Change Request

NHS Information Authority

Data Standards and Information Programme

Reference: Change Request 323
Version No:1.74
Subject:DSCN 35/2003 - National Joint Registry Minimum Data Set
Type of Change:Incorporation of a Minimum Data Set into the NHS Data Dictionary
Effective Date:1 April 2003
Reason for Change:Incorporation of elements from the National Joint Registry Minimum 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 went live on the 1st April 2003 and this DSCN has incorporated the National Joint Registry Minimum Data Set into the NHS Data Dictionary.

The National Joint Registry website is accessible at: http://www.njrcentre.org.uk/index.

Summary of changes:
 
Class Definitions
CLINICAL CLASSIFICATION   Change to Attributes
HEALTH CARE PROFESSIONAL   Change to Attributes
HIP CEMENTING TECHNIQUE   New Class
HIP REPLACEMENT SURGERY   New Class
IMPLANT   New Class
JOINT REPLACEMENT REVISION CLASSIFICATION   New Class
JOINT REPLACEMENT REVISION INDICATION   New Class
JOINT REPLACEMENT SURGERY   New Class
KNEE REPLACEMENT SURGERY   New Class
LANGUAGE   New Class
OPERATING THEATRE   Change to Attributes
PATIENT DIAGNOSIS   Change to Relationships
PATIENT PROCEDURE   Change to Attributes
PROSTHETIC DEVICE   New Class
THROMBO PROPHYLAXIS REGIME   New Class
 
Attribute Definitions
CARE PROFESSIONAL INVOLVEMENT ROLE   New Attribute
CEMENT GUN USED   New Attribute
CEMENT MIXING SYSTEM   New Attribute
CEMENT PRESSURISER USED   New Attribute
GRADE OF RESPONSIBLE HCP   Change to Description
HIP CEMENTING TECHNIQUE TYPE   New Attribute
HIP REPLACEMENT BONEGRAFT   New Attribute
HIP SURGERY INCISION TYPE   New Attribute
HIP SURGERY PATIENT POSITION   New Attribute
HIP SURGERY TROCHANTER INDICATOR   New Attribute
IMAGE GUIDED SURGERY INDICATOR   New Attribute
IMPLANT BATCH OR LOT NUMBER   New Attribute
IMPLANT CATALOGUE NUMBER   New Attribute
IMPLANT CLASSIFICATION CODE   New Attribute
IMPLANT MANUFACTURER   New Attribute
IMPLANT MODEL   New Attribute
INTERPRETER REQUIRED INDICATOR   New Attribute
JOINT IMPLANT REVISION INDICATOR   New Attribute
JOINT IMPLANT REVISION REASON   New Attribute
JOINT REPLACEMENT ANATOMICAL SIDE   New Attribute
JOINT REPLACEMENT PRIMARY OR REVISION   New Attribute
JOINT REPLACEMENT REVISION NUMBER   New Attribute
KNEE REPLACEMENT CEMENT INDICATOR   New Attribute
KNEE SURGERY FAT PAD REMOVED   New Attribute
KNEE SURGERY SKIN INCISION METHOD   New Attribute
KNEE SURGERY SURGICAL APPROACH   New Attribute
KNEE SURGERY TOURNIQUET USED   New Attribute
LAMINAR FLOW SYSTEM INDICATOR   New Attribute
LANGUAGE USAGE   New Attribute
LOCUM INDICATOR   New Attribute
MINIMALLY INVASIVE SURGERY INDICATOR   New Attribute
OVERSEAS SURGICAL TEAM MEMBER   New Attribute
PATIENT DIAGNOSIS IMPLANT INDICATION   New Attribute
PATIENT PHYSICAL STATUS   New Attribute
PATIENT PROCEDURE IMPLANT INDICATION   New Attribute
PROSTHESIS CEMENTED   New Attribute
PROSTHETIC DEVICE CODE   New Attribute
PROSTHETIC DEVICE TYPE   New Attribute
PULSATILE LAVAGE   New Attribute
SURGICAL DEFAULT TECHNIQUE INDICATOR   New Attribute
THROMBO PROPHYLAXIS REGIME TYPE   New Attribute
TYPE OF ANAESTHETIC   New Attribute
 
