Format/length:	n3
HES item:
National codes
Default codes

Notes:
This records the number of days that should be removed from the derived waiting time between the DECISION TO TREAT DATE and start date of the FIRST DEFINITIVE TREATMENT PROVIDED. The date of the first definitive treatment is the appropriate recorded start date of treatment for the PLANNED CANCER TREATMENT with FIRST DEFINITIVE TREATMENT PROVIDED classification of a. 'yes'. See START DATE (TELETHERAPY TREATMENT COURSE) as an example of an appropriate recorded start date for a PLANNED CANCER TREATMENT where the PLANNED CANCER TREATMENT TYPE is National Code 02 'Teletherapy'. There is a DECISION TO TREAT DATE and a start date recorded for each PLANNED CANCER TREATMENT whether or not it is the FIRST DEFINITIVE TREATMENT PROVIDED.

The adjustment will be due to one or more of the following:

a.	when a patient defers an in-patient admission; add the number of days from DECISION TO TREAT DATE or previous deferred OFFER OF ADMISSION to the deferred OFFERED FOR ADMISSION DATE
b.	when a patient cancels an out-patient appointment; add the number of days from the DECISION TO TREAT DATE or previous cancelled (by the patient) or missed OUT-PATIENT APPOINTMENT (Did Not Attend) to the cancelled OUT-PATIENT APPOINTMENT
c.	when a patient suspension from the elective admission list is made because they are medically unfit for treatment or when they are unavailable for treatment for a specified period because of family commitments, holidays or other reasons; add the number of days of the ELECTIVE ADMISSION SUSPENSION DETAIL
d.	when a patient fails to attend an in-patient admission; add the number of days from DECISION TO TREAT DATE or previous deferred OFFER OF ADMISSION to the deferred OFFERED FOR ADMISSION DATE
e.	when a patient does not attend an out-patient appointment or arrives late and could not be seen; add the number of days from the DECISION TO TREAT DATE or previous cancelled (by patient) or missed OUT-PATIENT APPOINTMENT to the missed OUT-PATIENT APPOINTMENT

For example:

-	the PATIENT is given an initial appointment for treatment which is 10 days after the DECISION TO TREAT DATE,
-	the PATIENT then has to cancel the OUT-PATIENT APPOINTMENT,
-	a second appointment is given for 3 days after that which the PATIENT does not attend, a third appointment is given for 5 days after that which the PATIENT does attend,

The ADJUSTMENT TO WAITING TIME (DECISION TO TREAT AND FIRST TREATMENT) is 13 days and the waiting time is 5 days.

 

This data element is also known by these names:

Context	Alias
plural	WAITING TIME ADJUSTMENTS (TREATMENT)