[WWW - 2021.12.16]
Identifying and Definitional Attributes
Identifier
QH 040936
Version
1
Metadata Item Type
Data Element
Data Element Type
Data Element
Approval Status
Provisional
22-Sep-2005  
Superseded
24-Jun-2011  
Approval Type
Standard
Approving Authority
-
Effective From
01-Jun-2006
Effective To
30-Jun-2010
Definition
The category which indicates the clinical urgency for an occasion of service.
Context
-
Short Name
Clinical urgency category (ODC)
Name in Other Contexts
-
Representational Attributes
Datatype
Numeric
Representation Class
Code
Format
N
Minimum Character Length
1
Maximum Character Length
1
Permissible Values
CodeDescription
1Category 1
2Category 2
3Category 3
Supplementary Values
-
Collection and Usage Attributes
Guide for Use
Non-admitted Patient Care (Specialist Outpatient Services)
For specialist outpatient services a clinical urgency category is assigned on the following basis:

Category 1 Criteria
- Appointment within 30 days desirable; and
- Condition has the potential to require more complex or emergent care if assessment is delayed; and
- Condition has the potential to have significant impact on quality of life if care is delayed.

Category 2 Criteria
- Appointment within 90 days desirable; and
- Condition is unlikely to require more complex care if assessment is delayed; and 
- Condition has the potential to have some impact on the quality of life if care delayed.

Category 3 Criteria 
- Appointment not required within 90 days; and
- Condition is unlikely to deteriorate quickly; and 
- Condition is unlikely to require more complex care if assessment is delayed.

Responsibility for assignment
The Medical Officer responsible for the specialty should assign the clinical urgency category, following an assessment of the patient's referral. This task may be delegated to a nominated officer (eg: medical registrar, resident or senior registered nurse) where clinical urgency assessment protocols have been clearly defined and documented.

Assigning a clinical urgency category requires the fulfillment of all criteria for that category.  If a patient does not fulfill all criteria for Category 1, Category 2 is considered.  If the patient does not fulfill all criteria for Category 2, then the patient is allocated Category 3 status. 

The clinical urgency category (ie category 1, 2, or 3) should be defined within five working days following the Non-admitted patient care - referral receipt date.
Verification Rules
-
Collection Methods
Outpatient scheduling systems (eg: HBCIS - Appointment Scheduling Module) include a code for unclassified within the 'category' field for referrals that have not been allocated a clinical urgency category.
Comment
For Specialist Outpatient Services a code of 'Unclassified' should be used where a referral has yet to be classified.
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.
Relational Attributes
Related Metadata References
Has been superseded by Outpatient clinic service request-clinical urgency category QH 040936 Version 2
Is used in conjunction with Date of change of waiting list details QH 040358 Version 1
Is used in conjunction with Listing date on waiting list QH 040359 Version 2
Relates to Non-admitted patient care-failed to attend appointment indicator QH 040940 Version 1
Relates to Non-admitted patient care-referral issue date QH 040928 Version 1
Relates to Non-admitted patient care-referral receipt date QH 040929 Version 1
Relates to Non-admitted patient care-service delivery waiting period QH 040937 Version 1
Relates to Not ready for care QH 040377 Version 2
Relates to Not ready for care-end date QH 040355 Version 2
Relates to Not ready for care-start date QH 040354 Version 2
Relates to Occasion of service QH 040607 Version 1
Implementation in Metadata Sets
Data Quality Declaration
-
Source and Reference Attributes
Source Organisation
-
Source Document
Policy Framework for Specialist Outpatient Services in Queensland Health public hospitals (January 2005).