Data Elements
CEMENT GUN USED   New Data Element
CEMENT MIXING SYSTEM   New Data Element
CEMENT PRESSURISER USED   New Data Element
HIP CEMENTING TECHNIQUE TYPE   New Data Element
HIP REPLACEMENT BONEGRAFT   New Data Element
HIP SURGERY INCISION TYPE   New Data Element
HIP SURGERY PATIENT POSITION   New Data Element
HIP SURGERY TROCHANTER INDICATOR   New Data Element
IMAGE GUIDED SURGERY INDICATOR   New Data Element
IMPLANT BATCH OR LOT NUMBER   New Data Element
IMPLANT CATALOGUE NUMBER   New Data Element
IMPLANT CLASSIFICATION CODE   New Data Element
IMPLANT MANUFACTURER   New Data Element
IMPLANT MODEL   New Data Element
JOINT IMPLANT REVISION INDICATOR   New Data Element
JOINT IMPLANT REVISION REASON   New Data Element
JOINT REPLACEMENT ANATOMICAL SIDE   New Data Element
JOINT REPLACEMENT PRIMARY OR REVISION   New Data Element
JOINT REPLACEMENT REVISION NUMBER   New Data Element
KNEE REPLACEMENT CEMENT INDICATOR   New Data Element
KNEE SURGERY FAT PAD REMOVED   New Data Element
KNEE SURGERY SKIN INCISION METHOD   New Data Element
KNEE SURGERY SURGICAL APPROACH   New Data Element
KNEE SURGERY TOURNIQUET USED   New Data Element
LAMINAR FLOW SYSTEM INDICATOR   New Data Element
LANGUAGE   New Data Element
LANGUAGE USAGE   New Data Element
LOCUM INDICATOR   New Data Element
MINIMALLY INVASIVE SURGERY INDICATOR   New Data Element
OVERSEAS SURGICAL TEAM MEMBER   New Data Element
PATIENT CONSENT TO RECORDING DATA   New Data Element
PATIENT DIAGNOSIS IMPLANT INDICATION   New Data Element
PATIENT PHYSICAL STATUS   New Data Element
PATIENT PROCEDURE IMPLANT INDICATION   New Data Element
PROSTHESIS CEMENTED   New Data Element
PULSATILE LAVAGE   New Data Element
SURGICAL DEFAULT TECHNIQUE INDICATOR   New Data Element
THROMBO PROPHYLAXIS REGIME TYPE   New Data Element
TYPE OF ANAESTHETIC   New Data Element
 
Data Sets (CDS, CMDS, HES)
NATIONAL JOINT REGISTRY MINIMUM DATA SET   New Data Set (CDS, CMDS, HES)
 
Diagrams
CL010 PERSON OBSERVATIONS AND CHARACTERISTICS   Change to Diagram Contents
NJR1 NATIONAL JOINT REGISTRY - DATA COLLECTION   New Diagram
NJR1 NATIONAL JOINT REGISTRY MINIMUM DATA SET 1   New Diagram
 
Supporting Information
DATA SETS DIAGRAM MIDDLE PANE   Change to Supporting Information
NATIONAL JOINT REGISTRY DIAGRAM   New Supporting Information
NATIONAL JOINT REGISTRY DIAGRAM CLASS DEFINITIONS   New Supporting Information
NJR MINIMUM DATA SET OVERVIEW   New Supporting Information
 
Packages
NATIONAL JOINT REGISTRY MINIMUM DATA SET   New Package
NATIONAL JOINT REGISTRY DATA COLLECTION   New Package
NATIONAL JOINT REGISTRY MINIMUM DATA SET   New Package

Name:Zahid Ebrahim
Date:27 January 2004
Sponsor:Data and Information Standards Programme

Note: Additions shown in highlighted with a blue background. Deletions are shown using strikeout.


CLINICAL CLASSIFICATION

Change to Class: Change to Attributes

Attributes of this Class are:
KCLINICAL CLASSIFICATION CODE
OPATIENT DIAGNOSIS IMPLANT INDICATION


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HEALTH CARE PROFESSIONAL

Change to Class: Change to Attributes

Attributes of this Class are:
OCARE PROFESSIONAL INVOLVEMENT ROLE
OGRADE OF RESPONSIBLE HCP
OGYNAECOLOGICAL ONCOLOGY ACCREDITATION
OLOCUM INDICATOR
OOVERSEAS SURGICAL TEAM MEMBER
   for lead operating surgeon or first assistant only
OSPECIALIST HIV SKILLS AVAILABLE
OSPECIALIST REGISTRAR FLAG
   for paediatric surgery only


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HIP CEMENTING TECHNIQUE

Change to Class: New Class

HIP CEMENTING TECHNIQUE

The HIP CEMENTING TECHNIQUE of a HIP REPLACEMENT SURGERY.

