Identifying and definitional attributes | |
Metadata item type: | Data Element |
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Short name: | Urgency of admission |
METEOR identifier: | 269986 |
Registration status: | Health, Superseded 25/01/2018 |
Definition: | Whether the admission has an urgency status assigned and, if so, whether admission occurred on an emergency basis, as represented by a code. |
Data element concept attributes | |
Identifying and definitional attributes | |
Data element concept: | Episode of admitted patient care—admission urgency status |
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METEOR identifier: | 269424 |
Registration status: | Health, Standard 01/03/2005 Tasmanian Health, Standard 05/09/2016 |
Definition: | Whether the admission has an urgency status assigned and, if so, whether admission occurred on an emergency basis. An emergency admission is an admission of a patient for care or treatment which, in the opinion of the treating clinician, is necessary and admission for which should occur within 24 hours. An elective admission is an admission of a patient for care or treatment which, in the opinion of the treating clinician, is necessary and admission for which can be delayed for at least 24 hours. Admissions for which an urgency status is usually not assigned are:
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Context: | Admitted patient care. |
Object class: | Episode of admitted patient care |
Property: | Admission urgency status |
Value domain attributes | |
Identifying and definitional attributes | |
Value domain: | Admission urgency status code N |
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METEOR identifier: | 270578 |
Registration status: | Health, Standard 01/03/2005 |
Definition: | A code set representing assignment of urgency status for an admission and whether the admission was an emergency one or not. |
Data element attributes | |
Collection and usage attributes | |
Guide for use: | CODE 1 Urgency status assigned - emergency Emergency admission: The following guidelines may be used by health professionals, hospitals and health insurers in determining whether an emergency admission has occurred. These guidelines should not be considered definitive. An emergency admission occurs if one or more of the following clinical conditions are applicable such that the patient required admission within 24 hours. Such a patient would be:
If an admission meets the definition of emergency above, it is categorised as emergency, regardless of whether the admission occurred within 24 hours of such a categorisation being made, or after 24 hours or more. CODE 2 Urgency status assigned - Elective Elective admissions: If an admission meets the definition of elective above, it is categorised as elective, regardless of whether the admission actually occurred after 24 hours or more, or it occurred within 24 hours. The distinguishing characteristic is that the admission could be delayed by at least 24 hours. Scheduled admissions: A patient who expects to have an elective admission will often have that admission scheduled in advance. Whether or not the admission has been scheduled does not affect the categorisation of the admission as emergency or elective, which depends only on whether it meets the definitions above. That is, patients both with and without a scheduled admission can be admitted on either an emergency or elective basis. Admissions from elective surgery waiting lists: Patients on waiting lists for elective surgery are assigned a Clinical urgency status which indicates the clinical assessment of the urgency with which a patient requires elective hospital care. On admission, they will also be assigned an urgency of admission category, which may or may not be elective:
CODE 3 Urgency status not assigned Admissions for which an urgency status is usually not assigned are:
An urgency status can be assigned for admissions of the types listed above for which an urgency status is not usually assigned. For example, a patient who is to have an obstetric admission may have one or more of the clinical conditions listed above and be admitted on an emergency basis. CODE 9 Not known/not reported This code is used when it is not known whether or not an urgency status has been assigned, or when an urgency status has been assigned but is not known. |
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Source and reference attributes | |
Submitting organisation: | Emergency definition working party |
Origin: | National Health Data Committee |
Relational attributes | |
Related metadata references: | Has been superseded by Episode of admitted patient care—admission urgency status, code N Health, Standard 25/01/2018 Is re-engineered from Urgency of admission, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (21.4 KB) No registration status |
Implementation in Data Set Specifications: | Admitted patient care NMDS Health, Superseded 07/12/2005 Implementation start date: 01/07/2005 Implementation end date: 30/06/2006 Admitted patient care NMDS 2006-07 Health, Superseded 23/10/2006 Implementation start date: 01/07/2006 Implementation end date: 30/06/2007 Admitted patient care NMDS 2007-08 Health, Superseded 05/02/2008 Implementation start date: 01/07/2007 Implementation end date: 30/06/2008 Admitted patient care NMDS 2008-09 Health, Superseded 04/02/2009 Implementation start date: 01/07/2008 Implementation end date: 30/06/2009 Admitted patient care NMDS 2009-10 Health, Superseded 22/12/2009 Implementation start date: 01/07/2009 Implementation end date: 30/06/2010 Admitted patient care NMDS 2010-11 Health, Superseded 18/01/2011 Implementation start date: 01/07/2010 Implementation end date: 30/06/2011 Admitted patient care NMDS 2011-12 Health, Superseded 11/04/2012 Implementation start date: 01/07/2011 Implementation end date: 30/06/2012 Admitted patient care NMDS 2012-13 Health, Superseded 02/05/2013 Implementation start date: 01/07/2012 Implementation end date: 30/06/2013 Admitted patient care NMDS 2013-14 Health, Superseded 11/04/2014 Implementation start date: 01/07/2013 Implementation end date: 30/06/2014 Admitted patient care NMDS 2014-15 Health, Superseded 13/11/2014 Implementation start date: 01/07/2014 Implementation end date: 30/06/2015 Admitted patient care NMDS 2015-16 Health, Superseded 10/11/2015 Implementation start date: 01/07/2015 Implementation end date: 30/06/2016 Admitted patient care NMDS 2016-17 Health, Superseded 05/10/2016 Implementation start date: 01/07/2016 Implementation end date: 30/06/2017 Admitted patient care NMDS 2017-18 Health, Superseded 25/01/2018 Implementation start date: 01/07/2017 Implementation end date: 30/06/2018 |
Implementation in Indicators: |
Used as Numerator
Indigenous Better Cardiac Care measure: 3.1-Hospitalised ST-segment-elevation myocardial infarction events treated by percutaneous coronary intervention, 2016 Health, Standard 17/08/2017 Indigenous Better Cardiac Care measure: 3.3-Hospitalised acute coronary syndrome events that included diagnostic angiography or definitive revascularisation procedures, 2016 Health, Standard 17/08/2017 Indigenous Better Cardiac Care measure: 3.5-Hospitalised acute myocardial infarction events that ended with death of the patient, 2016 Health, Standard 17/08/2017
Used as Denominator
Indigenous Better Cardiac Care measure: 3.1-Hospitalised ST-segment-elevation myocardial infarction events treated by percutaneous coronary intervention, 2016 Health, Standard 17/08/2017 |