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Person—chest pain pattern, code N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termChest pain pattern category
METeOR identifier:Help on this term356738
Registration status:Help on this termHealth, Standard 01/10/2008
Definition:Help on this termThe person's chest pain pattern, as represented by a code.
Data Element Concept:Person—chest pain pattern

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN
Maximum character length:Help on this term1
Permissible values:Help on this term
ValueMeaning
1Atypical chest pain
2Stable chest pain pattern
3Unstable chest pain pattern: rest &/or prolonged
4Unstable chest pain pattern: new & severe
5Unstable chest pain pattern: accelerated & severe
Supplementary values:Help on this term
9Not stated/inadequately described

Collection and usage attributes

Guide for use:Help on this term

Chest pain or discomfort of myocardial ischaemic origin is usually described as pain, discomfort or pressure in the chest or the upper body (neck and throat, jaw, shoulders, back, either or both arms, wrists and hands) 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, or upper body 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 for at least 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 3 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 3.

Data element attributes

Source and reference attributes

Submitting organisation:Help on this termAcute coronary syndrome data working group

Relational attributes

Related metadata references:Help on this term

Supersedes Person—chest pain pattern, code N Health, Superseded 01/10/2008

Implementation in Data Set Specifications:Help on this term
All attributes +

Acute coronary syndrome (clinical) DSS Health, Superseded 01/09/2012

DSS specific attributes +

Acute coronary syndrome (clinical) DSS Health, Superseded 02/05/2013

DSS specific attributes +

Acute coronary syndrome (clinical) NBPDS Health, Candidate 15/05/2017

DSS specific attributes +

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

DSS specific attributes +
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