
top
JOINT IMPLANT REVISION REASON
Change to Attribute: New Attribute
JOINT IMPLANT REVISION REASON
Identifies the reason why a hip or knee joint IMPLANT needs revising.
National Codes:
Hip and Knee
01
02
03
04
05
06
07
08
09
90
Hip only
10
11
12
Knee only
13
14
15
16
17
18
19
Aseptic loosening
Dislocation/subluxation
Incorrect sizing
Infection
Lysis
Malalignment
Pain
Periprosthetic fracture
Wear of polyethylene component
Other
Implant fracture - acetabulum
Implant fracture - femoral head
Implant fracture - stem
Implant fracture - femoral
Implant fracture - patella
Implant fracture - tibial
Instability
Patella maltracking
Wear of patella
Wear of tibia
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
Alias
plural
JOINT IMPLANT REVISION REASONS
top
JOINT REPLACEMENT ANATOMICAL SIDE
Change to Attribute: New Attribute
JOINT REPLACEMENT ANATOMICAL SIDE
An identifier for the side of the body where a JOINT REPLACEMENT SURGERY took place.
National Codes:
Left
01
Right
02
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
Alias
JOINT REPLACEMENT ANATOMICAL SIDE
top
JOINT REPLACEMENT PRIMARY OR REVISION
Change to Attribute: New Attribute
JOINT REPLACEMENT PRIMARY OR REVISION
An indicator that identifies whether a joint IMPLANT is a primary or revision joint replacement.
National Codes:
01 Primary Joint Replacement
02 Revision Joint Replacement
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
Alias
JOINT REPLACEMENTS PRIMARY OR REVISION
top
JOINT REPLACEMENT REVISION NUMBER
Change to Attribute: New Attribute
JOINT REPLACEMENT REVISION NUMBER
This is the sequential number of a JOINT REPLACEMENT SURGERY; where the procedure is a revision, for
example, one for first revision, two for second revision and so on and so forth.
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Alias
Context
plural
JOINT REPLACEMENT REVISION NUMBER
top
KNEE REPLACEMENT CEMENT INDICATOR
Change to Attribute: New Attribute
KNEE REPLACEMENT CEMENT INDICATOR
An indicator that identifies whether cement was used to fit in place an IMPLANT during KNEE
REPLACEMENT SURGERY.
National Codes:
Yes
1
No
2
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
Alias
KNEE REPLACEMENT CEMENT INDICATOR
top
KNEE SURGERY FAT PAD REMOVED
Change to Attribute: New Attribute
KNEE SURGERY FAT PAD REMOVED
An indicator that identifies whether a fat pad has been removed or has been partially removed, during KNEE
REPLACEMENT SURGERY.
National Codes:
Yes, fully
01
Yes, partially
02
No
03
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Alias
Context
plural
KNEE SURGERIES FAT PAD REMOVED
top
KNEE SURGERY SKIN INCISION METHOD
Change to Attribute: New Attribute
KNEE SURGERY SKIN INCISION METHOD
An indicator that identifies the knee to skin incision method used during KNEE REPLACEMENT SURGERY.
National Codes:
Midline
01
Medial
02
Lateral
03
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
Alias
KNEE SURGERIES SKIN INCISION METHOD
top
KNEE SURGERY SURGICAL APPROACH
Change to Attribute: New Attribute
KNEE SURGERY SURGICAL APPROACH
An indicator that identifies the surgical approach used during KNEE REPLACEMENT SURGERY.
National Codes:
01
02
03
09
Lateral Parapatellar
Medial Parapatellar
Sub-vastus
Other
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Alias
Context
plural
KNEE SURGERIES SURGICAL APPROACH
top
KNEE SURGERY TOURNIQUET USED
Change to Attribute: New Attribute
KNEE SURGERY TOURNIQUET USED
Identifies whether a tourniquet was used during KNEE REPLACEMENT SURGERY.
