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Data Element Detail

Elective procedure waiting list episode-clinical urgency assessment category (HBCIS)
Identifying and Definitional Attributes
QH 042235 v1
Data Element
Data Element
Current
01-Jul-2017		Draft
06-Oct-2017		Superseded
29-Jan-2018
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Jul-2017
30-Sep-2017
A clinical assessment of the urgency with which a patient requires elective hospital care.
Urgency category (HBCIS)
Representational Attributes
Character
Code
X
1
1
Permissible Values

Permissible_values

CodeDescription
1Cat 1 - within 30 days
2Cat 2 - within 90 days
3Cat 3 - routine
4Other - category 1
5Other - category 2
6Other - category 3
9Gastrointestinal endoscopy surveillance
EEmergency priority category
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
The classification employs a system of urgency categorisation based on factors such as the degree of pain, dysfunction and disability caused by the condition and its potential to deteriorate quickly into an emergency. All patients ready for care must be assigned to one of the urgency categories, regardless of how long it is estimated they will need to wait for surgery.

Code 1 Elective surgery - category 1
Admission within 30 days desirable for a condition that has the potential to deteriorate quickly to the point that it may become an emergency.

Code 2 Elective surgery - category 2
Admission within 90 days desirable for a condition causing some pain, dysfunction or disability but which is not likely to deteriorate quickly or become an emergency.

Code 3 Elective surgery - category 3
Admission at some time in the future acceptable for a condition causing minimal or no pain, dysfunction or disability, which is unlikely to deteriorate quickly and which does not have the potential to become an emergency.

Codes 4, 5 and 6 are non-surgery codes.

Code 4 Other - category 1
The procedure should be performed within 30 days.
It applies for a condition that has the potential to deteriorate quickly to the point that it might become an emergency and has a high likelihood of significant pathology.

Code 5 Other - category 2
The procedure should be performed within 90 days.
It applies for a condition that is likely to deteriorate significantly if left untreated beyond 90 days and has a lower likelihood of significant pathology.

Code 6 Other - category 3
The procedure should be performed within 365 days.
It applies for a condition that is unlikely to deteriorate quickly and does not have the potential to become an emergency.

Code 9 Gastrointestinal endoscopy surveillance
The procedure is required to be performed as part of an ongoing observational program, usually to monitor a patient with an existing condition or for a patient at risk of developing a condition. A patient's initial procedure should be categorised as urgent, semi-urgent or non-urgent and a surveillance procedure as part of a surveillance program should be categorised as surveillance.

Code E Emergency priority category
Non critical: Patient is sent home to return for scheduled emergency surgery within 10 days of the decisioin for surgery being made.
When code is E (Emergency priority category), Episode of admitted patient care-admission source and Episode of admitted patient care-source of referral/transfer must be code 30 Planned emergency.
Hospital Based Corporate Information System (HBCIS):
Code E (Emergency priority category) is for use by those HBCIS sites who use the Elective Admissions Management (EAM) module for managing emergency surgery patients.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 4
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
Has been superseded byData ElementData ElementElective procedure waiting list episode-clinical urgency assessment category (HBCIS)QH 042235 Version 2Current
Is used in the derivation ofData ElementData ElementElective procedure waiting list episode-clinical urgency assessment category (QHAPDC)QH 042453 Version 1Superseded
Relates toData ElementData ElementEpisode of admitted patient care-admission source (HBCIS)QH 041733 Version 2Superseded
Relates toData ElementData ElementEpisode of admitted patient care-source of referral/transferQH 040010 Version 7Superseded
Implementation in Metadata Sets

Implemented

No Metadata Items
Source and Reference Attributes
Elective surgery; Urgency category; Waiting list;