Victorian Emergency Minimum Dataset (VEMD) User Manual
Contents
1. Visitor RHCA Persons Declared Eligible by the Minister The Commonwealth Minister for Health and Aged Care also has a discretionary power to make persons eligible for Medicare Such persons are eligible for and generally will hold a Medicare card Reciprocal Health Care Agreements RHCA Agreements negotiated by Australian authorities with other countries that enable visitors to Australia who are ordinarily resident in a country with which Australia has a RHCA to access immediately necessary treatment of ill health arising during the stay and which requires attention before the patient returns home pre arranged and elective treatment is not covered This agreement provides for admitted patient care but only as a public patient for such medical treatment as is clinically necessary for the diagnosis alleviation or care of the condition requiring attention on terms no less favourable than would apply to an Australian resident A RHCA patient may hold yellow green RHCA Medicare Card a lighter version of the green card Not all persons entitled to care under a RHCA will hold a RHCA card ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page 11 The RHCA countries at June 2009 are e Finland e Ireland e Italy Note 1 e Belgium e Malta Note 1 e Netherlands e New Zealand Note 2 e Norway e Sweden e United Kingdom Note 3 Note 1 Persons from Italy and Malta are Medicare eligi2. The definitions contained in this section are based wherever possible on the National Health Data Dictionary NHDD and the Department of Health Common Client Dataset CCDS ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page 1 Admission for the Awaited Procedure Definition The patient has been admitted and has received the awaited procedure or a related procedure that addresses the clinical condition for which they were placed on the Waiting List Guide for use The procedure may have been performed in an admission e as planned by this campus health service or e that was not planned by this campus health service See Section 3a Reason for Removal Section 4 Reason for Removal and Date of Admission Reason for Removal and Destination Reason for Removal Date of Admission and Scheduled Admission Date ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page 2 Age Definition The age of the patient at a given point in time Guide for use For the purposes of editing Age can be considered to be the time elapsed between the Date of Birth and a later reference point for example Extract End Date or Census Date Depending on the edit the units of measurement for Age will be either years or days If all of a patient s waiting list episodes have been removed completed the reference point is the patient s most recent Removal Date If a patient has any unremoved episodes th
3. 1 December 2008 1 December 2009 365 Days Note Age for reporting purposes is not addressed here and is not necessarily calculated the same way Consult the source of the reports for their age calculations See Section 3a Date Of Birth and Removal Date Section 5 Compilation and Submission ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page 4 Campus Definition Guide for use Census Date Definition Guide for use A physically distinct site owned or occupied by a public health service hospital where treatment and or care is regularly provided to patients A single campus hospital provides admitted patient services at one location through a combination of overnight stay beds and day stay facilities or day stay facilities only Unless designated otherwise by Department of Health a multi campus hospital has two or more locations providing admitted patient services where the locations e are separated by land other than public road not owned leased or used by that hospital e have the same management at the public health service hospital level e each has overnight stay facilities A separate location see first dot point providing day only services such as a satellite dialysis unit is considered to be part of a campus e are not private homes Private homes where hospital services are provided are considered to be part of a campus Data is not always submitted to ESIS a
4. 10 Australian Resident A person who resides in Australia and fulfils one of the following criteria e is an Australian citizen e holds an entry permit not being a temporary entry permit e holds a return endorsement or resident return visa e has been granted refugee status e is the holder of a valid temporary entry permit with an application for permanent residence and has a spouse parent or child who is the holder of a permanent entry permit or has authorisation to work Patients in this category will hold a green Medicare Card or if legally eligible and entitled to all health services with no restrictions an Interim blue Medicare Card also entitled to all health services with no restrictions Australians lose entitlement to Medicare if they have been living out of the country for five or more years as do others with permanent visas for Australia To become re entitled to Medicare they need to prove that they have returned to Australia to live by providing such documents as lease papers or employment statements Eligible Overseas Representative A member of diplomatic or consular staff or a member of their family or of a diplomatic mission of a country with which Australia has a Reciprocal Health Care Agreement RHCA except New Zealand Eligible overseas representatives have full Medicare eligibility and are not limited to immediately necessary medical treatment Such persons are issued with a green Medicare Card endorsed
