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Data Element Detail

Gastrointestinal endoscopy service request-clinical urgency assessment category
Identifying and Definitional Attributes
QH 041981 v1
Data Element
Data Element
Draft
22-Jan-2016		Current
04-Oct-2016
Standard
01-Jul-2015
A clinical assessment of the urgency with which a patient requires a gastrointestinal endoscopy procedure.
Clinical urgency category (GIE)
Urgency category
Representational Attributes
Numeric
Code
N
1
1
Permissible Values

Permissible_values

CodeDescription
4Urgent
5Semi-urgent
6Non-urgent
9Surveillance
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
A clinical urgency category is to be assigned to each waiting list entry by a treating practitioner to indicate the priority with which the patient should receive treatment. It represents the timeframe within which the procedure is clinically indicated as appropriate for the patient and their clinical situation. The clinical urgency category should be assigned according to the following criteria and should not be influenced by clinical or human resources:

Code 4 Urgent
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 Semi-urgent
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 Non-urgent
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 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.

For clinical urgency categories 4, 5 and 6, reclassification of clinical urgency category can occur following a review of the patient by the treating practitioner, or an appropriate clinical delegate acting on behalf of the treating practitioner, with the reason for change to be recorded in the patient's medical record.
Gastrointestinal Endoscopy Data Collection (GIEDC)-Removals:
The clinical urgency category code must be the clinical urgency category at the Service request-removal from waiting list date.

Gastrointestinal Endoscopy Data Collection (GIEDC)-Waiting:
The clinical urgency category code must be the clinical urgency category at the Hospital waiting list-census date.
Some patients are booked for an initial endoscopy and then recalled because:
- the procedure was unsuccessful, for example due to poor bowel preparation, and the patient needs to be rebooked to do the procedure again; or
- the patient needs to return to follow-up shortly after the initial procedure, for example to check healing or to review a polypectomy site.
These patients are operationally referred to as 'recall' or 'repeat' patients. As with all gastrointestinal endoscopy patients, a recall patient is subject to a clinical urgency category being assigned, to indicate the urgency with which they should return. A recall patient should be assigned a clinical urgency category of urgent, semi-urgent or non-urgent. Recall is not considered to be its own clinical urgency category.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 7
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
Is used in the calculation ofData ElementData ElementGastrointestinal endoscopy service request-waiting time, total daysQH 043114 Version 1Draft
Is used in the calculation ofData ElementDerived Data ElementService request-waiting time, total daysQH 041984 Version 1Current
Relates toData ElementData ElementGastrointestinal endoscopy service request-placed on waiting list dateQH 041979 Version 1Current
Relates toData ElementData ElementGastrointestinal endoscopy service request-surveillance due dateQH 041983 Version 1Current
Relates toData ElementData ElementGastrointestinal endoscopy service request-waiting list removal dateQH 041986 Version 1Current
Relates toData ElementData ElementHospital waiting list-census dateQH 040352 Version 3Current
Relates toData ElementData Element ConceptGastrointestinal endoscopy service requestQH 041976 Version 1Current
Implementation in Metadata Sets

Implemented

  • 1 - 14
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Data Supply RequirementHHS Service AgreementGastrointestinal Endoscopy (GIE)-Removals Data Supply Requirement (DSR) 2017-2018QH 020625 Version 1MandatorySuperseded01-Jul-201730-Jun-2018
Data Supply RequirementHHS Service AgreementGastrointestinal Endoscopy (GIE)-Removals Data Supply Requirement (DSR) 2018-2019QH 020432 Version 1MandatorySuperseded01-Jul-201830-Jun-2019
Data Supply RequirementHHS Service AgreementGastrointestinal Endoscopy (GIE)-Removals Data Supply Requirement (DSR) 2019-2020QH 020563 Version 1MandatorySuperseded01-Jul-201930-Jun-2020
Data Supply RequirementHHS Service AgreementGastrointestinal Endoscopy (GIE)-Removals Data Supply Requirement (DSR) 2020-2021QH 020685 Version 1MandatoryCurrent01-Jul-202030-Jun-2021
Data Supply RequirementHHS Service AgreementGastrointestinal Endoscopy (GIE)-Waiting Data Supply Requirement (DSR) 2017-2018QH 020626 Version 1MandatorySuperseded01-Jul-201730-Jun-2018
Data Supply RequirementHHS Service AgreementGastrointestinal Endoscopy (GIE)-Waiting Data Supply Requirement (DSR) 2018-2019QH 020433 Version 1MandatorySuperseded01-Jul-201830-Jun-2019
Data Supply RequirementHHS Service AgreementGastrointestinal Endoscopy (GIE)-Waiting Data Supply Requirement (DSR) 2019-2020QH 020564 Version 1MandatorySuperseded01-Jul-201930-Jun-2020
Data Supply RequirementHHS Service AgreementGastrointestinal Endoscopy (GIE)-Waiting Data Supply Requirement (DSR) 2020-2021QH 020686 Version 1MandatoryCurrent01-Jul-202030-Jun-2021
Information AssetData CollectionGastrointestinal Endoscopy Data Collection (GIEDC)-RemovalsQH 020277 Version 3MandatoryDraft01-Jul-2021
Information AssetData CollectionGastrointestinal Endoscopy Data Collection (GIEDC)-RemovalsQH 020277 Version 2MandatoryCurrent01-Jul-201930-Jun-2021
Information AssetData CollectionGastrointestinal Endoscopy Data Collection (GIEDC)-RemovalsQH 020277 Version 1MandatorySuperseded01-Jul-201530-Jun-2019
Information AssetData CollectionGastrointestinal Endoscopy Data Collection (GIEDC)-WaitingQH 020276 Version 3MandatoryDraft01-Jul-2021
Information AssetData CollectionGastrointestinal Endoscopy Data Collection (GIEDC)-WaitingQH 020276 Version 2MandatoryCurrent01-Jul-201930-Jun-2021
Information AssetData CollectionGastrointestinal Endoscopy Data Collection (GIEDC)-WaitingQH 020276 Version 1MandatorySuperseded01-Jul-201530-Jun-2019
Source and Reference Attributes
Clinical urgency category; Urgency category; Waiting list;