ID

16738

Description

Health sector data set specifications from METeOR, Australia's repository for national metadata standards, developed by the Australian Institute of Health and Welfare (http://meteor.aihw.gov.au/content/index.phtml/itemId/345165) Elective surgery waiting times cluster The scope of the Elective surgery waiting times data element cluster is patients on elective surgery waiting lists managed by public acute hospitals, in either category 1 or 2 of the 'Reason for removals from elective surgery waiting list' data element. This will include private patients treated in public hospitals, and may include public patients treated in private hospitals. Hospitals may also collect information for other care (as defined in the 'Waiting list category' data element), but this is not part of the national minimum data set (NMDS) for Elective surgery waiting times. Patients on waiting lists managed by hospitals operated by the Australian Defence Force, corrections authorities and Australia's external territories are not currently included. Data set specification specific attributes: Admitted patient care NMDS 2015-16 Conditional obligation: This data element cluster is to be reported for patients on waiting lists for elective surgery, which are managed by public acute hospitals and have a category 1 or 2 assigned for the reason for removal from the elective surgery waiting list. © Australian Institute of Health and Welfare 2015 Metadata and Classifications Unit Australian Institute of Health and Welfare GPO Box 570 Canberra ACT 2601

Link

http://meteor.aihw.gov.au/content/index.phtml/itemId/345165

Keywords

  1. 8/3/16 8/3/16 -
Uploaded on

August 3, 2016

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Creative Commons BY-NC 3.0

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Admitted subacute and non-acute hospital care DSS 2015-16 Elective surgery waiting times cluster Metadata Online Registry (METeOR)

Admitted subacute and non-acute hospital care DSS 2015-16 Elective surgery waiting times cluster Metadata Online Registry (METeOR)

Elective care waiting list episode
Description

Elective care waiting list episode

Listing date for care
Description

Elective care waiting list episode—listing date for care, DDMMYYYY Identifying and definitional attributes Short name: Listing date for care METeOR identifier: 269957 Registration status: Health, Standard 01/03/2005 Definition: The date on which a hospital or a community health service accepts notification that a patient/client requires care/treatment. Data Element Concept: Elective care waiting list episode—listing date for care Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data element attributes Collection and usage attributes Guide for use: For elective surgery, the listing date is the date on which the patient is added to an elective surgery waiting list. The acceptance of the notification by the hospital or community health service is conditional upon the provision of adequate information about the patient and the appropriateness of the patient referral. Comments: The hospital or community health service should only accept a patient onto the waiting list when sufficient information has been provided to fulfil state/territory, local and national reporting requirements. Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: 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, Standard 22/12/2011, Tasmanian Health, Draft 24/03/2014 Is used in the formation of Elective surgery waiting list episode—waiting time (at a census date), total days N[NNN] Health, Standardisation pending 30/07/2015 Is used in the formation of Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] Health, Superseded 13/12/2011 Is used in the formation of Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] Health, Standard 13/12/2011, Tasmanian Health, Draft 24/03/2014, National Health Performance Authority, Standard 25/07/2013 Is used in the formation of Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] Health, Standardisation pending 30/07/2015 Supersedes Listing date for care, version 4, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (14.5 KB) Implementation in Data Set Specifications: Elective surgery waiting times (census data) NMDS 2015- Health, Standard 12/06/2015 Elective surgery waiting times (removals data) NMDS 2015- Health, Standard 12/06/2015 Elective surgery waiting times cluster Health, Standard 11/04/2014

