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Breadcrumb

Gastrointestinal endoscopy service request-clinical urgency assessment category
Identifying and Definitional Attributes
Identifier
QH 041981
Version
1
Metadata Item Type
Data Element
Data Element Type
Data Element
Approval Status
Draft
22-Jan-2016  
Current
04-Oct-2016  
Approval Type
Standard
Approving Authority
-
Effective From
01-Jul-2015
Effective To
-
Definition
A clinical assessment of the urgency with which a patient requires a gastrointestinal endoscopy procedure.
Context
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Short Name
Clinical urgency category (GIE)
Name in Other Contexts
-
Representational Attributes
Datatype
Numeric
Representation Class
Code
Format
N
Minimum Character Length
1
Maximum Character Length
1
Permissible Values
CodeDescription
4Urgent
5Semi-urgent
6Non-urgent
9Surveillance
Supplementary Values
-
Collection and Usage Attributes
Guide for Use
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.
Verification Rules
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.
Collection Methods
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Comment
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
Is used in the calculation of Service request-waiting time, total days QH 041984 Version 1
Relates to Gastrointestinal endoscopy service request QH 041976 Version 1
Relates to Gastrointestinal endoscopy service request-surveillance due date QH 041983 Version 1
Relates to Gastrointestinal endoscopy service request-waiting list removal date QH 041986 Version 1
Relates to Hospital waiting list-census date QH 040352 Version 3
Implementation in Metadata Sets

Otherrelational

  • 1 - 10
ViewMetadata Item TypeMetadata Set TypeNameAscendingIdentifier & VersionObligationEffective FromEffective To
Data Supply RequirementHHS Service AgreementGastrointestinal Endoscopy (GIE)-Removals Data Supply Requirement (DSR) 2017-2018QH 020625 Version 1Mandatory01-Jul-201730-Jun-2018
Data Supply RequirementHHS Service AgreementGastrointestinal Endoscopy (GIE)-Removals Data Supply Requirement (DSR) 2018-2019QH 020432 Version 1Mandatory01-Jul-201830-Jun-2019
Data Supply RequirementHHS Service AgreementGastrointestinal Endoscopy (GIE)-Removals Data Supply Requirement (DSR) 2019-2020QH 020563 Version 1Mandatory01-Jul-201930-Jun-2020
Data Supply RequirementHHS Service AgreementGastrointestinal Endoscopy (GIE)-Removals Data Supply Requirement (DSR) 2020-2021QH 020685 Version 1Mandatory01-Jul-202030-Jun-2021
Data Supply RequirementHHS Service AgreementGastrointestinal Endoscopy (GIE)-Waiting Data Supply Requirement (DSR) 2017-2018QH 020626 Version 1Mandatory01-Jul-201730-Jun-2018
Data Supply RequirementHHS Service AgreementGastrointestinal Endoscopy (GIE)-Waiting Data Supply Requirement (DSR) 2018-2019QH 020433 Version 1Mandatory01-Jul-201830-Jun-2019
Data Supply RequirementHHS Service AgreementGastrointestinal Endoscopy (GIE)-Waiting Data Supply Requirement (DSR) 2019-2020QH 020564 Version 1Mandatory01-Jul-201930-Jun-2020
Data Supply RequirementHHS Service AgreementGastrointestinal Endoscopy (GIE)-Waiting Data Supply Requirement (DSR) 2020-2021QH 020686 Version 1Mandatory01-Jul-202030-Jun-2021
Information AssetData CollectionGastrointestinal Endoscopy Data Collection (GIEDC)-RemovalsQH 020277 Version 1Mandatory01-Jul-201530-Jun-2019
Information AssetData CollectionGastrointestinal Endoscopy Data Collection (GIEDC)-RemovalsQH 020277 Version 2Mandatory01-Jul-201930-Jun-2021
Data Quality Declaration
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Source and Reference Attributes
Source Organisation
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Source Document
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