5. Relation Health Service Definition A hospital campus or health service that manages a Waiting List and submits ESIS data to the Department of Health Guide for use Many health services see advantages in managing their Waiting Lists centrally Therefore ESIS accommodates reporting at both the campus and the health service level ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page 7 Hospital Definition A health care facility established under Commonwealth State or Territory legislation as a hospital or a freestanding day procedure unit and authorised to provide treatment and or care to patients Guide for use A hospital may be located at one physical site or may be a multi campus hospital For the purposes of these definitions hospital includes satellite units managed and staffed by the hospitals and private homes used for service provision under the Hospital in the Home program The definition includes e public hospitals denominational hospitals public health services and privately operated public hospitals as defined in the Health Services Act 1988 as amended e private hospitals and day procedure centres registered under the Victorian Health Services Act 1988 as amended Private hospitals are required to maintain separate registrations for each site Nursing homes and hostels which are now approved under the Aged Care Act 1997 Commonwealth are excluded from the definition as are su
6. fields l I l l i Y656 1 LY I eee E E E E E E EE E a l Episode j Level Patient_ID Episode_ID Other fields gt Y656 1234 Y656 3333 Intra Episode Level Episode 1 Event_Type Event_Date SAD_ID Event_Value gt 3333 Urgency 05062009 2 3333 Readiness 05062009 R This combination forms the Primary Key in the Intra Episode Table a See This Section Foreign Key Primary Key ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page 17 Removal Definition Guide for use Submission Definition The patient is removed from the waiting list when they are no longer waiting for their elective surgery This may be because the surgery has been performed is no longer required the patient has been unable to be contacted or another reason The Removal Date is the date on which this event occurs The reason for removal is identified by the appropriate code for the event that removes the patient from the waiting list See Section 3a Reason for Removal Removal Date An ESIS submission is a zipped encrypted collection of extracts that are transmitted to Department of Health Submissions are intended to contain e new data relating to hospital waiting list activity up to a given extract end date and e updates including data corrections and e deletion of previously transmitted data See This Section Extract Section 5 Data Submission ESIS Manual 13 Edi
7. Elective Surgery Information System ESIS User Manual 13th Edition 2010 11 Section 2 Concept and Derived Data Item Definitions Download from the Department of Health web site at http www health vic qov au hdss Published By The Department of Health Victoria Authorised By The Victorian Government 50 Lonsdale Street Melbourne Version Version 13 0 Year 2010 11 ESIS Manual Sections The Elective Surgery Information System ESIS Manual sections are Please follow the arrow and click the manual section number you require Click Section Number Lists the terms and abbreviations used in the ESIS manual Glossary ESIS Manual Introduction Provides information on the development and purpose of the ESIS data collection scope and coverage contact details and a list of relevant abbreviations Section 2 Concept and Derived Item Definitions Provides definitions of concepts that are the foundation of the ESIS collection and information that the department derives from the data submitted Data Definitions Details the specifications of data items relating to individual waiting episodes for reporting to ESIS Details the technical or database elements required for submission of ESIS data Business Rules Draws together a number of concepts and data items as well as describing the technical functions of the ESIS processing Compilation and Submission Specifies the required format of ESIS reco
8. See Section 4 Deletion Elective Care Definition Care that in the opinion of the treating clinician is necessary and admission for which can be delayed for at least twenty four hours Elective Surgery Access Service Definition The Elective Surgery Access Service ESAS is an initiative of the Victorian Government It assists semi urgent Urgency Category 2 and non urgent Urgency category 3 elective surgery patients with long waiting times to receive treatment earlier by arranging surgery at a hospital that has the capacity to treat their condition ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page 6 Extract Definition An ESIS extract is a tab delimited text file generated by health service waiting list management software and sent to Department of Health as part of a submission Extracts contain structured data about varying aspects of waiting list activity Extracts must conform to a specified structure and a naming convention See Section 5 Submission Foreign Key Definition A field or combination of fields used to create a relationship between tables in a relational database such as ESIS The Foreign Key in Table A is the Primary Key in Table B Guide for use The Foreign Key in the Intra Episode table Episode Identifier is the Primary Key in the Episode table The Foreign Key in the Episode table Patient Identifier is the Primary Key in the Patient table See This Section Primary Key
