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Elective procedure waiting list episode-clinical urgency assessment category (HBCIS)
Identifying and Definitional Attributes
Identifier
QH 042235
Version
1
Metadata Item Type
Data Element
Data Element Type
Data Element
Approval Status
Current
01-Jul-2017  
Draft
06-Oct-2017  
Superseded
29-Jan-2018  
Approval Type
Standard
Approving Authority
Information Management Strategic Governance Committee (IMSGC), Queensland Health
Effective From
01-Jul-2017
Effective To
30-Sep-2017
Definition
A clinical assessment of the urgency with which a patient requires elective hospital care.
Context
-
Short Name
Urgency category (HBCIS)
Name in Other Contexts
-
Representational Attributes
Datatype
Character
Representation Class
Code
Format
X
Minimum Character Length
1
Maximum Character Length
1
Permissible Values
CodeDescription
1Cat 1 - within 30 days
2Cat 2 - within 90 days
3Cat 3 - routine
4Other - category 1
5Other - category 2
6Other - category 3
9Gastrointestinal endoscopy surveillance
EEmergency priority category
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.

Codes 4, 5 and 6 are non-surgery codes.

Code 4 Other - category 1
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 Other - category 2
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 Other - category 3
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 Gastrointestinal endoscopy 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.

Code E Emergency priority category
Non critical: Patient is sent home to return for scheduled emergency surgery within 10 days of the decisioin for surgery being made.
Verification Rules
When code is E (Emergency priority category), Episode of admitted patient care-admission source and Episode of admitted patient care-source of referral/transfer must be code 30 Planned emergency.
Collection Methods
Hospital Based Corporate Information System (HBCIS):
Code E (Emergency priority category) is for use by those HBCIS sites who use the Elective Admissions Management (EAM) module for managing emergency surgery patients.
Comment
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Relational Attributes
Implementation in Metadata Sets
Data Quality Declaration
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Source and Reference Attributes
Source Organisation
-
Source Document
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