Change Request |
Reference: | Change Request 288 |
Version No: | 1.8 |
Subject: | DSCN 52/2002 - Acute Myocardial Infarction Data Set |
Type of Change: | Change to NHS data standards |
Effective Date: | 1 January 2003 |
Reason for Change: | Update the NHS Data Dictionary Version.2 to include the MINAP Data Set |
As part of the Coronary Heart Disease Information Strategy, the NHS Information Authority is working with clinical communities to develop an outputs specification for CHD clinical information systems. As an early win to support this work, four initial clinical Data Sets were developed by the professional bodies and approval was sought from the NHS Information Standards Board. The first of the four data sets has been approved, and this DSCN makes changes to the NHS Data Dictionary Version.2 to support the first of the four Data Sets.
The Myocardial Infarction National Audit Project (MINAP) run by the Royal College of Physicians (RCP) has produced a Data Set to carry out a nationwide audit of Acute Myocardial Infarction (AMI). The project is a response to the audit requirements of the National Service Framework for Coronary Heart Disease (NSF - CHD) and provides the basis to monitor the standards for care of Acute Myocardial Infarction (AMI) established by the NSF - CHD:
Standard 5
People with symptoms of a possible heart attack should receive help from an individual equipped with and appropriately trained in the use of a defibrillator within eight minutes of calling for help, to maximise the benefits of resuscitation, should it be necessary.
Standard 6
People thought to be suffering from a heart attack, should be assessed professionally and, if indicated, receive aspirin. Thrombolysis should be given within 60 minutes of calling for professional help.
Standard 7
NHS Trusts should put in place agreed protocols/systems of care so that people admitted to hospital with proven heart attack are appropriately assessed and offered treatments of proven clinical cost effectiveness to reduce their risk of disability and death.
The Data Set will be maintained within the Central Cardiac Audit Database (CCAD).
Summary of changes:Name: | Michelle Cambridge |
Date: | 23 January 2003 |
Sponsor: | Data Standards Team |
Attributes of this Class are:
This class has no relationships. Each ACUTE MYOCARDIAL INFARCTION CARE SPELL
may be associated with one or more AMI DISCHARGE DRUG |
Identifies the AMI drug considered for treatment of the patient when discharged from hospital as part of the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
Context | Alias |
---|---|
plural | AMI DISCHARGE DRUGS |
Attributes of this Class are:
K | AMI DRUG TYPE | |
DISCHARGED ON INDICATOR |
Each AMI DISCHARGE DRUG
K | must be prescribed as part of one and only one ACUTE MYOCARDIAL INFARCTION CARE SPELL |
Attributes of this Class are:
ASPIRIN THERAPY LOCATION |
A type of PERSON OBSERVATION.
A record of the person's blood pressure.
Context | Alias |
---|---|
plural | BLOOD PRESSURE |
Attributes of this Class are:
DIASTOLIC PRESSURE | ||
SYSTOLIC PRESSURE |
This class has no relationships.
Attributes of this Class are:
O | CCAD HOSPTIAL IDENTIFIER | |
DELIVERY FACILITIES AVAILABLE | ||
O | HIGH SECURITY PSYCHIATRIC ACCOMMODATION | |
if approved high security accommodation provided on the hospital site | ||
O | HOSPITAL SITE TOTAL BEDS | |
if not NHS site |
Each PATIENT
may be absent for one or more ABSENCE WITHOUT LEAVE | |
may be related to one or more ACCIDENT AND EMERGENCY EPISODE | |
may be associated with one or more CLINICAL INTERVENTION | |
may be related to one or more COMMUNITY EPISODE | |
may be the subject of one or more CONSULTANT EPISODE (ACUTE HOME-BASED) | |
may be related to one or more CONSULTANT OUT-PATIENT EPISODE | |
may be related to one or more DECISION TO ADMIT | |
may be related to one or more DENTAL EPISODE | |
may be related to one DISABLEMENT APPLIANCE | |
may be related to one or more DISABLEMENT APPLIANCE REPAIR | |
may be in receipt of one or more DISPENSED ITEM | |
may be related to one or more DOMICILIARY CONSULTATION | |
may be related to one or more ELECTIVE ADMISSION LIST ENTRY | |
may be related to one or more EMERGENCY DENTAL ATTENDANCE | |
may be related to one or more FACE TO FACE CONTACT DENTAL | |
may be the subject of one or more FACE TO FACE CONTACT OPTICAL | |
may be related to one or more GENITO-URINARY EPISODE | |
may be related to one or more HOME DIALYSIS EPISODE | |
may be related to one or more HOME LEAVE | |
may be the subject of one or more HONOS SCORE FOR PERSON | |
may be related to one or more HOSPITAL PROVIDER SPELL | |
may be granted leave for one or more LEAVE OF ABSENCE | |
may be related to one or more LEGAL STATUS | |
may be related to one or more LITHOTRIPSY COURSE ATTENDANCE | |
may be related to one or more MATERNITY DOMICILIARY VISIT | |
may be subject to one or more MENTAL HEALTH CARE SPELL | |
may be related to one or more MIDWIFE EPISODE | |
may be related to one or more NURSING EPISODE | |
may be related to one or more NURSING HOME STAY (MIDWIFE CARE) | |
may be related to one or more NURSING HOME STAY (NURSING CARE) | |
may be in receipt of health care services under one or more OUT OF AREA TREATMENT | |
may be related to one or more OUT-PATIENT APPOINTMENT | |
may be related to one or more PATIENT JOURNEY | |
may be issued with one or more POWERED WHEELCHAIR | |
may be related to one or more PREGNANCY EPISODE | |
may be in receipt of one or more PRESCRIPTION | |
may be related to one or more PROFESSIONAL STAFF GROUP EPISODE | |
may be related to one or more RADIOTHERAPY TREATMENT COURSE | |
may be related to one or more REFERRAL FOR BIOPSY | |
may be related to one or more REFERRAL FOR BREAST ASSESSMENT | |
may be related to one or more REFERRAL FOR BREAST TREATMENT | |
may be related to one or more REFERRAL FOR SCREENING TEST | |
may be related to one or more REFERRAL REQUEST | |
may be related to one or more REGULAR ATTENDER EPISODE | |
may be related to one or more REQUEST FOR DIAGNOSTIC TEST | |
may be related to one or more RESIDENTIAL CARE OR GROUP HOME STAY | |
may be the subject of one or more ROAD TRAFFIC ACCIDENT TREATMENT | |
may be identified as needing one or more SECURE ACCOMMODATION REQUIREMENT | |
may be related to one or more SERVICE REPORT HEADER | |
may be related to one or more THEATRE CASE | |
may be associated with one or more TOBACCO USAGE | |
may be related to one or more WARD ATTENDANCE | |
may be issued with one or more WHEELCHAIR SERVICES VOUCHER |
A type of CHARACTERISTIC.
