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Elective surgery waiting list episode—waiting time at removal, total days N[NNN]

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termWaiting time at removal from elective surgery waiting list
METeOR identifier:Help on this term689791
Registration status:Help on this termHealth, Standard 12/12/2018
ACT Health, Final 09/08/2018
Definition:Help on this term

The time elapsed (in days) for a patient on the elective surgery waiting list from the date they were added to the waiting list for the procedure to the date they were removed from the waiting list.

Context:Help on this term

Elective surgery

Data Element Concept:Elective surgery waiting list episode—waiting time at removal

Value domain attributes

Representational attributes

Representation class:Help on this termTotal
Data type:Help on this termNumber
Format:Help on this termN[NNN]
Maximum character length:Help on this term4
Unit of measure:Help on this termDay

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

The number of days is calculated by subtracting the Elective care waiting list episode—listing date for care, DDMMYYYY from the Elective surgery waiting list episode—waiting list removal date, DDMMYYYY, minus any days when the patient was 'not ready for surgery', and also minus any days the patient was waiting with a less urgent clinical urgency category than their clinical urgency category at removal.

Days when the patient was 'not ready for surgery' is calculated by subtracting the date(s) the person was recorded as 'not ready for surgery' from the date(s) the person was subsequently recorded as again being 'ready for surgery'.

If, at any time since being added to the waiting list for the elective surgical procedure, the patient has had a less urgent clinical urgency category than the category at removal, then the number of days waited at the less urgent Elective surgery waiting list episode—clinical urgency, code N category should be subtracted from the total number of days waited.

In cases where there has been only one category reassignment (i.e. to the more urgent category attached to the patient at removal) the number of days at the less urgent clinical urgency category should be calculated by subtracting the Elective care waiting list episode—listing date for care, DDMMYYYY from the Elective care waiting list episode—category reassignment date, DDMMYYYY. If the patient's clinical urgency was reclassified more than once, days spent in each period of less urgent clinical urgency than the one applying at removal should be calculated by subtracting one category reassignment date from the subsequent category reassignment date, and then adding the days together.

When a patient is admitted from an elective surgery waiting list but the surgery is cancelled and the patient remains on or is placed back on the waiting list within the same hospital, the time waited on the list should continue.

Therefore at the removal date, the patient's waiting time includes the number of days waited on an elective surgery waiting list, both before and after any cancelled surgery admission. The time waited before the cancelled surgery should be counted as part of the total time waited by the patient.

Comments:Help on this term

Elective surgery waiting times data collections include measures of waiting times at removal and at designated census dates. This metadata item is used to measure waiting times at removal whereas the metadata item Elective surgery waiting list episode—waiting time at a census date, total days N[NNN] measures waiting times at a designated census date.

The calculation of waiting times for patients who are transferred from an elective surgery waiting list managed by one public acute hospital to another will be investigated in the future. In this case, the amount of time waited on previous lists would follow the patient to the next. Therefore when the patient is removed from the waiting list (for admission or other reason), their waiting time would include the total number of days on all lists (less days 'not ready for surgery' and days in lower urgency categories).

This is a critical elective surgery waiting times metadata item. It is used to determine whether patients were overdue. It is used to assist doctors and patients in making decisions about hospital referral, to assist in the planning and management of hospitals and in health care related research.

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

Is formed using Elective care waiting list episode—listing date for care, DDMMYYYY Health, Superseded 25/01/2018, Tasmanian Health, Endorsed 01/12/2016

See also Elective surgery waiting list episode—overdue patient status, code N Health, Standard 25/01/2018, ACT Health, Final 03/08/2018

See also Elective surgery waiting list episode—overdue patient status, code N Health, Superseded 25/01/2018, Tasmanian Health, Endorsed 07/12/2016

Is formed using Elective surgery waiting list episode—patient listing status, readiness for surgery code N Health, Standard 19/11/2015, ACT Health, Final 03/08/2018

Is formed using Elective surgery waiting list episode—waiting list removal date, DDMMYYYY Health, Superseded 25/01/2018, Tasmanian Health, Endorsed 02/12/2016

Supersedes 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

See also 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

Implementation in Data Set Specifications:Help on this term

Elective surgery waiting times cluster Health, Standard 12/12/2018

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

DSS specific attributes +
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