Chest pain code N

Identifying and definitional attributes

Metadata item type:Value Domain
METeOR identifier:356741
Registration status:Health, Standard 01/10/2008
Definition:A code set describing a chest pain pattern.

Representational attributes

Representation class:Code
Data type:Number
Format:N
Maximum character length:1
Permissible values:
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:
9Not stated/inadequately described

Collection and usage attributes

Guide for use:

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.

Relational attributes

Related metadata references:

Supersedes Chest pain code N Health, Superseded 01/10/2008

Data elements implementing this value domain:

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