The patient's ethnic group as perceived by the clinician.
Note:
National Codes:
01 | Caucasian |
02 | Black |
03 | Asian |
04 | Oriental |
08 | Other |
References:
Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | PATIENT CLINICAL GROUPS |
This class has no attributes.
This class has no relationships.
Attributes of this Class are:
INITIAL PATIENT CONTACT DATE | ||
INITIAL PATIENT CONTACT TIME | ||
This class has no attributes. Attributes of this Class are:
THERAPY TYPE |
Attributes of this Class are:
THROMBOLYTIC DRUG | ||
THROMBOLYTIC TREATMENT DELAY REASON | ||
THROMBOLYTIC TREATMENT NOT GIVEN REASON |
The history of a PATIENT's tobacco usage.
References:
National Cancer Data Set Version 1.1_ISB October 2001
Acute Myocardial Infarction Core Data Set
Context | Alias |
---|---|
plural | TOBACCO USAGES |
Attributes of this Class are:
K | START DATE | |
K | TOBACCO USAGE TYPE | |
O | CIGARETTES PER DAY | |
if current or ex-smoker | ||
O | DATE STOPPED SMOKING | |
if ex-smoker | ||
O | NUMBER OF YEARS SMOKED | |
if current or ex-smoker | ||
SMOKING STATUS | ||
O | TOBACCO CHEWING HISTORY |
Each TOBACCO USAGE
K | must be the usage of one and only one PATIENT |
This is a working diagnosis at the time of admission for an ACUTE MYOCARDIAL INFARCTION CARE SPELL. The primary purpose is to identify those patients who are admitted with a diagnosis of definite (ST elevation MI).
National Codes:
1 | Definite myocardial infarction |
2 | Probable myocardial infarction |
3 | Acute coronary syndrome |
4 | Chest pain - query cause |
5 | Other initial diagnosis |
References:
Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | AMI ADMISSION DIAGNOSES |
The type of unit to which the PATIENT is admitted either from A&E or directly by the ambulance service and where the patient will spend the majority of the first 24 hours in hospital following an Acute Myocardial Infarction.
National Codes:
1 | Cardiac Care Unit |
2 | Acute Admissions unit |
3 | General medical ward |
4 | Intensive therapy unit |
5 | Other |
6 | Died in A&E |
7 | Cardiac ward (non-Cardiac Care Unit) |
8 | Stepdown ward |
References:
Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | AMI ADMISSION WARD TYPES |
The type of clinician having primary rather than advisory care of the patient immediately (first 24 hours) after admission to hospital (not the A&E consultant) following an Acute Myocardial Infarction.
National Codes:
0 | Cardiologist |
1 | Other general physician |
9 | Other |
References:
Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | AMI ADMITTING CONSULTANT TYPES |
The acute myocardial infarction diagnosis at discharge.
National codes:
01 | Myocardial infarction (ST elevation) |
02 | Myocardial infarction (non ST elevation) |
03 | Threatened Myocardial Infarction |
04 | Acute coronary syndrome (troponin positive) |
05 | Acute coronary syndrome (troponin negative) |
10 | Acute coronary syndrome (troponin unspecified) |
06 | Chest pain of uncertain cause |
07 | Myocardial infarction (unconfirmed) |
08 | Other diagnosis |
Note: The classification has been listed in logical sequence rather than alphanumeric order.
References:
Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | AMI DISCHARGE DIAGNOSES |
The AMI drug considered for treatment of the PATIENT when discharged from hospital as part of an ACUTE MYOCARDIAL INFARCTION CARE SPELL.
Classification:
a. | Beta Blocker |
b. | Angiotensin Inhibitor |
c. | Statin |
d. | Aspirin |
e. | Other anti-platelet agent |
References:
Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | AMI DRUG TYPES |
The heart rate recorded from the first ECG after admission to hospital, whilst in a stable cardiac rhythm i.e. sinus rhythm, or chronic AF. In complete heart block record ventricular rate. Where the presenting rhythm is a treatable tachyarrhythmia, the first stable heart rate after treatment should be used.
References:
Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | AMI HEART RATES |
The date on which an angiogram is performed within the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
Context | Alias |
---|---|
plural | ANGIOGRAM DATES |
The time the patient arrived at the hospital.
Where the patient arrived in an ambulance this is the time of arrival of the ambulance at the front door as recorded by the ambulance service.
Where the patient is self referred, this is the time of registration in A&E.
References:
Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | ARRIVAL AT HOSPITAL TIMES |
Provides information about the aspirin therapy given to a PATIENT.
National Codes:
1 | Already on aspirin |
2 | Aspirin given out of hospital |
3 | Aspirin given after arrival in hospital |
8 | Not Given |
References: Acute Myocardial Infarction Core Data Set Version 2.8Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | ASPIRIN THERAPY LOCATIONS |
A record of the highest ranked bleed complication experienced by the PATIENT during the ACUTE MYOCARDIAL INFARCTION CARE SPELL. The list below is shown in order of preference and the highest item that applies should be recorded.
National Codes:
1 | Intracranial bleed |
2 | Retroperitoneal bleed |
3 | Any other spontaneous bleed with Hb fall >=5g or Hct >15% |
4 | Bleed from any non-intracranial or non-retroperitoneal site with Hb fall >3g and <5g |
5 | Bleed from any non-intracranial or non-retroperitoneal site with Hb fall <=3g |
6 | None |
References:
Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | BLEED COMPLICATIONS |
The outcome of the CARDIAC ARREST.
National Codes:
1 | No return of circulation |
2 | Return of spontaneous circulation, but died in hospital |
3 | Discharged from hospital (with neurological deficit) |
4 | Discharged from hospital (no neurological deficit) |
5 | Resuscitation not attempted |
References: Acute Myocardial Infarction Core Data Set Version 2.8Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | CARDIAC ARREST OUTCOMES |
The heart rhythm for the PATIENT at the time of the CARDIAC ARREST.