National Codes:
Yes
1
No
2
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
Alias
KNEE SURGERY TOURNIQUETS USED
top
LAMINAR FLOW SYSTEM INDICATOR
Change to Attribute: New Attribute
LAMINAR FLOW SYSTEM INDICATOR
Identifies the presence of a laminar flow system in an OPERATING THEATRE.
National Codes:
Yes
1
No
2
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Alias
Context
plural
LAMINAR FLOW SYSTEM INDICATOR
top
LANGUAGE USAGE
Change to Attribute: New Attribute
LANGUAGE USAGE
Identifies whether the usage of a LANGUAGE is 'preferred for follow-up' and also, if a LANGUAGE is
identified by the PATIENT as an 'other preferred' LANGUAGE for the purposes of follow-up.
Note:
The PATIENT could indicate a 'preferred' LANGUAGE for a follow-up, but could also indicate an 'other'
preferred LANGUAGE for the purposes of a follow-up.
National Codes:
preferred for follow-up
01
'other' preferred for follow-up
02
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
top
Alias
LANGUAGE USAGES
LOCUM INDICATOR
Change to Attribute: New Attribute
LOCUM INDICATOR
Identifies whether the lead HEALTH CARE PROFESSIONAL responsible for the determination of the
treatment plan for the PATIENT is a locum.
National Codes:
Yes, a locum
1
No, not a locum
2
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Alias
Context
plural
LOCUM INDICATORS
top
MINIMALLY INVASIVE SURGERY INDICATOR
Change to Attribute: New Attribute
MINIMALLY INVASIVE SURGERY INDICATOR
Identifies whether minimally invasive surgery was used during JOINT REPLACEMENT SURGERY.
National Codes:
Yes
1
No
2
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
Alias
MINIMALLY INVASIVE SURGERY INDICATOR
top
OVERSEAS SURGICAL TEAM MEMBER
Change to Attribute: New Attribute
OVERSEAS SURGICAL TEAM MEMBER
This identifies whether a lead operating surgeon or first assistant is part of a non-UK visiting surgical team.
National Codes:
Yes
1
No
2
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Alias
Context
OVERSEAS SURGICAL TEAM MEMBERS
plural
top
PATIENT DIAGNOSIS IMPLANT INDICATION
Change to Attribute: New Attribute
PATIENT DIAGNOSIS IMPLANT INDICATION
An indication that a PATIENT requires an IMPLANT as a result of a PATIENT DIAGNOSIS. Please note that
other ICD-10 codes can be used only where applicable.
Examples are:
Hip and
Knee
Seropositive rheumatoid arthritis
M05
M06.0 Seronegative rheumatoid arthritis
Osteonecrosis
M87
T84.1 Mechanical complication of internal fixation device of bones of limb
Hip
M16
M16.3
M16.5
S72.0
S79
Coxarthrosis [arthrosis of hip]
Other dysplastic coxarthrosis
Other post-traumatic coxarthrosis
Fracture of neck of femur
Other and unspecified injuries of hip and thigh
Knee
M17
M17.3
S83
Gonarthosis [arthrosis of knee]
Other post-traumatic gonarthrosis
Dislocation, sprain and strain of joints and ligaments of knee
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Alias
Context
plural
PATIENT DIAGNOSIS IMPLANT INDICATIONS
top
PATIENT PHYSICAL STATUS
Change to Attribute: New Attribute
PATIENT PHYSICAL STATUS
Identifies the physical status of the PATIENT as recorded by an anaesthetist for an operative procedure. This
is an abbreviated version of the American Society of Anaesthesiologists Physical Status grading.
National Codes:
01
02
03
04
05
06
Fit and healthy
Mild disease; not incapacitating
Incapacitating systemic disease
Life threatening disease
Expected to die within 24hrs with or without an operation
A declared brain dead patient whose organs are being removed for donor purposes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Alias
Context
plural
PATIENT PHYSICAL STATUS
top
PATIENT PROCEDURE IMPLANT INDICATION
Change to Attribute: New Attribute
PATIENT PROCEDURE IMPLANT INDICATION
An indication that a PATIENT requires an IMPLANT as a result of a PATIENT PROCEDURE. Please note
that other OPCS-4 codes can be used only where applicable.
