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Elective surgery waiting list episode—clinical urgency, code N

Identifying and definitional attributes

Metadata item type:Data Element
Short name:Clinical urgency
METeOR identifier:270008
Registration status:Health, Standard 01/03/2005
Tasmanian Health, Draft 13/09/2012
Definition:A clinical assessment of the urgency with which a patient requires elective hospital care, as represented by a code.
Data Element Concept:Elective surgery waiting list episode—clinical urgency

Value domain attributes

Representational attributes

Representation class:Code
Data type:Number
Format:N
Maximum character length:1
Permissible values:
ValueMeaning
1Admission within 30 days desirable for a condition that has the potential to deteriorate quickly to the point that it may become an emergency
2Admission 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
3Admission 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

Data element attributes

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.
Comments: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. The waiting list information system should be able to record dates when the classification is changed (metadata item Elective care waiting list episode—category reassignment date, DDMMYYYY).

Source and reference attributes

Origin:National Health Data Committee

Relational attributes

Related metadata references:

Supersedes Clinical urgency, version 2, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (16.4 KB)

See also Elective surgery waiting list episode—overdue patient status, code N Health, Superseded 13/12/2011

See also Elective surgery waiting list episode—overdue patient status, code N Health, Standard 13/12/2011

Implementation in Data Set Specifications:
All attributes +

Elective surgery waiting times (census data) DSS 1 January 2012-30 June 2012 Health, Retired 13/12/2011

DSS specific attributes +

Elective surgery waiting times (census data) NMDS Health, Superseded 07/12/2005

DSS specific attributes +

Elective surgery waiting times (census data) NMDS 2006-09 Health, Superseded 03/12/2008

DSS specific attributes +

Elective surgery waiting times (census data) NMDS 2009-12 Health, Superseded 13/12/2011

DSS specific attributes +

Elective surgery waiting times (census data) NMDS 2012-13 Health, Standard 13/12/2011

DSS specific attributes +

Elective surgery waiting times (removals data) DSS 1 January 2012-30 June 2012 Health, Retired 13/12/2011

DSS specific attributes +

Elective surgery waiting times (removals data) NMDS Health, Superseded 07/12/2005

DSS specific attributes +

Elective surgery waiting times (removals data) NMDS 2006-09 Health, Superseded 03/12/2008

DSS specific attributes +

Elective surgery waiting times (removals data) NMDS 2009-12 Health, Superseded 13/12/2011

DSS specific attributes +

Elective surgery waiting times (removals data) NMDS 2012-13 Health, Standard 13/12/2011

DSS specific attributes +

Elective surgery waiting times cluster Health, Standard 07/12/2011

Implementation in Indicators:Used as numerator
National Partnership Agreement on Improving Public Hospital Services: National Elective Surgery Target (Part 2) Health, Standardisation pending 09/05/2013
Used as denominator
National Partnership Agreement on Improving Public Hospital Services: National Elective Surgery Target (Part 2) Health, Standardisation pending 09/05/2013
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