9. are Agreement An asylum seeker who has a valid temporary entry visa and is an applicant for a protection visa and has work rights or a spouse parent or child who is a permanent Australian resident is eligible to apply for a Medicare card and is therefore an eligible person once they have their Medicare card It should be noted that in some cases where the patient is an eligible person they personally or a third party could be liable for the payment of charges for hospital services received by e Prisoners e Patients with Defence Force personnel entitlements e Compensable patients e Department of Veterans Affairs beneficiaries e Nursing Home Type patients A newborn will usually take the Medicare eligibility status of the mother however the eligibility status of the father will be applied to the newborn if the baby is not eligible solely by virtue of the eligibility status of the mother For example e If the mother of a newborn is an ineligible person but the father is eligible for Medicare then the newborn will be eligible for Medicare Categories of Eligibility A person eligible to receive Medicare benefits will be one of the following e an Australian Resident e an Eligible Overseas Representative e a person declared eligible by the Minister e a person from a country with which Australia has a Reciprocal Health Care Agreement ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page
10. ble for the first six months of their visit only commencing on the date of arrival except where a continuing course of treatment starts before and extends over the six month limit 2 New Zealand diplomats and their families are not included in the Australian New Zealand RHCA and are therefore not eligible persons For New Zealand residents Medicare cover for private medical treatment was removed from September 1999 Medicare cards are no longer issued to New Zealand residents 3 United Kingdom incorporates residents of England Scotland Wales Northern Ireland Isle of Man and the Channel Islands 4 Persons from Belgium require a European Health Insurance card to enrol in Medicare They are eligible until the expiry date indicated on the card or the length of their authorised stay if earlier Students holding student visas from a country with which Australia has a RHCA are not eligible but should register with the Overseas Student Health Cover administered by Medibank Private Hospitals who are having difficulty in determining the eligibility for overseas residents should ring Medicare on 132011 Medicare hotline for advice between 8 30 am 5 00 pm Monday to Friday while the patient is still in hospital Backdating Medicare Eligibility In the past there have been queries regarding the backdating of Medicare eligibility Medicare Australia has provided the following answers to commonly asked questions ESIS Manual 13 Edi
11. e occurred for all cancelled Scheduled Admission Dates where the Reason for Scheduled Admission Date Change is other than 130 Booking brought forward See This Section Hospital Initiated Postponement Section 3a Reason for Scheduled Admission Date Change Section 3b Event Type A field or fields that uniquely identify a row record within a table In the Patient Table the Primary Key is the Patient Identifier In the Episode Table the Primary Key is the Episode Identifier The Episode Table contains the Patient Identifier as the Foreign Key which enables a relationship to be established with the Patient Table In the Intra episode Table the Primary Key is a composite of the Episode Identifier Event Type Event Date and Scheduled Admission Date Identifier The Episode Identifier also acts as a Foreign Key joining back to the Episode table See This Section Foreign Key Relation A clinical intervention that e is surgical in nature and or e carries a procedural risk and or e carries an anaesthetic risk and or e requires specialised training and or e requires special facilities or equipment only available in an acute care setting ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page 15 Procedures reported to ESIS Definition Elective surgery where the procedures required by the patient are listed in the surgical operations sections of the Medicare Benefits Schedule with the exclusion of specif
12. e reference point is the extract end date of the submission file Calculation Examples If the Date of Birth Date Of Birth 12 July 1970 months and days are less than or equal to Date of most 5 August 2009 the months and days of recent removal 2009 minus 1970 the reference point Age in years 39 years then Date Of Birth 1 July 1920 Age is the number of years between the Date Extract End of Birth and the Date of most reference point recent submission 1 November 2009 2009 minus 1970 Age in years 89 years If months and days of Date Of Birth 12 December 1970 Date of Birth are greater than the months Date of most 5 August 2009 and days of the recent removal 2009 minus 1970 reference point minus 1 then Age in years 38 Age is the number of Date Of Birth 12 July 1970 years between Date of Birth and the reference Extract End Date 25 May 2009 point minus 1 of most recent 2009 minus 1970 submission minus 1 Age in years 38 years ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page 3 Guide for use Cont d Calculation Number of Days between Date of Birth and the reference point Examples Date Of Birth Extract End Date of most recent submission Age in days 1 June 2009 1 December 2009 183 Days Date Of Birth Date of most recent removal Age in days