References:
National Joint Registry Minimum 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


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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 Minimum Data Set: v.1: 24th March 2003



This class is also known by these names:
ContextAlias
pluralHIP 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


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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 Minimum Data Set: v.1: 24th March 2003



This class is also known by these names:
ContextAlias
pluralIMPLANTS

Attributes of this Class are:
KIMPLANT CATALOGUE NUMBER
KIMPLANT MANUFACTURER
IMPLANT BATCH OR LOT NUMBER
IMPLANT CLASSIFICATION CODE
IMPLANT MODEL

This class has no relationships.


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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 Minimum Data Set: v.1: 24th March 2003



This class is also known by these names:
ContextAlias
pluralJOINT REPLACEMENT REVISION CLASSIFICATION

Attributes of this Class are:
KJOINT IMPLANT REVISION REASON

Each JOINT REPLACEMENT REVISION CLASSIFICATION
may be the classification of one or more JOINT REPLACEMENT REVISION INDICATION


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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 Minimum Data Set: v.1: 24th March 2003



This class is also known by these names:
ContextAlias
pluralJOINT REPLACEMENT REVISION INDICATIONS

Attributes of this Class are:
KJOINT IMPLANT REVISION INDICATOR

Each JOINT REPLACEMENT REVISION INDICATION
Kmust be linked to one and only one JOINT REPLACEMENT REVISION CLASSIFICATION
must be the indication for one and only one JOINT REPLACEMENT SURGERY


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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 Minimum Data Set: v.1: 24th March 2003



This class is also known by these names:
ContextAlias
pluralJOINT REPLACEMENT SURGERIES

Attributes of this Class are:
IMAGE GUIDED SURGERY INDICATOR
JOINT REPLACEMENT ANATOMICAL SIDE
JOINT REPLACEMENT PRIMARY OR REVISION
OJOINT REPLACEMENT REVISION NUMBER
MINIMALLY INVASIVE SURGERY INDICATOR
OPATIENT PROCEDURE IMPLANT INDICATION
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


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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 Minimum Data Set: v.1: 24th March 2003



This class is also known by these names:
ContextAlias
pluralKNEE 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.


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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 Akan (Ashanti)
002 Albanian
003 Amharic
004 Arabic
005 Bengali & Sylheti
006 Brawa & Somali
007 British Signing Language
008 Cantonese
009 Cantonese and Vietnamese
010 Creole
011 Dutch
012 English
013 Ethiopian
014 Farsi (Persian)
015 Finnish
016 Flemish
017 French
018 French creole
019 Gaelic
020 German
021 Greek
022 Gujarati
023 Hakka
024 Hausa
025 Hebrew
026 Hindi
027 Igbo (Ibo)
028 Italian
029 Japanese
030 Korean
031 Kurdish
032 Lingala
033 Luganda
034 Maketon (sign language)
035 Malayalam
036 Mandarin
037 Norwegian
038 Pashto (Pushtoo)
039 Patois
040 Polish
041 Portuguese
042 Punjabi
043 Russian
044 Serbian/Croatian
045 Sinhala
046 Somali
048 Spanish
049 Swahili
050 Swedish
051 Sylhethi
052 Tagalog (Filipino)
053 Tamil
054 Thai
055 Tigrinya
056 Turkish
057 Urdu
058 Vietnamese
059 Welsh
060 Yoruba
200 Other

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This class is also known by these names:
ContextAlias
pluralLANGUAGES

Attributes of this Class are:
INTERPRETER REQUIRED INDICATOR
OLANGUAGE USAGE
   for JOINT REPLACEMENT SURGERY only

This class has no relationships.


