Change Request

NHS Information Authority

Data Standards Programme

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

Background:

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:
 
Class Definitions
ACUTE MYOCARDIAL INFARCTION CARE SPELL   Change to attributes
ACUTE MYOCARDIAL INFARCTION CARE SPELL   Change to relationships
AMI DISCHARGE DRUG   New Class
ASPIRIN THERAPY   Change to attributes
BLOOD PRESSURE   New Class
HOSPITAL SITE   Change to attributes
PATIENT   Change to relationships
PATIENT CLINICAL GROUP   New Class
PATIENT INITIATED AMI CARE SPELL   Change to attributes
THERAPY AFTER DISCHARGE   Change to attributes
THROMBOLYTIC THERAPY   Change to attributes
TOBACCO USAGE   New Class
 
Attribute Definitions
AMI ADMISSION DIAGNOSIS   New Attribute
AMI ADMISSION WARD TYPE   New Attribute
AMI ADMITTING CONSULTANT TYPE   New Attribute
AMI DISCHARGE DIAGNOSIS   New Attribute
AMI DRUG TYPE   New Attribute
AMI HEART RATE   New Attribute
ANGIOGRAM DATE   New Attribute
ARRIVAL AT HOSPITAL TIME   New Attribute
ASPIRIN THERAPY DETAIL   Change to name
ASPIRIN THERAPY DETAIL   Change to aliases
BLEED COMPLICATION   New Attribute
CARDIAC ARREST OUTCOME   Change to description
CARDIAC ARREST PRESENTING RHYTHM   Change to description
CCAD HOSPTIAL IDENTIFIER   New Attribute
CIGARETTES PER DAY   New Attribute
CORONARY ANGIOGRAPHY DATE   New Attribute
CORONARY ANGIOGRAPHY PERFORMED   New Attribute
CORONARY INTERVENTION PERFORMED   New Attribute
DATE STOPPED SMOKING   New Attribute
DIASTOLIC PRESSURE   New Attribute
DISCHARGED ON INDICATOR   New Attribute
ECG DETERMINING TREATMENT   Change to description
INITIAL PATIENT CONTACT TYPE   Change to name
INITIAL PATIENT CONTACT TYPE   Change to aliases
INVESTIGATION OR INTERVENTION REFERRAL DATE   New Attribute
INVESTIGATION TRANSFER DATE   New Attribute
NUMBER OF YEARS SMOKED   New Attribute
REHABILITATION REFERRAL   New Attribute
REPERFUSION INITIAL DECISION   Change to description
REPERFUSION TREATMENT LOCATION   Change to description
SMOKING STATUS   New Attribute
SYSTOLIC PRESSURE   New Attribute
THERAPY TYPE   New Attribute
THROMBOLYTIC DRUG   New Attribute
THROMBOLYTIC TREATMENT DELAY REASON   Change to description
THROMBOLYTIC TREATMENT NOT GIVEN REASON   Change to description
TOBACCO CHEWING HISTORY   New Attribute
TOBACCO USAGE TYPE   New Attribute
 
