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Elective care waiting list episode—clinical urgency, code X[AXAA]

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termClinical urgency
METeOR identifier:Help on this term453179
Registration status:Help on this termTasmanian Health, Endorsed 01/12/2016
Definition:Help on this term

A clinical assessment of the urgency with which a patient requires hospital care, as represented by a code.

Data element concept attributes

Identifying and definitional attributes

Data element concept:Elective surgery waiting list episode—clinical urgency
METeOR identifier:Help on this term598030
Registration status:Help on this termHealth, Standard 12/06/2015
Tasmanian Health, Endorsed 01/12/2016
ACT Health, Final 19/07/2018
Definition:Help on this term

A clinical assessment of the urgency with which a patient requires elective surgery.

Context:Help on this term

Elective surgery:

Categorisation of waiting list patients by clinical urgency assists hospital management and clinicians in the prioritisation of their workloads. It gives health consumers a reasonable estimate of the maximum time they should expect to wait for care. Clinical urgency classification allows a meaningful measure of system performance to be calculated, namely the number or proportion of patients who wait for times in excess of the maximum desirable time limit for their urgency category (metadata item the overdue patient status).

Object class:Help on this termElective surgery waiting list episode
Property:Help on this termClinical urgency

Source and reference attributes

Submitting organisation:Help on this term

National Health Information Standards and Statistics Committee

Reference documents:Help on this term

AIHW (Australian Institute of Health and Welfare) 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

Value domain attributes

Identifying and definitional attributes

Value domain:Urgency status code X[AXAA]
METeOR identifier:Help on this term452753
Registration status:Help on this termTasmanian Health, Endorsed 01/12/2016
Definition:Help on this term

A code set representing the assessment of the urgency with which a patient requires health treatment/assessment/consultation.

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termString
Format:Help on this termX[AXAA]
Maximum character length:Help on this term5
Permissible values:Help on this term
ValueMeaning
11 - Urgent
22 - Semi-urgent
33 - Non-urgent
MH1SM 1-Immediate Contact
MH2SM 2-Contact within 2 hours
MH3SM 3-Contact within 24 hours
MH4SM 4-Contact within 48 hours
MH5SM 5-Contact within 2 weeks
MH6SM 6-Monitor Weekly
MH7SM 7-Monitor fortnightly
MH8SM 8-Monitor Monthly
MH9SM 9-Routine Follow Up
OPRICOP - referral under review
RAFICRFA incomplete
Supplementary values:Help on this term
NSPNot specified

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

Patients who require an elective procedure should be assigned an urgency category by the treating clinician. The urgency category should be:

  • appropriate to the patient and their clinical situation
  • not influenced by the availability of hospital or surgeon resources.

The following codes are required for the collection of clinical urgency for Elective Surgery Waiting List Patients and the definition of the values are as follows:

1 - Urgent Procedures that are clinically indicated within 30 days
2 - Semi-urgent Procedures that are clinically indicated within 90 days
3 - Non-urgent Procedures that are clinically indicated within 365 days

The remaining values are included in the hospital systems' reference file and are related to others services provided for patient management and should not be used for allocation to Elective Surgery Waiting List Patients.

 

 

Comments:Help on this term

The treating clinician is the clinician with responsibility for the patient at the time of urgency categorisation.

The clinical situation of the patient is taken to encompass the patient's medical condition and the patient's life circumstances, including issues related to activity limitations, restrictions in participation in employment and other life situations, carer responsibilities and access to carer and other supports.

A patient's classification may change if he or she undergoes clinical review during the waiting period. 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

Relational attributes

Implementation in Data Set Specifications:Help on this term

Tasmanian Elective Surgery Waiting List Data Set - 2016 Tasmanian Health, Endorsed 19/12/2016