Data type

date

Elective surgery waiting list episode
Description

Elective surgery waiting list episode

Clinical urgency
Description

Elective surgery waiting list episode—clinical urgency, code N Identifying and definitional attributes Short name: Clinical urgency METeOR identifier: 270008 Registration status: Health, Superseded 12/06/2015 Tasmanian Health, Draft 13/09/2012 National Health Performance Authority, Standard 25/07/2013 Definition: A clinical assessment of the urgency with which a patient requires elective hospital care, as represented by a code. Data Element Concept: Elective surgery waiting list episode—clinical urgency Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Admission within 30 days desirable for a condition that has the potential to deteriorate quickly to the point that it may become an emergency 2 Admission within 90 days desirable for a condition causing some pain, dysfunction or disability but which is not likely to deteriorate quickly or become an emergency 3 Admission at some time in the future acceptable for a condition causing minimal or no pain, dysfunction or disability, which is unlikely to deteriorate quickly and which does not have the potential to become an emergency Data element attributes Collection and usage attributes Guide for use: The classification employs a system of urgency categorisation based on factors such as the degree of pain, dysfunction and disability caused by the condition and its potential to deteriorate quickly into an emergency. All patients ready for care must be assigned to one of the urgency categories, regardless of how long it is estimated they will need to wait for surgery. Comments: 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 (metadata item Elective care waiting list episode—category reassignment date, DDMMYYYY). Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: Supersedes Clinical urgency, version 2, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (16.4 KB) Has been superseded by Elective surgery waiting list episode—clinical urgency, code N Health, Standard 12/06/2015 See also Elective surgery waiting list episode—overdue patient status, code N Health, Superseded 13/12/2011 See also Elective surgery waiting list episode—overdue patient status, code N Health, Superseded 12/06/2015 Implementation in Data Set Specifications: Elective surgery waiting times cluster Health, Standard 11/04/2014 Implementation in Indicators: Used as numerator National Health Performance Authority, Hospital Performance: Median waiting time for surgery for malignant cancer, 2012-13 National Health Performance Authority, Standard 02/10/2014 National Health Performance Authority, Hospital Performance: Number of surgeries for malignant cancer, 2012-13 National Health Performance Authority, Standard 02/10/2014 National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 30 days, 2012-13 National Health Performance Authority, Standard 02/10/2014 National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 45 days, 2012-13 National Health Performance Authority, Standard 02/10/2014 National Health Performance Authority, Hospital Performance: Percentage of people who waited longer than the clinical urgency category time for surgery for malignant cancer, 2011-12 National Health Performance Authority, Standard 27/11/2013 National Partnership Agreement on Improving Public Hospital Services: National Elective Surgery Target (Part 2) Health, Standard 21/11/2013 Used as denominator National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 30 days, 2012-13 National Health Performance Authority, Standard 02/10/2014 National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 45 days, 2012-13 National Health Performance Authority, Standard 02/10/2014 National Health Performance Authority, Hospital Performance: Percentage of people who waited longer than the clinical urgency category time for surgery for malignant cancer, 2011-12 National Health Performance Authority, Standard 27/11/2013 National Partnership Agreement on Improving Public Hospital Services: National Elective Surgery Target (Part 2) Health, Standard 21/11/2013

Data type

integer

Extended wait patient
Description

Elective surgery waiting list episode—extended wait patient indicator, code N Identifying and definitional attributes Short name: Extended wait patient METeOR identifier: 269964 Registration status: Health, Standard 01/03/2005 Definition: Whether a patient is an extended wait patient, as represented by a code. Data Element Concept: Elective surgery waiting list episode—extended wait patient indicator Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Extended wait patient 2 Other patient Data element attributes Collection and usage attributes Guide for use: A patient is classified as an extended wait patient if the patient is in clinical urgency category 3 at the time of admission or at a census time and has been waiting for the elective surgery for more than one year. Comments: This metadata item is used to identify clinical urgency category 3 patients who had waited longer than one year at admission or have waited longer than one year at the time of a census. An extended wait patient is not an overdue patient as there is no maximum desirable waiting time specified for patients in clinical urgency category 3 as they have been assessed as not having a clinically urgent need for the awaited procedure. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Relational attributes Related metadata references: Is formed using Elective surgery waiting list episode—waiting time (at a census date), total days N[NNN] Health, Superseded 13/12/2011 Is formed using Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] Health, Superseded 13/12/2011 Supersedes Extended wait patient, version 1, Derived DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (14.8 KB) Implementation in Data Set Specifications: Elective surgery waiting times cluster Health, Standard 11/04/2014