Data Elements
AMI ADMISSION DIAGNOSIS   New DataElement
AMI ADMISSION WARD TYPE   New DataElement
AMI ADMITTING CONSULTANT TYPE   New DataElement
AMI CAUSE OF DEATH IN HOSPITAL   New DataElement
AMI DISCHARGE DIAGNOSIS   New DataElement
AMI DRUG TREATMENT (ANGIOTENSIN II BLOCKER)   New DataElement
AMI DRUG TREATMENT (CALCIUM CHANNEL BLOCKER)   New DataElement
AMI DRUG TREATMENT (IV 2B/3A AGENT)   New DataElement
AMI DRUG TREATMENT (IV BETA BLOCKER)   New DataElement
AMI DRUG TREATMENT (IV NITRATE)   New DataElement
AMI DRUG TREATMENT (LOOP DIURETIC)   New DataElement
AMI DRUG TREATMENT (LOW MOLECULAR WEIGHT HEPARIN)   New DataElement
AMI DRUG TREATMENT (ORAL ANTI-PLATELET AGENT)   New DataElement
AMI DRUG TREATMENT (ORAL NITRATE)   New DataElement
AMI DRUG TREATMENT (POTASSIUM CHANNEL MODULATOR)   New DataElement
AMI DRUG TREATMENT (SPIRONOLACTONE)   New DataElement
AMI DRUG TREATMENT (THIAZIDE DIURETIC)   New DataElement
AMI DRUG TREATMENT (THIENOPYRIDINE PLATELET INHIBITOR)   New DataElement
AMI DRUG TREATMENT (UNFRACTIONATED HEPARIN)   New DataElement
AMI DRUG TREATMENT (WARFARIN)   New DataElement
AMI HEART RATE   New DataElement
ANGIOGRAM DATE   New DataElement
ASPIRIN THERAPY LOCATION   New DataElement
BLEED COMPLICATION   New DataElement
CARDIAC ARREST FIRST VERIFIED DATE AND TIME   New DataElement
CARDIAC ARREST LOCATION   New DataElement
CARDIAC ARREST OUTCOME (FIRST)   New DataElement
CARDIAC ARREST PRESENTING RHYTHM   New DataElement
CARDIAC ENZYMES OR MARKERS RAISED   New DataElement
CCAD HOSPITAL IDENTIFIER   New DataElement
CCAD HOSPITAL IDENTIFIER (REFERRING)   New DataElement
CORONARY ANGIOGRAPHY PERFORMED   New DataElement
CORONARY INTERVENTION PERFORMED   New DataElement
DISCHARGED ON ANGIOTENSIN INHIBITOR   New DataElement
DISCHARGED ON ANTI-PLATELET DRUG   New DataElement
DISCHARGED ON BETA BLOCKER   New DataElement
DISCHARGED ON STATIN   New DataElement
ECG DETERMINING TREATMENT   New DataElement
ECHOCARDIOGRAPHY PERFORMED   New DataElement
EMERGENCY SERVICES ARRIVAL DATE AND TIME (AMI)   New DataElement
EXERCISE TEST PERFORMED   New DataElement
INITIAL CONTACT TYPE   New DataElement
INITIAL PATIENT CONTACT DATE AND TIME   New DataElement
INTERVENTION DATE (FIRST IN AMI CARE SPELL)   New DataElement
INVESTIGATION TRANSFER DATE   New DataElement
PATIENT CLINICAL GROUP   New DataElement
PATIENT FAMILY OR SURNAME   New DataElement
PATIENT FORENAME OR PERSONAL NAME   New DataElement
PEAK CREATINE KINASE   New DataElement
PEAK TROPONIN   New DataElement
PERSON HISTORY (PREVIOUS CABG)   New DataElement
PERSON HISTORY (PREVIOUS PCI)   New DataElement
PERSON OBSERVATION HISTORY (ASTHMA OR COPD)   New DataElement
PERSON OBSERVATION HISTORY (CEREBROVASCULAR DISEASE)   New DataElement
PERSON OBSERVATION HISTORY (CHRONIC RENAL FAILURE)   New DataElement
PERSON OBSERVATION HISTORY (DIABETES TYPE)   New DataElement
PERSON OBSERVATION HISTORY (HEART FAILURE)   New DataElement
PERSON OBSERVATION HISTORY (HYPERCHOLESTEROLAEMIA)   New DataElement
PERSON OBSERVATION HISTORY (HYPERTENSION)   New DataElement
PERSON OBSERVATION HISTORY (PERIPHERAL VASCULAR DISEASE)   New DataElement
PERSON OBSERVATION HISTORY (PREVIOUS AMI)   New DataElement
PERSON OBSERVATION HISTORY (PREVIOUS ANGINA)   New DataElement
PROFESSIONAL HELP ARRIVAL DATE AND TIME (AMI)   New DataElement
RADIONUCLIDE STUDY   New DataElement
REFERRAL REQUEST (AMI INVESTIGATION OR INTERVENTION)   New DataElement
REHABILITATION REFERRAL   New DataElement
REPERFUSION INITIAL DECISION   New DataElement
REPERFUSION TREATMENT DATE AND TIME   New DataElement
REPERFUSION TREATMENT LOCATION   New DataElement
REPERFUSION TYPE (INITIAL STRATEGY)   New DataElement
SERUM CHOLESTEROL   New DataElement
SMOKING STATUS   New DataElement
SYMPTOM ONSET DATE AND TIME (AMI)   New DataElement
SYSTOLIC PRESSURE (FIRST AFTER ADMISSION)   New DataElement
THROMBOLYTIC DRUG   New DataElement
THROMBOLYTIC TREATMENT DELAY REASON   New DataElement
THROMBOLYTIC TREATMENT NOT GIVEN REASON   New DataElement

Name:Michelle Cambridge
Date:23 January 2003
Sponsor:Data Standards Team

Note: Additions shown in highlighted with a blue background. Deletions are shown using strikeout.


ACUTE MYOCARDIAL INFARCTION CARE SPELL

Change to Class: change to attributes

Attributes of this Class are:
AMI ADMISSION DIAGNOSIS
AMI ADMISSION WARD TYPE
AMI ADMITTING CONSULTANT TYPE
OAMI CAUSE OF DEATH IN HOSPITAL
OAMI DISCHARGE DIAGNOSIS
AMI HEART RATE
OANGIOGRAM DATE
ARRIVAL AT HOSPITAL TIME
BLEED COMPLICATION
OCORONARY ANGIOGRAPHY DATE
CORONARY ANGIOGRAPHY PERFORMED
CORONARY INTERVENTION PERFORMED
ECG DETERMINING TREATMENT
INITIAL CONTACT TYPE
INVESTIGATION OR INTERVENTION REFERRAL DATE
OINVESTIGATION TRANSFER DATE
OREHABILITATION REFERRAL


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ACUTE MYOCARDIAL INFARCTION CARE SPELL

Change to Class: change to relationships

This class has no relationships. Each ACUTE MYOCARDIAL INFARCTION CARE SPELL
may be associated with one or more AMI DISCHARGE DRUG


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AMI DISCHARGE DRUG

Change to Class: New Class

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.



This class is also known by these names:
ContextAlias
pluralAMI DISCHARGE DRUGS

Attributes of this Class are:
KAMI DRUG TYPE
DISCHARGED ON INDICATOR

Each AMI DISCHARGE DRUG
Kmust be prescribed as part of one and only one ACUTE MYOCARDIAL INFARCTION CARE SPELL


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ASPIRIN THERAPY

Change to Class: change to attributes

Attributes of this Class are:
ASPIRIN THERAPY DETAIL
ASPIRIN THERAPY LOCATION


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BLOOD PRESSURE

Change to Class: New Class

BLOOD PRESSURE

A type of PERSON OBSERVATION.

A record of the person's blood pressure.



This class is also known by these names:
ContextAlias
pluralBLOOD PRESSURE

Attributes of this Class are:
DIASTOLIC PRESSURE
SYSTOLIC PRESSURE

This class has no relationships.


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HOSPITAL SITE

Change to Class: change to attributes

Attributes of this Class are:
OCCAD HOSPTIAL IDENTIFIER
DELIVERY FACILITIES AVAILABLE
OHIGH SECURITY PSYCHIATRIC ACCOMMODATION
   if approved high security accommodation provided on the hospital site
OHOSPITAL SITE TOTAL BEDS
   if not NHS site


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PATIENT

Change to Class: change to relationships

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


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PATIENT CLINICAL GROUP

Change to Class: New Class

PATIENT CLINICAL GROUP

A type of CHARACTERISTIC.

The patient's ethnic group as perceived by the clinician.

