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Data Element Detail

Elective surgery waiting list episode-patient listing status, readiness for surgery
Identifying and Definitional Attributes
QH 041721 v2
Data Element
Data Element
Draft
06-Oct-2017		Current
30-Jan-2018
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Jul-2016
An indicator of the person's readiness to begin the process leading directly to being admitted to hospital for an awaited procedure.
Elective surgery/Waiting list
Ready for surgery status
Representational Attributes
Numeric
Code
N
1
1
Permissible Values

Permissible_values

CodeDescription
1Ready for surgery
2Not ready for surgery - staged patients
3Not ready for surgery - pending improvement of clinical condition
4Not ready for surgery - deferred for personal reasons
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
Patients should only be added to waiting lists (that is, regarded as 'ready for surgery' for the purpose of monitoring waiting times, and for the purpose of allocation of a surgery date) when they are personally and clinically ready for surgery.

Patients deferred for personal reasons should not be added to the waiting lists until they are ready for surgery. They should be suspended from the waiting list if they defer after being ready for surgery.

Code 1 Ready for surgery
Patients who are prepared to be admitted to hospital or to begin the process leading directly to admission for surgery.

The process leading to surgery could include investigations/procedures done on an outpatient basis, such as autologous blood collection, pre-operative diagnostic imaging or blood tests.

Code 2 Not ready for surgery - staged patients
Patients who have undergone a procedure or other treatment and are waiting for follow-up elective surgery, where the patient is not in a position to be admitted to hospital or to begin the process leading directly to admission for surgery, because the patient's clinical condition means that the surgery is not indicated until some future, planned period of time.

Examples include a patient who has had internal fixation of a fracture who will require removal of the fixation device after 3 months, a patient who requires a 'check' cystoscopy to check for cancer 12 months after surgery to remove a tumour in the bladder, and a patient requiring rectal cancer surgery 6-8 weeks after neoadjuvant chemoradiotherapy for colorectal cancer.

Code 3 Not ready for surgery - pending improvement of clinical condition
Patients for whom surgery is indicated, but not until their clinical condition is improved, for example, as a result of a clinical intervention.

Examples include patients who require a cardiac work-up before a total hip replacement and patients with respiratory insufficiency who require physiotherapy to maximise respiratory function before a hernia repair.

For such patients, a decision has already been made that surgery should take place. Patients should not be regarded as 'not ready for surgery-pending improvement of their clinical condition' when they are undergoing routine monitoring or investigations before a decision is made as to whether surgery is required.

Code 4 Not ready for surgery - deferred for personal reasons
Patients who for personal reasons are not yet prepared to be admitted to hospital. Examples include patients with work or other commitments that preclude their being admitted to hospital for a time.
Elective Surgery Data Collection (ESDC):
Data element is not blank.
Data element is 1, 2, 3 or 4.
Details of how and when patients move between 'ready for surgery' categories are not needed for national or local reporting of the data. Periods when patients are not ready for surgery should be excluded in determining Elective surgery waiting list episode-waiting time (at removal), total days and Elective surgery waiting list episode-waiting time (at a census date) total days.
The dates when a patient listing status changes need to be recorded. A patient's classification may change if he or she is examined by a clinician during the waiting period, i.e. undergoes clinical review. The need for clinical review varies with the patient's condition and is therefore at the discretion of the treating clinician. The waiting list information system should be able to record dates when the classification is changed using the Elective care waiting list episode-category reassignment date.
Refer to Healthcare Improvement Unit (HIU) for elective surgery information reporting: INTERNAL QH LINK NOT AVAILABLE
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 4
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementElective surgery waiting list episode-patient listing status, readiness for careQH 041721 Version 1Superseded
Is used in the derivation ofData ElementDerived Data ElementElective surgery waiting list episode-waiting time at a census date, total daysQH 040962 Version 3Current
Relates toData ElementData Element ConceptElective surgery waiting list episodeQH 041716 Version 1Current
Relates toData ElementDerived Data ElementElective surgery waiting list episode-number of days not ready for surgeryQH 042318 Version 1Draft
Implementation in Metadata Sets

Implemented

  • 1 - 7
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionElective Surgery Data Collection (ESDC)QH 020110 Version 3MandatoryDraft01-Jul-2021
Information AssetData CollectionElective Surgery Data Collection (ESDC)QH 020110 Version 2MandatoryCurrent01-Jul-201930-Jun-2021
Information AssetData CollectionElective Surgery Data Collection (ESDC)QH 020110 Version 1MandatorySuperseded01-Jul-201630-Jun-2019
Data Supply RequirementHHS Service AgreementElective Surgery Waiting List Census Data Supply Requirement (DSR) 2017-2018QH 020304 Version 1MandatorySuperseded01-Jul-201730-Jun-2018
Data Supply RequirementHHS Service AgreementElective Surgery Waiting List Census Data Supply Requirement (DSR) 2018-2019QH 020427 Version 1MandatorySuperseded01-Jul-201830-Jun-2019
Data Supply RequirementHHS Service AgreementElective Surgery Waiting List Census Data Supply Requirement (DSR) 2019-2020QH 020568 Version 1MandatorySuperseded01-Jul-201930-Jun-2020
Data Supply RequirementHHS Service AgreementElective Surgery Waiting List Census Data Supply Requirement (DSR) 2020-2021QH 020682 Version 1MandatoryCurrent01-Jul-202030-Jun-2021
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data elements:
Elective surgery waiting list episode-patient listing status, readiness for surgery code N, Identifier 598039, Health standard 19/11/2015 https://meteor.aihw.gov.au/content/index.phtml/itemId/598039/meteorItemView/long
Elective surgery waiting list episode-patient listing status, readiness for surgery code N, Identifier 716089, Health standard 18/12/2019 https://meteor.aihw.gov.au/content/index.phtml/itemId/716089/meteorItemView/long
Elective surgery; Ready for surgery; Waiting list;