Examples are:
Hip
Primary
W37.1
W38.1
W39.1
W58.1
Primary total prosthetic replacement of hip joint using cement
Primary total prosthetic replacement of hip joint not using cement
Primary total prosthetic replacement hip joint not elsewhere classified (eg hybrid)
Primary resurfacing arthroplasty of joint
Hip
revision
W37.3
W38.3
W39.3
W58.2
Revision of total prosthetic replacement of hip joint using cement
Revision of total prosthetic replacement of hip joint not using cement
Revision of total prosthetic replacement of hip joint not elsewhere classified (eg hybrid)
Revision of resurfacing arthroplasty of joint
Knee
primary
W40.1
W41.1
W42.1
W52.1
Z84.4
Z84.6
Primary total prosthetic replacement of knee joint using cement
Primary total prosthetic replacement of knee joint not using cement
Primary total prosthetic replacement knee joint not elsewhere classified (eg hybrid)
Primary prosthetic replacement of articulation of bone using cement nec
Patellofemoral joint
Knee joint
Knee
revision
W40.3 Revision of total prosthetic replacement of knee joint using cement
W41.3 Revision of total prosthetic replacement of knee joint not using cement
W42.3 Revision of total prosthetic replacement of knee joint not elsewhere classified (eg hybrid)
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Alias
Context
plural
PATIENT PROCEDURE IMPLANT INDICATIONS
top
PROSTHESIS CEMENTED
Change to Attribute: New Attribute
PROSTHESIS CEMENTED
An indicator to show whether a joint IMPLANT has been cemented during HIP REPLACEMENT SURGERY.
National Codes:
Yes
1
No
2
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
Alias
PROSTHESES CEMENTED
top
PROSTHETIC DEVICE CODE
Change to Attribute: New Attribute
PROSTHETIC DEVICE CODE
A PROSTHETIC DEVICE code used to identify a PROSTHETIC DEVICE.
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
plural
Alias
PROSTHETIC DEVICE CODES
top
PROSTHETIC DEVICE TYPE
Change to Attribute: New Attribute
PROSTHETIC DEVICE TYPE
Identifies the type of PROSTHETIC DEVICE.
Classifications:
IMPLANT
a.
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
Alias
plural
PROSTHETIC DEVICE TYPES
top
PULSATILE LAVAGE
Change to Attribute: New Attribute
PULSATILE LAVAGE
Identifies where pulsatile lavage has been used during the cementing of a joint IMPLANT, during HIP
REPLACEMENT SURGERY.
National Codes:
Yes
1
No
2
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Alias
Context
plural
PULSATILE LAVAGES
top
SURGICAL DEFAULT TECHNIQUE INDICATOR
Change to Attribute: New Attribute
SURGICAL DEFAULT TECHNIQUE INDICATOR
An indicator to identify whether a default surgical technique has been used during JOINT REPLACEMENT
SURGERY.
National Codes:
Yes
1
No
2
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Context
Alias
plural
SURGICAL DEFAULT TECHNIQUE INDICATORS
top
THROMBO PROPHYLAXIS REGIME TYPE
Change to Attribute: New Attribute
THROMBO PROPHYLAXIS REGIME TYPE
Identifies the type of THROMBO PROPHYLAXIS REGIME used as part of a PATIENT PROCEDURE.