Data type

integer

Indicator procedure
Description

Elective surgery waiting list episode—indicator procedure, code NN Identifying and definitional attributes Short name: Indicator procedure METeOR identifier: 514033 Registration status: Health, Standard 02/05/2013 National Health Performance Authority, Proposed 25/07/2013 Definition: The indicator procedure for which an elective surgery patient is waiting, as represented by a code. Data Element Concept: Elective surgery waiting list episode—indicator procedure Value domain attributes Representational attributes Classification scheme: Australian Classification of Health Interventions (ACHI) 8th edition Representation class: Code Data type: String Format: NN Maximum character length: 2 Permissible values: Value Meaning 01 Cataract extraction 02 Cholecystectomy 03 Coronary artery bypass graft 04 Cystoscopy 05 Haemorrhoidectomy 06 Hysterectomy 07 Inguinal herniorrhaphy 08 Myringoplasty 09 Myringotomy 10 Prostatectomy 11 Septoplasty 12 Tonsillectomy 13 Total hip replacement 14 Total knee replacement 15 Varicose veins stripping and ligation 88 Other Data element attributes Collection and usage attributes Guide for use: The procedure terms are defined by the Australian Classification of Health Interventions (ACHI) codes which are listed in the Comments field below. Where a patient is awaiting more than one indicator procedure, all codes should be listed. This is because the intention is to count procedures rather than patients in this instance. These are planned procedures for the waiting list, not what is actually performed during hospitalisation. Comments: The list of indicator procedures may be reviewed from time to time. Some health authorities already code a larger number of waiting list procedures. Waiting list statistics for indicator procedures give a specific indication of performance in particular areas of elective care provision. It is not always possible to code all elective surgery procedures at the time of addition to the waiting list. Reasons for this include that the surgeon may be uncertain of the exact procedure to be performed, and that the large number of procedures possible and lack of consistent nomenclature would make coding errors likely. Furthermore, the increase in workload for clerical staff may not be acceptable. However, a relatively small number of procedures account for the bulk of the elective surgery workload. Therefore, a list of common procedures with a tendency to long waiting times is useful. Waiting time statistics by procedure are useful to patients and referring doctors. In addition, waiting time data by procedure assists in planning and resource allocation, audit and performance monitoring. The following is a list of ACHI (8th edition) codes comprising each indicator procedure category: Cataract extraction: 42698-00 [195] 42702-00 [195] 42702-01 [195] 42698-01 [196] 42702-02 [196] 42702-03 [196] 42698-02 [197] 42702-04 [197] 42702-05 [197] 42698-03 [198] 42702-06 [198] 42702-07 [198] 42698-04 [199] 42702-08 [199] 42702-09 [199] 42731-01 [200] 42698-05 [200] 42702-10 [200] 42734-00 [201] 42788-00 [201] 42719-00 [201] 42731-00 [201] 42719-02 [201] 42791-02 [201] 42716-00 [202] 42702-11 [200] 42722-00 [201] Cholecystectomy: 30443-00 [965] 30454-01 [965] 30455-00 [965] 30445-00 [965] 30448-00 [965] 30449-00 [965] Coronary artery bypass graft: 38497-00 [672] 38497-01 [672] 39497-02 [672] 38497-03 [672] 38497-04 [673] 38497-05 [673] 38497-06 [673] 39497-07 [673] 38500-00 [674] 38503-00 [674] 38500-01 [675] 38503-01 [675] 38500-02 [676] 38503-02 [676] 38500-03 [677] 38503-03 [677] 38500-04 [678] 38500-05 [679] 38503-04 [678] 38503-05 [679] 90201-00 [679] 90201-01 [679] 90201-02 [679] 90201-03 [679] Cystoscopy: 36812-00 [1089] 36812-01 [1089] 36836-00 [1098] Haemorrhoidectomy: 32138-00 [941] 32132-00 [941] 32135-00 [941] 32135-01 [941] 32138-01 [941] 32138-02 [941] Hysterectomy: 35653-00 [1268] 35653-01 [1268] 35661-00 [1268] 35670-00 [1268] 35667-00 [1268] 35664-00 [1268] 35657-00 [1269] 35756-00 [1269] 35673-02 [1269] 35753-02 [1269] 35667-01 [1269] 35664-01 [1269] 90450-00 [989] 90450-01 [989] 90450-02 [989] 35653-04 [1268] 90448-00 [1268] 90448-01 [1268] 90448-02 [1268] Inguinal herniorrhaphy: 30614-03 [990] 30615-00 [997] 30609-03 [990] 30614-02 [990] 30609-02 [990] Myringoplasty: 41527-00 [313] 41530-00 [313] 41533-01 [313] 41542-00 [315] 41635-01 [313] Myringotomy: 41626-00 [309] 41626-01 [309] 41632-00 [309] 41632-01 [309] Prostatectomy: 37203-00 [1165] 37203-02 [1165] 37207-00 [1166] 37207-01 [1166] 37203-05 [1166] 37203-06 [1166] 37200-03 [1167] 37200-04 [1167] 37209-00 [1167] 37200-05 [1167] 90407-00 [1168] 37201-00 [1165] 37203-03 [1166] 37203-04 [1166] 37224-00 [1162] 37224-01 [1162] 37209-01 [1166] 37210-01 [1166] 37211-01 [1166] 90408-00 [1162] Septoplasty: 41671-02 [379] 41671-01 [379] 41671-03 [379] Tonsillectomy: 41789-00 [412] 41789-01 [412] Total hip replacement: 49318-00 [1489] 49319-00 [1489] 49324-00 [1492] 49327-00 [1492] 49330-00 [1492] 49333-00 [1492] 49345-00 [1492] 49339-00 [1492] 49342-00 [1492] Total knee replacement: 49518-00 [1518] 49519-00 [1518] 49521-00 [1519] 49521-01 [1519] 49521-02 [1519] 49521-03 [1519] 49524-00 [1519] 49524-01 [1519] 49527-00 [1524] 49530-00 [1523] 49530-01 [1523] 49533-00 [1523] 49554-00 [1523] 49534-00 [1519] Varicose veins stripping and ligation: 32508-00 [727] 32508-01 [727] 32511-00 [727] 32504-01 [728] 32507-00 [728] 32514-00 [737] Source and reference attributes Origin: National Health Data Committee Reference documents: National Casemix and Classification Centre (NCCC) 2012. The Australian Classification of Health Interventions (ACHI) – Eighth Edition - Tabular list of interventions and Alphabetic index of interventions. Wollongong: NCCC, Australian Health Services Research Institute, University of Wollongong. ACHI 8th edition is available for purchase from the National Casemix and Classification Centre (NCCC). Please see the following link for product information: http://nccc.uow.edu.au/icd10am-achi-acs/overview/achi/index.html Relational attributes Related metadata references: Supersedes Elective surgery waiting list episode—indicator procedure, code NN Health, Superseded 02/05/2013, National Health Performance Authority, Standard 28/05/2014 See also Elective surgery waiting list episode—intended procedure, code NNN Health, Standardisation pending 30/07/2015 See also National Healthcare Agreement: PI 34-Waiting times for elective surgery, 2012 Health, Superseded 25/06/2013 Implementation in Data Set Specifications: Elective surgery waiting times (census data) NMDS 2015- Health, Standard 12/06/2015 Elective surgery waiting times (removals data) NMDS 2015- Health, Standard 12/06/2015 Elective surgery waiting times cluster Health, Standard 11/04/2014 Implementation in Indicators: Used as numerator National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 45 days, 2012-13 National Health Performance Authority, Standard 02/10/2014