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OPERATING THEATRE

Change to Class: Change to Attributes

Attributes of this Class are:
KOPERATING THEATRE CODE
ANAESTHETIC ROOM PRESENT
OLAMINAR FLOW SYSTEM INDICATOR
   for JOINT REPLACEMENT SURGERY only
OPERATING THEATRE NAME
OPERATING THEATRE TYPE
POST OPERATIVE ROOM PRESENT


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PATIENT DIAGNOSIS

Change to Class: Change to Relationships

Each PATIENT DIAGNOSIS
may be recorded for one and only one CONSULTANT EPISODE (ACUTE HOME-BASED)
or may be related to one and only one CONSULTANT EPISODE (HOSPITAL PROVIDER)
or may be related to one and only one OUT-PATIENT ATTENDANCE CONSULTANT
may be the primary diagnosis of one or more CANCER CARE SPELL
may be recorded for one and only one CARE PROGRAMME APPROACH REVIEW
may be the indication for revision of one and only one JOINT REPLACEMENT SURGERY
may be the indication for implantation of one and only one JOINT REPLACEMENT SURGERY
may be recorded for highest one and only one NEONATAL LEVEL OF CARE PERIOD


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PATIENT PROCEDURE

Change to Class: Change to Attributes

Attributes of this Class are:
OCOLONOSCOPY INCOMPLETE REASON
   if procedure is colonoscopy
ONEW LESIONS TREATED NUMBER
   if procedure is for treatment of Basal Cell or Squamous Cell Carcinoma only
OPERATIVE PATIENT PROCEDURE INDICATOR
OPATIENT INFORMED BIOPSY RESULT DATE
   colposcopy only
OPATIENT PHYSICAL STATUS
   for OPERATIVE PROCEDURES only and where an anaesthetist is present to record the physical status
OPATIENT PROCEDURE RESULT
   if procedure is colonoscopy or other for cancer detection
ORECURRENT LESIONS TREATED NUMBER
   if procedure is for treatment of Basal Cell or Squamous Cell Carcinoma only
OSARCOMA SURGICAL MARGIN
   if procedure is for treatment of sarcoma
OSARCOMA SURGICAL PROCEDURE TYPE
   if procedure is for treatment of sarcoma
OSURGICAL URGENCY
   for operative procedures only
TYPE OF ANAESTHETIC


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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 Minimum Data Set: v.1: 24th March 2003



This class is also known by these names:
ContextAlias
pluralPROSTHETIC DEVICES

Attributes of this Class are:
KPROSTHETIC DEVICE CODE
PROSTHETIC DEVICE TYPE

Each PROSTHETIC DEVICE
must be fitted during one and only one JOINT REPLACEMENT SURGERY


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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.

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This class is also known by these names:
ContextAlias
pluralTHROMBO PROPHYLAXIS REGIME

Attributes of this Class are:
KTHROMBO PROPHYLAXIS REGIME TYPE

Each THROMBO PROPHYLAXIS REGIME
must be related to one and only one JOINT REPLACEMENT SURGERY


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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. Performs the procedure
b. General Anaesthesia Administrator
c. Local Anaesthesia Administrator
d. Assists the procedure

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralCARE PROFESSIONAL INVOLVEMENT ROLES


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CEMENT GUN USED

Change to Attribute: New Attribute

CEMENT GUN USED

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 Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralCEMENT GUNS USED


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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 Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralCEMENT MIXING SYSTEMS


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CEMENT PRESSURISER USED

Change to Attribute: New Attribute

CEMENT PRESSURISER USED

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 Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralCEMENT PRESSURISERS USED


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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 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:
ContextAlias
pluralGRADES_OF_RESPONSIBLE_HCP


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HIP CEMENTING TECHNIQUE TYPE

Change to Attribute: New Attribute

HIP CEMENTING TECHNIQUE TYPE

An identifier for the cementing technique type used during HIP REPLACEMENT SURGERY.

National Codes:
01 Acetabular
02 Femoral

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralHIP CEMENTING TECHNIQUE TYPES


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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 Acetabular only
02 Femoral only
03 Both
04 Neither

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralHIP REPLACEMENT BONEGRAFTS


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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:
01 Anterior/Antero-Lateral/Lateral
02 Posterior

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralHIP SURGERY INCISION TYPES


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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:
01 Lateral
02 Supine

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralHIP SURGERY PATIENT POSITIONS


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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:
1 Yes
2 No

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralHIP SURGERY TROCHANTER INDICATORS


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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:
1 Yes
2 No

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralIMAGE GUIDED SURGERY INDICATORS


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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 Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralIMPLANT BATCH OR LOT NUMBERS


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IMPLANT CATALOGUE NUMBER

Change to Attribute: New Attribute

IMPLANT CATALOGUE NUMBER

Identifies the IMPLANT CATALOGUE NUMBER of an IMPLANT.

