Seq No. Metadata item
Obligation
Max occurs
- Acute coronary syndrome clinical event cluster Conditional 1 - Acute coronary syndrome pharmacotherapy data cluster Optional 1 - Coronary artery cluster Optional 1 - Electrocardiogram cluster Optional 1 - Functional stress test cluster Optional 1 - Ventricular ejection fraction cluster Conditional 1 - Emergency department stay—transport mode (arrival), code N Conditional obligation:
This data element should only be collected for patients who presented to the emergency department for treatment related to acute coronary syndromes.
DSS specific information:
This data element should only be collected for patients who presented to the emergency department for treatment related to acute coronary syndromes.
Optional 1 - Episode of admitted patient care—admission date, DDMMYYYY Optional 1 - Episode of admitted patient care—admission time, hhmm Optional 1 - Episode of admitted patient care—separation date, DDMMYYYY Optional 1 - Episode of admitted patient care—separation mode, code N Optional 1 - Episode of care—principal diagnosis, code (ICD-10-AM 8th edn) ANN{.N[N]} Optional 1 - Episode of care—principal source of funding, hospital code NN Optional 1 - Establishment—organisation identifier (Australian), NNX[X]NNNNN Optional 1 - Health service event—presentation date, DDMMYYYY DSS specific information:
This data element should only be collected for patients who presented to the emergency department for treatment related to acute coronary syndromes.
Optional 1 - Health service event—presentation time, hhmm DSS specific information:
This data element should only be collected for patients who presented to the emergency department for treatment related to acute coronary syndromes.
Optional 1 - Health service event—referral to rehabilitation service date, DDMMYYYY DSS specific information:
Required to derive those referred to a rehabilitation service from those eligible to attend and who actually attend. This metadata item can be used to determine the time lag between referral and commencement of rehabilitation.
Optional 1 - Laboratory standard—upper limit of normal range for creatine kinase isoenzyme, total units per litre N[NNN] Optional 1 - Laboratory standard—upper limit of normal range for creatine kinase myocardial band isoenzyme, total micrograms per litre N[NNN] Conditional 1 - Laboratory standard—upper limit of normal range for creatine kinase myocardial band isoenzyme, total units per litre N[NNN] Conditional 1 - Laboratory standard—upper limit of normal range for troponin assay, total micrograms per litre N[NNN] Conditional 1 - Laboratory standard—upper limit of normal range of glycosylated haemoglobin, percentage N[N].N Conditional 1 - Non-admitted patient emergency department service episode—triage category, code N Conditional obligation:
This data element should only be collected for patients who presented to the emergency department for treatment related to acute coronary syndromes.
Conditional 1 - Non-admitted patient emergency department service episode—triage date, DDMMYYYY DSS specific information:
This data element should only be collected for patients who presented to the emergency department for treatment related to acute coronary syndromes.
Optional 1 - Non-admitted patient emergency department service episode—triage time, hhmm DSS specific information:
This data element should only be collected for patients who presented to the emergency department for treatment related to acute coronary syndromes.
Optional 1 - Non-admitted patient emergency department service episode—type of visit to emergency department, code N DSS specific information:
This data element should only be collected for patients who presented to the emergency department for treatment related to acute coronary syndromes.
Optional 1 - Person with acute coronary syndrome—bleeding location, instrumented code N(N) Optional 1 - Person with acute coronary syndrome—bleeding location, non-instrumented code N(N) Optional 1 - Person with acute coronary syndrome—lifestyle counselling type, code N Optional 1 - Person with acute coronary syndrome—underlying cause of acute coronary syndrome, code N Optional 1 - Person—acute coronary syndrome procedure type, code NN Optional 1 - Person—acute coronary syndrome related medical history, code NN Optional 1 - Person—acute coronary syndrome risk stratum, code N Optional 1 - Person—acute coronary syndrome symptoms onset date, DDMMYYYY Optional 1 - Person—acute coronary syndrome symptoms onset time, hhmm Optional 1 - Person—angina episodes count (24 hours preceding hospital presentation), total number NN[N] Conditional 1 - Person—angina status, Canadian Cardiovascular Society code N DSS specific information:
This is the status of angina that a person experiences following discharge from hospital.
Optional 1 - Person—bleeding episode status, Thrombolysis in Myocardial Infarction (TIMI) code N Optional 1 - Person—C-reactive protein level (measured), total milligrams per litre N[NN].N DSS specific information:
The C-reactive protein (CRP) level should be measured as early as possible following presentation to the hospital.
Optional 1 - Person—C-reactive protein level measured date, DDMMYYYY DSS specific information:
The date of C-reactive protein (CRP) measurement recorded should be after or the same as the date of onset of ACS symptoms.
Optional 1 - Person—C-reactive protein level measured time, hhmm Optional 1 - Person—chest pain pattern, code N DSS specific information:
The Canadian Cardiovascular Society (CCS) classes of angina can be used to support categorisation of chest pain patterns. CCS classes of angina (Campeau L. Grading of angina pectoris. Circulation 1976; 54:522.)
Ordinary physical activity (for example, walking or climbing stairs) does not cause angina; angina occurs with strenuous or rapid or prolonged exertion at work or recreation.
Slight limitation of ordinary activity (for example, angina occurs walking or stair climbing after meals, in cold, in wind, under emotional stress, or only during the few hours after awakening; walking more than 2 blocks on the level or climbing more than 1 flight of ordinary stairs at a normal pace; and in normal conditions).
Marked limitation of ordinary activity (for example, angina occurs with walking 1 or 2 blocks on the level or climbing 1 flight of stairs in normal conditions and at a normal pace).
