Data Element Detail

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Identifying and Definitional Attributes
Representational Attributes
Collection and Usage Attributes
Relational Attributes
Source and Reference Attributes

Elective surgery waiting list episode-intended procedure

Identifying and Definitional Attributes

Identifier & Version

QH 042317 v2

Metadata Item Type

Data Element

Data Element Type

Derived Data Element

Approval Status

Draft
03-Sep-2018

Current
16-Jul-2019

Superseded
18-Nov-2019

Approval Type

Standard

Approving Authority

Information Management Strategic Governance Committee (IMSGC), Queensland Health

Effective From

01-Jul-2017

Effective To

30-Jun-2019

Definition

The procedure for which a patient has been placed on an elective surgery waiting list.

Context

Elective surgery/Waiting list

Short Name

Intended procedure

Name in Other Contexts

Representational Attributes

Datatype

Numeric Character

Representation Class

Code

Format

N(3)

Minimum Character Length

Maximum Character Length

Permissible Values

Permissible_values

Code	Description
001	Cataract extraction (with or without intra-ocular lens insertion)
002	Cholecystectomy (open/laparoscopic)
003	Coronary artery bypass grafting
004	Cystoscopy
005	Haemorrhoidectomy
006	Hysterectomy (abdominal/vaginal/laparoscopic)
007	Inguinal herniotomy/herniorrhaphy
008	Myringoplasty/tympanoplasty
010	Prostatectomy (transurethral or open)
011	Septoplasty
012	Tonsillectomy (with or without adenoidectomy)
013	Total hip replacement
014	Total knee replacement
015	Varicose veins treatment
016	Myringotomy (without insertion of grommets)
017	Pressure equalising tubes (grommets) - insertion of
018	Abdominal or thoracic aortic aneurysm - repair/replacement
019	Acromioplasty/arthroscopy shoulder/sub acromial decompression
020	Adenoidectomy
021	Amputation of limb
022	Anal fissure - repair of
023	Anterior cruciate ligament reconstruction
024	Arthrodesis
025	Arthroplasty - revision of
026	Arthroscopy
028	Axillary node dissection
029	Bartholin's abscess drainage
030	Bartholin's cyst - removal of
031	Bladder neck incision
032	Blepharoplasty
033	Branchial apparatus remnant - removal of
034	Breast lump - excision and/or biopsy
035	Breast prosthesis - removal of
036	Breast reconstruction
037	Breast reduction
038	Bunion (hallux valgus) - removal of
039	Carotid endarterectomy
040	Carpal tunnel release
041	Cerebral haematoma - evacuation of
042	Cervical discectomy and fusion
043	Chalazion - excision of
044	Chiari malformation decompression
045	Circumcision
046	Cleft lip and palate - repair of
047	Colectomy/anterior resection/large bowel resection
048	Common peroneal nerve release
049	Cone biopsy
050	Congenital cardiac defect/s - procedure for
051	Congenital pulmonary lesion - removal of
052	Corneal graft
053	Cranioplasty
054	Craniotomy
055	Curettage and evacuation of uterus
056	Cystectomy
057	Dacryocystorhinostomy
058	Dermoid cyst - removal of
059	Dialysis access surgery
060	Diathermy of wart/s
061	Discectomy
062	Dupytren's contracture release
063	Ectropion - correction of
064	Endometrial ablation
065	Epididymal cyst - removal of
066	Ethmoidectomy
067	Examination of eye under anaesthesia
068	Exostosis - excision of
069	Female sterilisation
070	Femoro-popliteal bypass graft
071	Fracture non-union - treatment of
072	Functional endoscopic sinus surgery
073	Fundoplication
074	Ganglion - excision of
075	Hammer/claw/mallet toe - correction of
076	Heart valve replacement
077	Herniorrhaphy
078	Hydrocele - repair of
079	Hypospadias - repair of
080	Hysteroscopy, dilatation and curettage
081	Insertion of ventricular peritoneal shunt
082	Laminectomy
083	Laparoscopy
084	Large loop excision of the transformation zone cervix (LLETZ)
085	Laryngectomy
086	Lingual or maxillary frenulum surgery
087	Lithotripsy
088	Lobectomy/wedge resection/pneumonectomy
089	Lymphangioma - surgery for
090	Mastectomy
091	Mastoidectomy
092	Meatoplasty
093	Meniscectomy
094	Microlaryngoscopy
095	Muscle biopsy/temporal artery biopsy
096	Muscle or tendon length - change of
097	Myomectomy
098	Nasal cautery
099	Nasal polypectomy
100	Nasendoscopy
101	Neonatal surgery
102	Nephrectomy
103	Nerve decompression
104	Nerve decompression of spinal cord
105	Orchidectomy
106	Orchidopexy
107	Osteotomy
108	Parathyroidectomy
109	Parotidectomy/submandibular gland - excision of
110	Pectus surgery
111	Pedicle screw fusion
112	Pharyngoplasty
113	Pharynx - excision of
114	Pilonidal sinus surgery
115	Pleurodesis
116	Posterior fossa decompression
117	Probing of naso-lacrimal duct
118	Procedure for strabismus (squint repair)
119	Prostate biopsy
120	Pterygium - excision of
121	Ptosis - repair of
122	Pyeloplasty/correction of ureteropelvic junction
123	Pyogenic granuloma - removal of
124	Radical neck dissection
125	Repair of obstructing hiatus hernia
126	Replacement of aortic aneurysm with bifurcation graft
127	Removal of intracranial lesion
128	Rhinoplasty
129	Rotator cuff - repair of
130	Salpingo-oophorectomy/oophorectomy/ovarian cystectomy
131	Scar revision
132	Shoulder joint replacement
133	Shoulder reconstruction
134	Skin lesion - excision of
135	Stapedectomy
136	Stone/s urinary tract - removal of
137	Stress incontinence surgery
138	Sub-mucosal resection
139	Tendon release
140	Tenotomy of hip
141	Thyroglossal remnant - removal of
142	Thyroidectomy/hemi-thyroidectomy
143	Toenail surgery
144	Trabeculectomy
145	Trigger finger/thumb release
146	Turbinectomy
147	Untethering of spinal cord
148	Ureteric - reimplantation
149	Ureteric stent - insertion of
150	Urethra - dilatation of
151	Vaginal repair - anterior/posterior
152	Vitrectomy (including buckling/cryotherapy)
888	Other

Supplementary Values

Supplemenary_values

Collection and Usage Attributes

Guide for Use

These are planned procedures for the waiting list, not what is actually performed during hospitalisation.