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralIMPLANT CATALOGUE NUMBERS


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IMPLANT CLASSIFICATION CODE

Change to Attribute: New Attribute

IMPLANT CLASSIFICATION CODE

Identifies the IMPLANT CLASSIFICATION CODE of an IMPLANT.

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralIMPLANT CLASSIFICATION CODES


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IMPLANT MANUFACTURER

Change to Attribute: New Attribute

IMPLANT MANUFACTURER

Identifies the IMPLANT MANUFACTURER of an IMPLANT.

National codes:
01 ApaTech Products
02 Avatar
03 B Braun / Aesculap
04 Biomet
05 Centerpulse
06 Corin
07 DePuy
08 Endo Plus (UK) Limited
09 Finsbury
10 Intavent - Orthofix
11 Joint Replacement Instrumentation Ltd
12 Midland Medical Technologies Ltd
13 Orthodynamics
14 Plato Health Systems
15 Schering-Plough
16 Smith & Nephew
17 Sovereign Medical
18 Stryker Howmedica Osteonics
19 Summit Medical
20 Waldemar Link
21 Wright Cremascoli Ortho
22 Zimmer
23 Zynergy Orthopaedics
90 Other

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralIMPLANT MANUFACTURERS


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IMPLANT MODEL

Change to Attribute: New Attribute

IMPLANT MODEL

Identifies the IMPLANT MODEL of an IMPLANT.

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003


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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. Yes
b. No

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralINTERPRETER REQUIRED INDICATOR


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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:
1 Yes
2 No

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralJOINT IMPLANT REVISION INDICATORS


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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 Aseptic loosening
02 Dislocation/subluxation
03 Incorrect sizing
04 Infection
05 Lysis
06 Malalignment
07 Pain
08 Periprosthetic fracture
09 Wear of polyethylene component
90 Other
Hip only
10 Implant fracture - acetabulum
11 Implant fracture - femoral head
12 Implant fracture - stem
Knee only
13 Implant fracture - femoral
14 Implant fracture - patella
15 Implant fracture - tibial
16 Instability
17 Patella maltracking
18 Wear of patella
19 Wear of tibia

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralJOINT IMPLANT REVISION REASONS


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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:
01 Left
02 Right

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralJOINT REPLACEMENT ANATOMICAL SIDE


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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 Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralJOINT REPLACEMENTS PRIMARY OR REVISION


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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 Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralJOINT REPLACEMENT REVISION NUMBER


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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:
1 Yes
2 No

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralKNEE REPLACEMENT CEMENT INDICATOR


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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:
01 Yes, fully
02 Yes, partially
03 No

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralKNEE SURGERIES FAT PAD REMOVED


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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:
01 Midline
02 Medial
03 Lateral

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralKNEE SURGERIES SKIN INCISION METHOD


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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 Lateral Parapatellar
02 Medial Parapatellar
03 Sub-vastus
09 Other

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralKNEE SURGERIES SURGICAL APPROACH


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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:
1 Yes
2 No

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralKNEE SURGERY TOURNIQUETS USED


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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:
1 Yes
2 No

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralLAMINAR FLOW SYSTEM INDICATOR


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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:
01 preferred for follow-up
02 'other' preferred for follow-up

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralLANGUAGE USAGES


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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:
1 Yes, a locum
2 No, not a locum

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralLOCUM INDICATORS


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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:
1 Yes
2 No

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralMINIMALLY INVASIVE SURGERY INDICATOR


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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:
1 Yes
2 No

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralOVERSEAS SURGICAL TEAM MEMBERS


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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  
M05 Seropositive rheumatoid arthritis
M06.0 Seronegative rheumatoid arthritis
M87 Osteonecrosis
T84.1 Mechanical complication of internal fixation device of bones of limb
   
Hip  
M16 Coxarthrosis [arthrosis of hip]
M16.3 Other dysplastic coxarthrosis
M16.5 Other post-traumatic coxarthrosis
S72.0 Fracture of neck of femur
S79 Other and unspecified injuries of hip and thigh
   
Knee
M17 Gonarthosis [arthrosis of knee]
M17.3 Other post-traumatic gonarthrosis
S83 Dislocation, sprain and strain of joints and ligaments of knee

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralPATIENT DIAGNOSIS IMPLANT INDICATIONS


