Elective surgery waiting list episode—patient listing status, readiness for surgery code N
Data Element Attributes
Identifying and definitional attributes | |
Metadata item type: | Data Element |
|---|---|
| Short name: | Patient listing status |
| METEOR identifier: | 598039 |
| Registration status: | Health, Superseded 18/12/2019 |
| Definition: | An indicator of the person's readiness to begin the process leading directly to being admitted to hospital for an awaited procedure, as represented by a code. |
| Data Element Concept: | Elective surgery waiting list episode—patient listing status |
| Value Domain: | Readiness for surgery code N |
Value domain attributes | ||
Representational attributes | ||
| Representation class: | Code | |
|---|---|---|
| Data type: | Number | |
| Format: | N | |
| Maximum character length: | 1 | |
| Value | Meaning | |
| Permissible values: | 1 | Ready for surgery |
| 2 | Not ready for surgery – staged patients | |
| 3 | Not ready for surgery – pending improvement of clinical condition | |
| 4 | Not ready for surgery – deferred for personal reasons | |
Collection and usage attributes | |
| Guide for use: | CODE 1 Ready for surgery Patients who are prepared to be admitted to hospital or to begin the process leading directly to admission for surgery. The process leading to surgery could include investigations/procedures done on an outpatient basis, such as autologous blood collection, pre-operative diagnostic imaging or blood tests. CODE 2 Not ready for surgery – staged patients Patients who have undergone a procedure or other treatment and are waiting for follow-up elective surgery, where the patient is not in a position to be admitted to hospital or to begin the process leading directly to admission for surgery, because the patient’s clinical condition means that the surgery is not indicated until some future, planned period of time. Examples include a patient who has had internal fixation of a fracture who will require removal of the fixation device after 3 months, a patient who requires a ‘check’ cystoscopy to check for cancer 12 months after surgery to remove a tumour in the bladder, and a patient requiring rectal cancer surgery 6-8 weeks after neoadjuvant chemoradiotherapy for colorectal cancer. CODE 3 Not ready for surgery – pending improvement of clinical condition Patients for whom surgery is indicated, but not until their clinical condition is improved, for example, as a result of a clinical intervention. Examples include patients who require a cardiac work-up before a total hip replacement and patients with respiratory insufficiency who require physiotherapy to maximise respiratory function before a hernia repair. For such patients, a decision has already been made that surgery should take place. Patients should not be regarded as ‘not ready for surgery—pending improvement of their clinical condition’ when they are undergoing routine monitoring or investigations before a decision is made as to whether surgery is required. CODE 4 Not ready for surgery – deferred for personal reasons Patients who for personal reasons are not yet prepared to be admitted to hospital. Examples include patients with work or other commitments that preclude their being admitted to hospital for a time. |
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Source and reference attributes | |
| Submitting organisation: | National Health Information Standards and Statistics Committee - Emergency Data Development Working Group; Hospitals Principal Committee - Project Steering Committee on National Definitions for Elective Surgery Urgency Categories |
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| Reference documents: | AIHW 2013. National definitions for elective surgery urgency categories: proposal for the Standing Council on Health. Cat. no. HSE 138. Canberra: AIHW. Viewed 30 July 2015, http://www.aihw.gov.au/publication-detail/?id=60129543979 |
Data element attributes | |
Collection and usage attributes | |
| Guide for use: | Patients should only be added to waiting lists (that is, regarded as 'ready for surgery' for the purpose of monitoring waiting times, and for the purpose of allocation of a surgery date) when they are personally and clinically ready for surgery. Patients deferred for personal reasons should not be added to the waiting lists until they are ready for surgery. They should be suspended from the waiting list if they defer after being ready for surgery. Details of how and when patients move between 'ready for surgery' categories are not needed for national or local reporting of the data. Periods when patients are not ready for surgery should be excluded in determining Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] and Elective surgery waiting list episode—waiting time (at a census date) total days N[NNN]. |
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| Comments: | The dates when a patient listing status changes need to be recorded. A patient's classification may change if he or she is examined by a clinician during the waiting period, i.e. undergoes clinical review. 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 using the Elective care waiting list episode—category reassignment date, DDMMYYYY. |
Source and reference attributes | |
| Submitting organisation: | National Health Information Standards and Statistics Committee |
Relational attributes | |
| Related metadata references: | Supersedes Elective surgery waiting list episode—patient listing status, readiness for care code N Health, Superseded 19/11/2015 Has been superseded by Elective surgery waiting list episode—patient listing status, readiness for surgery code N Health, Superseded 05/02/2021 Is used in the formation of Elective surgery waiting list episode—waiting time (at a census date), total days N[NNN] Health, Superseded 12/12/2018 Tasmanian Health (retired), Superseded 16/06/2020 Is used in the formation of Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] Health, Superseded 12/12/2018 Tasmanian Health (retired), Superseded 16/06/2020 Is used in the formation of Elective surgery waiting list episode—waiting time at a census date, total days N[NNN] Health, Superseded 18/12/2019 Is used in the formation of Elective surgery waiting list episode—waiting time at removal, total days N[NNN] Health, Superseded 05/02/2021 Tasmanian Health (retired), Superseded 28/03/2023 Is used in the formation of Elective surgery waiting list episode—waiting time at removal, total days N[NNN] Health, Superseded 18/12/2019 See also Elective care waiting list episode—category reassignment date, DDMMYYYY Health, Superseded 05/02/2021 Tasmanian Health (retired), Superseded 28/03/2023 See also Elective surgery waiting times (census data) NMDS 2016-17 Health, Superseded 29/06/2016 See also Elective surgery waiting times (removals data) NMDS 2016-17 Health, Superseded 29/06/2016 |
| Implementation in Data Set Specifications: | Elective surgery waiting times (census data) NMDS 2016-17 Health, Superseded 29/06/2016 |