13. ent actually occurred an Event Type describing what event has taken place an Event Value and the Episode Identifier linking the Intra Episode Event to the episode level record For example e achange in clinical urgency the type of event also requires the date of the change and the value of the change to be reported Merge table contains rows of pairs of Patient Identifiers The Patient Identifier being ceased in a merge is paired with the Patient Identifier being retained Reconciliation table contains summary statistics to enable the reporting health service to balance against figures generated by HDA following validation of the data submitted See Section 5 Submission ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page 19 Total Days Not Ready For Care Definition Guide for use A count of the total number of days on which a patient is not ready for care for a particular waiting episode Days not ready for care are those in the waiting episode where the Readiness For Care is Clinically Initiated Deferral or Patient Initiated Deferral The total is derived from e Readiness Intra Episode Events e Clinical Urgency Intra Episode Events e Clinical and Administrative Registration Dates e Census Dates e Removal and Admission Dates See Section 3a Readiness For Care Total Waiting Time Definition Transfer Definition The time elapsed in days for a patient on the elective surgery
14. ic procedures commonly performed by non surgical clinicians See Section 3a Principal Prescribed Procedure Section 4 Common procedures that are not considered to be elective surgery Procedures not reported to ESIS Definition Guide for use Procedures where the waiting time cannot be controlled For example caesarean sections and organ transplants For patient management purposes hospitals may choose to maintain episodes of patients awaiting such procedures on their in house waiting list systems These episodes must not be extracted and reported to ESIS It is common practice for hospitals to assign a PPP code of 200 to these procedures Section 4 Common procedures that are not considered to be elective surgery Referential Integrity Definition Guide for use Referential integrity ensures relationships between records in related tables are valid Every Intra Episode event record needs to have a parent Episode record and every Episode record needs to have a parent Patient level record Referential Integrity Rejection Edits will be triggered where an e Episode record has no related Patient record e Intra Episode record has no related Episode record Primary Key Foreign Key Changes There are very limited circumstances where Primary and Foreign Keys can change These are discussed in Section 4 Merging identifiers See This Section Foreign Key Primary Key Section 4 Merging Patient Identifiers Secti
15. on 5 Referential Integrity ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page 16 Registration Administrative Definition Guide for use The administrative process whereby the hospital health service accepts notification that a patient requires admission for elective care The acceptance of the notification by the hospital health service is conditional upon the provision of adequate information about the patient and the appropriateness of the patient referral Hospitals are expected to administratively register the episode within three days of receipt of the referral form Further information is available from the State wide Surgical Services Program http Awww health vic gov au surgery wl htm See Section 3a Administrative Registration Date Registration Clinical Definition Guide for use Relation Definition The clinical assessment at which it was agreed that surgery was required The date of the clinical assessment known as the Clinical Registration Date should be recorded on the waiting list referral form by the surgeon Further information is available from the Statewide Surgical Services Program http Awww health vic gov au surgery wl htm See Section 3a Clinical Registration Date A table that is related to another table or tables in the database via Primary or Foreign Keys Relationship between ESIS Tables Patient Level I I I H Patient_ID Other
