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:	621840
Registration status:	Health, Superseded 20/10/2021 Tasmanian Health, Superseded 22/03/2023
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:	Total minutes NNNNN

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 to be attended by a health care professional’ or 'Registered, advised of another health care service, and left the emergency department without being attended by a health care professional'.
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Supersedes Emergency department stay—waiting time (to commencement of clinical care), total minutes NNNNN Health, Superseded 19/11/2015 Independent Hospital Pricing Authority, Standard 01/11/2012 National Health Performance Authority (retired), Retired 01/07/2016 Tasmanian Health, Superseded 08/12/2016 Has been superseded by Emergency department stay—waiting time, total minutes NNNNN Health, Standard 20/10/2021 Tasmanian Health, Standard 22/03/2023
Implementation in Data Set Specifications: All attributes +	Emergency department presentation related data elements (TDLU) cluster Tasmanian Health, Superseded 13/11/2023 Non-admitted patient emergency department care NBEDS 2017-18 Health, Superseded 12/12/2018 DSS specific attributes + Implementation start date: 01/07/2017 Implementation end date: 30/06/2018 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 2018-19 Health, Superseded 12/12/2018 DSS specific attributes + Implementation start date: 01/07/2018 Implementation end date: 30/06/2019 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 2019–20 Health, Retired 19/11/2019 DSS specific attributes + Implementation start date: 01/07/2019 Implementation end date: 30/06/2020 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 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 2017-18 Health, Superseded 25/01/2018 DSS specific attributes + Implementation start date: 01/07/2017 Implementation end date: 30/06/2018 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 2018-19 Health, Superseded 12/12/2018 DSS specific attributes + Implementation start date: 01/07/2018 Implementation end date: 30/06/2019 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 2019–20 Health, Superseded 18/12/2019 DSS specific attributes + Implementation start date: 01/07/2019 Implementation end date: 30/06/2020 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. Non-admitted patient emergency department care NMDS 2020–21 Health, Superseded 05/02/2021 DSS specific attributes + Implementation start date: 01/07/2020 Implementation end date: 30/06/2021 Conditional obligation: This data item is only required to be reported if the value for Non-admitted patient emergency department service episode—episode end status, code N is recorded as: 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. Non-admitted patient emergency department care NMDS 2021–22 Health, Superseded 20/10/2021 DSS specific attributes + Implementation start date: 01/07/2021 Implementation end date: 30/06/2022 Conditional obligation: This data item is only required to be reported if the value for Non-admitted patient emergency department service episode—episode end status, code N is recorded as: 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. Tasmanian Emergency Department Data Set - 2016 Tasmanian Health, Superseded 30/04/2020 DSS specific attributes + Implementation start date: 01/07/2016 Implementation end date: 28/06/2017 Tasmanian Emergency Department Data Set - 2019 Tasmanian Health, Superseded 30/04/2020 DSS specific attributes + Implementation start date: 01/07/2019 Implementation end date: 28/06/2020 Tasmanian Emergency Department Data Set - 2020 Tasmanian Health, Superseded 22/11/2023 DSS specific attributes + Implementation start date: 01/07/2020 Implementation end date: 30/06/2021 Tasmanian Emergency Department Data Set - 2021 Tasmanian Health, Superseded 22/11/2023 DSS specific attributes + Implementation start date: 01/07/2021 Implementation end date: 30/06/2022 Conditional obligation: Required if episode of care meets the data elements criteria Tasmanian Emergency Department Data Set - 2022 Tasmanian Health, Superseded 22/11/2023 DSS specific attributes + Implementation start date: 01/07/2022 Implementation end date: 30/06/2023 Conditional obligation: If applicable
Implementation in Indicators:	Australian Health Performance Framework: PI 2.5.5–Waiting times for emergency department care: proportion seen on time, 2019 Health, Superseded 13/10/2021 Australian Health Performance Framework: PI 2.5.5–Waiting times for emergency department care: proportion seen on time, 2019 Health, Superseded 13/10/2021 Australian Health Performance Framework: PI 2.5.5–Waiting times for emergency department care: proportion seen on time, 2020 Health, Standard 13/10/2021 Australian Health Performance Framework: PI 2.5.5–Waiting times for emergency department care: proportion seen on time, 2020 Health, Standard 13/10/2021 Australian Health Performance Framework: PI 2.5.6–Waiting times for emergency department care: waiting times to commencement of clinical care, 2019 Health, Superseded 13/10/2021 Australian Health Performance Framework: PI 2.5.6–Waiting times for emergency department care: waiting times to commencement of clinical care, 2019 Health, Superseded 13/10/2021 Australian Health Performance Framework: PI 2.5.6–Waiting times for emergency department care: waiting times to commencement of clinical care, 2020 Health, Standard 13/10/2021 Australian Health Performance Framework: PI 2.5.6–Waiting times for emergency department care: waiting times to commencement of clinical care, 2020 Health, Standard 13/10/2021 National Healthcare Agreement: PI 21a–Waiting times for emergency hospital care: Proportion seen on time, 2018 Health, Superseded 19/06/2019 National Healthcare Agreement: PI 21a–Waiting times for emergency hospital care: Proportion seen on time, 2019 Health, Superseded 13/03/2020 National Healthcare Agreement: PI 21a–Waiting times for emergency hospital care: Proportion seen on time, 2019 Health, Superseded 13/03/2020 National Healthcare Agreement: PI 21a–Waiting times for emergency hospital care: proportion seen on time, 2020 Health, Standard 13/03/2020 National Healthcare Agreement: PI 21a–Waiting times for emergency hospital care: proportion seen on time, 2020 Health, Standard 13/03/2020 National Healthcare Agreement: PI 21a–Waiting times for emergency hospital care: proportion seen on time, 2021 Health, Standard 16/09/2020 National Healthcare Agreement: PI 21a–Waiting times for emergency hospital care: proportion seen on time, 2021 Health, Standard 16/09/2020 National Healthcare Agreement: PI 21a–Waiting times for emergency hospital care: proportion seen on time, 2022 Health, Standard 24/09/2021 Service Agreement - Department of Health and Human Services Tasmania: 2016, ACC 1-2, Emergency Department , Percentage of triage 1 and all emergency department presentations seen within the recommended triage time, 2016 Tasmanian Health, Superseded 28/03/2019 Service Agreement - Department of Health and Human Services Tasmania: 2017 ACC 1-2 - Emergency Department - Percentage of triage 1 and all emergency department presentations seen within the recommended triage time, 2017 Tasmanian Health, Superseded 28/03/2019 Service Agreement - Department of Health Tasmania: 2018, Emergency Department - Percentage of triage 1 and all emergency department presentations seen within the recommended triage time, 2018 Tasmanian Health, Superseded 24/07/2019 Service Plan - Department of Health Tasmania: 2019, Emergency department percentage of triage 1 and all emergency department presentations seen within the recommended time - Triage 1 and all triage categories (all specified facilities), 2019 Tasmanian Health, Standard 24/07/2019