National Codes:
1 | Asystole |
2 | Ventricular fibrillation/pulseless ventricular tachycardia |
3 | Electro mechanical disassociation |
References: Acute Myocardial Infarction Core Data Set Version 2.8Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | CARDIAC ARREST PRESENTING RHYTHMS |
A unique identifier allocated to cardiac specialist hospitals and maintained in the Central Cardiac Audit Database (CCAD). A legacy identifier used within CCAD for identification and analysis of individual centre audit data.
Context | Alias |
---|---|
plural | CCAD HOSPTIAL IDENTIFIERS |
The number of cigarettes smoked by the patient where they are a current or ex-smoker.
Context | Alias |
---|---|
plural | CIGARETTES PER DAY |
The date on which a coronary angiography is performed with an ACUTE MYOCARDIAL INFARCTION CARE SPELL.
Context | Alias |
---|---|
plural | CORONARY ANGIOGRAPHY DATES |
A record of the coronary angiography performed during an ACUTE MYOCARDIAL INFARCTION CARE SPELL.
National Codes:
1 | Protocol driven investigation performed in the same hospital | |
2 | Symptom driven investigation performed in the same hospital | |
3 | Protocol driven investigation performed at another centre | |
4 | Symptom driven investigation performed at another centre | |
5 | Planned after discharge | |
8 | Not performed |
References:
Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | CORONARY ANGIOGRAPHIES PERFORMED |
A record of the coronary intervention performed for recurrent symptoms or as an elective procedure during an ACUTE MYOCARDIAL INFARCTION CARE SPELL.
National Codes:
1 | Angioplasty |
2 | CABG |
3 | Planned after discharge |
8 | Not performed |
References:
Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | CORONARY INTERVENTIONS PERFORMED |
The date on which the PATIENT stopped smoking where they are an ex-smoker. If the exact date is not known, then the year should be recorded.
Context | Alias |
---|---|
plural | DATES STOPPED SMOKING |
The pressure reading of the blood between heart beats.
Context | Alias |
---|---|
plural | DIASTOLIC PRESSURE |
Indicates if the PERSON was discharged from hospital on a particular AMI DISCHARGE DRUG
National codes:
0 | No |
1 | Yes |
2 | Contraindicated |
8 | Not indicated |
References:
Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | DISCHARGED ON INDICATORS |
A classification of the electrocardiograph (ECG) reading that determined the treatment provided to a PATIENT in an ACUTE MYOCARDIAL INFARCTION CARE SPELL.
National Codes:
1 | ST segment elevation |
2 | Left bundle branch block |
3 | ST segment depression |
4 | T wave changes only |
5 | Other abnormality |
6 | Normal ECG |
References: Acute Myocardial Infarction Core Data Set Version 2.8Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | ECG DETERMINING TREATMENTS |
Identifies the type of contact initially made by the PATIENT in relation to the acute myocardial infarction. Identifies the type of contact initially made by the PATIENT or other non-professional in attendance, in relation to the acute myocardial infarction.
National Codes:
1 | Called GP who saw patient then called emergency services |
2 | Called GP who called emergency services then saw patient |
3 | Called emergency services |
4 | Called NHS Direct |
5 | Made own way to hospital (did not call anyone) |
6 | Called local helpline |
7 | Called GP, told to make own way to hospital |
8 | Patient already in hospital |
9 | Transferred for PCI/Surgery |
10 | Transferred for primary treatment |
References: Acute Myocardial Infarction Core Data Set Version 2.8Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | INITIAL CONTACT TYPES |
The date on which a referral for angiography and possible intervention was made, either within the same hospital or to another centre during an ACUTE MYOCARDIAL INFARCTION CARE SPELL.
Context | Alias |
---|---|
plural | INVESTIGATION OR INTERVENTION REFERRAL DATES |
The date on which a transfer took place for an investigation and/or interventional treatment within the same hospital and during an ACUTE MYOCARDIAL INFARCTION CARE SPELL.
Context | Alias |
---|---|
plural | INVESTIGATION TRANSFER DATES |
The number of years that a patient was smoking where they are a current or ex-smoker. This is used with the CIGARETTES PER DAY to calculate the estimated pack years of smoking.
Context | Alias |
---|---|
plural | NUMBER OF YEARS SMOKED |
Referral to a rehabilitation service for the PATIENT either in hospital or after discharge from hospital.
National Codes:
0 | No |
1 | Yes |
2 | Planned after discharge |
References:
Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | REHABILITATION REFERRALS |
Classifies the type of clinician who took the initial decision to attempt REPERFUSION.
National Codes:
0 | No reperfusion attempted |
1 | Specialist nurse |
2 | A&E clinician |
3 | Member of on-call medical team |
4 | Member of on-call cardiology team |
5 | GP |
6 | Paramedic |
References: Acute Myocardial Infarction Core Data Set Version 2.8Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | REPERFUSION INITIAL DECISIONS |
Classifies the location at which the initial REPERFUSION treatment was given.
National Codes:
0 | No reperfusion attempted |
1 | Before admission to hospital |
2 | In A&E |
3 | In Coronary care unit (direct admission) |
4 | In Coronary care unit (slowtrack) |
5 | Elsewhere in hospital |
References: Acute Myocardial Infarction Core Data Set Version 2.8Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | REPERFUSION TREATMENT LOCATIONS |
The smoking status of the PATIENT at the time the TOBACCO USAGE is recorded.
National Codes:
1 | Current smoker |
2 | Ex-smoker |
3 | Non-smoker - history unknown |
4 | Never smoked |
9 | Unknown |
References:
National Cancer Data Set Version 1.1_ISB October 2001
Acute Myocardial Infarction Core Data Set
Context | Alias |
---|---|
plural | SMOKING STATUSES |
The pressure reading of the blood at each heart beat.
Context | Alias |
---|---|
plural | SYSTOLIC PRESSURE |
The type of therapy that the patient will obtain following discharge from the HOSPITAL PROVIDER SPELL.
Classifications:
a. | Echocardiography |
b. | Exercise test |
c. | Radionuclide Study |
Context | Alias |
---|---|
plural | THERAPY TYPES |
The thrombolytic drug administered as the THROMBOLYTIC THERAPY.
National Codes:
1 | Streptokinase |
2 | Alteplase |
3 | Reteplase |
4 | Tenecteplase |
References:
Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | THROMBOLYTIC DRUGS |
Identifies delay in the thrombolytic therapy and the reason for this.