16. pported residential services registered under the Health Services Act 1988 as amended See This Section Campus Transfer Hospital Initiated Postponement Definition A postponement of a patient s Scheduled Admission Date that has been initiated by the hospital Guide for use For calculation of performance indicator data Refer to the 2010 11 Statement of Priorities and Performance Framework Business Rules published on the following website http www health vic gov au hospital performance index htm See Section 3a Reason For Scheduled Admission Date Change Section 3b Event Type Scheduled Admission Date Identifier ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page 8 Intra Episode Event Definition A change in state or status of a waiting list episode occurring during that episode Guide for use Intra Episode Events occur when e the patient s Clinical Urgency is set or changed e aScheduled Admission date is advised e aScheduled Admission date is changed and the reason for this recorded e a MAPT Multi Attribute Prioritisation Tool score is recorded Intra Episode Events are reported in the Intra Episode Event table They are described by five fields and are uniquely identified by the Episode Identifier Event Type Event Date and SAD Identifier See Section 3b Event Date Event Type Event Value Section 4 Scheduling or Booking Intra Episode Events Label Definition The field identifie
17. r that appears as a column heading in the first row of a text extract Guide for use A label represents a field name In the ESIS submission process the difference between the label and the field name itself is that the label will substitute soaces with underscores For example e inthe episode level text extract the field name Insurance Declaration has the label Insurance_Declaration Labels remove the requirement for fields to be submitted in a specified order ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page 9 Medicare Eligibility Status Eligible Person Definition The patient s eligibility for Medicare as specified under the Commonwealth Health Insurance Act 1973 Persons eligible for Medicare include e aperson who resides in Australia and whose stay in Australia is not subject to any limitation as to time imposed by law e persons visiting Australia who are ordinarily resident in Finland Ireland Italy Belgium Malta the Netherlands New Zealand Norway Sweden or the United Kingdom as they are covered by Reciprocal Health Care Agreements RHCA however persons from Malta and Italy are covered for six months only e aperson or a class of persons declared eligible by the Commonwealth Minister for Health and Aged Care Guide for use This category does not include a foreign diplomat or family except where eligibility is expressly granted to such persons by the terms of a Reciprocal Health C
18. rds submitted to AED It includes details such as file naming conventions file structures reporting requirements data security test submission and system migration Section 7 Editina Each ESIS edit message is listed in this section in numerical order The entry for each edit message describes the problem and the remedy Section 8 Supplementary Code Lists http www health vic gov au hdss reffiles index htm Contents SECTION 2 Concept amp Derived Item Definitions Admission for the Awaited Procedure Age Campus Census Date Deletion Elective Care Elective Surgery Access Service Extract Foreign Key Health Service Hospital Hospital Initiated Postponement Intra Episode Event Label Medicare Eligibility Status Eligible Person Medicare Eligibility Status Ineligible Person Postponement Primary Key Procedure Procedures reported to ESIS Referential Integrity Registration Administrative Registration Clinical Relation Removal Submission Table Total Days Not Ready For Care Total Waiting Time Transfer Urgency Reassignment Recategorisation Waiting List Episode oO Oo oOo N NN DODO DODD aoa WwW N m ND N N N N me me me me me mm ahs a O O O O N N N O OQO0OO0 UO0OUOOAOA A O O SECTION 2 Concept amp Derived Item Definitions This section lists concept definitions relating to the Elective Surgery Information System ESIS and where appropriate provides a guide for their use
19. s to be treated as a private patient e a foreign diplomat or a member of their family from a country with which Australia does not have a Reciprocal Health Care Agreement Types of Ineligible Patient Exempt Patient e Anineligible non Australian resident specifically referred to Australia for hospital services not available in the patient s own country and for whom the Secretary of the Department of Health has determined that no fee be charged or e Aperson who has been declared a safe haven resident and whose treatment is provided or arranged by a designated hospital e Medicare Ineligible Asylum Seekers Non Exempt Patient An ineligible patient not exempted from fees by the Secretary of the Department of Health Under current legislation non exempt ineligible patients cannot be categorised as Nursing Home Type Non exempt ineligible patients otherwise meeting Nursing Home Type patient criteria are deemed to be Non Acute ineligible patients See This Section Medicare Eligibility Status Eligible Person Section 3a Insurance Declaration Medicare Number Medicare Suffix ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page 14 Postponement Definition Guide for use Primary Key Definition Guide for use Procedure Definition Postponement occurs when a Scheduled Admission Date for a planned procedure is put off to a later date For ESIS purposes a postponement is considered to hav
