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Data Element Detail

Elective surgery waiting list episode-clinical urgency assessment category
Identifying and Definitional Attributes
QH 040087 v3
Data Element
Data Element
Draft
06-Oct-2017		Current
29-Jan-2018		Superseded
30-Jan-2018
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Jul-2015
30-Jun-2016
A clinical assessment of the urgency with which a patient requires elective surgery.
Elective surgery/Waiting list
Urgency category
Waiting list and urgency category (HBCIS); Urgency category (QHAPDC)
Representational Attributes
Numeric
Code
N
1
1
Permissible Values

Permissible_values

CodeDescription
1Procedures that are clinically indicated within 30 days
2Procedures that are clinically indicated within 90 days
3Procedures that are clinically indicated within 365 days
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
All patients registered on an elective surgery waiting list must be assigned to one of the clinical urgency categories by a treating clinician. The clinical urgency category should be appropriate to the patient and their clinical situation and not influenced by the perceived or actual availability of hospital or surgeon resources.

Reclassification of clinical urgency category can occur following a review of the patient by the treating specialist, or an appropriate clinical delegate acting on behalf of the treating specialist, with the reason for change to be recorded in the patient's medical record.

The clinical urgency category provided must be the category at the time of the removal of the patient (for Part A) or at the census date (for Part B).
Elective Surgery Waiting List Data Collection: Must not be null.
The treating clinician is the clinician with responsibility for the patient at the time of urgency categorisation.

The clinical situation of the patient is taken to encompass the patient's medical condition and the patient's life circumstances, including issues related to activity limitations, restrictions in participation in employment and other life situations, carer responsibilities and access to carer and other supports.

A patient's classification may change if he or she undergoes clinical review during the waiting period. The need for clinical review varies with the patient's condition and is therefore at the discretion of the treating clinician.

Categorisation of waiting list patients by clinical urgency assists hospital management and clinicians in the prioritisation of their workloads. It gives health consumers a reasonable estimate of the maximum time they should expect to wait for care. Clinical urgency classification allows a meaningful measure of system performance to be calculated, namely the number or proportion of patients who wait for times in excess of the maximum desirable time limit for their urgency category (metadata item the overdue patient status).

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 - 6
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementElective surgery waiting list episode-clinical urgency assessment categoryQH 040087 Version 2Superseded
Has been superseded byData ElementData ElementElective surgery waiting list episode-clinical urgency assessment categoryQH 040087 Version 4Current
Is derived fromData ElementData ElementElective procedure waiting list episode-clinical urgency assessment category (QHAPDC)QH 042453 Version 1Superseded
Is used in conjunction withData ElementData ElementElective care waiting list episode-listing date for careQH 040359 Version 3Current
Relates toData ElementData Element ConceptElective surgeryQH 040156 Version 2Current
Relates toData ElementData Element ConceptElective surgery waiting list episodeQH 041716 Version 1Current
Implementation in Metadata Sets

Implemented

  • 1 - 1
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionElective Surgery Data Collection (ESDC)QH 020110 Version 1MandatorySuperseded01-Jul-201530-Jun-2016
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data element: Elective surgery waiting list episode-clinical urgency, code N, Identifier 598034, Health standard 12/06/2015 https://meteor.aihw.gov.au/content/index.phtml/itemId/598034/meteorItemView/long
Clinical urgency category; Elective surgery; Urgency category; Waiting list;