National Codes:
Chemical
01
02
03
04
05
06
07
Mechanical
08
09
10
11
Chemical - Aspirin
Chemical - Chloroquine
Chemical - Low Dose Heparin (LDH)
Chemical - Low Molecular Weight Heparin (LMWH)
Chemical - Pentasaccharide
Chemical - Warfarin
Chemical - Other (please specify)
Mechanical - Foot Pump
Mechanical - Intermittent calf compression
Mechanical - TED Stockings
Mechanical - Other
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Alias
Context
plural
THROMBO PROPHYLAXIS REGIME TYPES
top
TYPE OF ANAESTHETIC
Change to Attribute: New Attribute
TYPE OF ANAESTHETIC
Identifies the type of anaesthetic used during a PATIENT PROCEDURE.
National Codes:
General
01
02
03
04
Regional - epidural
Regional nerve block
Regional - spinal intrathecal
References:
National Joint Registry Data Set: v.1: 24th March 2003
This attribute is also known by these names:
Alias
Context
plural
TYPE OF ANAESTHETIC
top
CEMENT GUN USED
Change to Data Element: New Data Element
CEMENT GUN USED
n1
Format/length:
HES item:
National Codes:
Default Codes:
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
CEMENT GUNS USED
top
CEMENT MIXING SYSTEM
Change to Data Element: New Data Element
CEMENT MIXING SYSTEM
Format/length:
HES item:
National Codes:
Default Codes:
n2
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
CEMENT MIXING SYSTEMS
top
CEMENT PRESSURISER USED
Change to Data Element: New Data Element
CEMENT PRESSURISER USED
Format/length:
HES item:
National Codes:
Default Codes:
n1
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
CEMENT PRESSURISERS USED
top
HIP CEMENTING TECHNIQUE TYPE
Change to Data Element: New Data Element
HIP CEMENTING TECHNIQUE TYPE
Format/length:
HES item:
National Codes:
Default Codes:
n2
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
HIP CEMENTING TECHNIQUE TYPES
top
HIP REPLACEMENT BONEGRAFT
Change to Data Element: New Data Element
HIP REPLACEMENT BONEGRAFT
Format/length:
HES item:
National Codes:
Default Codes:
n2
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
HIP REPLACEMENT BONEGRAFTS
top
HIP SURGERY INCISION TYPE
Change to Data Element: New Data Element
HIP SURGERY INCISION TYPE
Format/length:
HES item:
National Codes:
Default Codes:
n2
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Context
Alias
plural
HIP SURGERY INCISION TYPES
top
HIP SURGERY PATIENT POSITION
Change to Data Element: New Data Element
HIP SURGERY PATIENT POSITION
Format/length:
HES item:
National Codes:
Default Codes:
n2
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
HIP SURGERY PATIENT POSITIONS
top
HIP SURGERY TROCHANTER INDICATOR
Change to Data Element: New Data Element
HIP SURGERY TROCHANTER INDICATOR
Format/length:
HES item:
National Codes:
Default Codes:
n1
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Context
plural
Alias
HIP SURGERIES TROCHANTER INDICATOR
top
IMAGE GUIDED SURGERY INDICATOR
Change to Data Element: New Data Element
IMAGE GUIDED SURGERY INDICATOR
Format/length:
HES item:
National Codes:
Default Codes:
n1
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
IMAGE GUIDED SURGERY INDICATORS
top
IMPLANT BATCH OR LOT NUMBER
Change to Data Element: New Data Element
IMPLANT BATCH OR LOT NUMBER
Format/length:
HES item:
an50
Default Codes:
The IMPLANT BATCH OR LOT NUMBER of an IMPLANT.
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Context
plural
top
Alias
IMPLANT BATCH OR LOT NUMBERS
IMPLANT CATALOGUE NUMBER
Change to Data Element: New Data Element
IMPLANT CATALOGUE NUMBER
Format/length:
HES item:
National Codes:
Default Codes:
an100
The IMPLANT CATALOGUE NUMBER of an IMPLANT.
