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Elective surgery waiting list episode—patient listing status, readiness for care code N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termPatient listing status
METeOR identifier:Help on this term269996
Registration status:Help on this termHealth, Superseded 02/05/2013
Definition:Help on this termAn indicator of the person's readiness to begin the process leading directly to being admitted to hospital for the awaited procedure, as represented by a code.
Data Element Concept:Elective surgery waiting list episode—patient listing status

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN
Maximum character length:Help on this term1
Permissible values:Help on this term
ValueMeaning
1Ready for care
2Not ready for care

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

A patient may be 'ready for care' or 'not ready for care'. Ready for care patients are those who are prepared to be admitted to hospital or to begin the process leading directly to admission. These could include investigations/procedures done on an outpatient basis, such as autologous blood collection, pre-operative diagnostic imaging or blood tests. Not ready for care patients are those who are not in a position to be admitted to hospital. These patients are either:

  • staged patients whose medical condition will not require or be amenable to surgery until some future date; for example, a patient who has had internal fixation of a fractured bone and who will require removal of the fixation device after a suitable time; or
  • deferred patients who for personal reasons are not yet prepared to be admitted to hospital; for example, patients with work or other commitments which preclude their being admitted to hospital for a time.

Not ready for care patients could be termed staged and deferred waiting list patients, although currently health authorities may use different terms for the same concepts.

Staged and deferred patients should not be confused with patients whose operation is postponed for reasons other than their own unavailability, for example; surgeon unavailable, operating theatre time unavailable owing to emergency workload. These patients are still 'ready for care'.

Periods when patients are not ready for care should be excluded in determining 'Waiting time (at removal)' and 'Waiting time (at a census date)'.

Comments:Help on this term

Only patients ready for care are to be included in the National Minimum Data Set - Elective surgery waiting times. 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 (metadata item Category reassignment date).

At the Waiting Times Working Group meeting on 9 September 1996, it was agreed to separate the metadata items Patient listing status, readiness for care and Clinical urgency as the combination of these items had led to confusion.

Source and reference attributes

Submitting organisation:Help on this term

Hospital Access Program Waiting Lists Working Group

Waiting Times Working Group

Origin:Help on this termNational Health Data Committee

Relational attributes

Related metadata references:Help on this term

Has been superseded by Elective surgery waiting list episode—patient listing status, readiness for care code N Health, Superseded 19/11/2015

Is used in the formation of Elective surgery waiting list episode—waiting time (at a census date), total days N[NNN] Health, Superseded 13/12/2011

Is used in the formation of Elective surgery waiting list episode—waiting time (at a census date), total days N[NNN] Health, Superseded 19/11/2015, Tasmanian Health, Draft 24/03/2014

Supersedes Patient listing status, version 3, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (17.7 KB)

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