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Readiness for surgery code N

Identifying and definitional attributes

Metadata item type:Help on this termValue Domain
Synonymous names:Help on this term Readiness for care
METeOR identifier:Help on this term598037
Registration status:Help on this termHealth, Standard 19/11/2015
ACT Health, Final 03/08/2018
Definition:Help on this term

A code set representing readiness for surgery.

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 surgery
2Not ready for surgery – staged patients
3Not ready for surgery – pending improvement of clinical condition
4Not ready for surgery – deferred for personal reasons

Collection and usage attributes

Guide for use:Help on this term

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.

Source and reference attributes

Submitting organisation:Help on this term

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

Reference documents:Help on this term

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

Relational attributes

Related metadata references:Help on this term

Supersedes Readiness for care code N Health, Superseded 19/11/2015, ACT Health, Final 24/05/2019

Data elements implementing this value domain:Help on this term

Elective surgery waiting list episode—patient listing status, readiness for surgery code N Health, Superseded 18/12/2019
ACT Health, Final 03/08/2018

Elective surgery waiting list episode—patient listing status, readiness for surgery code N Health, Superseded 05/02/2021

Elective surgery waiting list episode—patient listing status, readiness for surgery code N Health, Standard 05/02/2021

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