The data element Elective surgery waiting list episode-intended procedure replaces the data element Elective surgery waiting list episode-indicator procedure in the Elective Surgery Waiting Times NMDS.

Patients who are added to a waiting list after 1 July 2016 should be assigned an Intended procedure. For the purposes of national reporting (of the data for 2017-18 onwards), patients who were added to a waiting list before 1 July 2016, and who are still waiting as at 1 July 2017 should have their existing Indicator procedure recoded to the list of Intended procedures.

The titles of the intended procedures in this data element may not be identical to the titles of procedures included in the National Elective Surgery Urgency Categorisation Guideline - April 2015 (the Guideline). Accurate assignment of intended procedures may require reference to the additional information (such as the diagnoses for which the procedure was intended) in the Guideline. This additional information is also presented in the Comments below. The Guideline can be accessed using the link in the Reference Documents section.

Code 888 Other
All other procedures not included above.

New

Verification Rules

Collection Methods

The following is recommended for when the list of intended procedures, as described in the permissible values section, is implemented into a data recording system (for example, as a pick list of procedures in a database):

Code 019 Acromioplasty/arthroscopy shoulder/sub acromial decompression: two sub-categories should be listed to allow the selection of the type of intervention. The sub-categories could be:
(1) arthroscopic
(2) open

Comments

Waiting time statistics by procedure are useful to patients and referring doctors. In addition, waiting time data by procedure assists in planning and resource allocation, audit and performance monitoring.
Waiting list statistics for selected intended procedures give a specific indication of performance in particular areas of elective care provision. It is not always possible to code all elective surgery procedures at the time of addition to the waiting list. Reasons for this include that the surgeon may be uncertain of the exact procedure to be performed, and that the large number of procedures possible and lack of consistent nomenclature would make coding errors likely.
Codes 001 to 015 have been assigned to intended procedures that are considered to be equivalent to the procedures included in the data element Elective surgery waiting list episode-indicator procedure.
Codes 016 and 017 have been assigned to the intended procedures 'Myringotomy (without insertion of grommets)' and 'Pressure equalising tubes - insertion of' which, combined, are considered to be equivalent to the indicator procedure 'Myringotomy'.
Codes 018 to 152 have been assigned alphabetically to the remaining intended procedures.
There are some differences between the intended procedures in this data element and the list of procedures included in the National Elective Surgery Urgency Categorisation Guideline April 2015 (the Guideline). Where relevant, differences between the intended procedure and the list of procedures included in the Guideline are noted under each intended procedure code.
While the code name may not include the description 'repair of' or 'revision of', the Australian Classification of Health Interventions (ACHI) codes for these interventions may still be included in the list of ACHI codes below for each intended procedure.
Non-surgical procedures are excluded from the definition of elective surgery in Elective care waiting list episode-elective care type. The following Guideline procedures are not included in this data element as the procedures are not classified as a surgical operation on the Medicare Benefits Schedule:
- Colposcopy
- Mirena insertion
- Panendoscopy
- Retrograde pyelogram.
The phrase 'for reasons other than cosmetic' has been removed from the titles of some Guideline procedures. This is because cosmetic surgery is excluded from the definition of elective surgery in Elective care waiting list episode-elective care type.
The ACHI codes which are listed under each intended procedure in the national data element provide guidance as to what the intended procedures would be likely to include: https://meteor.aihw.gov.au/content/index.phtml/itemId/683718/meteorItemView/long

Relational Attributes

Related Metadata References

Related Metadata References_IR

1 - 4

Relationship	Metadata Item Type	Metadata Item Subtype	Name	Identifier & Version	Approval Status
Supersedes	Data Element	Derived Data Element	Elective surgery waiting list episode-intended procedure	QH 042317 Version 1	Superseded
Has been superseded by	Data Element	Derived Data Element	Elective surgery waiting list episode-intended procedure	QH 042317 Version 3	Superseded
Is derived from	Data Element	Data Element	Service request-planned primary procedure code (ACHI 10th edn)	QH 041982 Version 2	Superseded
Relates to	Data Element	Data Element	Elective surgery waiting list episode-planned procedure date	QH 040597 Version 1	Current

Implementation in Metadata Sets

Implemented

1 - 1

View	Metadata Item Type	Metadata Item Subtype	Name	Identifer & Version	Obligation	Approval Status	Effective From	Effective To
	Information Asset	Data Collection	Queensland Hospital Admitted Patient Data Collection (QHAPDC)	QH 020001 Version 1	Conditional	Superseded	01-Jul-2017	30-Jun-2019

Data Quality Declaration

Source and Reference Attributes

Source Organisation

Australian Institute of Health and Welfare

Source Document

METeOR data element: Elective surgery waiting list episode-intended procedure, code NNN, identifier 683718, Health Standard 25/01/2018 https://meteor.aihw.gov.au/content/index.phtml/itemId/683718/meteorItemView/long

Keywords

Elective surgery; Intended; Procedure; Waiting list;