Data type

text

Overdue patient
Description

Elective surgery waiting list episode—overdue patient status, code N Identifying and definitional attributes Short name: Overdue patient METeOR identifier: 471710 Registration status: Health, Superseded 12/06/2015 Definition: Whether or not a patient is an overdue patient, as represented by a code. Data Element Concept: Elective surgery waiting list episode—overdue patient status Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Overdue patient 2 Other Data element attributes Collection and usage attributes Guide for use: This metadata item is required for patients in all 'Elective surgery waiting list episode—clinical urgency, code N' categories. Overdue patients are those for whom the hospital system has failed to provide timely care and whose wait may have an adverse effect on the outcome of their care. They are identified by a comparison of 'Elective surgery waiting list episode—waiting time (at removal), total days N[NNN]' or 'Elective surgery waiting list episode—waiting time (at a census date), total days N[NNN]' and the maximum desirable time limit for the 'Elective surgery waiting list episode—clinical urgency, code N' classification. A patient is classified as overdue if ready for care and waiting time at admission or waiting time at a census date is longer than 30 days for patients in 'Elective surgery waiting list episode—clinical urgency, code N' category 1, 90 days for patients in 'Elective surgery waiting list episode—clinical urgency, code N' category 2, or 365 days for patients in 'Elective surgery waiting list episode-clinical urgency, code N' category 3. Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: See also Elective surgery waiting list episode—clinical urgency, code N Health, Superseded 12/06/2015, Tasmanian Health, Draft 13/09/2012, National Health Performance Authority, Standard 25/07/2013 Supersedes Elective surgery waiting list episode—overdue patient status, code N Health, Superseded 13/12/2011 Has been superseded by Elective surgery waiting list episode—overdue patient status, code N Health, Standard 12/06/2015 Is formed using Elective surgery waiting list episode—waiting time (at a census date), total days N[NNN] Health, Superseded 13/12/2011 Is formed using Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] Health, Superseded 13/12/2011 Implementation in Data Set Specifications: Elective surgery waiting times cluster Health, Standard 11/04/2014