National Codes:
1 | Sustained hypertension |
2 | Clinical concern about recent cerebrovascular event or surgery |
3 | Delay obtaining consent |
4 | Initial ECG not diagnostic |
5 | Cardiac Arrest |
9 | Other |
References: Acute Myocardial Infarction Core Data Set Version 2.8Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | THROMBOLYTIC TREATMENT DELAY REASONS |
Identifies the reason why thrombolytic treatment is not given for an acute myocardial infarction.
National Codes:
1 | Ineligible ECG |
2 | Too late |
3 | Risk of haemorrhage |
4 | Uncontrolled hypertension |
5 | Administrative failure |
6 | Elective decision |
7 | Patient refused treatment |
8 | Other |
References: Acute Myocardial Infarction Core Data Set Version 2.8Acute Myocardial Infarction Core Data Set Version 3.0
Context | Alias |
---|---|
plural | THROMBOLYTIC TREATMENT NOT GIVEN REASONS |
The PATIENT's history of tobacco chewing as part of their TOBACCO USAGE.
National Codes:
1 | Current |
2 | Ex |
3 | Never |
3 | Unknown |
References:
National Cancer Data Set Version 1.1_ISB October 2001
Context | Alias |
---|---|
plural | TOBACCO CHEWING HISTORY'S |
The type of a PATIENT's TOBACCO USAGE.
National Codes:
G | Cigarettes |
P | Pipe |
W | Chewing |
References:
National Cancer Data Set Version 1.1_ISB October 2001
Context | Alias |
---|---|
plural | TOBACCO USAGE TYPES |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: |
Notes:
This is a working diagnosis at the time of admission. The primary purpose is to identify those patients who are admitted with a diagnosis of definite (ST elevation MI). Do not change Admission diagnosis on the basis of further ECGs or enzymes/markers.
CCAD item name:
Admission Diagnosis
Context | Alias |
---|---|
plural | AMI ADMISSION DIAGNOSES |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 9 - Unknown |
Notes:
Refers to the unit to which the patient is admitted either from A&E or directly by ambulance service and where patient will spend majority of first 24 hours in hospital. If patient admitted direct to the catheter lab, enter facility to which patient admitted on leaving lab.
CCAD item name:
Admission Ward
Context | Alias |
---|---|
plural | AMI ADMISSION WARD TYPES |
Format/length: | n2 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 99 - Unknown |
Notes:
The clinician having primary rather than advisory care of the patient immediately (first 24 hours) after admission to hospital (not the A&E consultant).
CCAD item name:
Admitting Consultant
Context | Alias |
---|---|
plural | AMI ADMITTING CONSULTANT TYPES |
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: | 0 - Not dead |
9 - Unknown |
Notes:
CCAD item name:
Death in hospital
Context | Alias |
---|---|
plural | AMI CAUSE OF DEATH IN HOSPITAL |
Format/length: | n2 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: |
Notes:
CCAD item name:
Discharge Diagnosis
Context | Alias |
---|---|
plural | AMI DISCHARGE DIAGNOSES |
Format/length: | n1 |
HES item: | |
National Codes: | 0 - No |
1 - Yes | |
Default Codes: | 9 - Unknown |
Notes:
Derive from the patient DRUG TREATMENT and DRUG DOSAGE AND ADMINISTRATION within the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
CCAD item name:
Angiotensin II Blocker (ARB)
Context | Alias |
---|---|
plural | AMI DRUG TREATMENTS (ANGIOTENSIN II BLOCKER) |
Format/length: | n1 |
HES item: | |
National Codes: | 0 - No |
1 - Yes | |
Default Codes: | 9 - Unknown |
Notes:
Derive from the patient DRUG TREATMENT and DRUG DOSAGE AND ADMINISTRATION within the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
CCAD item name:
Calcium channel blocker
Context | Alias |
---|---|
plural | AMI DRUG TREATMENTS (CALCIUM CHANNEL BLOCKER) |
Format/length: | n1 |
HES item: | |
National Codes: | 0 - No |
1 - Yes | |
Default Codes: | 9 -Unknown |
Notes:
Derive from the patient DRUG TREATMENT and DRUG DOSAGE AND ADMINISTRATION within the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
Excludes use of 2b/3a agents started during PCI.
CCAD item name:
IV 2b/3a AGENT
Context | Alias |
---|---|
plural | AMI DRUG TREATMENTS (IV 2b/3a AGENT) |
Format/length: | n1 |
HES item: | |
National Codes: | 0 - No |
1 - Yes | |
Default Codes: | 9 - Unknown |
Notes:
Derive from the patient DRUG TREATMENT and DRUG DOSAGE AND ADMINISTRATION within the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
CCAD item name:
IV beta blocker
Context | Alias |
---|---|
plural | AMI DRUG TREATMENTS (IV BETA BLOCKER) |
Format/length: | n1 |
HES item: | |
National Codes: | 0 - No |
1 - Yes | |
Default Codes: | 9 - Unknown |
Notes:
Derive from the patient DRUG TREATMENT and DRUG DOSAGE AND ADMINISTRATION within the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
CCAD item name:
IV Nitrate
Context | Alias |
---|---|
plural | AMI DRUG TREATMENTS (IV NITRATE) |
Format/length: | n1 |
HES item: | |
National Codes: | 0 - No |
1 - Yes | |
Default Codes: | 9 - Unknown |
Notes:
Derive from the patient DRUG TREATMENT and DRUG DOSAGE AND ADMINISTRATION within the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
Use when a diuretic drug is introduced or used in increased dose.
CCAD item name:
Loop diuretic
Context | Alias |
---|---|
plural | AMI DRUG TREATMENTS (LOOP DIURETIC) |
Format/length: | n1 |
HES item: | |
National Codes: | 0 - No |
1 - Yes | |
Default Codes: | 9 - Unknown |
Notes:
Derive from the patient DRUG TREATMENT and DRUG DOSAGE AND ADMINISTRATION within the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
Use of low molecular weight heparin as therapy for ACS or STE AMI either alone or in conjunction with other treatment.
CCAD item name:
Low molecular weight heparin
Context | Alias |
---|---|
plural | AMI DRUG TREATMENTS (LOW MOLECULAR WEIGHT HEPARIN) |
Format/length: | n1 |
HES item: | |
National Codes: | 0 - No |
1 - Yes | |
Default Codes: | 9 - Unknown |
Notes:
Derive from the patient DRUG TREATMENT and DRUG DOSAGE AND ADMINISTRATION within the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
For example - dipyridamole.
