Emergency department stay—waiting time (to commencement of clinical care), total minutes NNNNN

Identifying and definitional attributes
Metadata item type:	Data Element
Short name:	Emergency department waiting time to clinical care commencement
METEOR identifier:	471932
Registration status:	Health, Superseded 19/11/2015 Independent Hospital Pricing Authority, Standard 01/11/2012 National Health Performance Authority (retired), Retired 01/07/2016 Tasmanian Health, Superseded 08/12/2016
Definition:	The time elapsed in minutes for each patient from presentation in the emergency department to the commencement of the emergency department non-admitted clinical care.
Data Element Concept:	Emergency department stay—waiting time (to commencement of clinical care)

Value domain attributes
Representational attributes
Representation class:	Total
Data type:	Number
Format:	NNNNN
Maximum character length:	5
Unit of measure:	Minute (m)
Data element attributes
Collection and usage attributes
Guide for use:	Calculated by subtracting the date and time the patient presents to the emergency department from the date and time the emergency department non-admitted clinical care commenced. Although triage category 1 is measured in seconds, it is recognised that the data will not be collected with this precision. This data element should not be completed for patients who have an Episode end status of ‘Did not wait’.
Comments:	It is recognised that at times of extreme urgency or multiple synchronous presentations, or if no medical officer is on duty in the emergency department, this service may be provided by a nurse.
Source and reference attributes
Submitting organisation:	National reference group for non-admitted patient data development, 2001-02
Relational attributes
Related metadata references:	Supersedes Non-admitted patient emergency department service episode—waiting time (to service delivery), total minutes NNNNN Health, Superseded 22/12/2011 Has been superseded by Emergency department stay—waiting time (to commencement of clinical care), total minutes NNNNN Health, Superseded 20/10/2021 Tasmanian Health, Superseded 22/03/2023
Implementation in Data Set Specifications: All attributes +	Activity based funding: Emergency department care DSS 2013-2014 Independent Hospital Pricing Authority, Superseded 01/03/2013 DSS specific attributes + Implementation start date: 01/07/2013 Implementation end date: 30/06/2014 Conditional obligation: This data item is to be recorded if the patient has one of the following non-admitted patient emergency department service episode - episode end status values reported: 1 - Admitted to this hospital (either short stay unit, hospital in the home or non-emergency department hospital ward); 2 - Non-admitted patient emergency department service episode completed—departed without being admitted or referred to another hospital; 3 - Non-admitted patient emergency department service episode completed—referred to another hospital for admission; 5 - Left at own risk after being attended by a health care professional but before the non-admitted patient emergency department service episode was completed; 6 - Died in emergency department as a non-admitted patient; 7 - Dead on arrival, emergency department clinician certified the death of the patient. Emergency department care activity based funding DSS 2012-2013 Independent Hospital Pricing Authority, Superseded 31/10/2012 DSS specific attributes + Implementation start date: 01/07/2012 Implementation end date: 30/06/2013 Conditional obligation: This data item is to be recorded if the patient has one of the following Episode end status values recorded: Admitted to this hospital (either short stay unit, hospital in the home or non-emergency department hospital ward); Non-admitted patient emergency department service episode completed—departed without being admitted or referred to another hospital; Non-admitted patient emergency department service episode completed—referred to another hospital for admission; Left at own risk after being attended by a health care professional but before the non-admitted patient emergency department service episode was completed; Died in emergency department as a non-admitted patient; Dead on arrival, emergency department clinician certified the death of the patient Non-admitted patient emergency department care DSS 1 January 2012-30 June 2012 Health, Retired 30/01/2012 DSS specific attributes + Implementation start date: 01/01/2012 Implementation end date: 30/06/2012 Non-admitted patient emergency department care DSS 2014-15 Health, Superseded 04/02/2015 DSS specific attributes + Implementation start date: 01/07/2014 Implementation end date: 30/06/2015 Conditional obligation: This data item is to be recorded if the patient has one of the following Episode end status values recorded: Code 1 - Admitted to this hospital (either short stay unit, hospital-in-the-home or non-emergency department hospital ward); Code 2 - Non-admitted patient emergency department service episode completed - departed without being admitted or referred to another hospital; Code 3 - Non-admitted patient emergency department service episode completed - referred to another hospital for admission; Code 5 - Left at own risk after being attended by a health care professional but before the non-admitted patient emergency department service episode was completed; Code 6 - Died in emergency department as a non-admitted patient; Code 7 - Dead on arrival, emergency department clinician certified the death of the patient. Non-admitted patient emergency department care DSS 2015-16 Health, Superseded 02/12/2015 DSS specific attributes + Implementation start date: 01/07/2015 Implementation end date: 30/06/2016 Conditional obligation: This data item is to be recorded if the patient has one of the following Episode end status values recorded: Code 1 - Admitted to this hospital (either short stay unit, hospital-in-the-home or non-emergency department hospital ward); Code 2 - Non-admitted patient emergency department service episode completed - departed without being admitted or referred to another hospital; Code 3 - Non-admitted patient emergency department service episode completed - referred to another hospital for admission; Code 5 - Left at own risk after being attended by a health care professional but before the non-admitted patient emergency department service episode was completed; Code 6 - Died in emergency department as a non-admitted patient; Code 7 - Dead on arrival, emergency department clinician certified the death of the patient. Non-admitted patient emergency department care NBEDS 2016-17 Health, Superseded 05/10/2016 DSS specific attributes + Implementation start date: 01/07/2016 Implementation end