Towards a minimum dataset in urology

Objective To establish and prospectively collect data for a minimum dataset in urology by agreeing a dataset amongst a group of urologists, designing structured forms around the data items and implementing them in clinical pr actice. Methods Consultant urologists decided the initial dataset. Structured forms , which incorporated the dataset items, were designed. These forms were pil oted before implementation in two urology departments. They were used to do cument clinical information instead of writing this in the traditional medi cal record. After use forms were 'scanned' before being filed in the medica l record, thus storing the data in an electronic format. Results Nine forms were designed; inpatient and outpatient activity was cap tured separately. There were six outpatient forms; a generic new patient fo rm and five specific follow-up forms (lower urinary tract symptoms, oncolog y, erectile dysfunction, female urology and stones). Three generic inpatien t forms were designed. The forms were used by nine registrars, five senior house officers and six clinical nurse practitioners, who required minimal t raining. Conclusion It is possible to agree a minimum dataset amongst a relatively s mall group of urologists. The information can be acquired prospectively usi ng structured forms instead of the traditional medical record. This locally agreed dataset could form the basis for a national consensus on a minimum dataset in urology.