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Closing the Gap/Child Health Check Initiative: Ear, nose and throat operation summary form DSS

Identifying and definitional attributes

Metadata item type:Help on this termData Set Specification
METeOR identifier:Help on this term507516
Registration status:Help on this termIndigenous, Endorsed 05/12/2017
DSS type:Help on this termData Set Specification (DSS)
Scope:Help on this term

The Child Health Check Initiative (CHCI) was initiated under the Northern Territory (NT) Emergency Response in June 2007. As a component of the CHCI, the Australian Government funded the NT government to provide follow-up audiology and ear, nose and throat (ENT) services, including consultation and surgery, to Aboriginal and Torres Strait Islander children in prescribed areas of the NT. This continued under the Closing the Gap (CtG) initiative between July 2009 and June 2012, and the National Partnership Agreement on Stronger Futures in the Northern Territory (SFNT) from July 2012.

Indigenous children who were referred to ENT services as part of their Child Health Check or CtG audiology services were the main target group for the ENT services. However, other Indigenous children aged 15 or less covered by the CHCI who required ENT services may have also received these services. Under the SFNT, the eligibility for audiology services was broadened to all Indigenous children aged under 16 in the NT.

The clinical diagnoses are based on case history, audiology and ostoscopy information collected through teleotology protocol with no direct examination by the ENT specialist.

Collection and usage attributes

Guide for use:Help on this term

The follow-up services were delivered by the NT Department of Health (NT DoH) and Aboriginal medical services.

Children aged 5 or over with otitis media with effusion (OME) that has persisted for more than 3 months and had associated bilateral hearing loss are considered for ENT surgical intervention. Children with inactive chronic suppurative otitis media (CSOM) dry perforation, who are older than 8 years, are also considered for ENT intervention.

Acute otitis media conditions and active CSOM will generally not be considered suitable for surgical intervention until the underlying active infection is treated and maintained through primary health intervention.

Surgeries are discussed with children’s families before operation, including pre and post-surgical care which may be ongoing for up to 3 years. Families are also provided with resources to support discussion of the types of surgeries being performed.

Collection methods:Help on this term

The Australian Institute of Health and Welfare (AIHW) only receives confidentialised unit record level information on those children for which consent for data provision to the AIHW has been obtained.

Comments:Help on this term

Glossary terms that are relevant to this DSS include:

The term ‘Aboriginal and Torres Strait Islander people’ is preferred when referring to the separate Indigenous peoples of Australia. However, the term ‘Indigenous’ is used interchangeably with ‘Aboriginal and Torres Strait Islander’ in this data set specification to assist readability.

Two versions of the CtG ENT operation summary form were used by the NT Department of Health and Families to collect ENT surgery information—version 1 was used between October and November 2009 and version 2 used between December 2009 and October 2010

The key differences between the forms are:

  • version 2 includes an additional data field: 'community' which includes the community name where the surgery recipient resides
  • surgery types in the 'Surgery description' field are different between versions 1 and 2.

The Closing the Gap/Child Health Check Initiative: Ear, nose and throat operation summary form DSS is based on version 2 of the CtG ENT operation summary form.

As this DSS was created for the purposes of the CHCI project the metadata would be most suitable for service monitoring.

Source and reference attributes

Submitting organisation:Help on this term

Department of Health
Australian Institute of Health and Welfare

Steward:Help on this termAustralian Institute of Health and Welfare
Reference documents:Help on this term

AIHW (Australian Institute of Health and Welfare) 2012. Northern Territory Emergency Response Child Health Check Initiative: follow-up services for oral and ear health: final report, 2007-2012. Cat. no. DEN 223. Canberra: AIHW

Harris P, Nagy S, Vardaxis N (eds) 2010. Mosby’s Dictionary of Medicine, Nursing & Health Profession, 2nd Australian and New Zealand edn. NSW: Mosby Elsevier