date: 30/06/2017 Conditional obligation: This data item is to be recorded if the patient has one of the following Episode end status values recorded: Code 1 - Admitted to this hospital (either short stay unit, hospital-in-the-home or non-emergency department hospital ward); Code 2 - Non-admitted patient emergency department service episode completed - departed without being admitted or referred to another hospital; Code 3 - Non-admitted patient emergency department service episode completed - referred to another hospital for admission; Code 5 - Left at own risk after being attended by a health care professional but before the non-admitted patient emergency department service episode was completed; Code 6 - Died in emergency department as a non-admitted patient; Code 7 - Dead on arrival, emergency department clinician certified the death of the patient. Non-admitted patient emergency department care NMDS 2012-13 Health, Superseded 07/02/2013 DSS specific attributes + Implementation start date: 01/07/2012 Implementation end date: 30/06/2013 Conditional obligation: This data item is to be recorded if the patient has one of the following Episode end status values recorded: Admitted to this hospital (either short stay unit, hospital in the home or non-emergency department hospital ward); Non-admitted patient emergency department service episode completed—departed without being admitted or referred to another hospital; Non-admitted patient emergency department service episode completed—referred to another hospital for admission; Left at own risk after being attended by a health care professional but before the non-admitted patient emergency department service episode was completed; Died in emergency department as a non-admitted patient; Dead on arrival, emergency department clinician certified the death of the patient. Non-admitted patient emergency department care NMDS 2013-14 Health, Superseded 11/04/2014 DSS specific attributes + Implementation start date: 01/07/2013 Implementation end date: 30/06/2014 Conditional obligation: This data item is to be recorded if the patient has one of the following Episode end status values recorded: Admitted to this hospital (either short stay unit, hospital in the home or non-emergency department hospital ward); Non-admitted patient emergency department service episode completed—departed without being admitted or referred to another hospital; Non-admitted patient emergency department service episode completed—referred to another hospital for admission; Left at own risk after being attended by a health care professional but before the non-admitted patient emergency department service episode was completed; Died in emergency department as a non-admitted patient; Dead on arrival, emergency department clinician certified the death of the patient. Non-admitted patient emergency department care NMDS 2014-15 Health, Superseded 13/11/2014 DSS specific attributes + Implementation start date: 01/07/2014 Implementation end date: 30/06/2015 Conditional obligation: This data item is to be recorded if the patient has one of the following Episode end status values recorded: Code 1 - Admitted to this hospital (either short stay unit, hospital-in-the-home or non-emergency department hospital ward); Code 2 - Non-admitted patient emergency department service episode completed - departed without being admitted or referred to another hospital; Code 3 - Non-admitted patient emergency department service episode completed - referred to another hospital for admission; Code 5 - Left at own risk after being attended by a health care professional but before the non-admitted patient emergency department service episode was completed; Code 6 - Died in emergency department as a non-admitted patient; Code 7 - Dead on arrival, emergency department clinician certified the death of the patient. Non-admitted patient emergency department care NMDS 2015-16 Health, Superseded 19/11/2015 DSS specific attributes + Implementation start date: 01/07/2015 Implementation end date: 30/06/2016 Conditional obligation: This data item is to be recorded if the patient has one of the following Episode end status values recorded: Code 1 - Admitted to this hospital (either short stay unit, hospital-in-the-home or non-emergency department hospital ward); Code 2 - Non-admitted patient emergency department service episode completed - departed without being admitted or referred to another hospital; Code 3 - Non-admitted patient emergency department service episode completed - referred to another hospital for admission; Code 5 - Left at own risk after being attended by a health care professional but before the non-admitted patient emergency department service episode was completed; Code 6 - Died in emergency department as a non-admitted patient; Code 7 - Dead on arrival, emergency department clinician certified the death of the patient.
Implementation in Indicators:	Used as Numerator National Health Performance Authority, Hospital Performance: Percentage of patients who commenced treatment within clinically recommended time 2014 National Health Performance Authority (retired), Retired 01/07/2016 National Healthcare Agreement: PI 21a–Waiting times for emergency hospital care: Proportion seen on time, 2016 Health, Superseded 31/01/2017 National Healthcare Agreement: PI 21a–Waiting times for emergency hospital care: Proportion seen on time, 2017 Health, Superseded 30/01/2018 Service Agreement - Department of Health and Human Services Tasmania: 2013, KPI??-Percentage of all emergency department presentations seen within the recommended triage time, 2013 Tasmanian Health, Superseded 09/12/2016 Service Agreement - Department of Health and Human Services Tasmania: 2013, KPI??-Percentage of triage 1 emergency department presentations seen within the recommended triage time, 2013 Tasmanian Health, Superseded 09/12/2016 Service Agreement - Department of Health and Human Services Tasmania: 2013, KPI??-Percentage of triage 2 emergency department presentations seen within the recommended triage time, 2013 Tasmanian Health, Superseded 09/12/2016 Service Agreement - Department of Health and Human Services Tasmania: 2014, Percentage of all emergency department presentations seen within the recommended triage time, 2014 Tasmanian Health, Superseded 09/12/2016 Service Agreement - Department of Health and Human Services Tasmania: 2014, Percentage of triage 1 emergency department presentations seen within the recommended triage time, 2014 Tasmanian Health, Superseded 09/12/2016 Service Agreement - Department of Health and Human Services Tasmania: 2014, Percentage of triage 2 emergency department presentations seen within the recommended triage time, 2014 Tasmanian Health, Superseded 09/12/2016