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Person—bleeding episode status, Thrombolysis in Myocardial Infarction (TIMI) code N

Identifying and definitional attributes

Metadata item type:Data Element
Short name:Bleeding episode using TIMI criteria (status)
METeOR identifier:356725
Registration status:Health, Standard 01/10/2008
Definition:A person's episode of bleeding as described by the Thrombolysis In Myocardial Infarction (TIMI) criteria, as represented by a code.
Data Element Concept:Person—bleeding episode status

Value domain attributes

Representational attributes

Representation class:Code
Data type:Number
Format:N
Maximum character length:1
Permissible values:
ValueMeaning
1Major
2Minor
3Non TIMI bleeding
Supplementary values:
9Not stated/inadequately described

Collection and usage attributes

Guide for use:

Note in calculating the fall in haemoglobin or haematocrit, transfusion of whole blood or packed red blood cells is counted as 1g/dl (0.1g/l) haemoglobin or 3% absolute haematocrit.

CODE 1     Major

Overt clinical bleeding (or documented intracranial or retroperitoneal haemorrhage) associated with a drop in haemoglobin of greater than 5g/dl (0.5g/l) or a haematocrit of greater than 15% (absolute).

CODE 2     Minor

Overt clinical bleeding associated with a fall in haemoglobin of 3 or less than or equal to 5g/dl (0.5g/l) or a haematocrit of 9% to less than or equal to 15% (absolute).

CODE 3     Non TIMI Bleeding

Bleeding event that does not meet the major or minor definition.

Data element attributes

Source and reference attributes

Submitting organisation:Acute coronary syndrome data working group
Origin:Rao AK, Pratt C, Berke A, et al. Thrombolysis in Myocardial Infarction (TIMI) Trial, phase I: hemorrhagic manifestations and changes in plasma fibrinogen and the fibrinolytic system in patients with recombinant tissue plasminogen activator and streptokinase. J Am Coll Cardiol 1988; 11:1-11.

Relational attributes

Related metadata references:

See also Person with acute coronary syndrome—bleeding location, instrumented code N(N) Health, Standard 01/10/2008

Supersedes Person—bleeding episode status, code N Health, Superseded 01/10/2008

Implementation in Data Set Specifications:

Acute coronary syndrome (clinical) DSS Health, Superseded 01/09/2012

Acute coronary syndrome (clinical) DSS Health, Superseded 02/05/2013

Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013

DSS specific attributes +
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