Note: PATIENT CLINICAL GROUP is the classification used for the patient's ethnic group as developed for the AMI Data Set.

National Codes:
01 Caucasian
02 Black
03 Asian
04 Oriental
08 Other

References:
Acute Myocardial Infarction Core Data Set Version 3.0



This class is also known by these names:
ContextAlias
pluralPATIENT CLINICAL GROUPS

This class has no attributes.

This class has no relationships.


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PATIENT INITIATED AMI CARE SPELL

Change to Class: change to attributes

Attributes of this Class are:
INITIAL PATIENT CONTACT DATE
INITIAL PATIENT CONTACT TIME
INITIAL PATIENT CONTACT TYPE


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THERAPY AFTER DISCHARGE

Change to Class: change to attributes

This class has no attributes. Attributes of this Class are:
THERAPY TYPE


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THROMBOLYTIC THERAPY

Change to Class: change to attributes

Attributes of this Class are:
THROMBOLYTIC DRUG
THROMBOLYTIC TREATMENT DELAY REASON
THROMBOLYTIC TREATMENT NOT GIVEN REASON


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TOBACCO USAGE

Change to Class: New Class

TOBACCO USAGE

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



This class is also known by these names:
ContextAlias
pluralTOBACCO USAGES

Attributes of this Class are:
KSTART DATE
KTOBACCO USAGE TYPE
OCIGARETTES PER DAY
   if current or ex-smoker
ODATE STOPPED SMOKING
   if ex-smoker
ONUMBER OF YEARS SMOKED
   if current or ex-smoker
SMOKING STATUS
OTOBACCO CHEWING HISTORY

Each TOBACCO USAGE
Kmust be the usage of one and only one PATIENT


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AMI ADMISSION DIAGNOSIS

Change to Attribute: New Attribute

AMI ADMISSION DIAGNOSIS

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



This attribute is also known by these names:
ContextAlias
pluralAMI ADMISSION DIAGNOSES


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AMI ADMISSION WARD TYPE

Change to Attribute: New Attribute

AMI ADMISSION WARD TYPE

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



This attribute is also known by these names:
ContextAlias
pluralAMI ADMISSION WARD TYPES


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AMI ADMITTING CONSULTANT TYPE

Change to Attribute: New Attribute

AMI ADMITTING CONSULTANT TYPE

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



This attribute is also known by these names:
ContextAlias
pluralAMI ADMITTING CONSULTANT TYPES


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AMI DISCHARGE DIAGNOSIS

Change to Attribute: New Attribute

AMI DISCHARGE DIAGNOSIS

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



This attribute is also known by these names:
ContextAlias
pluralAMI DISCHARGE DIAGNOSES


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AMI DRUG TYPE

Change to Attribute: New Attribute

AMI DRUG TYPE

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



This attribute is also known by these names:
ContextAlias
pluralAMI DRUG TYPES


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AMI HEART RATE

Change to Attribute: New Attribute

AMI HEART RATE

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



This attribute is also known by these names:
ContextAlias
pluralAMI HEART RATES


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ANGIOGRAM DATE

Change to Attribute: New Attribute

ANGIOGRAM DATE

The date on which an angiogram is performed within the ACUTE MYOCARDIAL INFARCTION CARE SPELL.



This attribute is also known by these names:
ContextAlias
pluralANGIOGRAM DATES


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ARRIVAL AT HOSPITAL TIME

Change to Attribute: New Attribute

ARRIVAL AT HOSPITAL TIME

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



This attribute is also known by these names:
ContextAlias
pluralARRIVAL AT HOSPITAL TIMES


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ASPIRIN THERAPY DETAIL

Change to Attribute: change to name

ASPIRIN THERAPY DETAIL
ASPIRIN THERAPY LOCATION


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ASPIRIN THERAPY DETAIL

Change to Attribute: change to aliases

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
4 Clinical contraindication to aspirin (and no other antiplatelet agent used)
5 Either already on another antiplatelet agent or started on one because of clinical contraindications to aspirin
6 No antiplatelet agent used
7 On warfarin, aspirin not given
9 Not known
8 Not Given

References:
Acute Myocardial Infarction Core Data Set Version 2.8Acute Myocardial Infarction Core Data Set Version 3.0



This attribute is also known by these names:
ContextAlias
pluralASPIRIN THERAPY DETAILS
pluralASPIRIN THERAPY LOCATIONS


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BLEED COMPLICATION

Change to Attribute: New Attribute

BLEED COMPLICATION

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



This attribute is also known by these names:
ContextAlias
pluralBLEED COMPLICATIONS


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CARDIAC ARREST OUTCOME

Change to Attribute: change to description

The outcome of the CARDIAC ARREST.

National Codes:
1 No return of circulation
2 Return of spontaneous circulation
2 Return of spontaneous circulation, but died in hospital
5 Resuscitation not attempted
3 Discharged from hospital (with neurological deficit)
9 Not known
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



This attribute is also known by these names:
ContextAlias
pluralCARDIAC ARREST OUTCOMES


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CARDIAC ARREST PRESENTING RHYTHM

Change to Attribute: change to description

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
9 Not known

References:
Acute Myocardial Infarction Core Data Set Version 2.8Acute Myocardial Infarction Core Data Set Version 3.0



This attribute is also known by these names:
ContextAlias
pluralCARDIAC ARREST PRESENTING RHYTHMS


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CCAD HOSPTIAL IDENTIFIER

Change to Attribute: New Attribute

CCAD HOSPTIAL IDENTIFIER

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.



This attribute is also known by these names:
ContextAlias
pluralCCAD HOSPTIAL IDENTIFIERS


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CIGARETTES PER DAY

Change to Attribute: New Attribute

CIGARETTES PER DAY

The number of cigarettes smoked by the patient where they are a current or ex-smoker.