CCAD item name:
Other oral anti-platelet agent
Context | Alias |
---|---|
plural | AMI DRUG TREATMENTS (ORAL ANTI-PLATELET AGENT) |
Format/length: | n1 |
HES item: | |
National Codes: | 0 - No |
1 - Yes | |
Default Codes: | 9 - Unknown |
Notes:
Derive from the patient DRUG TREATMENT and DRUG DOSAGE AND ADMINISTRATION within the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
Does not include sublingual nitroglycerine or spray used on an as-needed basis.
CCAD item name:
Oral nitrate
Context | Alias |
---|---|
plural | AMI DRUG TREATMENTS (ORAL NITRATE) |
Format/length: | n1 |
HES item: | |
National Codes: | 0 - No |
1 - Yes | |
Default Codes: | 9 - Unknown |
Notes:
Derive from the patient DRUG TREATMENT and DRUG DOSAGE AND ADMINISTRATION within the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
CCAD item name:
Potassium channel modulator
Context | Alias |
---|---|
plural | AMI DRUG TREATMENTS (POTASSIUM CHANNEL MODULATOR) |
Format/length: | n1 |
HES item: | |
National Codes: | 0 - No |
1 - Yes | |
Default Codes: | 9 - Unknown |
Notes:
Derive from the patient DRUG TREATMENT and DRUG DOSAGE AND ADMINISTRATION within the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
CCAD item name:
Spironolactone
Context | Alias |
---|---|
plural | AMI DRUG TREATMENTS (SPIRONOLACTONE) |
Format/length: | n1 |
HES item: | |
National Codes: | 0 - No |
1 - Yes | |
Default Codes: | 9 - Unknown |
Notes:
Derive from the patient DRUG TREATMENT and DRUG DOSAGE AND ADMINISTRATION within the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
Use when a diuretic drug is introduced or used in increased dose.
CCAD item name:
Thiazide diuretic
Context | Alias |
---|---|
plural | AMI DRUG TREATMENTS (THIAZIDE DIURETIC) |
Format/length: | n1 |
HES item: | |
National Codes: | 0 - No |
1 - Yes | |
Default Codes: | 9 - Unknown |
Notes:
Derive from the patient DRUG TREATMENT and DRUG DOSAGE AND ADMINISTRATION within the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
For example - clopidogrel, ticlopidine.
CCAD item name:
Thienopyridine platelet inhibitor
Context | Alias |
---|---|
plural | AMI DRUG TREATMENTS (THIENOPYRIDINE PLATELET INHIBITOR) |
Format/length: | n1 |
HES item: | |
National Codes: | 0 - No |
1 - Yes | |
Default Codes: | 9 - Unknown |
Notes:
Derive from the patient DRUG TREATMENT and DRUG DOSAGE AND ADMINISTRATION within the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
Use of unfractionated heparin as therapy for ACS or STE AMI either alone or in conjunction with other treatment.
CCAD item name:
Unfractionated heparin
Context | Alias |
---|---|
plural | AMI DRUG TREATMENTS (UNFRACTIONATED HEPARIN) |
Format/length: | n1 |
HES item: | |
National Codes: | 0 - No |
1 - Yes | |
Default Codes: | 9 - Unknown |
Notes:
Derive from the patient DRUG TREATMENT and DRUG DOSAGE AND ADMINISTRATION within the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
CCAD item name:
Warfarin
Context | Alias |
---|---|
plural | AMI DRUG TREATMENTS (WARFARIN) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
The heart rate recorded from the first ECG after admission to hospital, whilst in a stable cardiac rhythm i.e. sinus rhythm, or chronic AF. In complete heart block record ventricular rate. Where the presenting rhythm is a treatable tachyarrhythmia, the first stable heart rate after treatment should be used.
CCAD item name:
Heart Rate
Context | Alias |
---|---|
plural | AMI HEART RATES |
Format/length: | an10 (ccyy-mm-dd) |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: |
Notes:
The date on which an angiogram is performed with the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
CCAD item name:
Date of angio performed locally
Context | Alias |
---|---|
plural | ANGIOGRAM DATES |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 9 - Unknown |
Notes:
CCAD item name:
Where was Aspirin Given
Context | Alias |
---|---|
plural | ASPIRIN THERAPY LOCATIONS |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 9 - Unknown |
Notes:
Options in order of preference: use highest item that applies.
CCAD item name:
Bleeding complications
Context | Alias |
---|---|
plural | BLEED COMPLICATIONS |
Format/length: | an10 (ccyy-mm-dd) an8 (hh:mm:ss) |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
This is the START DATE and START TIME for the first verified CARDIAC ARREST within the ACUTE MYOCARDIAL INFARCTION CARE SPELL.
Date and time of FIRST verified arrest only to be reported. Excludes syncope or profound vagally-mediated bradycardia. Enter date and time of death if resuscitation not attempted.
CCAD item name:
Cardiac arrest date/time - FIRST ARREST ONLY
Context | Alias |
---|---|
plural | CARDIAC ARREST FIRST VERIFIED DATES AND TIMES |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 1 - No arrest |
Notes:
CCAD item name:
Cardiac arrest location
Context | Alias |
---|---|
plural | CARDIAC ARREST LOCATIONS |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 9 - Unknown |
Notes:
Applies only to outcome of the first arrest. This should include arrests in which resuscitation was deemed to be inappropriate. Enter the fact that resuscitation was not attempted for whatever reason (such as severe co-morbidity). If further arrests occur, the outcome will be recorded as AMI CAUSE OF DEATH IN HOSPITAL.
CCAD item name:
Outcome Of Arrest
Context | Alias |
---|---|
plural | CARDIAC ARREST OUTCOMES (FIRST) |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 9 - Unknown |
Notes:
CCAD item name:
Arrest Presenting Rhythm
Context | Alias |
---|---|
plural | CARDIAC ARREST PRESENTING RHYTHMS |
Format/length: | n1 |
HES item: | |
National Codes: | 0 - No |
1 - Yes | |
Default Codes: | 9 - Unknown |
Notes:
Derive from CLINICAL INVESTIGATION RESULT ITEM/NUMERICAL VALUE.