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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 Fit and healthy
02 Mild disease; not incapacitating
03 Incapacitating systemic disease
04 Life threatening disease
05 Expected to die within 24hrs with or without an operation
06 A declared brain dead patient whose organs are being removed for donor purposes

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralPATIENT PHYSICAL STATUS


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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 Primary total prosthetic replacement of hip joint using cement
W38.1 Primary total prosthetic replacement of hip joint not using cement
W39.1 Primary total prosthetic replacement hip joint not elsewhere classified (eg hybrid)
W58.1 Primary resurfacing arthroplasty of joint
 
Hip revision
W37.3 Revision of total prosthetic replacement of hip joint using cement
W38.3 Revision of total prosthetic replacement of hip joint not using cement
W39.3 Revision of total prosthetic replacement of hip joint not elsewhere classified (eg hybrid)
W58.2 Revision of resurfacing arthroplasty of joint
 
Knee primary
W40.1 Primary total prosthetic replacement of knee joint using cement
W41.1 Primary total prosthetic replacement of knee joint not using cement
W42.1 Primary total prosthetic replacement knee joint not elsewhere classified (eg hybrid)
W52.1 Primary prosthetic replacement of articulation of bone using cement nec
Z84.4 Patellofemoral joint
Z84.6 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 Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralPATIENT PROCEDURE IMPLANT INDICATIONS


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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:
1 Yes
2 No

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralPROSTHESES CEMENTED


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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 Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralPROSTHETIC DEVICE CODES


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PROSTHETIC DEVICE TYPE

Change to Attribute: New Attribute

PROSTHETIC DEVICE TYPE

Identifies the type of PROSTHETIC DEVICE.

Classifications:
a. IMPLANT

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralPROSTHETIC DEVICE TYPES


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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:
1 Yes
2 No

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralPULSATILE LAVAGES


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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:
1 Yes
2 No

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralSURGICAL DEFAULT TECHNIQUE INDICATORS


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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 Chemical - Aspirin
02 Chemical - Chloroquine
03 Chemical - Low Dose Heparin (LDH)
04 Chemical - Low Molecular Weight Heparin (LMWH)
05 Chemical - Pentasaccharide
06 Chemical - Warfarin
07 Chemical - Other (please specify)
Mechanical
08 Mechanical - Foot Pump
09 Mechanical - Intermittent calf compression
10 Mechanical - TED Stockings
11 Mechanical - Other

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralTHROMBO PROPHYLAXIS REGIME TYPES


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TYPE OF ANAESTHETIC

Change to Attribute: New Attribute

TYPE OF ANAESTHETIC

Identifies the type of anaesthetic used during a PATIENT PROCEDURE.

National Codes:
01 General
02 Regional - epidural
03 Regional nerve block
04 Regional - spinal intrathecal

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This attribute is also known by these names:
ContextAlias
pluralTYPE OF ANAESTHETIC


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CEMENT GUN USED

Change to Data Element: New Data Element

CEMENT GUN USED

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralCEMENT GUNS USED


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CEMENT MIXING SYSTEM

Change to Data Element: New Data Element

CEMENT MIXING SYSTEM

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralCEMENT MIXING SYSTEMS


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CEMENT PRESSURISER USED

Change to Data Element: New Data Element

CEMENT PRESSURISER USED

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralCEMENT PRESSURISERS USED


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HIP CEMENTING TECHNIQUE TYPE

Change to Data Element: New Data Element

HIP CEMENTING TECHNIQUE TYPE

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralHIP CEMENTING TECHNIQUE TYPES


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HIP REPLACEMENT BONEGRAFT

Change to Data Element: New Data Element

HIP REPLACEMENT BONEGRAFT

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralHIP REPLACEMENT BONEGRAFTS


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HIP SURGERY INCISION TYPE

Change to Data Element: New Data Element

HIP SURGERY INCISION TYPE

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralHIP SURGERY INCISION TYPES


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HIP SURGERY PATIENT POSITION

Change to Data Element: New Data Element

HIP SURGERY PATIENT POSITION

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralHIP SURGERY PATIENT POSITIONS


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HIP SURGERY TROCHANTER INDICATOR

Change to Data Element: New Data Element

HIP SURGERY TROCHANTER INDICATOR

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralHIP SURGERIES TROCHANTER INDICATOR


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IMAGE GUIDED SURGERY INDICATOR

Change to Data Element: New Data Element

IMAGE GUIDED SURGERY INDICATOR

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralIMAGE GUIDED SURGERY INDICATORS


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IMPLANT BATCH OR LOT NUMBER

Change to Data Element: New Data Element

IMPLANT BATCH OR LOT NUMBER

Format/length: an50
HES item:
Default Codes:  

The IMPLANT BATCH OR LOT NUMBER of an IMPLANT.

