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Acute coronary syndrome (clinical) NBPDS

Identifying and definitional attributes

Metadata item type:Help on this termData Set Specification
METeOR identifier:Help on this term621789
Registration status:Help on this termHealth, Candidate 15/05/2017
DSS type:Help on this termData Set Specification (DSS)
Scope:Help on this term

The Acute coronary syndrome (clinical) National best practice data set (NBPDS) is not mandated for collection but is recommended as best practice if acute coronary syndrome (ACS) data are to be collected. This data set enables individual hospitals or health service areas to develop collection methods and policies appropriate for their service.

The scope for the ACS (clinical) NBPDS is to collect data on the period between when a person with ACS symptoms was first referred to a hospital or directly presented at a hospital, and when a person leaves the hospital, either from the emergency department or is discharged from the hospital. Some of the data relevant to the management of patients attending hospital with ACS symptoms is specified for collection at follow-up visits with a specialist or as a non-admitted patient.

An acute coronary syndrome reflects the spectrum of coronary artery disease resulting in acute myocardial ischaemia, and span unstable angina, non-ST segment elevation myocardial infarction (NSTEMI) and ST-segment elevation myocardial infarction (STEMI). Clinically these diagnoses encompass a wide variation in risk, require complex and time urgent risk stratification and represent a large social and economic burden.

The definitions used in this data set are designed to underpin the data collected by health professionals in their day-to-day acute care practice. They relate to the realities of an acute clinical consultation for patients presenting with chest pain/discomfort and the need to correctly identify, evaluate and manage patients at increased risk of a coronary event.

Collection and usage attributes

Guide for use:Help on this term

There are 6 data clusters in the ACS NBPDS. To ensure a complete description of the clinical management of ACSs, it is recommended that all data clusters be collected along with the individual data elements during the current ACS event by the individual hospital or health service area.

The 6 data clusters in this data set include:

  1. Acute coronary syndrome clinical event cluster
  2. Acute coronary syndrome pharmacotherapy data cluster
  3. Coronary artery cluster
  4. Electrocardiogram cluster
  5. Functional stress test cluster
  6. Ventricular ejection fraction cluster
Collection methods:Help on this term

The ACS NBPDS is primarily concerned with the clinical use of acute coronary syndrome data. Acute care environments such as hospital emergency departments, coronary care units or similar acute care areas are the settings in which implementation of the core ACS NBPDS should be considered. A wider range of health and health related establishments that create, use or maintain records on health care clients could also use it.