Inability to perform any physical activity without discomfort; angina syndrome may be present at rest.
Optional 1 - Person—cholesterol level (measured), total millimoles per litre N[N].N Optional 1 - Person—clinical evidence status (acute coronary syndrome related medical history), yes/no code N Optional 1 - Person—clinical procedure timing, code N Optional 1 - Person—country of birth, code (SACC 2016) NNNN Optional 1 - Person—creatine kinase isoenzyme level (measured), total units per litre N[NNN] DSS specific information:
The measured CK isoenzyme levels and the timing of these measurements are important to the diagnosis of myocardial infarction.
Conditional 1 - Person—creatine kinase myocardial band isoenzyme measured date, DDMMYYYY DSS specific information:
The measured CK isoenzyme levels and the timing of these measurements are important to the diagnosis of myocardial infarction.
Conditional 1 - Person—creatine kinase myocardial band isoenzyme measured time, hhmm DSS specific information:
The measured CK isoenzyme levels and the timing of these measurements are important to the diagnosis of myocardial infarction.
Conditional 1 - Person—creatine kinase-myocardial band isoenzyme level (measured), total micrograms per litre N[NNN] Conditional 1 - Person—creatine kinase-myocardial band isoenzyme level (measured), total units per litre N[NNN] DSS specific information:
For Acute coronary syndrome (ACS) reporting, can be used to determine diagnostic strata.
Conditional 1 - Person—date of birth, DDMMYYYY Optional 1 - Person—date of death, DDMMYYYY DSS specific information:
If a date of death is recorded, the cause of death must also be recorded. These data are recorded regardless of the cause of death.
Optional 1 - Person—diabetes mellitus status, code NN Conditional 1 - Person—diabetes therapy type, code NN Conditional 1 - Person—diagnostic cardiac catheterisation date, DDMMYYYY Conditional 1 - Person—diagnostic cardiac catheterisation time, hhmm Conditional 1 - Person—dyslipidaemia treatment with anti-lipid medication indicator (current), code N Conditional 1 - Person—glycosylated haemoglobin level (measured), percentage N[N].N Optional 1 - Person—height (measured), total centimetres NN[N].N Conditional 1 - Person—high-density lipoprotein cholesterol level (measured), total millimoles per litre [N].NN Optional 1 - Person—hypertension treatment with antihypertensive medication indicator (current), code N Optional 1 - Person—implantable cardiac defibrillator procedure date, DDMMYYYY Optional 1 - Person—implantable cardiac defibrillator procedure time, hhmm Optional 1 - Person—Indigenous status, code N Optional 1 - Person—intra-aortic balloon pump procedure date, DDMMYYYY Conditional 1 - Person—intra-aortic balloon pump procedure time, hhmm Conditional 1 - Person—Killip classification, code N DSS specific information:
For Acute Coronary Syndrome (ACS) reporting, this data element describes the objective evidence of haemodynamic compromise by clinical examination at the time of presentation. Rales or crepitations represent evidence of pulmonary interstitial oedema on lung auscultation and an S3 is an audible extra heart sound by cardiac auscultation.
Optional 1 - Person—low-density lipoprotein cholesterol level (calculated), total millimoles per litre N[N].N Conditional 1 - Person—most recent stroke date, DDMMYYYY DSS specific information:
Record the date of the most recent stroke that preceded presentation to the hospital.
Conditional 1 - Person—non-invasive ventilation administration date, DDMMYYYY Conditional 1 - Person—non-invasive ventilation administration time, hhmm Optional 1 - Person—pacemaker insertion date, DDMMYYYY Optional 1 - Person—pacemaker insertion time, hhmm Conditional 1 - Person—person identifier, XXXXXX[X(14)] Optional 1 - Person—premature cardiovascular disease family history status, code N Optional 1 - Person—reason for readmission following acute coronary syndrome episode, code N[N] Optional 1 - Person—sex, code N Optional 1 - Person—tobacco smoking status, code N DSS specific information:
Smoker type is used to define sub-populations of adults (age 18+ years) based on their smoking behaviour. Smoking has long been known as a health risk factor. Population studies indicate a relationship between smoking and increased mortality/morbidity. This metadata item can be used to estimate smoking prevalence.
Other uses are:
To evaluate health promotion and disease prevention programs (assessment of interventions)
To monitor health risk factors and progress towards National Health Goals and Targets
Optional 1 - Person—triglyceride level (measured), total millimoles per litre N[N].N Optional 1 - Person—troponin assay type, code N DSS specific information:
For Acute coronary syndrome (ACS) reporting, record the type of troponin assay (I or T) used to assess troponin levels during this presentation.
Optional 1 - Person—troponin level (measured), total micrograms per litre NN.NN DSS specific information:
For Acute coronary syndrome reporting, can be used to determine diagnostic strata.
Optional 1 - Person—troponin level measured date, DDMMYYYY Optional 1 - Person—troponin level measured time, hhmm Optional 1 - Person—underlying cause of death, code (ICD-10 2nd edn) ANN-ANN Conditional obligation:
If a date of death is recorded, the cause of death must also be recorded. These data are recorded regardless of the cause of death.
Optional 1 - Person—units of blood transfused, total N[NNN] Conditional obligation:
Record the total number of blood units (either whole blood or packed red blood cells) that the person has received following a haemorrhagic event.
Conditional 1 - Person—vascular condition status (history), code NN Conditional 1 - Person—weight (measured), total kilograms N[NN].N Conditional 1 - Service contact—service contact date, DDMMYYYY Mandatory 1