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National Healthcare Agreement: PI 09-Incidence of heart attacks, 2014

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, 2014
METeOR identifier:Help on this term517669
Registration status:Help on this termHealth, Superseded 14/01/2015
Description:Help on this termIncidence of heart attacks.
Indicator set:Help on this termNational Healthcare Agreement (2014) Health, Superseded 14/01/2015
Quality statement:Help on this termNational Healthcare Agreement: PI 09-Incidence of heart attacks, 2014 QS Health, Superseded 14/01/2015

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 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 greater than 24 years. 
Numerator data elements:Help on this term
Data Element / Data SetEpisode of admitted patient care—separation mode, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2011-12
Data Element / Data SetPerson—underlying cause of death, code (ICD-10 2nd edn) ANN-ANN
Data Source
AIHW National Mortality Database
Data Element / Data SetHospital service—care type, code N[N]
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2011-12
Data Element / Data SetEpisode of admitted patient care—separation date, DDMMYYYY
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2011-12
Data Element / Data SetEpisode of admitted patient care—admission date, DDMMYYYY
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2011-12
Data Element / Data SetEpisode 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 2011-12
Data Element / Data SetPerson—age range, code NN
Data Source
National Hospital Morbidity Database (NHMD)
Data Element / Data SetPerson—sex, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2011-12
Data Element / Data SetEstablishment—sector, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2011-12
Data Element / Data SetPerson—Indigenous status, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2011-12
Data Element / Data SetPerson—sex, code N
Data Source
AIHW National Mortality Database
Data Element / Data SetPerson—Indigenous status, code N
Data Source
AIHW National Mortality Database
Data Element / Data SetPerson—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 SetPerson—estimated resident population of Australia, total people N[N(7)]
Data Source
ABS Estimated resident population (total population)
Data Element / Data SetPerson—estimated resident population of Australia, total people N[N(7)]
Data Source
ABS Indigenous experimental estimates and projections (2001 Census-based)
Data Element / Data SetPerson—age, total years N[NN]
Data Source
ABS Estimated resident population (total population)
Data Element / Data SetPerson—age, total years N[NN]
Data Source
ABS Indigenous experimental estimates and projections (2001 Census-based)
Disaggregation:Help on this term

2007, 2008 (resupplied for updated Estimated Resident Population (ERP)), 2009, 2010 (resupplied for updated ERP and revisions to the National Mortality Database (NMD)), 2011 — Nationally, by:

  • age group and sex

2007, 2008 (resupplied for refinement of age-standardisation methodology), 2009, 2010 (resupplied for refinement of age-standardisation methodology and revisions to the NMD), 2011—Nationally, by:

  • Indigenous status (for states and territories with adequate identification in hospital and deaths data)
Disaggregation data elements:Help on this term
Data Element / Data SetPerson—age range, code NN
Data Source
National Hospital Morbidity Database (NHMD)
Data Element / Data SetPerson—Indigenous status, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Data Element / Data SetPerson—sex, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2011-12
Data Element / Data SetEstablishment—sector, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2011-12
Comments:Help on this term

Most recent data available for 2014 Council of Australian Governments (COAG) Reform Council (CRC) report: 2011.

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. The computation method for age-standardisation of data reported by Indigenous status has been refined since the previous cycle.

Note that updated ERP by Indigenous status is not available for this cycle. Data by Indigenous status is calculated using ERP determined prior to the final rebased ERP provided after the 2011 Census. It is expected that final rebased ERP by Indigenous status will be available for the next cycle of reporting.

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 SourceNational Hospital Morbidity Database (NHMD)
Frequency
Annual
Quality statement
Data quality statement: National Hospital Morbidity Database 2013–14
Data custodian

Australian Institute of Health and Welfare



Data SourceAIHW National Mortality Database
Frequency
Annual
Data custodian

Australian Institute of Health and Welfare



Data SourceABS Estimated resident population (total population)
Frequency
Quarterly
Quality statement
ABS Estimated resident population (total population), QS
Data custodian
Australian Bureau of Statistics

Data SourceABS 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

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.

Relational attributes

Related metadata references:Help on this term

Has been superseded by National Healthcare Agreement: PI 09-Incidence of heart attacks (acute coronary events), 2015 Health, Superseded 08/07/2016

Supersedes National Healthcare Agreement: PI 09-Incidence of heart attacks, 2013 Health, Superseded 30/04/2014

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