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National Healthcare Agreement: PI 09–Incidence of heart attacks (acute coronary events), 2016

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 (acute coronary events), 2016
METEOR identifier:Help on this term598799
Registration status:Help on this term
  • Health, Superseded 31/01/2017
Description:Help on this term

Incidence of acute coronary events (acute myocardial infarction and unstable angina).

Indicator set:Help on this termNational Healthcare Agreement (2016)
Health, Superseded 31/01/2017
Outcome area:Help on this termPrevention
Health, Standard 07/07/2010
Quality statement:Help on this termNational Healthcare Agreement: PI 09-Incidence of heart attacks (acute coronary events), 2016 QS Health, Superseded 31/01/2017

Collection and usage attributes

Computation description:Help on this term

Rates directly age-standardised to the 2001 Australian population.

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 hospital separations 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 Newborns without qualified days or posthumous organ procurement 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 term

100,000 x (Numerator ÷ Denominator)

Numerator:Help on this term

Number 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 25 years and over.

Numerator data elements:Help on this term
Data Element / Data Set

Data Element

Person-year of registration of death, (YYYY)

Data Source

AIHW National Mortality Database

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 2013-14

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 2013-14

Data Element / Data Set

Person—date of death, DDMMYYYY

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 2013-14

Data Element / Data Set

Person—age range, code NN

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

Hospital service—care type, code N[N]

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2013-14

Data Element / Data Set

Episode of care—principal diagnosis, code (ICD-10-AM 8th edn) ANN{.N[N]}

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2013-14

Denominator:Help on this term

Total population aged 25 years and over for calendar year in question.

Denominator data elements:Help on this term
Data Element / Data Set

Person—Indigenous status, code N

Data Source

ABS Indigenous estimates and projections (2011 Census-based)

Data Element / Data Set

Person—age, total years N[NN]

Guide for use

Data source: ABS standard population (2001)

Data Element / Data Set

Person—age, total years N[NN]

Data Source

ABS Estimated resident population (2011 Census-based)

Data Element / Data Set

Person—age, total years N[NN]

Data Source

ABS Indigenous estimates and projections (2011 Census-based)

Data Element / Data Set

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

Guide for use

Data source: ABS standard population (2001)

Data Element / Data Set

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

Data Source

ABS Estimated resident population (2011 Census-based)

Data Element / Data Set

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

Data Source

ABS Indigenous estimates and projections (2011 Census-based)

Disaggregation:Help on this term

2011, 2012 (resupplied for revisions to the National Mortality Database), and 2013 — Nationally, by:

  • age group and sex.

2011, 2012 (resupplied for revisions to the National Mortality Database), and 2013 — state/territory of usual residence.

2011, 2012 (resupplied for revisions to the National Mortality Database), and 2013—Nationally (for states and territories with adequate identification in both hospital and deaths data), by:

  • Indigenous status.
Disaggregation data elements:Help on this term
Data Element / Data Set

Person—sex, code N

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2013-14

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 2013-14

Data Element / Data Set

Person—age range, code NN

Data Source

AIHW National Mortality Database

Data Element / Data Set

Person—Indigenous status, code N

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2013-14

Data Element / Data Set

Person—Indigenous status, code N

Data Source

AIHW National Mortality Database

Data Element / Data Set

Person—area of usual residence, statistical area level 2 (SA2) code (ASGS 2011) N(9)

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2013-14

Data Element / Data Set

Person—area of usual residence, statistical area level 2 (SA2) code (ASGS 2011) N(9)

Data Source

AIHW National Mortality Database

Comments:Help on this term

Most recent data available for 2017 National Healthcare Agreement performance reporting: 2014.

This is a measure of the number of acute coronary events in a calendar 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.

The data for State/Territory (of usual residence) has previously been published. Comparison of acute coronary event rates between jurisdictions should not be made as an AIHW assessment of validity study (based on NSW and WA data) has shown that there are variations in the ascertainment of acute coronary events between jurisdictions. This is likely due to differing treatment and referral patterns across states/territories, which are likely to have an impact on administrative records and affect jurisdictional comparability.

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 term

N[NN].N.

Data source attributes

Data sources:Help on this term
Data Source

ABS Indigenous estimates and projections (2011 Census-based)

Frequency

Periodic

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

AIHW National Mortality Database

Frequency

Annual

Data custodian

Australian Institute of Health and Welfare

Data Source

ABS Estimated resident population (2011 Census-based)

Frequency

Quarterly

Data custodian

Australian Bureau of Statistics

Accountability attributes

Reporting requirements:Help on this term

National Healthcare Agreement

Organisation responsible for providing data:Help on this term

Australian Institute of Health and Welfare

Further data development / collection required:Help on this term

Specification: 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
Supersedes National Healthcare Agreement: PI 09-Incidence of heart attacks (acute coronary events), 2015
  • Health, Superseded 08/07/2016
Has been superseded by National Healthcare Agreement: PI 09–Incidence of heart attacks (acute coronary events), 2017
  • Health, Superseded 30/01/2018
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