CCAD item name:
Cardiac Enzymes/Markers Raised
Context | Alias |
---|---|
plural | CARDIAC ENZYMES OR MARKERS RAISED |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
The identifier allocated to the hospital by the Central Cardiac Audit Database (CCAD). A legacy system used by CCAD for identification and analysis of an individual centre data.
The national standard for hospital identification is SITE CODE (OF TREATMENT) and must also be included in the national Data Set.
See www.ccad.org.uk
CCAD item name:
Hospital Identifier
Context | Alias |
---|---|
plural | CCAD HOSPITAL IDENTIFIERS |
Format/length: | n3 |
HES item: | |
National Codes: | See www.ccad.org.uk |
Default Codes: |
Notes:
CCAD item name:
Referral centre
Context | Alias |
---|---|
plural | CCAD HOSPITAL IDENTIFIERS (REFERRING) |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 9 - Unknown |
Notes:
CCAD item name:
Coronary Angiography at this Admission
Context | Alias |
---|---|
plural | CORONARY ANGIOGRAPHIES PERFORMED |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 9 - Unknown |
Notes:
Procedure for recurrent symptoms or as an elective procedure.
CCAD item name:
Coronary Intervention at this Admission
Context | Alias |
---|---|
plural | CORONARY INTERVENTIONS PERFORMED |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 9 - Unknown |
Notes:
Patient discharged from hospital on angiotensin converting enzyme inhibitor or angiotensin receptor blocker.
CCAD item name:
Angiotensin Inhibitor
Context | Alias |
---|---|
plural | DISCHARGED ON ANGIOTENSIN INHIBITORS |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 9 - Unknown |
Notes:
Patient discharged from hospital taking aspirin or any other anti-platelet agent.
CCAD item name:
Discharged on Aspirin or Other Anti-platelet
Context | Alias |
---|---|
plural | DISCHARGED ON ANTI-PLATELET DRUGS |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 9 - Unknown |
Notes:
Patient discharged from hospital on oral beta adrenergic blocker treatment.
CCAD item name:
Discharged On Beta Blocker
Context | Alias |
---|---|
plural | DISCHARGED ON BETA BLOCKERS |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 9 - Unknown |
Notes:
Patient discharged from hospital on a statin
CCAD item name:
Discharged On Statin
Context | Alias |
---|---|
plural | DISCHARGED ON STATIN |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 9 - Unknown |
Notes:
The ECG appearances upon which a decision to offer reperfusion treatment including angioplasty, was based.
CCAD item name:
ECG Determining Treatment
Context | Alias |
---|---|
plural | ECG DETERMINING TREATMENTS |
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: | 9 - Unknown |
Notes:
Derive from CLINICAL INTERVENTION whether an echocardiography was performed during the HOSPITAL PROVIDER SPELL within the ACUTE MYOCARDIAL INFARCTION CARE SPELL or is planned after admission and recorded as THERAPY AFTER DISCHARGE with THERAPY TYPE 'echocardiology'.
The derived values are:
0 | - No |
1 | - Yes |
2 | - Planned after admission |
CCAD item name:
Echocardiography
Context | Alias |
---|---|
plural | ECHOCARDIOGRAPHIES PERFORMED |
Format/length: | an10 (ccyy-mm-dd) an8 (hh:mm:ss) |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
This is the START DATE and START TIME from PERSON OBSERVATION for the ACUTE MYOCARDIAL INFARCTION HISTORY ITEM where the AMI HISTORY ITEM TYPE is 'Arrival of Emergency Service'.
Routine ambulance service data.
CCAD item name:
Date/time of symptom onset
Context | Alias |
---|---|
plural | EMERGENCY SERVICES ARRIVAL DATES AND TIMES (AMI) |
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: | 9 - Unknown |
Notes:
Derive from CLINICAL INTERVENTION whether an exercise test was performed during the HOSPITAL PROVIDER SPELL within the ACUTE MYOCARDIAL INFARCTION CARE SPELL or is planned after admission and recorded as THERAPY AFTER DISCHARGE with THERAPY TYPE 'exercise test'.
The derived values are:
0 | - No |
1 | - Yes |
2 | - Planned after admission |
CCAD item name:
Exercise Test
Context | Alias |
---|---|
plural | EXERCISE TESTS PERFORMED |
Format/length: | n2 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 99 - Unknown |
Notes:
In every case the caller refers to the patient or other non-professional in attendance.
CCAD item name:
Method of Admission
Context | Alias |
---|---|
plural | INITIAL CONTACT TYPES |
Format/length: | an10 (ccyy-mm-dd) an8 (hh:mm:ss) |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
This is the INITIAL PATIENT CONTACT DATE and INITIAL PATIENT CONTACT TIME of a PATIENT INITIATED AMI CARE SPELL.
The time of the initial call by patient, relative or attendant. This may be to a GP, NHS Direct, or the ambulance service.
This time may be available from the ambulance service record as the time of the emergency call, but may only be correct when a 999 call is made to the Ambulance service. Identify to whom the initial call was made. If the call was to a GP (or deputising service), or NHS Direct, establish this time as accurately as possible from the patient. An important time to record wherever possible for standard 6 of the CHD NSF.
CCAD item name:
Date/time of call for help
Context | Alias |
---|---|
plural | INITIAL PATIENT CONTACTS DATE AND TIME |
Format/length: | an10 (ccyy-mm-dd) an8 (hh:mm:ss) |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
The CLINICAL INTERVENTION DATE of the first CLINICAL INTERVENTION within the ACUTE MYOCARDIAL INFARCTION CARE SPELL performed within the same hospital.
CCAD item name:
Date of first intervention or surgery performed locally
Context | Alias |
---|---|
plural | INTERVENTION DATES (FIRST IN AMI CARE SPELL) |
Format/length: | an10 (ccyy-mm-dd) |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
The date on which transfer took place for daycase investigation and/or interventional treatment within an ACUTE MYOCARDIAL INFARCTION CARE SPELL. Arranged daycase transfers are not discharged from hospital.
If a patient is discharged (to another hospital) leave this field blank, and use fields DISCHARGE DATE (HOSPITAL PROVIDER SPELL) and DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL). This allows recording of interval between referral and procedure. Dates for ANGIOGRAM DATE and INTERVENTION DATE (FIRST IN AMI CARE SPELL) will be the same date where PCI follows angiography at the same procedure, but it is likely that for some time angiography in a DGH to be followed by intervention elsewhere. This option will be covered by either
CCAD item name:
Transfer date for daycase investigation
Context | Alias |
---|---|
plural | INVESTIGATION TRANSFER DATES |
Format/length: | n2 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 09 - Unknown |
Notes:
The patient's ethnic group as perceived by the clinician and recorded as part of the AMI Data Set.
