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Data Element Detail

Elective surgery waiting list episode-surgical specialty (of unit of admission) (ESDC)
Identifying and Definitional Attributes
QH 042322 v1
Data Element
Derived Data Element
Draft
06-Oct-2017		Current
30-Jan-2018
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Jul-2016
The specialty area of the unit to which the patient will be assigned upon admission for their elective surgery procedure.
Elective surgery/Waiting list
Specialty of admission unit (ESDC)
Representational Attributes
Numeric Character
Code
N(2)
2
2
Permissible Values

Permissible_values

CodeDescription
01Cardiothoracic surgery
02Ear, Nose and Throat surgery
03General surgery
04Gynaecological surgery
05Neurosurgery
06Ophthalmological surgery
07Orthopaedic surgery
08Plastic and reconstructive surgery
09Urological surgery
10Vascular surgery
11Other surgery
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
The surgical specialty is one object in a hierarchy that describes the unit to which the patient will be assigned upon their admission for surgery.

Dependent upon the planned procedure and the treating doctor, a unit will be assigned to the patient which is the location in the hospital where the patient will be admitted before and/or after their surgery.

Generally, in Queensland public hospitals, the patient is assigned to a treating doctor, who is mapped to a treating doctor unit, which is mapped to a standard unit code, which is mapped to a surgical specialty. All mappings are done on a 'best fit' basis, reflecting the majority of activity within a unit.
Elective Surgery Data Collectioin (ESDC):
Data element is not blank.
Data element is 01, 02, 03, 04, 05, 06, 07, 08, 09, 10 or 11.
For national reporting of the Elective surgery waiting list episode-surgical specialty (of scheduled doctor) (NHDD) data element the following mapping occurs:
Code 01 Cardiothoracic surgery is mapped to code 01 Cardio-thoracic surgery.
Code 02 Ear, Nose and Throat surgery is mapped to code 02 Otolaryngology head and neck surgery.
Code 03 General surgery is mapped to code 03 General surgery.
Code 04 Gynaecological surgery is mapped to code 04 Gynaecology surgery.
Code 05 Neurosurgery is mapped to code 05 Neurosurgery.
Code 06 Ophthalmological surgery is mapped to code 06 Ophthalmology surgery.
Code 07 Orthopaedic surgery is mapped to code 07 Orthopaedic surgery.
Code 08 Plastic and reconstructive surgery is mapped to code 08 Plastic and reconstructive surgery.
Code 09 Urological surgery is mapped to code 09 Urological surgery.
Code 10 Vascular surgery is mapped to code 10 Vascular surgery.
Code 11 Other surgery is mapped to code 11 Other.

This data element is sourced from the Hospital Based Corporate Information System (HBCIS).
This data element has been previously defined as "the area of clinical expertise held by the doctor who will perform the elective surgery" and for most public hospitals was derived from a HBCIS reference which maps each doctor to a unit and each unit to a specialty. Therefore the surgical specialty was not referencing the doctor's qualifications in a specific sense, but rather the operational practicality that if a doctor is attached to a certain unit then that is the area of specialty within which they work (and have clinical expertise in).
From 2016-2017, the NMDS data element has been revised to describe the surgical specialties as aligned to the specialties recognised by the Royal Australasian College of Surgeons: https://www.surgeons.org/surgical-specialties/. This specifically expands the data domain to include paediatric surgery as a unique code.
The Healthcare Improvement Unit (HIU) decided that describing the surgical specialty as the specialty area of the unit to which the patient will be assigned upon admission, would be more useful to retain in reporting and evaluating operational service areas, than describing the surgical specialty as the qualification of the treating doctor. It is expected that changing over from the existing description to the new would result in reduced granularity, particularly in the expected homogenisation of paediatric surgery. Queensland will continue to use this data element as the source for reporting to the NMDS data element.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 2
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
Is derived fromData ElementData ElementPlanned unit for elective surgery waiting list patientQH 040353 Version 1Current
Relates toData ElementData Element ConceptElective surgery waiting list episodeQH 041716 Version 1Current
Implementation in Metadata Sets

Implemented

  • 1 - 11
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
Data Supply RequirementHHS Service AgreementElective Surgery Waiting List Removals Data Supply Requirement (DSR) 2017-2018QH 020303 Version 1MandatorySuperseded01-Jul-201730-Jun-2018
Data Supply RequirementHHS Service AgreementElective Surgery Waiting List Removals Data Supply Requirement (DSR) 2018-2019QH 020429 Version 1MandatorySuperseded01-Jul-201830-Jun-2019
Data Supply RequirementHHS Service AgreementElective Surgery Waiting List Removals Data Supply Requirement (DSR) 2019-2020QH 020567 Version 1MandatorySuperseded01-Jul-201930-Jun-2020
Data Supply RequirementHHS Service AgreementElective Surgery Waiting List Removals Data Supply Requirement (DSR) 2020-2021QH 020683 Version 1MandatoryCurrent01-Jul-202030-Jun-2021
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data elements:
Elective surgery waiting list episode-surgical specialty (of scheduled doctor), code NN, Indicator 605195, Health standard 19/11/2015 https://meteor.aihw.gov.au/content/index.phtml/itemId/605195/meteorItemView/long
Elective surgery waiting list episode-surgical specialty (of scheduled doctor), code NN, Indicator 689726, Health standard 12/12/2018 https://meteor.aihw.gov.au/content/index.phtml/itemId/689726/meteorItemView/long
Elective surgery; Surgical speciality; Waiting list;