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
IMPLANT CATALOGUE NUMBERS
top
IMPLANT CLASSIFICATION CODE
Change to Data Element: New Data Element
IMPLANT CLASSIFICATION CODE
Format/length:
HES item:
National Codes:
Default Codes:
n4
See reference below
References:
NJR Centre, B329, Harwell, Didcot, OX11 0QJ
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Context
plural
top
Alias
IMPLANT CLASSIFICATION CODES
IMPLANT MANUFACTURER
Change to Data Element: New Data Element
IMPLANT MANUFACTURER
n2
Format/length:
HES item:
National Codes:
Default Codes:
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
IMPLANT MANUFACTURERS
top
IMPLANT MODEL
Change to Data Element: New Data Element
IMPLANT MODEL
an255
Format/length:
HES item:
National Codes:
Default Codes:
The IMPLANT MODEL of an IMPLANT.
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Context
plural
Alias
IMPLANT MODELS
top
JOINT IMPLANT REVISION INDICATOR
Change to Data Element: New Data Element
JOINT IMPLANT REVISION INDICATOR
Format/length:
HES item:
National Codes:
Default Codes:
n1
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
JOINT IMPLANT REVISION INDICATORS
top
JOINT IMPLANT REVISION REASON
Change to Data Element: New Data Element
JOINT IMPLANT REVISION REASON
Format/length:
HES item:
National Codes:
Default Codes:
n2
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Context
plural
Alias
JOINT IMPLANT REVISION REASONS
top
JOINT REPLACEMENT ANATOMICAL SIDE
Change to Data Element: New Data Element
JOINT REPLACEMENT ANATOMICAL SIDE
Format/length:
HES item:
National Codes:
Default Codes:
n2
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
JOINT REPLACEMENT ANATOMICAL SIDES
top
JOINT REPLACEMENT PRIMARY OR REVISION
Change to Data Element: New Data Element
JOINT REPLACEMENT PRIMARY OR REVISION
Format/length:
HES item:
National Codes:
Default Codes:
n2
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
JOINT REPLACEMENTS PRIMARY OR REVISION
top
JOINT REPLACEMENT REVISION NUMBER
Change to Data Element: New Data Element
JOINT REPLACEMENT REVISION NUMBER
Format/length:
n2
HES item:
National Codes:
Default Codes:
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
JOINT REPLACEMENT REVISION NUMBERS
top
KNEE REPLACEMENT CEMENT INDICATOR
Change to Data Element: New Data Element
KNEE REPLACEMENT CEMENT INDICATOR
Format/length:
HES item:
National Codes:
Default Codes:
n1
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
KNEE REPLACEMENT CEMENT INDICATORS
top
KNEE SURGERY FAT PAD REMOVED
Change to Data Element: New Data Element
KNEE SURGERY FAT PAD REMOVED
Format/length:
HES item:
National Codes:
Default Codes:
n2
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
KNEE SURGERIES FAT PAD REMOVED
top
KNEE SURGERY SKIN INCISION METHOD
Change to Data Element: New Data Element
KNEE SURGERY SKIN INCISION METHOD
Format/length:
HES item:
National Codes:
Default Codes:
n2
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
KNEE SURGERIES SKIN INCISION METHOD
top
KNEE SURGERY SURGICAL APPROACH
Change to Data Element: New Data Element
KNEE SURGERY SURGICAL APPROACH
Format/length:
HES item:
National Codes:
Default Codes:
n2
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
KNEE SURGERIES SURGICAL APPROACH
top
KNEE SURGERY TOURNIQUET USED
Change to Data Element: New Data Element
KNEE SURGERY TOURNIQUET USED
Format/length:
HES item:
National Codes:
Default Codes:
n1
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
KNEE SURGERIES TOURNIQUET USED
top
LAMINAR FLOW SYSTEM INDICATOR
Change to Data Element: New Data Element
LAMINAR FLOW SYSTEM INDICATOR
Format/length:
HES item:
National Codes:
Default Codes:
n1
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Context
Alias
plural
LAMINAR FLOW SYSTEM INDICATORS
top
LANGUAGE
Change to Data Element: New Data Element
LANGUAGE
n3
Format/length:
HES item:
National Codes:
Default Codes:
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Context