This attribute is also known by these names:
ContextAlias
pluralCIGARETTES PER DAY


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CORONARY ANGIOGRAPHY DATE

Change to Attribute: New Attribute

CORONARY ANGIOGRAPHY DATE

The date on which a coronary angiography is performed with an ACUTE MYOCARDIAL INFARCTION CARE SPELL.



This attribute is also known by these names:
ContextAlias
pluralCORONARY ANGIOGRAPHY DATES


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CORONARY ANGIOGRAPHY PERFORMED

Change to Attribute: New Attribute

CORONARY ANGIOGRAPHY PERFORMED

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



This attribute is also known by these names:
ContextAlias
pluralCORONARY ANGIOGRAPHIES PERFORMED


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CORONARY INTERVENTION PERFORMED

Change to Attribute: New Attribute

CORONARY INTERVENTION 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



This attribute is also known by these names:
ContextAlias
pluralCORONARY INTERVENTIONS PERFORMED


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DATE STOPPED SMOKING

Change to Attribute: New Attribute

DATE STOPPED SMOKING

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.



This attribute is also known by these names:
ContextAlias
pluralDATES STOPPED SMOKING


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DIASTOLIC PRESSURE

Change to Attribute: New Attribute

DIASTOLIC PRESSURE

The pressure reading of the blood between heart beats.



This attribute is also known by these names:
ContextAlias
pluralDIASTOLIC PRESSURE


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DISCHARGED ON INDICATOR

Change to Attribute: New Attribute

DISCHARGED ON INDICATOR

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



This attribute is also known by these names:
ContextAlias
pluralDISCHARGED ON INDICATORS


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ECG DETERMINING TREATMENT

Change to Attribute: change to description

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
8 Not known
6 Normal ECG

References:
Acute Myocardial Infarction Core Data Set Version 2.8Acute Myocardial Infarction Core Data Set Version 3.0



This attribute is also known by these names:
ContextAlias
pluralECG DETERMINING TREATMENTS


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INITIAL PATIENT CONTACT TYPE

Change to Attribute: change to name

INITIAL PATIENT CONTACT TYPE
INITIAL CONTACT TYPE


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INITIAL PATIENT CONTACT TYPE

Change to Attribute: change to aliases

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
9 Not known
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



This attribute is also known by these names:
ContextAlias
pluralINITIAL PATIENT CONTACT TYPES
pluralINITIAL CONTACT TYPES


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INVESTIGATION OR INTERVENTION REFERRAL DATE

Change to Attribute: New Attribute

INVESTIGATION OR INTERVENTION REFERRAL DATE

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.



This attribute is also known by these names:
ContextAlias
pluralINVESTIGATION OR INTERVENTION REFERRAL DATES


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INVESTIGATION TRANSFER DATE

Change to Attribute: New Attribute

INVESTIGATION TRANSFER DATE

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.



This attribute is also known by these names:
ContextAlias
pluralINVESTIGATION TRANSFER DATES


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NUMBER OF YEARS SMOKED

Change to Attribute: New Attribute

NUMBER OF YEARS SMOKED

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.



This attribute is also known by these names:
ContextAlias
pluralNUMBER OF YEARS SMOKED


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REHABILITATION REFERRAL

Change to Attribute: New Attribute

REHABILITATION REFERRAL

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



This attribute is also known by these names:
ContextAlias
pluralREHABILITATION REFERRALS


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REPERFUSION INITIAL DECISION

Change to Attribute: change to description

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
9 Not known
5 GP
6 Paramedic

References:
Acute Myocardial Infarction Core Data Set Version 2.8Acute Myocardial Infarction Core Data Set Version 3.0



This attribute is also known by these names:
ContextAlias
pluralREPERFUSION INITIAL DECISIONS


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REPERFUSION TREATMENT LOCATION

Change to Attribute: change to description

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
9 Not known

References:
Acute Myocardial Infarction Core Data Set Version 2.8Acute Myocardial Infarction Core Data Set Version 3.0



This attribute is also known by these names:
ContextAlias
pluralREPERFUSION TREATMENT LOCATIONS


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SMOKING STATUS

Change to Attribute: New Attribute

SMOKING STATUS

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



This attribute is also known by these names:
ContextAlias
pluralSMOKING STATUSES


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SYSTOLIC PRESSURE

Change to Attribute: New Attribute

SYSTOLIC PRESSURE

The pressure reading of the blood at each heart beat.



This attribute is also known by these names:
ContextAlias
pluralSYSTOLIC PRESSURE


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THERAPY TYPE

Change to Attribute: New Attribute

THERAPY TYPE

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



This attribute is also known by these names:
ContextAlias
pluralTHERAPY TYPES


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THROMBOLYTIC DRUG

Change to Attribute: New Attribute

THROMBOLYTIC DRUG

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



This attribute is also known by these names:
ContextAlias
pluralTHROMBOLYTIC DRUGS


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THROMBOLYTIC TREATMENT DELAY REASON

Change to Attribute: change to description

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



This attribute is also known by these names:
ContextAlias
pluralTHROMBOLYTIC TREATMENT DELAY REASONS


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THROMBOLYTIC TREATMENT NOT GIVEN REASON

Change to Attribute: change to description

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
9 Not known
7 Patient refused treatment
8 Other

References:
Acute Myocardial Infarction Core Data Set Version 2.8Acute Myocardial Infarction Core Data Set Version 3.0



This attribute is also known by these names:
ContextAlias
pluralTHROMBOLYTIC TREATMENT NOT GIVEN REASONS


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TOBACCO CHEWING HISTORY

Change to Attribute: New Attribute

TOBACCO CHEWING HISTORY

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



This attribute is also known by these names:
ContextAlias
pluralTOBACCO CHEWING HISTORY'S


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TOBACCO USAGE TYPE

Change to Attribute: New Attribute

TOBACCO USAGE TYPE

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



This attribute is also known by these names:
ContextAlias
pluralTOBACCO USAGE TYPES


