{
  "dataflow": "OECD.ELS.HD.DSD_HCQO@DF_HKP",
  "dataset_title": "Hip and Knee Patient-Reported Outcome Measures",
  "dataset_description": "<strong>Hip and Knee Patient-Reported Outcome Measures (PROMS) (HKP)</strong> is a subgroup of indicators within the HCQO database and provide patient-reported data on the perceived pain, physical functioning and quality of life of people who underwent hip or knee replacement surgery. The database includes condition-specific indicators measuring pain and function and generic indicators measuring quality of life reported before and after surgery. The Oxford Hip and Knee Score (OHS/OKS) and the EuroQol 5 Dimensional tool (EQ 5D) are used for data collection. \n<p />\nFor further information, please consult: \n<ul>\n<li>The <a target=\"_blank\" href=\"https://stats.oecd.org/wbos/fileview2.aspx?IDFile=c538ce57-528f-40a8-906f-7ff6848e62c1\">HCQO Definitions document</a> provides indicator definitions and calculation methodologies of HCQO indicators</li>\n<li>The Sources and Methods survey on <a target=\"_blank\" href=\"https://stats.oecd.org/wbos/fileview2.aspx?IDFile=5e816af1-d954-4eb2-b524-93c9209a3716\"> Hip and Knee Patient-Reported Outcome Measures (PROMS) (HKP)</a> provides detailed country-specific information</li>\n<li>The OECD’s <a target=\"_blank\" href=\"https://www.oecd.org/en/publications/2024/01/rethinking-health-system-performance-assessment_c9e8ce53.html\">Health System Performance Assessment (HSPA) Framework</a> outlines how HCQO indicators relate to the OECD’s HSPA domains of Access, Quality and People’s needs and preferences</li>\n</ul>",
  "fields": {
    "REF_AREA": {
      "type": "dimension",
      "concept": "REF_AREA",
      "label": "Reference area",
      "description": "",
      "codelist": "CL_AREA"
    },
    "FREQ": {
      "type": "dimension",
      "concept": "FREQ",
      "label": "Frequency of observation",
      "description": "Time interval at which observations occur over a given time period.",
      "codelist": "CL_FREQ"
    },
    "MEASURE": {
      "type": "dimension",
      "concept": "MEASURE",
      "label": "Measure",
      "description": "",
      "codelist": "CL_MEASURE_HCQO"
    },
    "UNIT_MEASURE": {
      "type": "dimension",
      "concept": "UNIT_MEASURE",
      "label": "Unit of measure",
      "description": "Unit in which the data values are expressed.",
      "codelist": "CL_UNIT_MEASURE"
    },
    "AGE": {
      "type": "dimension",
      "concept": "AGE",
      "label": "Age",
      "description": "",
      "codelist": "CL_AGE"
    },
    "SEX": {
      "type": "dimension",
      "concept": "SEX",
      "label": "Sex",
      "description": "",
      "codelist": "CL_SEX"
    },
    "STATISTICAL_OPERATION": {
      "type": "dimension",
      "concept": "STATISTICAL_OPERATION",
      "label": "Statistical operation",
      "description": "",
      "codelist": "CL_STATISTICAL_OPERATION"
    },
    "INCOME_GROUP": {
      "type": "dimension",
      "concept": "INCOME_GROUP",
      "label": "Income group",
      "description": "",
      "codelist": "CL_QUANTILE_GROUP"
    },
    "HEALTH_PROF": {
      "type": "dimension",
      "concept": "HEALTH_PROF",
      "label": "Health profession",
      "description": "",
      "codelist": "CL_HEALTH_PROF"
    },
    "TIME_PERIOD": {
      "type": "time",
      "label": "Time period",
      "description": "Observation time period"
    },
    "HSPA": {
      "type": "attribute",
      "concept": "HSPA",
      "label": "Health system performance assessment",
      "description": "",
      "codelist": null
    },
    "METHODOLOGY": {
      "type": "attribute",
      "concept": "METHODOLOGY",
      "label": "Calculation methodology",
      "description": "",
      "codelist": "CL_CALC_METHODOLOGY"
    },
    "TIME_RANGE": {
      "type": "attribute",
      "concept": "TIME_RANGE",
      "label": "Time range",
      "description": "",
      "codelist": null
    },
    "SURVEY_VERSION": {
      "type": "attribute",
      "concept": "SURVEY_VERSION",
      "label": "Survey version",
      "description": "",
      "codelist": null
    },
    "DECIMALS": {