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralIMPLANT BATCH OR LOT NUMBERS


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IMPLANT CATALOGUE NUMBER

Change to Data Element: New Data Element

IMPLANT CATALOGUE NUMBER

Format/length: an100
HES item:
National Codes:
Default Codes:  

The IMPLANT CATALOGUE NUMBER of an IMPLANT.

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralIMPLANT CATALOGUE NUMBERS


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IMPLANT CLASSIFICATION CODE

Change to Data Element: New Data Element

IMPLANT CLASSIFICATION CODE

Format/length: n4
HES item:
National Codes: See reference below
Default Codes:  

References:
NJR Centre, B329, Harwell, Didcot, OX11 0QJ
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralIMPLANT CLASSIFICATION CODES


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IMPLANT MANUFACTURER

Change to Data Element: New Data Element

IMPLANT MANUFACTURER

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralIMPLANT MANUFACTURERS


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IMPLANT MODEL

Change to Data Element: New Data Element

IMPLANT MODEL

Format/length: an255
HES item:
National Codes:
Default Codes:  

The IMPLANT MODEL of an IMPLANT.

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralIMPLANT MODELS


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JOINT IMPLANT REVISION INDICATOR

Change to Data Element: New Data Element

JOINT IMPLANT REVISION INDICATOR

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralJOINT IMPLANT REVISION INDICATORS


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JOINT IMPLANT REVISION REASON

Change to Data Element: New Data Element

JOINT IMPLANT REVISION REASON

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralJOINT IMPLANT REVISION REASONS


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JOINT REPLACEMENT ANATOMICAL SIDE

Change to Data Element: New Data Element

JOINT REPLACEMENT ANATOMICAL SIDE

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralJOINT REPLACEMENT ANATOMICAL SIDES


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JOINT REPLACEMENT PRIMARY OR REVISION

Change to Data Element: New Data Element

JOINT REPLACEMENT PRIMARY OR REVISION

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralJOINT REPLACEMENTS PRIMARY OR REVISION


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JOINT REPLACEMENT REVISION NUMBER

Change to Data Element: New Data Element

JOINT REPLACEMENT REVISION NUMBER

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralJOINT REPLACEMENT REVISION NUMBERS


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KNEE REPLACEMENT CEMENT INDICATOR

Change to Data Element: New Data Element

KNEE REPLACEMENT CEMENT INDICATOR

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralKNEE REPLACEMENT CEMENT INDICATORS


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KNEE SURGERY FAT PAD REMOVED

Change to Data Element: New Data Element

KNEE SURGERY FAT PAD REMOVED

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralKNEE SURGERIES FAT PAD REMOVED


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KNEE SURGERY SKIN INCISION METHOD

Change to Data Element: New Data Element

KNEE SURGERY SKIN INCISION METHOD

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralKNEE SURGERIES SKIN INCISION METHOD


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KNEE SURGERY SURGICAL APPROACH

Change to Data Element: New Data Element

KNEE SURGERY SURGICAL APPROACH

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralKNEE SURGERIES SURGICAL APPROACH


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KNEE SURGERY TOURNIQUET USED

Change to Data Element: New Data Element

KNEE SURGERY TOURNIQUET USED

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralKNEE SURGERIES TOURNIQUET USED


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LAMINAR FLOW SYSTEM INDICATOR

Change to Data Element: New Data Element

LAMINAR FLOW SYSTEM INDICATOR

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralLAMINAR FLOW SYSTEM INDICATORS


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LANGUAGE

Change to Data Element: New Data Element

LANGUAGE

Format/length: n3
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralLANGUAGES


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LANGUAGE USAGE

Change to Data Element: New Data Element

LANGUAGE USAGE

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralLANGUAGE USAGES


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LOCUM INDICATOR

Change to Data Element: New Data Element

LOCUM INDICATOR

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralLOCUM INDICATORS


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MINIMALLY INVASIVE SURGERY INDICATOR

Change to Data Element: New Data Element

MINIMALLY INVASIVE SURGERY INDICATOR

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralMINIMALLY INVASIVE SURGERY INDICATORS


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OVERSEAS SURGICAL TEAM MEMBER

Change to Data Element: New Data Element

OVERSEAS SURGICAL TEAM MEMBER

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralOVERSEAS 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: n1
HES item:
National Codes:
Default Codes:  

This data element is to be collected for the recording of data for the National Joint Registry only; on JOINT REPLACEMENT SURGERIES.