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AMI ADMISSION DIAGNOSIS

Change to Data Element: New DataElement

AMI ADMISSION DIAGNOSIS

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



This data element is also known by these names:
ContextAlias
pluralAMI ADMISSION DIAGNOSES


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AMI ADMISSION WARD TYPE

Change to Data Element: New DataElement

AMI ADMISSION WARD TYPE

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



This data element is also known by these names:
ContextAlias
pluralAMI ADMISSION WARD TYPES


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AMI ADMITTING CONSULTANT TYPE

Change to Data Element: New DataElement

AMI ADMITTING CONSULTANT TYPE

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



This data element is also known by these names:
ContextAlias
pluralAMI ADMITTING CONSULTANT TYPES


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AMI CAUSE OF DEATH IN HOSPITAL

Change to Data Element: New DataElement

AMI CAUSE OF DEATH IN HOSPITAL

Format/length: n1
HES item:
National Codes:
Default Codes: 0 - Not dead
9 - Unknown

Notes:

CCAD item name:
Death in hospital



This data element is also known by these names:
ContextAlias
pluralAMI CAUSE OF DEATH IN HOSPITAL


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AMI DISCHARGE DIAGNOSIS

Change to Data Element: New DataElement

AMI DISCHARGE DIAGNOSIS

Format/length: n2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

Notes:

CCAD item name:
Discharge Diagnosis



This data element is also known by these names:
ContextAlias
pluralAMI DISCHARGE DIAGNOSES


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AMI DRUG TREATMENT (ANGIOTENSIN II BLOCKER)

Change to Data Element: New DataElement

AMI DRUG TREATMENT (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:
Angiotensin II Blocker (ARB)



This data element is also known by these names:
ContextAlias
pluralAMI DRUG TREATMENTS (ANGIOTENSIN II BLOCKER)


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AMI DRUG TREATMENT (CALCIUM CHANNEL BLOCKER)

Change to Data Element: New DataElement

AMI DRUG TREATMENT (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.

CCAD item name:
Calcium channel blocker



This data element is also known by these names:
ContextAlias
pluralAMI DRUG TREATMENTS (CALCIUM CHANNEL BLOCKER)


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AMI DRUG TREATMENT (IV 2B/3A AGENT)

Change to Data Element: New DataElement

AMI DRUG TREATMENT (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.

Excludes use of 2b/3a agents started during PCI.

CCAD item name:
IV 2b/3a AGENT



This data element is also known by these names:
ContextAlias
pluralAMI DRUG TREATMENTS (IV 2b/3a AGENT)


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AMI DRUG TREATMENT (IV BETA BLOCKER)

Change to Data Element: New DataElement

AMI DRUG TREATMENT (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 beta blocker



This data element is also known by these names:
ContextAlias
pluralAMI DRUG TREATMENTS (IV BETA BLOCKER)


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AMI DRUG TREATMENT (IV NITRATE)

Change to Data Element: New DataElement

AMI DRUG TREATMENT (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.

CCAD item name:
IV Nitrate



This data element is also known by these names:
ContextAlias
pluralAMI DRUG TREATMENTS (IV NITRATE)


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AMI DRUG TREATMENT (LOOP DIURETIC)

Change to Data Element: New DataElement

AMI DRUG TREATMENT (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 when a diuretic drug is introduced or used in increased dose.

CCAD item name:
Loop diuretic



This data element is also known by these names:
ContextAlias
pluralAMI DRUG TREATMENTS (LOOP DIURETIC)


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AMI DRUG TREATMENT (LOW MOLECULAR WEIGHT HEPARIN)

Change to Data Element: New DataElement

AMI DRUG TREATMENT (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.

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



This data element is also known by these names:
ContextAlias
pluralAMI DRUG TREATMENTS (LOW MOLECULAR WEIGHT HEPARIN)


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AMI DRUG TREATMENT (ORAL ANTI-PLATELET AGENT)

Change to Data Element: New DataElement

AMI DRUG TREATMENT (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.

For example - dipyridamole.

CCAD item name:
Other oral anti-platelet agent



This data element is also known by these names:
ContextAlias
pluralAMI DRUG TREATMENTS (ORAL ANTI-PLATELET AGENT)


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AMI DRUG TREATMENT (ORAL NITRATE)

Change to Data Element: New DataElement

AMI DRUG TREATMENT (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.

Does not include sublingual nitroglycerine or spray used on an as-needed basis.

CCAD item name:
Oral nitrate



This data element is also known by these names:
ContextAlias
pluralAMI DRUG TREATMENTS (ORAL NITRATE)


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AMI DRUG TREATMENT (POTASSIUM CHANNEL MODULATOR)

Change to Data Element: New DataElement

AMI DRUG TREATMENT (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:
Potassium channel modulator



This data element is also known by these names:
ContextAlias
pluralAMI DRUG TREATMENTS (POTASSIUM CHANNEL MODULATOR)


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AMI DRUG TREATMENT (SPIRONOLACTONE)

Change to Data Element: New DataElement

AMI DRUG TREATMENT (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.

CCAD item name:
Spironolactone



This data element is also known by these names:
ContextAlias
pluralAMI DRUG TREATMENTS (SPIRONOLACTONE)


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AMI DRUG TREATMENT (THIAZIDE DIURETIC)

Change to Data Element: New DataElement

AMI DRUG TREATMENT (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.

Use when a diuretic drug is introduced or used in increased dose.

CCAD item name:
Thiazide diuretic



This data element is also known by these names:
ContextAlias
pluralAMI DRUG TREATMENTS (THIAZIDE DIURETIC)


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AMI DRUG TREATMENT (THIENOPYRIDINE PLATELET INHIBITOR)

Change to Data Element: New DataElement

AMI DRUG TREATMENT (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.

For example - clopidogrel, ticlopidine.

