Identifying and definitional attributes
|Metadata item type:||Data Element|
|Short name:||Urgency of admission|
|Data Element Concept:||Episode of admitted patient care—admission urgency status|
Value domain attributes
|Maximum character length:||1|
Data element attributes
Collection and usage attributes
|Guide for use:|
CODE 1 Urgency status assigned - emergency
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, 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
If an admission meets the definition of elective, 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.
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.
Source and reference attributes
Emergency definition working party
National Health Data Committee
|Related metadata references:|
Supersedes Episode of admitted patient care—admission urgency status, code N
|Implementation in Data Set Specifications:|