[WWW - 2021.12.16]
Identifying and Definitional Attributes
Identifier
QH 040936
Version
2
Metadata Item Type
Data Element
Data Element Type
Data Element
Approval Status
Draft
19-May-2011  
Current
25-Jun-2011  
Superseded
01-Nov-2012  
Approval Type
Standard
Approving Authority
-
Effective From
01-Jul-2010
Effective To
30-Jun-2012
Definition
A category which indicates the clinical urgency for care and/or treatment, up to the patient's first appointment attendance, following assessment of a request for service by an outpatient clinic, as represented by a code.
Context
Hospital outpatient clinic services excluding community mental health care (which includes hospital-based mental health ambulatory services).
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
CodeDescription
9Unclassified
Collection and Usage Attributes
Guide for Use
For outpatient clinics, allocation of the clinical urgency category is assigned on the following basis: 

Code 1 Category 1 
- Appointment within thirty (30 days) is desirable; and
- Condition will require more complex or emergent care if assessment is delayed; and
- Condition will have significant impact on quality of life if care is delayed beyond thirty (30) days.

Code 2 Category 2 
- Appointment within ninety (90) days is desirable; and
- Condition has potential 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 beyond ninety (90) days.

Code 3 Category 3 
- Appointment within 365 days is desirable; and
- Condition is unlikely to deteriorate quickly; and 
- Condition is unlikely to require more complex care if assessment is delayed beyond 365 days.

SUPPLEMENTARY CODE
Code 9 Unclassified 
A request for service has not been allocated a clinical urgency category.

RESPONSIBILITY FOR ASSIGNMENT
The Medical Officer responsible for the specialty should assign the clinical urgency category, following an assessment of the patient's service request. This task may be delegated to a nominated officer (e.g.: 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 fulfilment of all criteria for that category. 
If a patient does not fulfil all criteria for Category 1, Category 2 is considered. 
If the patient does not fulfil all criteria for Category 2, then the patient is allocated Category 3 status. 

A clinical urgency category (i.e. category 1, 2, or 3) should be defined within five working days following an outpatient clinic service request-receipt date.
Verification Rules
-
Collection Methods
-
Comment
The categorisation of service requests facilitates equitable and timely access to appropriate services according to urgency of need.
Relational Attributes
Related Metadata References
Has been superseded by Outpatient clinic service request-clinical urgency category QH 040936 Version 3
Is used in the calculation of Outpatient clinic service request-waiting time to census QH 041549 Version 1
Is used in the calculation of Outpatient clinic service request-waiting time to initial attendance QH 040937 Version 2
Supersedes Non-admitted patient care-clinical urgency category QH 040936 Version 1
Implementation in Metadata Sets
Data Quality Declaration
-
Source and Reference Attributes
Source Organisation
Queensland Health
Source Document
Outpatient Services Implementation Standard