CCAD item name:
Thienopyridine platelet inhibitor



This data element is also known by these names:
ContextAlias
pluralAMI DRUG TREATMENTS (THIENOPYRIDINE PLATELET INHIBITOR)


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AMI DRUG TREATMENT (UNFRACTIONATED HEPARIN)

Change to Data Element: New DataElement

AMI DRUG TREATMENT (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.

Use of unfractionated heparin as therapy for ACS or STE AMI either alone or in conjunction with other treatment.

CCAD item name:
Unfractionated heparin



This data element is also known by these names:
ContextAlias
pluralAMI DRUG TREATMENTS (UNFRACTIONATED HEPARIN)


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AMI DRUG TREATMENT (WARFARIN)

Change to Data Element: New DataElement

AMI DRUG TREATMENT (WARFARIN)

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



This data element is also known by these names:
ContextAlias
pluralAMI DRUG TREATMENTS (WARFARIN)


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AMI HEART RATE

Change to Data Element: New DataElement

AMI HEART RATE

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



This data element is also known by these names:
ContextAlias
pluralAMI HEART RATES


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ANGIOGRAM DATE

Change to Data Element: New DataElement

ANGIOGRAM DATE

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



This data element is also known by these names:
ContextAlias
pluralANGIOGRAM DATES


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ASPIRIN THERAPY LOCATION

Change to Data Element: New DataElement

ASPIRIN THERAPY LOCATION

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



This data element is also known by these names:
ContextAlias
pluralASPIRIN THERAPY LOCATIONS


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BLEED COMPLICATION

Change to Data Element: New DataElement

BLEED COMPLICATION

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



This data element is also known by these names:
ContextAlias
pluralBLEED COMPLICATIONS


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CARDIAC ARREST FIRST VERIFIED DATE AND TIME

Change to Data Element: New DataElement

CARDIAC ARREST FIRST VERIFIED DATE AND TIME

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



This data element is also known by these names:
ContextAlias
pluralCARDIAC ARREST FIRST VERIFIED DATES AND TIMES


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CARDIAC ARREST LOCATION

Change to Data Element: New DataElement

CARDIAC ARREST LOCATION

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



This data element is also known by these names:
ContextAlias
pluralCARDIAC ARREST LOCATIONS


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CARDIAC ARREST OUTCOME (FIRST)

Change to Data Element: New DataElement

CARDIAC ARREST OUTCOME (FIRST)

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes: 9 - Unknown

Notes:
CARDIAC ARREST OUTCOME (FIRST) is the same as attribute CARDIAC ARREST OUTCOME.

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



This data element is also known by these names:
ContextAlias
pluralCARDIAC ARREST OUTCOMES (FIRST)


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CARDIAC ARREST PRESENTING RHYTHM

Change to Data Element: New DataElement

CARDIAC ARREST PRESENTING RHYTHM

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



This data element is also known by these names:
ContextAlias
pluralCARDIAC ARREST PRESENTING RHYTHMS


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CARDIAC ENZYMES OR MARKERS RAISED

Change to Data Element: New DataElement

CARDIAC ENZYMES OR MARKERS RAISED

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



This data element is also known by these names:
ContextAlias
pluralCARDIAC ENZYMES OR MARKERS RAISED


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CCAD HOSPITAL IDENTIFIER

Change to Data Element: New DataElement

CCAD HOSPITAL IDENTIFIER

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



This data element is also known by these names:
ContextAlias
pluralCCAD HOSPITAL IDENTIFIERS


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CCAD HOSPITAL IDENTIFIER (REFERRING)

Change to Data Element: New DataElement

CCAD HOSPITAL IDENTIFIER (REFERRING)

Format/length: n3
HES item:
National Codes: See www.ccad.org.uk
Default Codes:

Notes:
CCAD HOSPITAL IDENTIFIER (REFERRING) is the same as attribute CCAD HOSPITAL IDENTIFIER.

CCAD item name:
Referral centre



This data element is also known by these names:
ContextAlias
pluralCCAD HOSPITAL IDENTIFIERS (REFERRING)


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CORONARY ANGIOGRAPHY PERFORMED

Change to Data Element: New DataElement

CORONARY ANGIOGRAPHY PERFORMED

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



This data element is also known by these names:
ContextAlias
pluralCORONARY ANGIOGRAPHIES PERFORMED


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CORONARY INTERVENTION PERFORMED

Change to Data Element: New DataElement

CORONARY INTERVENTION 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



This data element is also known by these names:
ContextAlias
pluralCORONARY INTERVENTIONS PERFORMED


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DISCHARGED ON ANGIOTENSIN INHIBITOR

Change to Data Element: New DataElement

DISCHARGED ON ANGIOTENSIN INHIBITOR

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



This data element is also known by these names:
ContextAlias
pluralDISCHARGED ON ANGIOTENSIN INHIBITORS


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DISCHARGED ON ANTI-PLATELET DRUG

Change to Data Element: New DataElement

DISCHARGED ON ANTI-PLATELET DRUG

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



This data element is also known by these names:
ContextAlias
pluralDISCHARGED ON ANTI-PLATELET DRUGS


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DISCHARGED ON BETA BLOCKER

Change to Data Element: New DataElement

DISCHARGED ON BETA BLOCKER

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



This data element is also known by these names:
ContextAlias
pluralDISCHARGED ON BETA BLOCKERS


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DISCHARGED ON STATIN

Change to Data Element: New DataElement

DISCHARGED ON STATIN

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



This data element is also known by these names:
ContextAlias
pluralDISCHARGED ON STATIN


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ECG DETERMINING TREATMENT

Change to Data Element: New DataElement

ECG DETERMINING TREATMENT

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



This data element is also known by these names:
ContextAlias
pluralECG DETERMINING TREATMENTS