      "type": "attribute",
      "concept": "DECIMALS",
      "label": "Decimals",
      "description": "",
      "codelist": "CL_DECIMALS"
    },
    "OBS_STATUS": {
      "type": "attribute",
      "concept": "OBS_STATUS",
      "label": "Observation status",
      "description": "Information on the quality of a value or an unusual or missing value.",
      "codelist": "CL_OBS_STATUS"
    },
    "OBS_STATUS2": {
      "type": "attribute",
      "concept": "OBS_STATUS2",
      "label": "Observation status 2",
      "description": "Information on the quality of a value or an unusual or missing value.",
      "codelist": "CL_OBS_STATUS"
    },
    "OBS_STATUS3": {
      "type": "attribute",
      "concept": "OBS_STATUS3",
      "label": "Observation status 3",
      "description": "Information on the quality of a value or an unusual or missing value.",
      "codelist": "CL_OBS_STATUS"
    },
    "UNIT_MULT": {
      "type": "attribute",
      "concept": "UNIT_MULT",
      "label": "Unit multiplier",
      "description": "Exponent in base 10 specified so that multiplying the observation numeric values by 10^UNIT_MULT gives a value expressed in the unit of measure.",
      "codelist": "CL_UNIT_MULT"
    },
    "OBS_VALUE": {
      "type": "measure",
      "concept": "OBS_VALUE",
      "label": "Observation value",
      "description": "Value of a particular variable."
    }
  },
  "codelists": {
    "CL_MEASURE_HCQO": {
      "AA": "Primary care",
      "ADMRASTH": "Asthma hospital admission",
      "ADMRCOPD": "Chronic obstructive pulmonary disease hospital admission",
      "ASCOCOMP": "Asthma and chronic obstructive pulmonary disease hospital admission",
      "ADMRCHFL": "Congestive heart failure hospital admission",
      "ADMRHYPT": "(Deprecated) Hypertension hospital admission",
      "CHHYCOMP": "(Deprecated) Congestive heart failure and hypertension hospital admission",
      "ADMRDBUC": "Diabetes hospital admission",
      "PATRDBLE": "(Deprecated) Lower extremity amputation in diabetic patients using linked data",
      "ADMRDBLE": "(Deprecated) Lower extremity amputation in diabetic patients using unlinked data",
      "PR": "Prescribing in primary care",
      "PRDMPCDD": "Diabetic patients with at least one prescription of cholesterol lowering medication",
      "PRDMPADD": "Diabetic patients with prescription of first choice antihypertensive medication",
      "PRBZOZDD": "Elderly patients with prescription of long-term benzodiazepines or related medications",
      "PRBZLAOP": "Elderly patients with prescription of long-acting benzodiazepines or related medications",
      "PRABCQDD": "Volume of cephalosporines and quinolones (second line antibiotics) as a proportion of all systemic antibiotics prescribed",
      "PRABOUDD": "Total volume of antibiotics for systemic use prescribed",
      "PRACCUNS": "(Deprecated) Patients with long-term prescription of any anticoagulating drug in combination with an oral NSAID",
      "PRPPOPFM": "Proportion of 75 years and over who are taking more than 5 medications concurrently",
      "PROPOUDD": "Overall volume of opioids prescribed",
      "PROPPCOU": "(Deprecated) Proportion of the population who are chronic opioid users",
      "PRPPANTI": "Proportion of people 65 and over prescribed antipsychotics",
      "AC": "Acute care",
      "MORTAMIO": "Acute myocardial infarction 30 day mortality (in- and out of hospital, linked data)",
      "MORTAMII": "Acute myocardial infarction 30 day mortality (during same hospital admission, unlinked data)",
      "MORTHSTO": "Haemorrhagic stroke 30 day mortality (in- and out of hospital, linked data)",
      "MORTHSTI": "Haemorrhagic stroke 30 day mortality (during same hospital admission, unlinked data)",
      "MORTISTI": "Ischaemic stroke 30 day mortality (during same hospital admission, unlinked data)",
      "MORTISTO": "Ischaemic stroke 30 day mortality (in- and out of hospital, linked data)",
      "IHWTHIPS": "Hip-fracture surgery initiated within 2 days of hospital admission",
      "ICISC": "Integrated care",
      "ICISCACR": "Ischaemic stroke - All-cause hospital readmissions within 365 days after discharge",
