Purpose: To provide guidance to centers to ensure consistent data entry of procedures and surgeries.

 

Proposal: 

  1. Childbirth
    1. Vaginal
      1. Enter Delivery date in the Surgery Date field
      2. Select surgery from the Surgery/Procedure drop-down menu
      3. Select Obstetric in the surgery drop-down menu
      4. Select Vaginal for the site from the drop-down menu
      5. Add “Child birth” to the comments field

 

2. C-Section

  1. Enter Delivery date in the Surgery Date field
  2. Select surgery from the Surgery/Procedure drop-down menu
  3. Select Obstetric in the surgery drop-down menu
  4. Select C-section from the Site drop-down menu

 

3. Dermatological Procedures

  1. Mole removal
    1. Enter the date of the procedure on the Surgery Date field
    2. Select Procedure from the Surgery/Procedure drop-down menu
    3. Select Skin Cancer/Lesion Removal in the Procedure drop-down menu
    4. Select the site from the drop down menu

 

 

4. Dental Work

  1. Extraction (including wisdom teeth)
    1. Enter the date Surgery Date 
    2. Select Surgery from the Surgery/Procedure drop-down menu
    3. Select Maxillo/Facial/Dental in the Surgery drop-down menu
    4. Select the Dental from the site drop-down menu
    5. Add additional comments as applicable

5. Cleaning

  1. Enter the date of the cleaning/filling as the Surgery Date 
  2. Select Procedure from the drop-down menu
  3.  Select dental cleaning or dental filling as applicable from the Procedure drop-down menu
  4. Select Dental in the site drop-down menu
  5. Add additional comments as applicable

 

6. Orthopedic procedure

  1. Enter the date of the procedure as the Surgery Date 
  2. Select Orthopedic from the drop-down menu
  3.  Select the joint from the Joint drop-down menu
  4. Select the procedure type from the Surgery Type drop-down menu
  5. Add additional comments as applicable

7. Colonoscopy

  1. Enter the date of the procedure as the Surgery Date 
  2. Select procedure from the Surgery/Procedure drop-down menu
  3.  Select the Endoscopy/Colonoscopy from the Procedure drop-down menu
  4. Select the procedure type from the Surgery Type drop-down menu
  5. Select mouth, nose or buttocks as applicable from the Site Drop-Down menu
  6. Add additional comments as applicable

 

*N.B. Once the interaction is saved, be sure to link any related treatment interactions to the surgery/procedure. Please see the general guidance document for recording surgeries and procedures