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ECHOCARDIOGRAPHY PERFORMED

Change to Data Element: New DataElement

ECHOCARDIOGRAPHY PERFORMED

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



This data element is also known by these names:
ContextAlias
pluralECHOCARDIOGRAPHIES PERFORMED


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EMERGENCY SERVICES ARRIVAL DATE AND TIME (AMI)

Change to Data Element: New DataElement

EMERGENCY SERVICES ARRIVAL DATE AND TIME (AMI)

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



This data element is also known by these names:
ContextAlias
pluralEMERGENCY SERVICES ARRIVAL DATES AND TIMES (AMI)


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EXERCISE TEST PERFORMED

Change to Data Element: New DataElement

EXERCISE TEST PERFORMED

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



This data element is also known by these names:
ContextAlias
pluralEXERCISE TESTS PERFORMED


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INITIAL CONTACT TYPE

Change to Data Element: New DataElement

INITIAL CONTACT TYPE

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



This data element is also known by these names:
ContextAlias
pluralINITIAL CONTACT TYPES


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INITIAL PATIENT CONTACT DATE AND TIME

Change to Data Element: New DataElement

INITIAL PATIENT CONTACT DATE AND TIME

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



This data element is also known by these names:
ContextAlias
pluralINITIAL PATIENT CONTACTS DATE AND TIME


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INTERVENTION DATE (FIRST IN AMI CARE SPELL)

Change to Data Element: New DataElement

INTERVENTION DATE (FIRST IN AMI CARE SPELL)

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



This data element is also known by these names:
ContextAlias
pluralINTERVENTION DATES (FIRST IN AMI CARE SPELL)


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INVESTIGATION TRANSFER DATE

Change to Data Element: New DataElement

INVESTIGATION TRANSFER DATE

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 INVESTIGATION TRANSFER DATE, in the case of a day case transfer or by DISCHARGE DATE (HOSPITAL PROVIDER SPELL) & DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) for a patient discharged.

CCAD item name:
Transfer date for daycase investigation



This data element is also known by these names:
ContextAlias
pluralINVESTIGATION TRANSFER DATES


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PATIENT CLINICAL GROUP

Change to Data Element: New DataElement

PATIENT CLINICAL GROUP

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



This data element is also known by these names:
ContextAlias
pluralPATIENT CLINICAL GROUPS


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PATIENT FAMILY OR SURNAME

Change to Data Element: New DataElement

PATIENT FAMILY OR SURNAME

Format/length: an35
HES item:
National Codes:
Default Codes:

This is the PERSON NAME WORD TYPE where b. is the Family or Surname



This data element is also known by these names:
ContextAlias
pluralPATIENT FAMILY OR SURNAMES


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PATIENT FORENAME OR PERSONAL NAME

Change to Data Element: New DataElement

PATIENT FORENAME OR PERSONAL NAME

Format/length: an35
HES item:
National Codes:
Default Codes:

This is the PERSON NAME WORD TYPE c. Forename.



This data element is also known by these names:
ContextAlias
pluralPATIENT FORENAME OR PERSONAL NAMES


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PEAK CREATINE KINASE

Change to Data Element: New DataElement

PEAK CREATINE KINASE

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



This data element is also known by these names:
ContextAlias
pluralPEAK CREATINE KINASE


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PEAK TROPONIN

Change to Data Element: New DataElement

PEAK TROPONIN

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



This data element is also known by these names:
ContextAlias
pluralPEAK TROPONIN


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PERSON HISTORY (PREVIOUS CABG)

Change to Data Element: New DataElement

PERSON HISTORY (PREVIOUS CABG)

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



This data element is also known by these names:
ContextAlias
pluralPERSON HISTORY (PREVIOUS CABG)


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PERSON HISTORY (PREVIOUS PCI)

Change to Data Element: New DataElement

PERSON HISTORY (PREVIOUS PCI)

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



This data element is also known by these names:
ContextAlias
pluralPERSON HISTORY (PREVIOUS PCI)


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PERSON OBSERVATION HISTORY (ASTHMA OR COPD)

Change to Data Element: New DataElement

PERSON 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.

Any form of obstructive airways disease.

The derived values are:
0 - No
1 - Yes

CCAD item name:
Asthma or COPD



This data element is also known by these names:
ContextAlias
pluralPERSONS OBSERVATION HISTORY (ASTHMA OR COPD)


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PERSON OBSERVATION HISTORY (CEREBROVASCULAR DISEASE)

Change to Data Element: New DataElement

PERSON OBSERVATION HISTORY (CEREBROVASCULAR 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.

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



This data element is also known by these names:
ContextAlias
pluralPERSON OBSERVATION HISTORY (CEREBROVASCULAR DISEASE)


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PERSON OBSERVATION HISTORY (CHRONIC RENAL FAILURE)

Change to Data Element: New DataElement

PERSON OBSERVATION HISTORY (CHRONIC RENAL FAILURE)

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



This data element is also known by these names:
ContextAlias
pluralPERSON OBSERVATION HISTORY (CHRONIC RENAL FAILURE)


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PERSON OBSERVATION HISTORY (DIABETES TYPE)

Change to Data Element: New DataElement

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 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



This data element is also known by these names:
ContextAlias
pluralPERSON OBSERVATION HISTORY (DIABETES TYPE)


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PERSON OBSERVATION HISTORY (HEART FAILURE)

Change to Data Element: New DataElement

PERSON OBSERVATION HISTORY (HEART 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.

A previously validated diagnosis of heart failure on any therapeutic regime.