CCAD item name:
Patient Ethnic Group
Context | Alias |
---|---|
plural | PATIENT CLINICAL GROUPS |
Format/length: | an35 |
HES item: | |
National Codes: | |
Default Codes: |
This is the PERSON NAME WORD TYPE where b. is the Family or Surname
Context | Alias |
---|---|
plural | PATIENT FAMILY OR SURNAMES |
Format/length: | an35 |
HES item: | |
National Codes: | |
Default Codes: |
This is the PERSON NAME WORD TYPE c. Forename.
Context | Alias |
---|---|
plural | PATIENT FORENAME OR PERSONAL NAMES |
Format/length: | nn/n |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
Derive from CLINICAL INVESTIGATION RESULT ITEM/NUMERICAL VALUE.
The unit of measure is iu/l (international units per litre).
The biochemical definition of acute infarction and acute coronary syndromes has to take account of proposed changes of biochemical criteria which have not yet gained widespread agreement or acceptance. Entry of the peak value for the two markers allows either or both to be recorded. This allows for the reality that some Trusts are using different cut off points for troponin for the definition of infarction. The rest are likely still to be using creatine kinase (CK).
CCAD item name:
Peak CK
Context | Alias |
---|---|
plural | PEAK CREATINE KINASE |
Format/length: | nn/nn |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
Derive from CLINICAL INVESTIGATION RESULT ITEM/NUMERICAL VALUE.
The unit of measure is ng/ml (nanograms per millilitre).
Peak troponin (I or T) during admission
CCAD item name:
Peak Troponin
Context | Alias |
---|---|
plural | PEAK TROPONIN |
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: | 9 - Unknown |
Notes:
Derive from PATIENT PROCEDURE history.
Indicates whether the patient has had a coronary artery bypass graft at any time prior to this admission.
The derived values are:
0 | - No |
1 | - Yes |
CCAD item name:
Previous CABG
Context | Alias |
---|---|
plural | PERSON HISTORY (PREVIOUS CABG) |
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: | 9 - Unknown |
Notes:
Derive from PATIENT PROCEDURE history.
Indicates if the patient underwent a percutaneous coronary intervention at any time prior to this admission.
The derived values are:
0 | - No |
1 | - Yes |
CCAD item name:
Previous PCI
Context | Alias |
---|---|
plural | PERSON HISTORY (PREVIOUS PCI) |
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: | 9 - Unknown |
Notes:
Derive from DIAGNOSIS in the CLINICAL CLASSIFICATION FOR PERSON sub type of PERSON OBSERVATION.
Any form of obstructive airways disease.
The derived values are:
0 | - No |
1 | - Yes |
CCAD item name:
Asthma or COPD
Context | Alias |
---|---|
plural | PERSONS OBSERVATION HISTORY (ASTHMA OR COPD) |
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: | 9 - Unknown |
Notes:
Derive from DIAGNOSIS in the CLINICAL CLASSIFICATION FOR PERSON sub type of PERSON OBSERVATION.
A history of symptoms of cerebrovascular ischaemia. To include transient cerebral ischaemic episodes and events with deficit lasting >24 hrs.
The derived values are:
0 | - No |
1 | - Yes |
CCAD item name:
Cerebrovascular disease
Context | Alias |
---|---|
plural | PERSON OBSERVATION HISTORY (CEREBROVASCULAR DISEASE) |
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: | 9 - Unknown |
Notes:
Derive from PERSON OBSERVATION. Identify where Creatinine chronically >200 micromol/l.
The derived values are:
0 | - No |
1 | - Yes |
CCAD item name:
Chronic renal failure
Context | Alias |
---|---|
plural | PERSON OBSERVATION HISTORY (CHRONIC RENAL FAILURE) |
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: | 9 - Unknown |
Notes:
Derive from DIAGNOSIS in the CLINICAL CLASSIFICATION FOR PERSON sub type of PERSON OBSERVATION and DRUG TREATMENT history.
Identifies the type of management, if any, for diabetes.
The derived values are:
0 | - Not Diabetic |
1 | - Diabetes (dietary control) |
2 | - Diabetes (oral medicine) |
3 | - Diabetes (insulin) |
4 | - Newly diagnosed diabetes |
CCAD item name:
Diabetes
Context | Alias |
---|---|
plural | PERSON OBSERVATION HISTORY (DIABETES TYPE) |
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: | 9 - Unknown |
Notes:
Derive from DIAGNOSIS in the CLINICAL CLASSIFICATION FOR PERSON sub type of PERSON OBSERVATION.
A previously validated diagnosis of heart failure on any therapeutic regime.
The derived values ares:
0 | - No |
1 | - Yes |
CCAD item name:
Heart failure
Context | Alias |
---|---|
plural | PERSON OBSERVATION HISTORY (HEART FAILURE) |
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: | 9 - Unknown |
Notes:
Derive from PERSON OBSERVATION and DRUG TREATMENT history.
Identifies if patient has elevation of serum cholesterol requiring dietary or drug treatment.
The derived values ares:
0 | - No |
1 | - Yes |
CCAD item name:
Hypercholesterolaemia
Context | Alias |
---|---|
plural | PERSON OBSERVATION HISTORY (HYPERCHOLESTEROLAEMIA) |
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: | 9 - Unknown |
Notes:
Derive from PERSON OBSERVATION history.
Identifies if the patient has hypertension.
A patient is defined as having hypertension if they are receiving treatment or dietary advice or if blood pressure has been recorded at greater than 140/90 on at least two occasions prior to admission.
The derived values ares:
0 | - No |
1 | - Yes |
CCAD item name:
Hypertension
Context | Alias |
---|---|
plural | PERSON OBSERVATION HISTORY (HYPERTENSION) |
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: | 9 - Unknown |
Notes:
Derive from DIAGNOSIS in the CLINICAL CLASSIFICATION FOR PERSON sub type of PERSON OBSERVATION.
Indicates if the patient has a history of peripheral vascular disease.
The presence of peripheral vascular disease, either presently symptomatic or previously treated by intervention or surgery. Include known renovascular disease and aortic aneurysm.