National Codes:
1 Yes
2 No

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralPATIENT 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: an5
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralPATIENT DIAGNOSIS IMPLANT INDICATIONS


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PATIENT PHYSICAL STATUS

Change to Data Element: New Data Element

PATIENT PHYSICAL STATUS

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralPATIENT PHYSICAL STATUSES


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PATIENT PROCEDURE IMPLANT INDICATION

Change to Data Element: New Data Element

PATIENT PROCEDURE IMPLANT INDICATION

Format/length: an5
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralPATIENT PROCEDURE IMPLANT INDICATIONS


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PROSTHESIS CEMENTED

Change to Data Element: New Data Element

PROSTHESIS CEMENTED

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralPROSTHESES CEMENTED


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PULSATILE LAVAGE

Change to Data Element: New Data Element

PULSATILE LAVAGE

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralPULSATILE LAVAGES


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SURGICAL DEFAULT TECHNIQUE INDICATOR

Change to Data Element: New Data Element

SURGICAL DEFAULT TECHNIQUE INDICATOR

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralSURGICAL DEFAULT TECHNIQUE INDICATORS


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THROMBO PROPHYLAXIS REGIME TYPE

Change to Data Element: New Data Element

THROMBO PROPHYLAXIS REGIME TYPE

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralTHROMBO PROPHYLAXIS REGIME TYPES


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TYPE OF ANAESTHETIC

Change to Data Element: New Data Element

TYPE OF ANAESTHETIC

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

References:
National Joint Registry Minimum Data Set: v.1: 24th March 2003



This data element is also known by these names:
ContextAlias
pluralTYPES OF ANAESTHETIC


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NATIONAL JOINT REGISTRY MINIMUM DATA SET

Change to Data Set (CDS, CMDS, HES): New Data Set (CDS, CMDS, HES)

NJR MDS

NATIONAL JOINT REGISTRY MINIMUM DATA SET

Operations to be included in the NJR database
HIPS

Operations to include in the NJR

Primary

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

Primary

Hip resurfacing - Resurfacing of the femoral head with surface replacement femoral prosthesis and insertion of an acetabular cup

Revision

Revision of total joint replacement

With cement / Without cement

Revision

Revision of hip resurfacing

HIPS

Operations to exclude from the NJR

 

Hemiarthroplasty - i.e. replacement of only the femoral head following fracture of the femoral neck)

KNEES

Operations to include in the NJR

Primary

Total knee arthroplasty - i.e. replacement of both tibial and both femoral condyles with or without resurfacing of the patella

With cement / Without cement

Primary

Unicondylar arthroplasty - i.e. replacement of one tibial condyl and one femoral condyl with or without resurfacing of the patella

Primary

Patello-femoral replacement - i.e. where the femoral condyles are replaced and the patella is resurfaced

Revision

Revision of total knee arthroplasty

With cement / Without cement

Revision

Revision of unicondylar arthroplasty

Revision

Revision of patello-femoral replacement

Note:
"Re-operations excluding Revisions" - e.g. for dislocation, infection - are not specifically captured in Version Live MDS_v1 of the Minimum 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 Minimum 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 MINIMUM DATA SET 1

Change to Diagram: New Diagram


 NJR1 National Joint Registry Minimum 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 Diagrams Mental Health Minimum Data Set Diagram

Diabetes Data Set Diagrams

National Joint Registry 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 Minimum 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 Minimum Data Set is represented by diagrams which contain the class types and their relationships that are required to support the National Joint Registry Minimum 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 MINIMUM DATA SET OVERVIEW

Change to Supporting Information: New Supporting Information

National Joint Registry Minimum Data Set Overview

National Joint Registry Minimum 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 MINIMUM 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.National_Joint_Registry_Data_Collection


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NATIONAL JOINT REGISTRY MINIMUM 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_Minimum_Data_Set.National_Joint_Registry_Minimum_Data_Set


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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