      "ICISCDSR": "Ischaemic stroke - Disease-specific hospital readmissions within 365 days after discharge",
      "ICISCACM": "Ischaemic stroke - All-cause mortality within 365 days after discharge",
      "ICISCMACR": "Ischaemic stroke - All-cause mortality or all-cause readmission within 365 days after discharge",
      "ICISCMDSR": "Ischaemic stroke - All-cause mortality or disease-specific readmission within 365 days after discharge",
      "ICCHFACR": "Congestive heart failure - All-cause hospital readmissions within 365 days after discharge",
      "ICCHFDSR": "Congestive heart failure - Disease-specific hospital readmissions within 365 days after discharge",
      "ICCHFACM": "Congestive heart failure - All-cause mortality within 365 days after discharge",
      "ICCHFMACR": "Congestive heart failure - All-cause mortality or all-cause readmission within 365 days after discharge",
      "ICCHFMDSR": "Congestive heart failure - All-cause mortality or disease-specific readmission within 365 days after discharge",
      "ICCHFCF": "Congestive heart failure - Case fatality within 30 days of the admission date",
      "CC": "Cancer care",
      "CCBRNTSR": "Breast cancer five-year net survival",
      "CCCVNTSR": "Cervical cancer five-year net survival",
      "CCCLNTSR": "Colon cancer five-year net survival",
      "CCRTNTSR": "Rectal cancer five-year net survival",
      "CCLKNTSR": "Childhood acute lymphoblastic leukaemia five-year net survival",
      "CCLUNTSR": "Lung cancer five-year net survival",
      "CCSTNTSR": "Stomach cancer five-year net survival",
      "MH": "Mental healthcare",
      "MORTSUMS": "Suicide within 30 days after discharge among patients diagnosed with a mental disorder",
      "MORTSUMD": "Suicide within 1 year after discharge among patients diagnosed with a mental disorder",
      "EXCESCHI": "Excess mortality for patients diagnosed with schizophrenia",
      "EXCEBIPO": "Excess mortality for patients diagnosed with bipolar disorder",
      "PS": "Patient safety",
      "FORBPROW": "(Deprecated) Retained surgical item or unretrieved device fragment (within 30 days of surgery, linked data)",
      "FORBPROC": "(Deprecated) Retained surgical item or unretrieved device fragment (during surgical hospital admission, unlinked data)",
      "POSTPESW": "Pulmonary embolism following hip and knee replacement (within 30 days of surgery, linked data)",
      "POSTPESP": "Pulmonary embolism following hip and knee replacement (during surgical hospital admission, unlinked data)",
      "POSTDVSW": "Deep vein thrombosis following hip and knee replacement (within 30 days of surgery, linked data)",
      "POSTDVSP": "Deep vein thrombosis following hip and knee replacement (during surgical hospital admission, unlinked data)",
      "POSTSESW": "Sepsis following abdominopelvic surgery (within 30 days of surgery, linked data)",
      "POSTSESP": "Sepsis following abdominopelvic surgery (during surgical hospital admission, unlinked data)",
      "OBSTVDWI": "Obstetric trauma vaginal delivery with instrument",
      "OBSTVDWO": "Obstetric trauma vaginal delivery without instrument",
      "PE": "Patient experiences",
      "COSKCOST": "Consultation skipped due to costs",
      "MTSKCOST": "Medical tests, treatment or follow-up skipped due to costs",
      "PMSKCOST": "Prescribed medicines skipped due to costs",
      "HPRTIPAT": "Doctor spending enough time with patients during the consultation",
      "RHPTIPAT": "Regular doctor spending enough time with patients during the consultation",
      "HPREXCLA": "Doctor providing easy-to-understand explanations",
      "RHPEXCLA": "Regular doctor providing easy-to-understand explanations",
      "HPRGOASK": "Doctor giving opportunity to ask questions or raise concerns",
      "RHPGOASK": "Regular doctor giving opportunity to ask questions or raise concerns",
      "HPRIPDEC": "Doctor involving patients in decisions about care or treatment",
      "RHPIPDEC": "Regular doctor involving patients in decisions about care or treatment",
      "MP": "Patient reported experience measures",