Data type

integer

Reason for removal from elective surgery waiting list
Description

Elective surgery waiting list episode—reason for removal from a waiting list, code N Identifying and definitional attributes Short name: Reason for removal from elective surgery waiting list METeOR identifier: 471735 Registration status: Health, Standard 13/12/2011 National Health Performance Authority, Standard 25/07/2013 Definition: The reason why a patient is removed from the elective surgery waiting list, as represented by a code. Data Element Concept: Elective surgery waiting list episode—reason for removal from a waiting list Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Admitted as an elective patient for awaited procedure by or on behalf of this hospital or the state/territory 2 Admitted as an emergency patient for awaited procedure by or on behalf of this hospital or the state/territory 3 Could not be contacted (includes patients who have died while waiting, whether or not the cause of death was related to the condition requiring treatment) 4 Treated elsewhere for awaited procedure, but not on behalf of this hospital or the state/territory 5 Surgery not required or declined 6 Transferred to another hospital's waiting list Supplementary values: 9 Not known Collection and usage attributes Guide for use: CODE 1 Admitted as an elective patient for awaited procedure by or on behalf of this hospital or the state/territory Patients undergoing the awaited procedure whilst admitted for another reason are to be coded this code. CODE 2 Admitted as an emergency patient for awaited procedure by or on behalf of this hospital or the state/territory This code identifies patients who were admitted ahead of their normal position in the queue because the condition requiring treatment deteriorated whilst waiting. Admission as an emergency patient could also be due to other causes such as inappropriate urgency rating, delays in the system, or unpredicted biological variation. CODES 3 - 5 CODE 3 Could not be contacted (includes patients who have died while waiting, whether or not the cause of death was related to the condition requiring treatment) CODE 4 Treated elsewhere for awaited procedure, but not on behalf of this hospital or the state/territory This code would be used where surgery was undertaken other than by or on behalf of this hospital or the state/territory; for example, the patient has accessed surgery as a private patient in a private hospital. CODE 5 Surgery not required or declined These codes provide an indication of the amount of clerical audit of the waiting lists. Code 4 gives an indication of patients treated other than as a patient of the hospital's waiting list. The awaited procedure may have been performed as an emergency or as an elective procedure. CODE 6 Transferred to another hospital's waiting list This code identifies patients who were transferred from one hospital's elective surgery waiting list to that of another hospital. The waiting time on the waiting lists at the initial hospital and subsequent hospitals should be combined for national reporting. CODE 9 Not known This code identifies patients removed from the waiting list for reasons unknown. Data element attributes Source and reference attributes Submitting organisation: Hospital Access Program Waiting Lists Working Group Waiting Times Working Group Origin: National Health Data Committee Relational attributes Related metadata references: Supersedes Elective surgery waiting list episode—reason for removal from a waiting list, code N Health, Superseded 13/12/2011 Implementation in Data Set Specifications: Elective surgery waiting times (removals data) NMDS 2015- Health, Standard 12/06/2015 Elective surgery waiting times cluster Health, Standard 11/04/2014 Implementation in Indicators: Used as numerator National Health Performance Authority, Hospital Performance: Median waiting time for elective surgery 2012-13 National Health Performance Authority, Standard 25/07/2013 National Health Performance Authority, Hospital Performance: Median waiting time for elective surgery, 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Median waiting time for elective surgery, 2015 National Health Performance Authority, Standard 30/04/2015 National Health Performance Authority, Hospital Performance: Median waiting time for surgery for malignant cancer, 2012-13 National Health Performance Authority, Standard 02/10/2014 National Health Performance Authority, Hospital Performance: Number of elective surgeries 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Number of surgeries for malignant cancer, 2012-13 National Health Performance Authority, Standard 02/10/2014 National Health Performance Authority, Hospital Performance: Patients who received their surgery within clinically recommended times 2012-13 National Health Performance Authority, Standard 25/07/2013 National Health Performance Authority, Hospital Performance: Patients who waited more than 365 days for elective surgery 2012-13 National Health Performance Authority, Standard 25/07/2013 National Health Performance Authority, Hospital Performance: Percentage of patients who received their surgery within clinically recommended times, 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Percentage of patients who received their surgery within clinically recommended times, 2015 National Health Performance Authority, Standard 30/04/2015 National Health Performance Authority, Hospital Performance: Percentage of patients who waited longer than 365 days for elective surgery, 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Percentage of patients who waited longer than 365 days for elective surgery, 2015 National Health Performance Authority, Standard 30/04/2015 National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 30 days, 2012-13 National Health Performance Authority, Standard 02/10/2014 National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 45 days, 2012-13 National Health Performance Authority, Standard 02/10/2014 National Health Performance Authority, Hospital Performance: Percentage of people who waited longer than the clinical urgency category time for surgery for malignant cancer, 2011-12 National Health Performance Authority, Standard 27/11/2013 National Healthcare Agreement: PI 20b-Waiting times for elective surgery: proportion seen on time, 2015 Health, Standard 14/01/2015 National Partnership Agreement on Improving Public Hospital Services: National Elective Surgery Target (Part 1) Health, Standard 21/11/2013 Used as denominator National Health Performance Authority, Hospital Performance: Patients who received their surgery within clinically recommended times 2012-13 National Health Performance Authority, Standard 25/07/2013 National Health Performance Authority, Hospital Performance: Patients who waited more than 365 days for elective surgery 2012-13 National Health Performance Authority, Standard 25/07/2013 National Health Performance Authority, Hospital Performance: Percentage of patients who received their surgery within clinically recommended times, 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Percentage of patients who received their surgery within clinically recommended times, 2015 National Health Performance Authority, Standard 30/04/2015 National Health Performance Authority, Hospital Performance: Percentage of patients who waited longer than 365 days for elective surgery, 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Percentage of patients who waited longer than 365 days for elective surgery, 2015 National Health Performance Authority, Standard 30/04/2015 National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 30 days, 2012-13 National Health Performance Authority, Standard 02/10/2014 National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 45 days, 2012-13 National Health Performance Authority, Standard 02/10/2014 National Health Performance Authority, Hospital Performance: Percentage of people who waited longer than the clinical urgency category time for surgery for malignant cancer, 2011-12 National Health Performance Authority, Standard 27/11/2013 National Partnership Agreement on Improving Public Hospital Services: National Elective Surgery Target (Part 1) Health, Standard 21/11/2013

