Person—chest pain pattern, code N

Identifying and definitional attributes

Metadata item type:

Data Element

Short name:

Chest pain pattern category

METeOR identifier:

284823

Registration status:

Health, Superseded 01/10/2008

Definition:

The person's chest pain pattern, as represented by a code.

Data Element Concept:

Person—chest pain pattern

Value domain attributes

Representational attributes

Representation class:

Code

Data type:

Number

Format:

Maximum character length:

Permissible values:

Value	Meaning
1	Atypical chest pain
2	Stable chest pain pattern
3	Unstable chest pain pattern: rest &/or prolonged
4	Unstable chest pain pattern: new & severe
5	Unstable chest pain pattern: accelerated & severe
8	No chest pain/discomfort

Supplementary values:

9	Not stated/inadequately described

Collection and usage attributes

Guide for use:

Chest pain or discomfort of myocardial ischaemic origin is usually described as chest pain, discomfort or pressure, jaw pain, arm pain or other equivalent discomfort suggestive of cardiac ischaemia. Ask the person when the symptoms first occurred or obtain this information from appropriate documentation.

CODE 1 Atypical chest pain

Use this code for pain, pressure, or discomfort in the chest, neck, or arms not clearly exertional or not otherwise consistent with pain or discomfort of myocardial ischaemic origin.

CODE 2 Stable chest pain pattern

Use this code for chest pain without a change in frequency or pattern for the 6 weeks before this presentation or procedure. Chest pain is controlled by rest and/or sublingual/oral/transcutaneous medications.

CODE 3 Unstable chest pain pattern: rest and/or prolonged

Use this code for chest pain that occurred at rest and was prolonged, usually lasting more than 10 minutes

CODE 4 Unstable chest pain pattern: new and severe.

Use this code for new-onset chest pain that could be described as at least Canadian Cardiovascular Society (CCS) classification III severity.

CODE 5 Unstable chest pain pattern: accelerated and severe

Use this code for recent acceleration of chest pain pattern that could be described by an increase in severity of at least 1 CCS class to at least CCS class III.