plural
Alias
LANGUAGES
top
LANGUAGE USAGE
Change to Data Element: New Data Element
LANGUAGE USAGE
n2
Format/length:
HES item:
National Codes:
Default Codes:
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Context
plural
Alias
LANGUAGE USAGES
top
LOCUM INDICATOR
Change to Data Element: New Data Element
LOCUM INDICATOR
n1
Format/length:
HES item:
National Codes:
Default Codes:
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
LOCUM INDICATORS
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MINIMALLY INVASIVE SURGERY INDICATOR
Change to Data Element: New Data Element
MINIMALLY INVASIVE SURGERY INDICATOR
Format/length:
HES item:
National Codes:
Default Codes:
n1
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Context
plural
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Alias
MINIMALLY INVASIVE SURGERY INDICATORS
OVERSEAS SURGICAL TEAM MEMBER
Change to Data Element: New Data Element
OVERSEAS SURGICAL TEAM MEMBER
Format/length:
HES item:
National Codes:
Default Codes:
n1
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
OVERSEAS SURGICAL TEAM MEMBERS
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PATIENT CONSENT TO RECORDING DATA
Change to Data Element: New Data Element
PATIENT CONSENT TO RECORDING DATA
Format/length:
HES item:
National Codes:
Default Codes:
n1
This data element is to be collected for the recording of data for the National Joint Registry only; on JOINT
REPLACEMENT SURGERIES.
National Codes:
Yes
1
No
2
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Context
plural
Alias
PATIENT CONSENT TO RECORDING DATA
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PATIENT DIAGNOSIS IMPLANT INDICATION
Change to Data Element: New Data Element
PATIENT DIAGNOSIS IMPLANT INDICATION
Format/length:
HES item:
National Codes:
Default Codes:
an5
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
PATIENT DIAGNOSIS IMPLANT INDICATIONS
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PATIENT PHYSICAL STATUS
Change to Data Element: New Data Element
PATIENT PHYSICAL STATUS
Format/length:
HES item:
National Codes:
Default Codes:
n2
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Context
plural
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Alias
PATIENT PHYSICAL STATUSES
PATIENT PROCEDURE IMPLANT INDICATION
Change to Data Element: New Data Element
PATIENT PROCEDURE IMPLANT INDICATION
an5
Format/length:
HES item:
National Codes:
Default Codes:
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
PATIENT PROCEDURE IMPLANT INDICATIONS
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PROSTHESIS CEMENTED
Change to Data Element: New Data Element
PROSTHESIS CEMENTED
n1
Format/length:
HES item:
National Codes:
Default Codes:
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Context
plural
Alias
PROSTHESES CEMENTED
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PULSATILE LAVAGE
Change to Data Element: New Data Element
PULSATILE LAVAGE
n1
Format/length:
HES item:
National Codes:
Default Codes:
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
PULSATILE LAVAGES
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SURGICAL DEFAULT TECHNIQUE INDICATOR
Change to Data Element: New Data Element
SURGICAL DEFAULT TECHNIQUE INDICATOR
Format/length:
HES item:
National Codes:
Default Codes:
n1
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Context
plural
Alias
SURGICAL DEFAULT TECHNIQUE INDICATORS
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THROMBO PROPHYLAXIS REGIME TYPE
Change to Data Element: New Data Element
THROMBO PROPHYLAXIS REGIME TYPE
n2
Format/length:
HES item:
National Codes:
Default Codes:
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Alias
Context
plural
THROMBO PROPHYLAXIS REGIME TYPES
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TYPE OF ANAESTHETIC
Change to Data Element: New Data Element
TYPE OF ANAESTHETIC
n2
Format/length:
HES item:
National Codes:
Default Codes:
Press Definition button for the National Codes
References:
National Joint Registry Data Set: v.1: 24th March 2003
This data element is also known by these names:
Context
plural
Alias
TYPES OF ANAESTHETIC
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NATIONAL JOINT REGISTRY DATA SET
Change to Data Set (CDS, CMDS, HES): New Data Set (CDS, CMDS, HES)
NJR MDS
NATIONAL JOINT REGISTRY DATA SET
Operations to be included in the NJR database
HIPS
Primary
Primary
Revision
Revision
HIPS
KNEES
Primary
Operations to include in the NJR
Total joint replacement - i.e. replacement of the femoral head with a stemmed
femoral prosthesis and the insertion of an acetabular cup
With cement / Without cement
Hip resurfacing - Resurfacing of the femoral head with surface replacement
femoral prosthesis and insertion of an acetabular cup
Revision of total joint replacement
With cement / Without cement
Revision of hip resurfacing
Operations to exclude from the NJR
Hemiarthroplasty - i.e. replacement of only the femoral head following fracture
of the femoral neck)
Operations to include in the NJR
Total knee arthroplasty - i.e. replacement of both tibial and both femoral
condyles with or without resurfacing of the patella
Revision
With cement / Without cement
Unicondylar arthroplasty - i.e. replacement of one tibial condyl and one femoral
condyl with or without resurfacing of the patella
Patello-femoral replacement - i.e. where the femoral condyles are replaced and
the patella is resurfaced
Revision of total knee arthroplasty
Revision
Revision
With cement / Without cement
Revision of unicondylar arthroplasty
Revision of patello-femoral replacement
Primary
Primary
Note:
"Re-operations excluding Revisions" - e.g. for dislocation, infection - are not specifically captured in Version
Live MDS_v1 of the Dataset. Relevant procedures will be included in Live MDS_v2 following consultation with
the NJR Steering Committee and the Regional Clinical Co-ordinators' Network.
National Joint Registry Data Set - Data Element List
Data Set data element
Patient Details
BIRTH DATE
LANGUAGE
LANGUAGE USAGE
LOCAL PATIENT IDENTIFIER
NHS NUMBER
PATIENT CONSENT TO RECORDING DATA
PATIENT FAMILY OR SURNAME
PATIENT FORENAME OR PERSONAL NAME
POSTCODE OF USUAL ADDRESS
SEX
Common Operation Details
ADMINISTRATIVE CATEGORY
LAMINAR FLOW SYSTEM INDICATOR
ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
PATIENT PHYSICAL STATUS
PROCEDURE DATE
TYPE OF ANAESTHETIC
Surgeon Details
CONSULTANT CODE
GRADE OF RESPONSIBLE HCP
LOCUM INDICATOR
OVERSEAS SURGICAL TEAM MEMBER
Joint Specific Details
IMPLANT BATCH OR LOT NUMBER
IMPLANT CATALOGUE NUMBER
IMPLANT CLASSIFICATION CODE
IMPLANT MANUFACTURER
IMPLANT MODEL
JOINT IMPLANT REVISION INDICATOR
JOINT IMPLANT REVISION REASON
JOINT REPLACEMENT ANATOMICAL SIDE
JOINT REPLACEMENT PRIMARY OR REVISION
JOINT REPLACEMENT REVISION NUMBER
ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
PATIENT DIAGNOSIS IMPLANT INDICATION
PATIENT PROCEDURE IMPLANT INDICATION
PROCEDURE DATE
SURGICAL DEFAULT TECHNIQUE INDICATOR
Default Technique - Hips
CEMENT GUN USED
CEMENT MIXING SYSTEM
CEMENT PRESSURISER USED
HIP CEMENTING TECHNIQUE TYPE
HIP SURGERY INCISION TYPE
HIP SURGERY PATIENT POSITION
HIP SURGERY TROCHANTER INDICATOR
IMAGE GUIDED SURGERY INDICATOR
MINIMALLY INVASIVE SURGERY INDICATOR
PROSTHESIS CEMENTED
PULSATILE LAVAGE
THROMBO PROPHYLAXIS REGIME TYPE
Default Technique - Knees
IMAGE GUIDED SURGERY INDICATOR
KNEE REPLACEMENT CEMENT INDICATOR
KNEE SURGERY FAT PAD REMOVED
KNEE SURGERY SKIN INCISION METHOD
KNEE SURGERY SURGICAL APPROACH
KNEE SURGERY TOURNIQUET USED
THROMBO PROPHYLAXIS REGIME TYPE
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CL010 PERSON OBSERVATIONS AND CHARACTERISTICS
Change to Diagram: Change to Diagram Contents
CL010 Person Observations and Characteristics
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NJR1 NATIONAL JOINT REGISTRY - DATA COLLECTION
Change to Diagram: New Diagram