DSS specific attributes +
Implementation in Indicators:Help on this termUsed as numerator
Service Agreement - Department of Health and Human Services Tasmania: 2012, KPI24-Average overdue wait time (in days) for those who have waited beyond the elective surgery recommended time, 2012 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2013, KPI??-Number of over boundary, urgency category 1 patients on the elective surgery waiting list, 2013 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2013, KPI??-Number of over boundary, urgency category 2 patients on the elective surgery waiting list, 2013 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2013, KPI??-Number of over boundary, urgency category 3 patients on the elective surgery waiting list, 2013 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2013, KPI??-Number of patints on elective surgery waiting lists waiting longer than 365 days, 2013 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2013, KPI??-Percentage of urgency category 1 elective surgery patients seen within the clinically recommended time, 2013 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2014, Number of over boundary, urgency category 1 patients on the elective surgery waiting list, 2014 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2014, Number of over boundary, urgency category 2 patients on the elective surgery waiting list, 2014 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2014, Number of over boundary, urgency category 3 patients on the elective surgery waiting list, 2014 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2014, Number of patients on elective surgery waiting lists waiting longer than 365 days, 2014 Tasmanian Health, Endorsed 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2014, Percentage of urgency category 1 elective surgery patients seen within the clinically recommended time, 2014 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2015, AES2 - Elective Surgery - Average overdue wait days for all patients currently ready for care on the Elective Surgery Waiting List, 2015 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2015, AES3 - Elective Surgery - Maximum waiting days for patients currently ready for care on the Elective Surgery Waiting List, 2015 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2015, AES7 - Elective Surgery - Number of Category 2 patients who are treated in turn, 2015 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2015, AES8 - Elective Surgery - Number of Category 3 patients who are treated in turn, 2015 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2016, ACC12 - Elective Surgery - Number of Category 2 patients who are treated in turn, 2016 Tasmanian Health, Archived 28/03/2019
Service Agreement - Department of Health and Human Services Tasmania: 2016, ACC13 - Elective Surgery - Number of Category 3 patients who are treated in turn, 2016 Tasmanian Health, Archived 28/03/2019
Service Agreement - Department of Health and Human Services Tasmania: 2016, ACC7 - Elective Surgery - Average overdue wait days for all patients currently ready for care on the Elective Surgery Waiting List, 2016 Tasmanian Health, Archived 28/03/2019
Service Agreement - Department of Health and Human Services Tasmania: 2016, ACC8 - Elective Surgery - Maximum waiting days for patients currently ready for care on the Elective Surgery Waiting List, 2016 Tasmanian Health, Archived 28/03/2019
Service Agreement - Department of Health and Human Services Tasmania: 2016, ACC9-11 - Elective Surgery - Percentage of elective surgery patients seen within the clinically recommended time by urgency category, 2016 Tasmanian Health, Archived 28/03/2019
Service Agreement - Department of Health and Human Services Tasmania: 2017, ACC7, 10, 13 - Elective Surgery - Number of elective surgery patients who are treated in turn by urgency category, 2017 Tasmanian Health, Archived 28/03/2019
Service Agreement - Department of Health and Human Services Tasmania: 2017, ACC8, 11, 14 - Elective Surgery - Percentage of elective surgery patients seen within the clinically recommended time by urgency category, 2017 Tasmanian Health, Archived 28/03/2019
Service Agreement - Department of Health and Human Services Tasmania: 2017, ACC9, 12, 15 - Elective Surgery - Category 1-3 maximum overdue days, 2017 Tasmanian Health, Archived 28/03/2019
Service Agreement - Department of Health Tasmania: 2018, Elective Surgery - Category 1-3 maximum overdue days, 2018 Tasmanian Health, Endorsed 28/03/2019
Service Agreement - Department of Health Tasmania: 2018, Elective Surgery - Number of Category 2 patients who are treated in turn, 2018 Tasmanian Health, Endorsed 28/03/2019
Service Agreement - Department of Health Tasmania: 2018, Elective Surgery - Number of Category 3 patients who are treated in turn, 2018 Tasmanian Health, Endorsed 28/03/2019
Service Agreement - Department of Health Tasmania: 2018, Elective Surgery - Percentage of all elective surgery patients seen within the clinically recommended time, 2018 Tasmanian Health, Endorsed 28/03/2019
Used as denominator
Service Agreement - Department of Health and Human Services Tasmania: 2012, KPI24-Average overdue wait time (in days) for those who have waited beyond the elective surgery recommended time, 2012 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2013, KPI??-Percentage of urgency category 1 elective surgery patients seen within the clinically recommended time, 2013 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2014, Percentage of urgency category 1 elective surgery patients seen within the clinically recommended time, 2014 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2015, AES2 - Elective Surgery - Average overdue wait days for all patients currently ready for care on the Elective Surgery Waiting List, 2015 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2015, AES7 - Elective Surgery - Number of Category 2 patients who are treated in turn, 2015 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2015, AES8 - Elective Surgery - Number of Category 3 patients who are treated in turn, 2015 Tasmanian Health, Archived 09/12/2016
Service Agreement - Department of Health and Human Services Tasmania: 2016, ACC12 - Elective Surgery - Number of Category 2 patients who are treated in turn, 2016 Tasmanian Health, Archived 28/03/2019
Service Agreement - Department of Health and Human Services Tasmania: 2016, ACC13 - Elective Surgery - Number of Category 3 patients who are treated in turn, 2016 Tasmanian Health, Archived 28/03/2019
Service Agreement - Department of Health and Human Services Tasmania: 2016, ACC7 - Elective Surgery - Average overdue wait days for all patients currently ready for care on the Elective Surgery Waiting List, 2016 Tasmanian Health, Archived 28/03/2019
Service Agreement - Department of Health and Human Services Tasmania: 2016, ACC9-11 - Elective Surgery - Percentage of elective surgery patients seen within the clinically recommended time by urgency category, 2016 Tasmanian Health, Archived 28/03/2019
Service Agreement - Department of Health and Human Services Tasmania: 2017, ACC7, 10, 13 - Elective Surgery - Number of elective surgery patients who are treated in turn by urgency category, 2017 Tasmanian Health, Archived 28/03/2019
Service Agreement - Department of Health and Human Services Tasmania: 2017, ACC8, 11, 14 - Elective Surgery - Percentage of elective surgery patients seen within the clinically recommended time by urgency category, 2017 Tasmanian Health, Archived 28/03/2019
Service Agreement - Department of Health Tasmania: 2018, Elective Surgery - Number of Category 2 patients who are treated in turn, 2018 Tasmanian Health, Endorsed 28/03/2019
Service Agreement - Department of Health Tasmania: 2018, Elective Surgery - Number of Category 3 patients who are treated in turn, 2018 Tasmanian Health, Endorsed 28/03/2019
Service Agreement - Department of Health Tasmania: 2018, Elective Surgery - Percentage of all elective surgery patients seen within the clinically recommended time, 2018 Tasmanian Health, Endorsed 28/03/2019
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