Data type

integer

Surgical specialty (of scheduled doctor)
Description

Elective surgery waiting list episode—surgical specialty (of scheduled doctor), code NN Identifying and definitional attributes Short name: Surgical specialty METeOR identifier: 270146 Registration status: Health, Standard 01/03/2005 National Health Performance Authority, Standard 25/07/2013 Definition: The area of clinical expertise held by the doctor who will perform the elective surgery, as represented by a code. Data Element Concept: Elective surgery waiting list episode—surgical specialty (of scheduled doctor) Value domain attributes Representational attributes Representation class: Code Data type: String Format: NN Maximum character length: 2 Permissible values: Value Meaning 01 Cardio-thoracic surgery 02 Ear, nose and throat surgery 03 General surgery 04 Gynaecology 05 Neurosurgery 06 Ophthalmology 07 Orthopaedic surgery 08 Plastic surgery 09 Urology 10 Vascular surgery 11 Other Collection and usage attributes Comments: The above classifications are consistent with the Recommended Medical Specialties and Qualifications agreed by the National Specialist Qualification Advisory Committee of Australia, September 1993. Vascular surgery is a subspecialty of general surgery. The Royal Australian College of Surgeons has a training program for vascular surgeons. The specialties listed above refer to the surgical component of these specialties - ear, nose and throat surgery refers to the surgical component of the specialty otolaryngology; gynaecology refers to the gynaecological surgical component of obstetrics and gynaecology; ophthalmology refers to the surgical component of the specialty (patients awaiting argon laser phototherapy are not included). Data element attributes Source and reference attributes Submitting organisation: Hospital Access Program Waiting Lists Working Group Waiting Times Working Group Origin: National Health Data Committee Relational attributes Related metadata references: Has been superseded by Elective surgery waiting list episode—surgical specialty (of scheduled doctor), code NN Health, Standardisation pending 30/07/2015 Supersedes Surgical specialty, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005 .pdf (15.7 KB) Implementation in Data Set Specifications: Elective surgery waiting times (census data) NMDS 2015- Health, Standard 12/06/2015 Elective surgery waiting times (removals data) NMDS 2015- Health, Standard 12/06/2015 Elective surgery waiting times cluster Health, Standard 11/04/2014

Data type

text

Waiting time at removal from elective surgery waiting list
Description

Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] Identifying and definitional attributes Short name: Waiting time at removal from elective surgery waiting list METeOR identifier: 471744 Registration status: Health, Standard 13/12/2011 Tasmanian Health, Draft 24/03/2014 National Health Performance Authority, Standard 25/07/2013 Definition: 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: Elective surgery Data Element Concept: Elective surgery waiting list episode—waiting time Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[NNN] Maximum character length: 4 Unit of measure: Day Data element attributes Collection and usage attributes Guide for use: The number of days is calculated by subtracting the listing date for care from the removal date, minus any days when the patient was 'not ready for care', 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 care is calculated by subtracting the date(s) the person was recorded as 'not ready for care' from the date(s) the person was subsequently recorded as again being 'ready for care'. 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 clinical urgency 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 listing date for care from the category reassignment date. 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 removed from an elective surgery waiting list, for admission on an elective basis for the procedure they were awaiting, 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: 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 waiting time at a census date 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 care 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 makign 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: Australian Institute of Health and Welfare Origin: National Health Data Committee Relational attributes Related metadata references: Is formed using Elective care waiting list episode—category reassignment date, DDMMYYYY Health, Standard 12/06/2015 Is formed using Elective care waiting list episode—listing date for care, DDMMYYYY Health, Standard 01/03/2005 Is used in the formation of Elective surgery waiting list episode—overdue patient status, code N Health, Standard 12/06/2015 Is formed using Elective surgery waiting list episode—waiting list removal date, DDMMYYYY Health, Standard 01/03/2005 Has been superseded by Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] Health, Standardisation pending 30/07/2015 Supersedes Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] Health, Superseded 13/12/2011 Is formed using Episode of admitted patient care—admission date, DDMMYYYY Health, Standard 01/03/2005, Tasmanian Health, Final 30/06/2014, National Health Performance Authority, Standard 07/11/2013, Commonwealth Department of Health, Candidate 16/07/2015 See also National Healthcare Agreement: PI 20b-Waiting times for elective surgery: proportion seen on time, 2015 Health, Standard 14/01/2015 Implementation in Data Set Specifications: Elective surgery waiting times (removals data) NMDS 2015- Health, Standard 12/06/2015 Elective surgery waiting times cluster Health, Standard 11/04/2014 Implementation in Indicators: Used as numerator National Health Performance Authority, Hospital Performance: Median waiting time for elective surgery 2012-13 National Health Performance Authority, Standard 25/07/2013 National Health Performance Authority, Hospital Performance: Median waiting time for elective surgery, 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Median waiting time for elective surgery, 2015 National Health Performance Authority, Standard 30/04/2015 National Health Performance Authority, Hospital Performance: Median waiting time for surgery for malignant cancer, 2012-13 National Health Performance Authority, Standard 02/10/2014 National Health Performance Authority, Hospital Performance: Patients who received their surgery within clinically recommended times 2012-13 National Health Performance Authority, Standard 25/07/2013 National Health Performance Authority, Hospital Performance: Patients who waited more than 365 days for elective surgery 2012-13 National Health Performance Authority, Standard 25/07/2013 National Health Performance Authority, Hospital Performance: Percentage of patients who received their surgery within clinically recommended times, 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Percentage of patients who received their surgery within clinically recommended times, 2015 National Health Performance Authority, Standard 30/04/2015 National Health Performance Authority, Hospital Performance: Percentage of patients who waited longer than 365 days for elective surgery, 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Percentage of patients who waited longer than 365 days for elective surgery, 2015 National Health Performance Authority, Standard 30/04/2015 National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 30 days, 2012-13 National Health Performance Authority, Standard 02/10/2014 National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 45 days, 2012-13 National Health Performance Authority, Standard 02/10/2014 National Health Performance Authority, Hospital Performance: Percentage of people who waited longer than the clinical urgency category time for surgery for malignant cancer, 2011-12 National Health Performance Authority, Standard 27/11/2013 National Healthcare Agreement: PI 20b-Waiting times for elective surgery: proportion seen on time, 2015 Health, Standard 14/01/2015 National Partnership Agreement on Improving Public Hospital Services: National Elective Surgery Target (Part 1) Health, Standard 21/11/2013