20. t the campus level For health services managing their waiting list centrally data may be submitted at the health service level See This Section Health Service A Census Date is a date on which a snapshot of certain features of a population of interest is taken Used by Department of Health for reporting purposes not part of the raw data submitted to ESIS See This Section Total Days Not Ready For Care Total Waiting Time ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page 5 Deletion Definition The purging of a record a row of data from Patient Episode and Intra Episode data which was reported to ESIS in error Guide for use Deletion is effected by the transmission of a deletion trigger This tells the ESIS editing system to remove a particular row of data based on the Primary Key A deletion trigger should be submitted to purge a record that has already been reported to ESIS Only use it if a row of data has been inadvertently reported to Department of Health and it does not represent what actually happened to the patient Deletion is not analogous to the removal of a patient s waiting episode from the waiting list because removal only relates to episode level data and deleted data no longer exists in Department of Health reporting database whereas an episode with removal details does exist but the patient in question is no longer waiting for the procedure in question
21. tient requires more than one operative episode then these should be recorded as separate waiting list episodes even if these episodes are to treat the same clinical condition ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page 21
22. tion Section 2 Concept and Derived Item Definition Page 12 Question Answer Question Answer Question Answer Question Answer See Does the backdating of Medicare eligibility occur Yes infrequently What evidence should the patient present to the hospital to show that they have been given backdated eligibility A letter from Medicare Australia on Medicare Australia letterhead Is the hospital obliged to return the money paid by the patient when they have been given backdated Medicare eligibility Yes Hospitals should refund the money and change the Account Class for the episode Should the hospital check information regarding backdated Medicare eligibility with Medicare Australia prior to a refund No Medicare Australia would not release this information due to Privacy legislation This Section Medicare Eligibility Status Ineligible Person Section 3a Insurance Declaration Medicare Number Medicare Suffix ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page 13 Medicare Eligibility Status Ineligible Person Definition Guide for use The patient s eligibility for Medicare as specified under the Commonwealth Health Insurance Act 1973 Persons ineligible for Medicare include e those who do not fit into one of the categories of eligibility e avisitor to Australia from a country with which Australia has a Reciprocal Health Care Agreement who elect
23. tion Section 2 Concept and Derived Item Definition Page 18 Table Definition Guide for use A collection of data representing a single specific subject organised by fields columns and records rows A record represents a unique instance of the subject of the table A field represents a characteristic of the subject of the table The ESIS structure is divided into the following five tables Patient table represents data that describe the patient such as sex rather than the episode Although many of these features may change over time they should remain consistent across any waiting episodes that exist concurrently for the patient For example e if a patient was simultaneously waiting for a hip replacement and a cholecystectomy values in fields such as Sex Postcode Locality and Indigenous Status will be consistent across those waiting episodes Episode table represents data that describe the episode Most of these features should only occur once per episode For example e a patient can only be registered once per episode In some cases certain features may change but it is not essential to maintain a history of the changes For example e although an episode s Principal Prescribed Procedure may change there will only be one of them at any given point in time Intra Episode table represents events that may happen multiple times within the episode Each event must have an Event Date the date on which the ev
24. waiting list from the date the patient was registered on the waiting list to a designated census date See This section Census Date Total Days Not Ready For Care Section 3a Administrative Registration Date Clinical Registration Date Readiness For Care Section 4 Calculation of Total Waiting Time Transfer of responsibility for an ESIS waiting episode from one ESIS health service to another ESIS health service See Section 4 Transfer of Ownership of Waiting Episode ESIS Manual 13 Edition Section 2 Concept and Derived Item Definition Page 20 Urgency Reassignment Recategorisation Definition A change in the patient s Clinical Urgency category that is the Clinical Urgency has been reassigned or recategorised Guide for use A patient may only be recategorised by the treating surgeon ESIS can accommodate multiple changes of Clinical Urgency for an episode over time All Clinical Urgency values for a given episode over time are reported as Urgency Intra Episode events See Section 3a Clinical Urgency Section 3b Event Type Section 4 Calculation of Total Waiting Time Waiting List Episode Definition The period between entry to and removal from the waiting list for a specific elective procedure Guide for use Multiple procedures performed in a single operative episode treating the same clinical condition should be considered one waiting episode This includes multiple occurrences of the same procedure When a pa
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