      "MPIPRESP": "Care providers treating mental health patients with courtesy and respect (inpatient care)",
      "MPCBRESP": "Care providers treating mental health patients with courtesy and respect (community-based care)",
      "MPIPTIME": "Care providers spending enough time with mental health patients (inpatient care)",
      "MPCBTIME": "Care providers spending enough time with mental health patients (community-based care)",
      "MPIPEXPL": "Care providers providing easy-to-understand explanations to mental health patients (inpatient care)",
      "MPCBEXPL": "Care providers providing easy-to-understand explanations to mental health patients (community-based care)",
      "MPIPINVO": "Care providers involving mental health patient in decisions about care and treatment (inpatient care)",
      "MPCBINVO": "Care providers involving mental health patient in decisions about care and treatment (community-based care)",
      "EC": "End-of-life care",
      "MORTHOSP": "Deaths in hospital",
      "ADMMOCAN": "Cancer deaths - unplanned/urgent in-patient admissions during the last 30 days of life",
      "ADMMOCAR": "Cardiovascular diseases' deaths - unplanned/urgent in-patient admissions during the last 30 days of life",
      "ADMMOCHR": "Chronic respiratory diseases' deaths - unplanned/urgent in-patient admissions during the last 30 days of life",
      "ADMMOALZ": "Alzheimer's and other dementias' deaths - unplanned/urgent in-patient admissions during the last 30 days of life",
      "ADMMOALL": "All causes of death - unplanned/urgent in-patient admissions during the last 30 days of life",
      "ADMDECAR": "Cardiovascular diseases' deaths - unplanned/urgent in-patient admissions during the last 180 days of life",
      "ADMDECHR": "Chronic respiratory diseases' deaths - unplanned/urgent in-patient admissions during the last 180 days of life",
      "ADMDEALZ": "Alzheimer's and other dementias' deaths - unplanned/urgent in-patient admissions during the last 180 days of life",
      "ADMDEALL": "All causes of death - unplanned/urgent in-patient admissions during the last 180 days of life",
      "ADMDECAN": "Cancer deaths - unplanned/urgent in-patient admissions during the last 180 days of life",
      "SUICMENT": "(Deprecated) In-patient death from suicide in patients with the hospital with a mental health condition",
      "ADMRDMAI": "Diabetes major lower extremity amputation using unlinked data",
      "ADMRDMAO": "Diabetes minor lower extremity amputation using unlinked data",
      "PRPPNPSY": "Proportion of people 65 and over prescribed antipsychotics among those without a mental health diagnosis causing psychotic symptoms",
      "ICISCPHT": "Prescribed antihypertensive medicines between 12 and 18 months after ischaemic stroke",
      "ICISCPTR": "Prescribed antithrombotics between 12 and 18 months after ischaemic stroke",
      "PRPPOPFL": "Proportion of 45 years and over who are taking between 5 and 9 medications concurrently",
      "PRPPOPFH": "Proportion of 45 years and over who are taking 10 or more medications concurrently",
      "ICCHFPQT": "Prescribed medicines between 12 and 18 months after heart failure (Quadruple therapy)",
      "ICCHFPTT": "Prescribed medicines between 12 and 18 months after heart failure (Triple therapy)",
      "ICCHFPDT": "Prescribed medicines between 12 and 18 months after heart failure (Dual therapy)",
      "MORTACUT": "Deaths in inpatient acute care",
      "MORTACCA": "Deaths in inpatient acute care, cancer deaths",
      "MORTACCD": "Deaths in inpatient acute care, cardiovascular diseases’ deaths",
      "MORTACCR": "Deaths in inpatient acute care, chronic respiratory diseases’ deaths",
      "MORTACAL": "Deaths in inpatient acute care, Alzheimer's and other dementias’ deaths",
      "MORTHSPC": "Deaths in hospital, cancer deaths",
      "MORTHSPD": "Deaths in hospital, cardiovascular diseases’ deaths",
      "MORTHSPR": "Deaths in hospital, chronic respiratory diseases’ deaths",
      "MORTHSPL": "Deaths in hospital, Alzheimer's and other dementias’ deaths",
      "PSC": "Patient Safety Culture",
      "TEAMWORK": "Teamwork",
      "STAFFING": "Staffing and work pace",