Data type

integer

Measurement units
  • days
days
Establishment
Description

Establishment

Establishment identifier
Description

Establishment—organisation identifier (Australian), NNX[X]NNNNN Obligation: Conditional Identifying and definitional attributes Short name: Establishment identifier METeOR identifier: 269973 Registration status: Health, Standard 01/03/2005 WA Health, Endorsed 19/03/2015 Independent Hospital Pricing Authority, Standard 31/10/2012 Indigenous, Draft 18/10/2012 National Health Performance Authority, Standard 25/07/2013 Commonwealth Department of Health, Candidate 30/07/2015 Definition: The identifier for the establishment in which episode or event occurred. Each separately administered health care establishment to have a unique identifier at the national level. Data Element Concept: Establishment—organisation identifier Value domain attributes Representational attributes Representation class: Identifier Data type: String Format: NNX[X]NNNNN Maximum character length: 9 Data set specification specific attributes Elective surgery waiting times cluster Conditional obligation: This is the establishment identifier of the contracting hospital and is reported for contracted patients only. Data element attributes Collection and usage attributes Guide for use: Concatenation of: Australian state/territory identifier (character position 1); Sector (character position 2); Region identifier (character positions 3-4); and Organisation identifier (state/territory), (character positions 5-9). Comments: Establishment identifier should be able to distinguish between all health care establishments nationally. Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: Supersedes Establishment identifier, version 4, Derived DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (17.0 KB) Is formed using Establishment—Australian state/territory identifier, code N Health, Standard 01/03/2005, Commonwealth Department of Health, Candidate 16/07/2015 See also Establishment—WA identifier, NNN[N] WA Health, Endorsed 04/03/2014 Is formed using Establishment—organisation identifier (state/territory), NNNNN Health, Standard 01/03/2005, National Health Performance Authority, Standard 27/11/2013, Commonwealth Department of Health, Candidate 16/07/2015 Is formed using Establishment—region identifier, X[X] Health, Standard 01/03/2005, Commonwealth Department of Health, Candidate 16/07/2015 Is formed using Establishment—sector, code N Health, Standard 01/03/2005, Commonwealth Department of Health, Candidate 16/07/2015 See also Hospital—hospital identifier, XXXXX Health, Standard 07/12/2011 Implementation in Data Set Specifications: Activity based funding: Emergency service care DSS 2013-2014 Independent Hospital Pricing Authority, Standard 31/10/2012 Activity based funding: Emergency service care DSS 2014-15 Independent Hospital Pricing Authority, Standard 14/01/2015 Activity based funding: Emergency service care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Activity based funding: Mental health care DSS 2015-16 Independent Hospital Pricing Authority, Standard 15/10/2014 Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Alcohol and other drug treatment services NMDS 2015- Health, Standard 13/11/2014 Elective surgery waiting times (census data) NMDS 2015- Health, Standard 12/06/2015 Elective surgery waiting times (removals data) NMDS 2015- Health, Standard 12/06/2015 Elective surgery waiting times cluster Health, Standard 11/04/2014 Hospital teaching and training activities DSS 2014-15 Health, Standard 07/03/2014 Hospital teaching, training and research activities DSS 2015- Independent Hospital Pricing Authority, Standard 17/08/2015 Maternity model of care DSS Health, Standard 14/05/2015 Non-admitted patient care hospital aggregate NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 24/10/2014 Non-admitted patient care Local Hospital Network aggregate DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 13/09/2014 Non-admitted patient DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 23/07/2014 Non-admitted patient emergency department care DSS 2015-16 Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Perinatal NMDS 2014- Health, Standard 07/03/2014 Public hospital establishment address details DSS Health, Standard 07/12/2011 Radiotherapy waiting times NMDS 2015- Health, Standard 13/11/2014 WA Health Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC) 2013-14 WA Health, Endorsed 19/03/2015 WA Health Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC) 2014-15 WA Health, Endorsed 24/04/2015 Implementation in Indicators: Used as numerator National Health Performance Authority, Hospital Performance: Median waiting time for elective surgery 2012-13 National Health Performance Authority, Standard 25/07/2013 National Health Performance Authority, Hospital Performance: Median waiting time for elective surgery, 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Median waiting time for elective surgery, 2015 National Health Performance Authority, Standard 30/04/2015 National Health Performance Authority, Hospital Performance: Number of elective surgeries 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Patients who received their surgery within clinically recommended times 2012-13 National Health Performance Authority, Standard 25/07/2013 National Health Performance Authority, Hospital Performance: Patients who waited more than 365 days for elective surgery 2012-13 National Health Performance Authority, Standard 25/07/2013 National Health Performance Authority, Hospital Performance: Percentage of patients who waited longer than 365 days for elective surgery, 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Percentage of patients who waited longer than 365 days for elective surgery, 2015 National Health Performance Authority, Standard 30/04/2015 National Healthcare Agreement: PI 20a-Waiting times for elective surgery: waiting times in days, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 20b-Waiting times for elective surgery: proportion seen on time, 2015 Health, Standard 14/01/2015 Used as denominator National Health Performance Authority, Hospital Performance: Patients who received their surgery within clinically recommended times 2012-13 National Health Performance Authority, Standard 25/07/2013 National Health Performance Authority, Hospital Performance: Patients who waited more than 365 days for elective surgery 2012-13 National Health Performance Authority, Standard 25/07/2013 National Health Performance Authority, Hospital Performance: Percentage of patients who waited longer than 365 days for elective surgery, 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Percentage of patients who waited longer than 365 days for elective surgery, 2015 National Health Performance Authority, Standard 30/04/2015 National Health Performance Authority, Hospital Performance: Waiting times for emergency hospital care: Percentage completed within four hours, 2014 National Health Performance Authority, Standard 28/05/2014

