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Elective surgery waiting list episode-clinical urgency assessment category
Identifying and Definitional Attributes
Identifier
QH 040087
Version
2
Metadata Item Type
Data Element
Data Element Type
Data Element
Approval Status
Draft
12-Jun-2014  		Current
04-Aug-2014  		Superseded
29-Jan-2018  
Approval Type
Standard
Approving Authority
-
Effective From
01-Jul-2014
Effective To
30-Jun-2015
Definition 
A clinical assessment of the urgency with which a patient requires elective hospital care.
Context 
Elective surgery/Waiting list
Short Name
Urgency category
Name in Other Contexts
-
Representational Attributes
Datatype
Numeric
Representation Class
Code
Format
N
Minimum Character Length
1
Maximum Character Length
1
Permissible Values
CodeDescription
1Elective surgery - category 1
2Elective surgery - category 2
3Elective surgery - category 3
Supplementary Values
-
Collection and Usage Attributes
Guide for Use 
The classification employs a system of urgency categorisation based on factors such as the degree of pain, dysfunction and disability caused by the condition and its potential to deteriorate quickly into an emergency. All patients ready for care must be assigned to one of the urgency categories, regardless of how long it is estimated they will need to wait for surgery.

Code 1 Elective surgery - category 1
Admission within 30 days desirable for a condition that has the potential to deteriorate quickly to the point that it may become an emergency.

Code 2 Elective surgery - category 2
Admission within 90 days desirable for a condition causing some pain, dysfunction or disability but which is not likely to deteriorate quickly or become an emergency.

Code 3 Elective surgery - category 3
Admission at some time in the future acceptable for a condition causing minimal or no pain, dysfunction or disability, which is unlikely to deteriorate quickly and which does not have the potential to become an emergency.
Verification Rules
-
Collection Methods 
For national reporting of the Elective surgery waiting list episode-clinical urgency data element the following mapping occurs:
Code 1 Elective surgery - category 1 is mapped to code 1 Admission within 30 days desirable for a condition that has the potential to deteriorate quickly to the point that it may become an emergency.
Code 2 Elective surgery - category 2 is mapped to code 2 Admission within 90 days desirable for a condition causing some pain, dysfunction or disability but which is not likely to deteriorate quickly or become an emergency.
Code 3 Elective surgery - category 3 is mapped to code 3 Admission at some time in the future acceptable for a condition causing minimal or no pain, dysfunction or disability, which is unlikely to deteriorate quickly and which does not have the potential to become an emergency.
Comment
A patient's classification may change if he or she undergoes clinical review during the waiting period. The need for clinical review varies with the patient's condition and is therefore at the discretion of the treating clinician.
Categorisation of waiting list patients by clinical urgency assists hospital management and clinicians in the prioritisation of their workloads. It gives health consumers a reasonable estimate of the maximum time they should expect to wait for care. Clinical 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 (metadata item the overdue patient status).
Relational Attributes
Related Metadata References
Has been superseded by Elective surgery waiting list episode-clinical urgency assessment category QH 040087 Version 3
Is used in conjunction with Elective care waiting list episode-listing date for care QH 040359 Version 3
Relates to Elective surgery waiting list episode QH 041716 Version 1
Supersedes Urgency category QH 040087 Version 1
 
Implementation in Metadata Sets

Otherrelational

  • 1 - 2
ViewMetadata Item TypeMetadata Set TypeNameAscendingIdentifier & VersionObligationEffective FromEffective To
Information AssetData CollectionElective Surgery Data Collection (ESDC)QH 020110 Version 1Mandatory01-Jul-201430-Jun-2015
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1Mandatory01-Jul-201430-Jun-2015
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-clinical urgency, code N, Identifier 270008, Health standard 01/03/2005 https://meteor.aihw.gov.au/content/index.phtml/itemId/270008/meteorItemView/long