Relational attributes

Related metadata references:Help on this term

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

Metadata items in this Data Set SpecificationHelp on this term

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Seq No.Help on this termMetadata itemHelp on this term ObligationHelp on this term Max occursHelp on this term
-Acute coronary syndrome clinical event clusterConditional1
-Acute coronary syndrome pharmacotherapy data clusterOptional1
-Coronary artery clusterOptional1
-Electrocardiogram clusterOptional1
-Functional stress test clusterOptional1
-Ventricular ejection fraction clusterConditional1
-Emergency department stay—transport mode (arrival), code NOptional1
-Episode of admitted patient care—admission date, DDMMYYYYOptional1
-Episode of admitted patient care—admission time, hhmmOptional1
-Episode of admitted patient care—separation date, DDMMYYYYOptional1
-Episode of admitted patient care—separation mode, code NOptional1
-Episode of care—principal diagnosis, code (ICD-10-AM 8th edn) ANN{.N[N]}Optional1
-Episode of care—principal source of funding, hospital code NNOptional1
-Establishment—organisation identifier (Australian), NNX[X]NNNNNOptional1
-Health service event—presentation date, DDMMYYYYOptional1
-Health service event—presentation time, hhmmOptional1
-Health service event—referral to rehabilitation service date, DDMMYYYYOptional1
-Laboratory standard—upper limit of normal range for creatine kinase isoenzyme, total units per litre N[NNN]Optional1
-Laboratory standard—upper limit of normal range for creatine kinase myocardial band isoenzyme, total micrograms per litre N[NNN]Conditional1
-Laboratory standard—upper limit of normal range for creatine kinase myocardial band isoenzyme, total units per litre N[NNN]Conditional1
-Laboratory standard—upper limit of normal range for troponin assay, total micrograms per litre N[NNN]Conditional1
-Laboratory standard—upper limit of normal range of glycosylated haemoglobin, percentage N[N].NConditional1
-Non-admitted patient emergency department service episode—triage category, code NConditional1
-Non-admitted patient emergency department service episode—triage date, DDMMYYYYOptional1
-Non-admitted patient emergency department service episode—triage time, hhmmOptional1
-Non-admitted patient emergency department service episode—type of visit to emergency department, code NOptional1
-Person with acute coronary syndrome—bleeding location, instrumented code N(N)Optional1
-Person with acute coronary syndrome—bleeding location, non-instrumented code N(N)Optional1
-Person with acute coronary syndrome—lifestyle counselling type, code NOptional1
-Person with acute coronary syndrome—underlying cause of acute coronary syndrome, code NOptional1
-Person—acute coronary syndrome procedure type, code NNOptional1
-Person—acute coronary syndrome related medical history, code NNOptional1
-Person—acute coronary syndrome risk stratum, code NOptional1
-Person—acute coronary syndrome symptoms onset date, DDMMYYYYOptional1
-Person—acute coronary syndrome symptoms onset time, hhmmOptional1
-Person—angina episodes count (24 hours preceding hospital presentation), total number NN[N]Conditional1
-Person—angina status, Canadian Cardiovascular Society code NOptional1
-Person—bleeding episode status, Thrombolysis in Myocardial Infarction (TIMI) code NOptional1
-Person—C-reactive protein level (measured), total milligrams per litre N[NN].NOptional1
-Person—C-reactive protein level measured date, DDMMYYYYOptional1
-Person—C-reactive protein level measured time, hhmmOptional1
-Person—chest pain pattern, code NOptional1
-Person—cholesterol level (measured), total millimoles per litre N[N].NOptional1
-Person—clinical evidence status (acute coronary syndrome related medical history), yes/no code NOptional1
-Person—clinical procedure timing, code NOptional1
-Person—country of birth, code (SACC 2016) NNNNOptional1
-Person—creatine kinase isoenzyme level (measured), total units per litre N[NNN]Conditional1
-Person—creatine kinase myocardial band isoenzyme measured date, DDMMYYYYConditional1
-Person—creatine kinase myocardial band isoenzyme measured time, hhmmConditional1
-Person—creatine kinase-myocardial band isoenzyme level (measured), total micrograms per litre N[NNN]Conditional1
-Person—creatine kinase-myocardial band isoenzyme level (measured), total units per litre N[NNN]Conditional1
-Person—date of birth, DDMMYYYYOptional1
-Person—date of death, DDMMYYYYOptional1
-Person—diabetes mellitus status, code NNConditional1
-Person—diabetes therapy type, code NNConditional1
-Person—diagnostic cardiac catheterisation date, DDMMYYYYConditional1
-Person—diagnostic cardiac catheterisation time, hhmmConditional1
-Person—dyslipidaemia treatment with anti-lipid medication indicator (current), code NConditional1
-Person—glycosylated haemoglobin level (measured), percentage N[N].NOptional1
-Person—height (measured), total centimetres NN[N].NConditional1
-Person—high-density lipoprotein cholesterol level (measured), total millimoles per litre [N].NNOptional1
-Person—hypertension treatment with antihypertensive medication indicator (current), code NOptional1
-Person—implantable cardiac defibrillator procedure date, DDMMYYYYOptional1
-Person—implantable cardiac defibrillator procedure time, hhmmOptional1
-Person—Indigenous status, code NOptional1
-Person—intra-aortic balloon pump procedure date, DDMMYYYYConditional1
-Person—intra-aortic balloon pump procedure time, hhmmConditional1
-Person—Killip classification, code NOptional1
-Person—low-density lipoprotein cholesterol level (calculated), total millimoles per litre N[N].NConditional1
-Person—most recent stroke date, DDMMYYYYConditional1
-Person—non-invasive ventilation administration date, DDMMYYYYConditional1
-Person—non-invasive ventilation administration time, hhmmOptional1
-Person—pacemaker insertion date, DDMMYYYYOptional1
-Person—pacemaker insertion time, hhmmConditional1
-Person—person identifier, XXXXXX[X(14)]Optional1
-Person—premature cardiovascular disease family history status, code NOptional1
-Person—reason for readmission following acute coronary syndrome episode, code N[N]Optional1
-Person—sex, code NOptional1
-Person—tobacco smoking status, code NOptional1
-Person—triglyceride level (measured), total millimoles per litre N[N].NOptional1
-Person—troponin assay type, code NOptional1
-Person—troponin level (measured), total micrograms per litre NN.NNOptional1
-Person—troponin level measured date, DDMMYYYYOptional1
-Person—troponin level measured time, hhmmOptional1
-Person—underlying cause of death, code (ICD-10 2nd edn) ANN-ANNOptional1
-Person—units of blood transfused, total N[NNN]Conditional1
-Person—vascular condition status (history), code NNConditional1
-Person—weight (measured), total kilograms N[NN].NConditional1
-Service contact—service contact date, DDMMYYYYMandatory1
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