Data type

text

Similar models

Admitted subacute and non-acute hospital care DSS 2015-16 Elective surgery waiting times cluster Metadata Online Registry (METeOR)

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Elective care waiting list episode
Listing date for care
Item
Listing date for care
date
Item Group
Elective surgery waiting list episode
Item
Clinical urgency
integer
Code List
Clinical urgency
CL Item
Admission within 30 days desirable for a condition that has the potential to deteriorate quickly to the point that it may become an emergency (1)
CL Item
Admission within 90 days desirable for a condition causing some pain, dysfunction or disability but which is not likely to deteriorate quickly or become an emergency (2)
CL Item
Admission at some time in the future acceptable for a condition causing minimal or no pain, dysfunction or disability, which is unlikely to deteriorate quickly and which does not have the potential to become an emergency (3)
Item
Extended wait patient
integer
Code List
Extended wait patient
CL Item
Extended wait patient (1)
CL Item
Other patient (2)
Item
Indicator procedure
text
Code List
Indicator procedure
CL Item
Cataract extraction (01)
CL Item
Cholecystectomy (02)
CL Item
Coronary artery bypass graft (03)
CL Item
Cystoscopy (04)
CL Item
Haemorrhoidectomy (05)
CL Item
Hysterectomy (06)
CL Item
Inguinal herniorrhaphy (07)
CL Item
Myringoplasty (08)
CL Item
Myringotomy (09)
CL Item
Prostatectomy (10)
CL Item
Septoplasty (11)
CL Item
Tonsillectomy (12)
CL Item
Total hip replacement (13)
CL Item
Total knee replacement (14)
CL Item
Varicose veins stripping and ligation (15)
CL Item
Other (88)
Item
Overdue patient
integer
Code List
Overdue patient
CL Item
Overdue patient (1)
CL Item
Other (2)
Item
Reason for removal from elective surgery waiting list
integer
Code List
Reason for removal from elective surgery waiting list
CL Item
Admitted as an elective patient for awaited procedure by or on behalf of this hospital or the state/territory (1)
CL Item
Admitted as an emergency patient for awaited procedure by or on behalf of this hospital or the state/territory (2)
CL Item
Could not be contacted (includes patients who have died while waiting, whether or not the cause of death was related to the condition requiring treatment) (3)
CL Item
Treated elsewhere for awaited procedure, but not on behalf of this hospital or the state/territory (4)
CL Item
Surgery not required or declined (5)
CL Item
Transferred to another hospital´s waiting list (6)
CL Item
Not known (9)
Item
Surgical specialty (of scheduled doctor)
text
Code List
Surgical specialty (of scheduled doctor)
CL Item
Cardio-thoracic surgery (01)
CL Item
Ear, nose and throat surgery (02)
CL Item
General surgery (03)
CL Item
Gynaecology (04)
CL Item
Neurosurgery (05)
CL Item
Ophthalmology (06)
CL Item
Orthopaedic surgery (07)
CL Item
Plastic surgery (08)
CL Item
Urology (09)
CL Item
Vascular surgery (10)
CL Item
Other (11)
Waiting time (at removal)
Item
Waiting time at removal from elective surgery waiting list
integer
Item Group
Establishment
Organisation identifier (Australian)
Item
Establishment identifier
text

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