The derived values ares:
0 | - No |
1 | - Yes |
CCAD item name:
Peripheral vascular disease
Context | Alias |
---|---|
plural | PERSON OBSERVATION HISTORY (PERIPHERAL VASCULAR DISEASE) |
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: | 9 - Unknown |
Notes:
Derive from DIAGNOSIS in the CLINICAL CLASSIFICATION FOR PERSON sub type of PERSON OBSERVATION.
Any previously validated episode of acute myocardial infarction.
The derived values ares:
0 | - No |
1 | - Yes |
CCAD item name:
Previous AMI
Context | Alias |
---|---|
plural | PERSON OBSERVATION HISTORY (PREVIOUS AMI) |
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: | 9 - Unknown |
Notes:
Derive from DIAGNOSIS in the CLINICAL CLASSIFICATION FOR PERSON sub type of PERSON OBSERVATION.
Symptoms thought to be indicative of ischaemic cardiac pain either at rest or on exertion existing at least two weeks prior to this admission.
The derived values ares:
0 | - No |
1 | - Yes |
CCAD item name:
Previous Angina
Context | Alias |
---|---|
plural | PERSON OBSERVATION HISTORY (PREVIOUS ANGINA) |
Format/length: | an10 (ccyy-mm-dd) an8 (hh:mm:ss) |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
This is the START DATE and START TIME from PERSON OBSERVATION for the ACUTE MYOCARDIAL INFARCTION HISTORY ITEM where the AMI HISTORY ITEM TYPE is 'Arrival of Initial professional help'.
Time of arrival of general practitioner or other first responder.
CCAD item name:
Date/time of arrival of first professional help
Context | Alias |
---|---|
plural | PROFESSIONAL HELP ARRIVAL DATES AND TIMES (AMI) |
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: | 9 - Unknown |
Notes:
Derive from CLINICAL INTERVENTION whether a radionuclide study was performed during the HOSPITAL PROVIDER SPELL within the ACUTE MYOCARDIAL INFARCTION CARE SPELL or is planned after admission and recorded as THERAPY AFTER DISCHARGE with THERAPY TYPE 'radionuclide study'.
The derived values ares:
0 | - No |
1 | - Yes |
2 | - Planned after admission |
CCAD item name:
Radionuclide Study
Context | Alias |
---|---|
plural | RADIONUCLIDE STUDIES |
Format/length: | an10 (ccyy-mm-dd) an8 (hh:mm:ss) |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
The date on which a referral for angiography and possible intervention was made, either locally or to another centre
CCAD item name:
Date of referral for investigation/intervention
Context | Alias |
---|---|
plural | REFERRAL REQUEST (AMI INVESTIGATION OR INTERVENTION) |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 9 - Unknown |
Notes:
Referral to a rehabilitation service either in hospital or after discharge.
CCAD item name:
Cardiac Rehab
Context | Alias |
---|---|
plural | REHABILITATION REFERRALS |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 9 - Unknown |
Notes:
CCAD item name:
Whose Initial Decision To Reperfuse
Context | Alias |
---|---|
plural | REPERFUSION INITIAL DECISIONS |
Format/length: | an10 (ccyy-mm-dd) an8 (hh:mm:ss) |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
This is the REPERFUSION DATE and REPERFUSION TIME.
The date and time of onset of reperfusion treatment whether by bolus or infusion.
CCAD item name:
Date/time of reperfusion treatment
Context | Alias |
---|---|
plural | REPERFUSION TREATMENT DATES AND TIMES |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 9 - Unknown |
Notes:
CCAD item name:
Where Was Initial Reperfusion Treatment Given
Context | Alias |
---|---|
plural | REPERFUSION TREATMENT LOCATIONS |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 9 - Unknown |
Notes:
This data item only refers to the initial reperfusion strategy.
CCAD item name:
Was reperfusion attempted?
Context | Alias |
---|---|
plural | REPERFUSION TYPES (INITIAL STRATEGY) |
Format/length: | nn.n |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
Derive from CLINICAL INVESTIGATION RESULT ITEM/NUMERICAL VALUE.
A fasting sample ideally taken within 24 hours of admission
CCAD item name:
Serum cholesterol
Context | Alias |
---|---|
plural | SERUM CHOLESTEROL |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 9 - Unknown |
Context | Alias |
---|---|
plural | SMOKING STATUS |
Format/length: | an10 (ccyy-mm-dd) an8 (hh:mm:ss) |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
This is the START DATE and START TIME from PERSON OBSERVATION for the ACUTE MYOCARDIAL INFARCTION HISTORY ITEM where the AMI HISTORY ITEM TYPE is 'Symptom Onset'.
The time to within 10 minutes, if possible, when symptoms began.
Where there is a prodrome of intermittent pain the time recorded should be the time of onset of those symptoms which led the patient to call for help. Where admission followed an out of hospital cardiac arrest, with no better information available, use the time of the arrest for onset of symptoms.
CCAD item name:
Date/time of symptom onset
Context | Alias |
---|---|
plural | SYMPTOM ONSET DATES AND TIMES (AMI) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
The first systolic blood pressure recorded after admission to hospital. The patient should be in a stable cardiac rhythm, i.e. sinus or chronic AF. Where the presenting rhythm is a treatable tachyarrhythmia, the first stable SBP after treatment should be used.
CCAD item name:
Systolic BP
Context | Alias |
---|---|
plural | SYSTOLIC PRESSURE (FIRST AFTER ADMISSION) |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: |
Notes:
CCAD item name:
Thrombolytic drug
Context | Alias |
---|---|
plural | THROMBOLYTIC DRUGS |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: |
Notes:
CCAD item name:
Justified Delay Before Thrombolytic Treatment
Context | Alias |
---|---|
plural | THROMBOLYTIC TREATMENT DELAY REASONS |
Format/length: | n1 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: | 9 - Unknown |
Notes:
Some of the original contraindications in relation to bleeding risk may no longer be used, including diabetic retinopathy, and liver disease, and warfarin therapy. Where there is more than one contraindication to treatment you can only enter one option, with 'Too late' having priority over all the others.
CCAD item name:
Reason Thrombolytic Treatment Not Given
Context | Alias |
---|---|
plural | THROMBOLYTIC TREATMENT NOT GIVEN REASONS |
Please address enquiries about this DSCN to:-
Data Standards Team
NHS Information Authority
Aqueous II
Aston Cross
Rocky Lane
Birmingham
B6 5RQ
Tel: 0121 333 0333