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Elective surgery waiting list episode—patient listing status, readiness for surgery 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 term598039
Registration status:Help on this termHealth, Standard 19/11/2015
ACT Health, Final 03/08/2018
Definition:Help on this termAn indicator of the person's readiness to begin the process leading directly to being admitted to hospital for an 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 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

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

Patients should only be added to waiting lists (that is, regarded as 'ready for surgery' for the purpose of monitoring waiting times, and for the purpose of allocation of a surgery date) when they are personally and clinically ready for surgery.

Patients deferred for personal reasons should not be added to the waiting lists until they are ready for surgery. They should be suspended from the waiting list if they defer after being ready for surgery.

Details of how and when patients move between 'ready for surgery' categories are not needed for national or local reporting of the data. Periods when patients are not ready for surgery should be excluded in determining Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] and Elective surgery waiting list episode—waiting time (at a census date) total days N[NNN].

Comments:Help on this term

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 using the Elective care waiting list episode—category reassignment date, DDMMYYYY.

Source and reference attributes

Submitting organisation:Help on this term

National Health Information Standards and Statistics Committee

Relational attributes

Related metadata references:Help on this term

See also Elective care waiting list episode—category reassignment date, DDMMYYYY Health, Standard 19/11/2015, Tasmanian Health, Endorsed 02/12/2016, ACT Health, Final 08/08/2018

Supersedes 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 12/12/2018, Tasmanian Health, Endorsed 02/12/2016, ACT Health, Final 08/08/2018

Is used in the formation of Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] Health, Superseded 12/12/2018, Tasmanian Health, Endorsed 02/12/2016, ACT Health, Final 15/02/2019

Is used in the formation of Elective surgery waiting list episode—waiting time at a census date, total days N[NNN] Health, Standard 12/12/2018, ACT Health, Final 09/08/2018

Is used in the formation of Elective surgery waiting list episode—waiting time at removal, total days N[NNN] Health, Standard 12/12/2018, ACT Health, Final 09/08/2018

See also Elective surgery waiting times (census data) NMDS 2016-17 Health, Superseded 29/06/2016

See also Elective surgery waiting times (removals data) NMDS 2016-17 Health, Superseded 29/06/2016

Implementation in Data Set Specifications:Help on this term
All attributes +

Elective surgery waiting times (census data) NMDS 2016-17 Health, Superseded 29/06/2016

DSS specific attributes +

Elective surgery waiting times NMDS 2016-17 Health, Superseded 05/10/2016

DSS specific attributes +

Elective surgery waiting times NMDS 2017-18 Health, Superseded 25/01/2018

DSS specific attributes +

Elective surgery waiting times NMDS 2018-19 Health, Superseded 12/12/2018
ACT Health, Final 03/08/2018

DSS specific attributes +

Elective surgery waiting times NMDS 2019–20 Health, Standard 12/12/2018

DSS specific attributes +
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