NJR1 National Joint Registry - Data Collection
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NJR1 NATIONAL JOINT REGISTRY DATA SET 1
Change to Diagram: New Diagram
NJR1 National Joint Registry Data Set 1
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DATA SETS DIAGRAM MIDDLE PANE
Change to Supporting Information: Change to Supporting Information
Data Set Diagrams
Cancer Data Set Diagrams
Mental Health Data Set Diagram
No reference found for this link
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NATIONAL JOINT REGISTRY DIAGRAM
Change to Supporting Information: New Supporting Information
National Joint Registry Diagram
National Joint Registry Data Set Diagram
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NATIONAL JOINT REGISTRY DIAGRAM CLASS DEFINITIONS
Change to Supporting Information: New Supporting Information
National Joint Registry Diagram Class Definitions
The National Joint Registry Data Set is represented by diagrams which contain the class types and
their relationships that are required to support the National Joint Registry Data Set.
By clicking on a class box on the diagram opposite, the selected class definition will display.
Any text within the displayed definition which is in blue, uppercase and underlined is the name of an
class or an attribute and if clicked on will display the definition for the class or attribute.
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NJR DATA SET OVERVIEW
Change to Supporting Information: New Supporting Information
National Joint Registry Data Set Overview
National Joint Registry Data Set - Overview
About the National Joint Registry:
Hip and knee joints comprise the largest number of joint replacements used in the UK and both are
subject to a high proliferation of different implant types that commonly lack data on their long-term
effectiveness. The NJR is a keystone to delivering the commitment of both the Department of Health
and the Welsh Assembly Government to improve the health and wellbeing of the population and is a
vital tool for improving clinical standards for hip and knee replacements. It will benefit patients,
clinicians and the orthopaedic industry. At the heart of the NJR is a database of information collected
from all the hip and knee replacement procedures in England and Wales.
Is the NJR Compulsory?
If a hospital is in an NHS Trust, then they are expected by ministers to comply. If the hospital is
Independent, then the NJR is compulsory and enforced by the National Care Standards Commission.
Further Information:
Further information on the background to the National Joint Registry can be found in the summary of
a consultation exercise, which can be accessed on the Department of Health website.
National Joint Registry website:
The National Joint Registry website is available at: http://www.njrcentre.org.uk.
There is also a frequently asked questions page within the NJR website, at:
http://www.njrcentre.org.uk/documents/faqs/faq_index.htm
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NATIONAL JOINT REGISTRY DATA SET
Change to Package: New Package
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NATIONAL JOINT REGISTRY DATA COLLECTION
Change to Package: New Package
Note, this package has a fully qualified name of:
Change_Packages.CP323.Data_Dictionary.Diagrams.Model_View.National_Joint_Registry_Data_Collection.Nation
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NATIONAL JOINT REGISTRY DATA SET
Change to Package: New Package
Note, this package has a fully qualified name of:
Change_Packages.CP323.Data_Dictionary.Messages.National_Joint_Registry__Data_Set.National_Joint_Registry_
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Please send enquiries about this DSCN to the mailbox of the Data and Information Standards
Programme:e-mail: disp@nhsia.nhs.uk
or contact Alison Parsons of the Data and Information Standards Programme on:
tel: 0121 333 0351