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Elective procedure waiting list episode-clinical urgency assessment category (QHAPDC)
Identifying and Definitional Attributes
Identifier
QH 042453
Version
2
Metadata Item Type
Data Element
Data Element Type
Data Element
Approval Status
Draft
06-Oct-2017  
Current
30-Jan-2018  
Approval Type
Standard
Approving Authority
Information Management Strategic Governance Committee (IMSGC), Queensland Health
Effective From
01-Oct-2017
Effective To
-
Definition
A clinical assessment of the urgency with which a patient requires elective surgery.
Context
Elective surgery/Waiting list
Short Name
Urgency category (QHAPDC)
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
4Other - category 1
5Other - category 2
6Other - category 3
9Surveillance procedure
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.

Code 4 Other - category, code 5 Other - category 2 and code 6 Other - category 3
Urgency categories 4, 5 & 6 are recorded for other waiting episodes for medical procedures.  

In Queensland, the Elective Admissions Module (HBCIS-EAM) is used as a waiting list management module for other activity not classified as surgery, but are medical procedures.  There was an identified business need to also categorise these procedures so to differentiate them from the surgical patients, 4, 5 and 6 were used.  The clinically recommended waiting times for these categories are the same as the surgical categories, ie within 30 days, within 90 days and within 365 days respectively.  There is currently no requirement from the Department of Health to use EAM to capture non-surgical procedures in EAM, but any non-surgical procedures should be categorised as 4, 5, 6 so that they can be excluded from elective surgery reporting.

Code 9 Surveillance procedure
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.
Verification Rules
Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Must not be null for admitted patient care records with elective surgery activity.
Validated against Waiting List Category codes reference file.
Collection Methods
Queensland Hospital Admitted Patient Data Collection (QHAPDC):
The value of this data item may change whilst the patient is listed on the waiting list. Between 1/7/1997 and 30/6/1998, QHAPDC received only the last recorded value of this data item. From 1/7/98 all values, both the initial and any changed values are received by QHAPDC.

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 Procedures that are clinically indicated within 30 days.
Code 2 Elective surgery - category 2 is mapped to code 2 Procedures that are clinically indicated within 90 days.
Code 3 Elective surgery - category 3 is mapped to code 3 Procedures that are clinically indicated within 365 days.
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
Implementation in Metadata Sets

Otherrelational

  • 1 - 6
ViewMetadata Item TypeMetadata Set TypeNameAscendingIdentifier & VersionObligationEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1Conditional01-Oct-201730-Jun-2019
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 2Conditional01-Jul-2019
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2017-2018QH 020329 Version 1Conditional01-Oct-201730-Jun-2018
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2018-2019QH 020504 Version 1Conditional01-Jul-201830-Jun-2019
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2019-2020QH 020582 Version 1Conditional01-Jul-201930-Jun-2020
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2020-2021QH 020693 Version 1Conditional01-Jul-202030-Jun-2021
Data Quality Declaration
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Source and Reference Attributes
Source Organisation
-
Source Document
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