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National Healthcare Agreement: PI 09-Incidence of heart attacks, 2013

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termProgress measure
Short name:Help on this termPI 09-Incidence of heart attacks, 2013
METEOR identifier:Help on this term497512
Registration status:Help on this term
  • Health, Superseded 30/04/2014
Description:Help on this term

Incidence of heart attacks.

Indicator set:Help on this termNational Healthcare Agreement (2013)
Health, Superseded 30/04/2014
Quality statement:Help on this termNational Healthcare Agreement: PI 09-Incidence of heart attacks, 2013 QS Health, Superseded 14/01/2015

Collection and usage attributes

Computation description:Help on this term

Count (a) number of deaths where ‘acute coronary heart disease’ (ICD-10 codes I20–I24) is the underlying cause of death in each calendar year (based on year of registration of death).

Count (b) number of non-fatal hospitalisations where ‘acute myocardial infarction’ (ICD-10-AM I21) or ‘unstable angina’ (ICD-10-AM I20.0) are the principal diagnosis, and separation mode is not equal to ‘died’ or ‘transferred to another acute hospital’, and care type is not equal to ‘new born-unqualified days only’ or ‘organ procurement – posthumous’ or ‘hospital boarder’ in each calendar year (based on discharge date from hospital).

The number of acute coronary events is estimated by (a) + (b).

Computation:Help on this term100,000 x (Numerator ÷ Denominator)
Numerator:Help on this termNumber of deaths recorded with an underlying cause of acute coronary heart disease (a) plus the number of non-fatal hospitalisations with a principal diagnosis of acute myocardial infarction or unstable angina that do not end in a transfer to another acute hospital (b). For ages > 24 years. 
Numerator data elements:Help on this term
Data Element / Data Set

Episode of admitted patient care—admission date, DDMMYYYY

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2009-10

Data Element / Data Set

Person—Indigenous status, code N

Data Source

AIHW National Mortality Database

Data Element / Data Set

Person—underlying cause of death, code (ICD-10 2nd edn) ANN-ANN

Data Source

AIHW National Mortality Database

Data Element / Data Set

Episode of care—principal diagnosis, code (ICD-10-AM 7th edn) ANN{.N[N]}

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2009-10

Data Element / Data Set

Hospital service—care type, code N[N]

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2009-10

Data Element / Data Set

Establishment—sector, code N

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2009-10

Data Element / Data Set

Episode of admitted patient care—separation date, DDMMYYYY

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2009-10

Data Element / Data Set

Episode of admitted patient care—separation mode, code N

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2009-10

Data Element / Data Set

Person—Indigenous status, code N

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2009-10

Data Element / Data Set

Person—sex, code N

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2009-10

Data Element / Data Set

Person—sex, code N

Data Source

AIHW National Mortality Database

Data Element / Data Set

Person—age range, code NN

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2009-10

Data Element / Data Set

Person—age range, code NN

Data Source

AIHW National Mortality Database

Denominator:Help on this termTotal population aged 25 years and over for year in question.
Denominator data elements:Help on this term
Data Element / Data Set

Person—age, total years N[NN]

Data Source

ABS Estimated resident population (total population)

Data Element / Data Set

Person—age, total years N[NN]

Data Source

ABS Indigenous experimental estimates and projections (2001 Census-based)

Data Element / Data Set

Person—estimated resident population of Australia, total people N[N(7)]

Data Source

ABS Estimated resident population (total population)

Data Element / Data Set

Person—estimated resident population of Australia, total people N[N(7)]

Data Source

ABS Indigenous experimental estimates and projections (2001 Census-based)

Disaggregation:Help on this term

2007, 2008, 2009, 2010 — Nationally, by:

  • age group and sex
  • Indigenous status (for states and territories with adequate identification in hospital and deaths data)
Disaggregation data elements:Help on this term
Data Element / Data Set

Establishment—sector, code N

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2009-10

Data Element / Data Set

Person—Indigenous status, code N

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2009-10

Data Element / Data Set

Person—sex, code N

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2009-10

Data Element / Data Set

Person—age range, code NN

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2009-10

Comments:Help on this term

Most recent data available for 2013 Council of Australian Governments (COAG) Reform Council (CRC) report: 2010.

This is a measure of the number of acute coronary events in a year. An individual may have more than one event during a year.

This indicator has previously been published at the national level by age and sex. Assessment of appropriateness to disaggregate below this level will be undertaken prior to reporting.

The computation method has recently been revised and should be considered 'preliminary' until work on validation is complete.

Representational attributes

Representation class:Help on this termRate
Data type:Help on this termReal
Unit of measure:Help on this termEpisode
Format:Help on this termN[NN].N

Data source attributes

Data sources:Help on this term
Data Source

ABS Estimated resident population (total population)

Frequency

Quarterly

Quality statement

ABS Estimated resident population (total population), QS

Data custodian

Australian Bureau of Statistics

Data Source

National Hospital Morbidity Database (NHMD)

Frequency

Annual

Data custodian

Australian Institute of Health and Welfare

Data Source

ABS Indigenous experimental estimates and projections (2001 Census-based)

Frequency

Periodic

Quality statement

ABS Indigenous experimental estimates and projections, QS

Data custodian

Australian Bureau of Statistics

Data Source

AIHW National Mortality Database

Frequency

Annual

Data custodian

Australian Institute of Health and Welfare

Accountability attributes

Reporting requirements:Help on this termNational Healthcare Agreement
Organisation responsible for providing data:Help on this termAustralian Institute of Health and Welfare
Further data development / collection required:Help on this term

Specification: Substantial work required, the measure requires significant work to be undertaken to validate both nationally and for disaggregation by jurisdiction.

The method has been recently reviewed and is preliminary, until validation work is complete. Any further improvements in diagnostic sensitivity and treatment patterns for acute coronary events will need to be taken into account in trend analysis.

Source and reference attributes

Relational attributes

Related metadata references:Help on this term
Has been superseded by National Healthcare Agreement: PI 09-Incidence of heart attacks, 2014
  • Health, Superseded 14/01/2015
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