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Person—foot deformity indicator, code N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termFoot deformity
METEOR identifier:Help on this term302449
Registration status:Help on this term
  • Health, Standard 21/09/2005
Definition:Help on this term

Whether a deformity is present on either foot, as represented by a code.

Data element concept attributes

Identifying and definitional attributes

Data element concept:Person—foot deformity indicator
METEOR identifier:Help on this term269616
Registration status:Help on this term
  • Health, Standard 01/03/2005
Definition:Help on this termWhether a deformity is present on either foot.
Context:Help on this termPublic health, health care and clinical settings.
Object class:Help on this termPerson
Property:Help on this termFoot deformity indicator

Value domain attributes

Identifying and definitional attributes

Value domain:Yes/no/not stated/inadequately described code N
METEOR identifier:Help on this term301747
Registration status:Help on this term
  • ACT Health (retired), Candidate 08/08/2018
  • Children and Families, Standard 22/11/2016
  • Community Services (retired), Standard 14/02/2006
  • Disability, Standard 07/10/2014
  • Early Childhood, Standard 21/05/2010
  • Health, Standard 21/09/2005
  • Homelessness, Standard 23/08/2010
  • Housing assistance, Standard 10/02/2006
  • Independent Hospital Pricing Authority, Standard 01/11/2012
  • Indigenous, Standard 13/03/2015
Definition:Help on this termA code set representing 'yes', 'no' and 'not stated/inadequately described'.

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN
Maximum character length:Help on this term1
Permissible values:Help on this term
ValueMeaning
1Yes
2No
Supplementary values:Help on this term
ValueMeaning
9Not stated/inadequately described

Collection and usage attributes

Guide for use:Help on this term

CODE 9    Not stated/inadequately described

This code is not for use in primary data collections.

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

CODE 1   Yes
Record if a foot deformity is present on either foot.

CODE 2   No
Record if no foot deformity is present on either foot.

Common deformities include claw toes, pes cavus, hallux valgus, hallux rigidus, hammer toe, Charcot foot and nail deformity.

Collection methods:Help on this term

Both feet to be examined for the presence of foot deformity.

Comments:Help on this term

Foot deformities are associated with high mechanical pressure on the overlying skin that lead to ulceration in the absence of protective pain sensation and when shoes are unsuitable. Limited joint mobility is often present, with displaced plantar fat pad and more prominent metatarsal heads.

Source and reference attributes

Submitting organisation:Help on this term

National diabetes data working group

Origin:Help on this term

National Diabetes Outcomes Quality Review Initiative (NDOQRIN) data dictionary

Reference documents:Help on this term

Lesley V Campbell, Antony R Graham, Rosalind M Kidd, Hugh F Molloy, Sharon R O'Rourke and Stephen Colagiuri: The Lower Limb in People With Diabetes; Content 1997/98 Australian Diabetes Society.

Edmonds M, Boulton A, Buckenham T, et al. Report of the Diabetic Foot and Amputation Group. Diabet Med 1996; 13: S27 - 42.

Reiber GE. Epidemiology of the diabetic foot. In: Levin ME, O'Neal LW, Bowker JH, editors. The diabetic foot. 5th ed. St Louis: Mosby Year Book, 1993; 1 - 5.

Most RS, Sinnock P. The epidemiology of lower limb extremity amputations in diabetic individuals. Diabetes Care 1983; 6: 87 - 91.
Therapeutic Guidelines Limited (05.04.2002) Management plan for diabetes.

Relational attributes

Related metadata references:Help on this term
Supersedes Person—foot deformity status, code N
  • Health, Superseded 21/09/2005
Implementation in Data Set Specifications:Help on this term
All attributes +

Diabetes (clinical) NBPDSHealth, Standard 21/09/2005

DSS specific attributes +

DSS specific information:

Foot deformities are frequently the result of diabetic motor neuropathy and diabetic foot disease is the most common cause of hospitalisation in people with diabetes.

Diabetic foot complications are common in the elderly, and amputation rates increase with age: by threefold in those aged 45 - 74 years and sevenfold over 75 years. In people with diabetes, amputations are 15 times more common than in people without diabetes and 50% of all amputations occur in people with diabetes (Epidemiology of the diabetic foot; Report of the Diabetic Foot and Amputation Group). All patients with diabetes mellitus should be instructed about proper foot care in an attempt to prevent ulcers. Feet should be kept clean and dry at all times. Patients with neuropathy should not walk barefoot, even in the home. Properly fitted shoes are essential.

Specialised foot clinics appear to decrease further episodes of foot ulceration and decrease hospital admissions for amputations.

Principles of Care and Guidelines for the Clinical Management of Diabetes Mellitus recommendations include:

  • feet should be examined every 6 months or at every visit if high risk foot or active foot problem.
  • refer to specialists experienced in the care of the diabetic foot if infection or ulceration is present.
  • ensure that patients with 'high-risk foot' or an active foot problem receive appropriate care from specialists and podiatrists expert in the treatment of diabetic foot problems.
  • to identify the 'high-risk foot' as indicated by a past history of foot problems, especially ulceration, and/or the presence of Peripheral neuropathy
  • assessment outcome, peripheral vascular disease, or foot deformity or history of previous ulceration.

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