Metadata items in this Data Set SpecificationHelp on this term

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Seq No.Help on this termMetadata itemHelp on this term ObligationHelp on this term Max occursHelp on this term
1Ear operation details clusterMandatory2
    1    Service event—date of service, DDMMYYYYMandatory1
    2    Patient—name of Northern Territory hospital, code AA[A]Mandatory1
    3    Patient—post-operative transport home, code NMandatory1
    4    Discrete Indigenous community—Indigenous community name, text AA[A(38)]Conditional1
    5    Discrete Indigenous community—identifier, AANNAConditional1
    6    Person (name)—given name, text X[X(39)]Mandatory2
    7    Person (name)—family name, text X[X(39)]Mandatory2
    8    Person—date of birth, DDMMYYYYMandatory1
    9    Person—sex, code NMandatory1
    10    Person—person identifier, XXXXXX[X(14)]Mandatory1
2Pre-operative examination of ear clusterConditional2
    1    Patient—side of ear, left/right code AMandatory1
    2    Patient—ear assessment indicator, yes/no code NMandatory1
    3    Patient—external auditory meatus condition, code N[N]Conditional5
    4    Patient—intact tympanic membrane indicator, yes/no code NMandatory1
    5    Patient—intact tympanic membrane condition, code NConditional4
    6    Patient—tympanic membrane perforation indicator, yes/no code NConditional1
    7    Patient—ear grommet indicator, yes/no code NMandatory1
    8    Patient—tympanic membrane perforation location, code NConditional1
    9    Patient—tympanic membrane perforation status, code NConditional1
    10    Patient—tympanic membrane perforation wet condition, code NConditional1
    11    Patient—tympanic membrane perforation size, code NConditional1
    12    Pre-operative diagnosis clusterMandatory2
        1        Patient—pre-operative ear health diagnosis, code N[N]Mandatory1
        2        Patient—pre-operative ear health diagnosis, text X[X(99)]Conditional1
        3        Patient—chronic otitis media type, code N[N]Conditional1
3Ear and nose surgery clusterMandatory2
    1    Patient—side of ear, left/right code AMandatory2
    2    Myringoplasty clusterMandatory1
        1        Patient—myringoplasty indicator, yes/no code NMandatory1
        2        Patient—revision myringoplasty indicator, yes/no code NConditional1
        3        Patient—myringoplasty approach type, code NConditional1
        4        Patient—myringoplasty graft type, code N[N]Conditional1
        5        Patient—myringoplasty graft attachment type, code N[N]Conditional1
        6        Patient—state of middle ear, code NConditional1
        7        Patient—olivocochlear intact indicator, yes/no code NConditional1
        8        Patient—olivocochlear mobile indicator, yes/no code NConditional1
    3    Myringotomy clusterMandatory1
        1        Patient—myringotomy indicator, yes/no code NMandatory1
        2        Patient—fluid in middle ear indicator, yes/no code NConditional1
        3        Patient—type of fluid in middle ear, code NConditional1
        4        Patient—ear grommet indicator, yes/no code NConditional1
        5        Patient—type of grommet, text X[X(99)]Conditional1
        6        Patient—comment, text X[X(99)]Optional1
    4    Patient—adenoidectomy indicator, yes/no code NMandatory1
    5    Patient—exploration under anaesthesia indicator, yes/no code NMandatory1
    6    Patient—exploration of middle ear indicator, yes/no code NMandatory1
    7    Patient—comment, text X[X(99)]Optional3
    8    Patient—remove tubes indicator, yes/no code NMandatory2
    9    Patient—other surgical procedure performed indicator, yes/no code NMandatory2
4Patient—comment, text X[X(99)]Optional1
5Person (name)—given name, text X[X(39)]Mandatory1
6Person (name)—family name, text X[X(39)]Mandatory1
7Patient—form signed indicator, yes/no code NMandatory1
8Patient—date form signed, date DDMMYYYYConditional1
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