The derived values ares:
0 - No
1 - Yes

CCAD item name:
Heart failure



This data element is also known by these names:
ContextAlias
pluralPERSON OBSERVATION HISTORY (HEART FAILURE)


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PERSON OBSERVATION HISTORY (HYPERCHOLESTEROLAEMIA)

Change to Data Element: New DataElement

PERSON OBSERVATION HISTORY (HYPERCHOLESTEROLAEMIA)

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



This data element is also known by these names:
ContextAlias
pluralPERSON OBSERVATION HISTORY (HYPERCHOLESTEROLAEMIA)


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PERSON OBSERVATION HISTORY (HYPERTENSION)

Change to Data Element: New DataElement

PERSON OBSERVATION HISTORY (HYPERTENSION)

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



This data element is also known by these names:
ContextAlias
pluralPERSON OBSERVATION HISTORY (HYPERTENSION)


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PERSON OBSERVATION HISTORY (PERIPHERAL VASCULAR DISEASE)

Change to Data Element: New DataElement

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.

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



This data element is also known by these names:
ContextAlias
pluralPERSON OBSERVATION HISTORY (PERIPHERAL VASCULAR DISEASE)


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PERSON OBSERVATION HISTORY (PREVIOUS AMI)

Change to Data Element: New DataElement

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.

Any previously validated episode of acute myocardial infarction.

The derived values ares:
0 - No
1 - Yes

CCAD item name:
Previous AMI



This data element is also known by these names:
ContextAlias
pluralPERSON OBSERVATION HISTORY (PREVIOUS AMI)


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PERSON OBSERVATION HISTORY (PREVIOUS ANGINA)

Change to Data Element: New DataElement

PERSON OBSERVATION HISTORY (PREVIOUS ANGINA)

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



This data element is also known by these names:
ContextAlias
pluralPERSON OBSERVATION HISTORY (PREVIOUS ANGINA)


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PROFESSIONAL HELP ARRIVAL DATE AND TIME (AMI)

Change to Data Element: New DataElement

PROFESSIONAL HELP ARRIVAL DATE AND TIME (AMI)

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



This data element is also known by these names:
ContextAlias
pluralPROFESSIONAL HELP ARRIVAL DATES AND TIMES (AMI)


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RADIONUCLIDE STUDY

Change to Data Element: New DataElement

RADIONUCLIDE STUDY

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



This data element is also known by these names:
ContextAlias
pluralRADIONUCLIDE STUDIES


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REFERRAL REQUEST (AMI INVESTIGATION OR INTERVENTION)

Change to Data Element: New DataElement

REFERRAL REQUEST (AMI INVESTIGATION OR INTERVENTION)

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



This data element is also known by these names:
ContextAlias
pluralREFERRAL REQUEST (AMI INVESTIGATION OR INTERVENTION)


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REHABILITATION REFERRAL

Change to Data Element: New DataElement

REHABILITATION REFERRAL

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



This data element is also known by these names:
ContextAlias
pluralREHABILITATION REFERRALS


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REPERFUSION INITIAL DECISION

Change to Data Element: New DataElement

REPERFUSION INITIAL DECISION

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



This data element is also known by these names:
ContextAlias
pluralREPERFUSION INITIAL DECISIONS


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REPERFUSION TREATMENT DATE AND TIME

Change to Data Element: New DataElement

REPERFUSION TREATMENT DATE AND TIME

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



This data element is also known by these names:
ContextAlias
pluralREPERFUSION TREATMENT DATES AND TIMES


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REPERFUSION TREATMENT LOCATION

Change to Data Element: New DataElement

REPERFUSION TREATMENT LOCATION

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



This data element is also known by these names:
ContextAlias
pluralREPERFUSION TREATMENT LOCATIONS


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REPERFUSION TYPE (INITIAL STRATEGY)

Change to Data Element: New DataElement

REPERFUSION TYPE (INITIAL STRATEGY)

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes: 9 - Unknown

Notes:
REPERFUSION TYPE (INITIAL STRATEGY) is the same as attribute REPERFUSION TYPE.

This data item only refers to the initial reperfusion strategy.

CCAD item name:
Was reperfusion attempted?



This data element is also known by these names:
ContextAlias
pluralREPERFUSION TYPES (INITIAL STRATEGY)


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SERUM CHOLESTEROL

Change to Data Element: New DataElement

SERUM CHOLESTEROL

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



This data element is also known by these names:
ContextAlias
pluralSERUM CHOLESTEROL


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SMOKING STATUS

Change to Data Element: New DataElement

SMOKING STATUS

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes: 9 - Unknown



This data element is also known by these names:
ContextAlias
pluralSMOKING STATUS


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SYMPTOM ONSET DATE AND TIME (AMI)

Change to Data Element: New DataElement

SYMPTOM ONSET DATE AND TIME (AMI)

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



This data element is also known by these names:
ContextAlias
pluralSYMPTOM ONSET DATES AND TIMES (AMI)


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SYSTOLIC PRESSURE (FIRST AFTER ADMISSION)

Change to Data Element: New DataElement

SYSTOLIC PRESSURE (FIRST AFTER ADMISSION)

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

Notes:
SYSTOLIC PRESSURE (FIRST AFTER ADMISSION) is the same as attribute SYSTOLIC PRESSURE.

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



This data element is also known by these names:
ContextAlias
pluralSYSTOLIC PRESSURE (FIRST AFTER ADMISSION)


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THROMBOLYTIC DRUG

Change to Data Element: New DataElement

THROMBOLYTIC DRUG

Format/length: n1
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:

Notes:

CCAD item name:
Thrombolytic drug



This data element is also known by these names:
ContextAlias
pluralTHROMBOLYTIC DRUGS


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THROMBOLYTIC TREATMENT DELAY REASON

Change to Data Element: New DataElement

THROMBOLYTIC TREATMENT DELAY REASON

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



This data element is also known by these names:
ContextAlias
pluralTHROMBOLYTIC TREATMENT DELAY REASONS


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THROMBOLYTIC TREATMENT NOT GIVEN REASON

Change to Data Element: New DataElement

THROMBOLYTIC TREATMENT NOT GIVEN REASON

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



This data element is also known by these names:
ContextAlias
pluralTHROMBOLYTIC TREATMENT NOT GIVEN REASONS


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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