      "LEARNING": "Organisational learning – continuous improvement",
      "RESPONSE": "Response to error",
      "SUPER_SUP": "Supervisor, manager or clinical leader support for patient safety",
      "COM_ERR": "Communication about error",
      "COM_OP": "Communication openness",
      "REPORT": "Reporting patient safety events",
      "HOSP_SUP": "Hospital management support for patient safety",
      "HANDOFF": "Handoffs and information exchange",
      "RATING": "Patient safety rating",
      "HOURS": "Hours worked weekly in hospital",
      "HKP": "Hip and Knee Patient-Reported Outcome Measures",
      "POPREOHS": "Pre-operative patient-reported outcomes among people who undergo hip replacement surgery (pre-operative Oxford Hip Score)",
      "POPSTOHS": "Post-operative patient-reported outcomes among people who undergo hip surgery (post-operative Oxford Hip Score)",
      "POCHGOHS": "Change from pre-op to post-op patient-reported outcomes among people who undergo hip surgery (change in Oxford Hip Score)",
      "POPREEQH": "Pre-operative patient-reported outcomes among people who undergo hip surgery (pre-operative EQ-5D-5L score)",
      "POPSTEQH": "Post-operative patient-reported outcomes among people who undergo hip surgery (post-operative EQ-5D-5L score)",
      "POCHGEQH": "Change from pre-op to post-op patient-reported outcomes among people who undergo hip surgery (change in EQ-5D-5L score)",
      "POPREOKS": "Pre-operative patient-reported outcomes among people who undergo knee replacement surgery (pre-operative Oxford Knee Score)",
      "POPSTOKS": "Post-operative patient-reported outcomes among people who undergo knee replacement surgery (post-operative Oxford Knee Score)",
      "POCHGOKS": "Change from pre-op to post-op patient-reported outcomes among people who undergo knee replacement surgery (change in Oxford Knee Score)",
      "POPREEQK": "Pre-operative patient-reported outcomes among people who undergo knee replacement surgery (pre-operative EQ-5D-5L score)",
      "POPSTEQK": "Post-operative patient-reported outcomes among people who undergo knee replacement surgery (post-operative EQ-5D-5L score)",
      "POCHGEQK": "Change from pre-op to post-op patient-reported outcomes among people who undergo knee replacement surgery (change in EQ-5D-5L score)",
      "MORTAMIH": "Acute myocardial infarction 24 hour mortality (during same hospital admission, unlinked data)",
      "HPRCORES": "Doctor treating patient with courtesy and respect",
      "RHPCORES": "Regular doctor treating patient with courtesy and respect"
    },
    "CL_HEALTH_PROF": {
      "_T": "Total",
      "VQ": "Human health and social work activities",
      "PHYS": "Physicians",
      "EMPLGENE": "Generalist medical practitioners",
      "EMPLGENP": "General practitioners",
      "EMPLOTGP": "Other generalist (non-specialist) medical practitioners",
      "EMPLSPMP": "Specialist medical practitioners",
      "EMPLPEDI": "General paediatricians",
      "EMPLGYNE": "Obstetricians and gynaecologists",
      "EMPLPSYS": "Psychiatrists",
      "EMPLSPEC": "Medical group of specialists",
      "EMPLSURG": "Surgical group of specialists",
      "EMPLOTSP": "Other specialists not elsewhere classified",
      "EMPLOTPH": "Medical doctors not further defined",
      "MIDW": "Midwifes",
      "MINU": "Nurses",
      "MINUQUAL": "Professional nurses",
      "MINUASSO": "Associate professional nurses",
      "RINF": "Hospital nurses",
      "CARE": "Caring personnel",
      "HOEMHHCA": "Healthcare assistants",
      "DNST": "Dentists",
      "PHST": "Pharmacists",
      "PSIO": "Physiotherapists",
      "HOEMHNUR": "Professional nurses and midwives",
      "HOEMHOTH": "Other health service providers employed in hospitals",
      "HOEMHOTS": "Other staff employed in hospitals",
      "_O": "Other",
      "_Z": "Not applicable",
      "MANAGEMENT": "Management staff"
    },
    "CL_CALC_METHODOLOGY": {
      "CRUDE": "Crude rate",
      "STANDARD": "Standardised rate",
      "_Z": "Not applicable",
      "AGE_STANDARD": "Age standardised rate",
      "AGE_SEX_STANDARD": "Age and sex standardised rate"
    }
  }
}