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Australian Health Performance Framework: PI 3.1.1–Incidence of heart attacks (acute coronary events), 2019

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termAHPF PI 3.1.1–Incidence of heart attacks (acute coronary events), 2019
METeOR identifier:Help on this term715234
Registration status:Help on this termHealth, Standard 09/04/2020
Description:Help on this term

Incidence of acute coronary events (acute myocardial infarction and unstable angina).

Rationale:Help on this term

Acute coronary events are a form of coronary heart disease, which is one of the leading causes of disease burden in Australia. Monitoring the incidence of acute coronary events provides a measure of the burden of acute coronary heart disease in the population and informs health service planning.

Indicator set:Help on this termAustralian Health Performance Framework, 2019 Health, Standard 09/04/2020

Collection and usage attributes

Population group age from:Help on this term

25 years

Computation description:Help on this term

Rates are directly age-standardised to the 2001 Australian population.

Count (a) number of deaths where ‘acute coronary heart disease’ (International Classification of Diseases 10th Revision (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) is the principal diagnosis, and separation mode is not equal to ‘died’ or ‘transferred to another acute hospital’, and care type is not equal to Newborns without qualified days or posthumous organ procurement or hospital boarder in each calendar year (based on discharge date from hospital).

The number of acute coronary events is estimated by (a) + (b).

Presented as a number per 100,000 population.

Computation:Help on this term

100,000 x (Numerator ÷ Denominator)

Numerator:Help on this term

Sum of count a (the number of deaths recorded with an underlying cause of acute coronary heart disease) and count b (the number of non-fatal hospitalisations with a principal diagnosis of acute myocardial infarction or unstable angina that do not end in death or a transfer to another acute hospital) for ages 25 years and over.

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 2017-18
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetHospital service—care type, code N[N]
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2017-18
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetEpisode of admitted patient care—separation date, DDMMYYYY
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2017-18
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetEpisode of care—principal diagnosis, code (ICD-10-AM 10th edn) ANN{.N[N]}
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2017-18
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetPerson—date of birth, DDMMYYYY
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2017-18
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetData Element

Person—underlying cause of death, code (ICD-10) ANN{.N}


Data Source
AIHW National Mortality Database
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetPerson—age range, code NN
Data Source
AIHW National Mortality Database
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetPerson—date of death, DDMMYYYY
Data Source
AIHW National Mortality Database
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetData Element

Person—year of registration of death, (YYYY)


Data Source
AIHW National Mortality Database
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetEpisode of admitted patient care—separation mode, code N
Data Source
AIHW National Mortality Database
NMDS / DSS
Admitted patient care NMDS 2016-17
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetHospital service—care type, code N[N]
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2016-17
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetEpisode of admitted patient care—separation date, DDMMYYYY
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2016-17
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetEpisode of care—principal diagnosis, code (ICD-10-AM 9th edn) ANN{.N[N]}
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2016-17
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetPerson—date of birth, DDMMYYYY
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2016-17
Guide for use

Data source type: Administrative by-product data


Denominator:Help on this term

Total population aged 25 years and over for calendar 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 (2016 Census-based)
Guide for use

Data source type: Census-based data plus administrative by-product data


Data Element / Data SetPerson—age, total years N[NN]
Data Source
ABS Estimated resident population (2016 Census-based)
Guide for use

Data source type: Census-based data plus administrative by-product data


Disaggregation:Help on this term

2007 to 2017—Nationally by:

  • Age group (25–34, 35–44, 45–54, 55–64, 65–74, 75–84, 85+) and sex.

2007 to 2017—State/territory of usual residence.

Disaggregation data elements:Help on this term
Data Element / Data SetPerson—age range, code NN
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2017-18
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetPerson—sex, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2017-18
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetPerson—area of usual residence, statistical area level 2 (SA2) code (ASGS 2016) N(9)
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2017-18
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetPerson—area of usual residence, statistical area level 2 (SA2) code (ASGS 2016) N(9)
Data Source
AIHW National Mortality Database
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetPerson—sex, code N
Data Source
AIHW National Mortality Database
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetPerson—age range, code NN
Data Source
AIHW National Mortality Database
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetPerson—age range, code NN
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2016-17
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetPerson—sex, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2016-17
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetPerson—area of usual residence, statistical area level 2 (SA2) code (ASGS 2011) N(9)
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2016-17
Guide for use

Data source type: Administrative by-product data


Comments:Help on this term

Most recent data available for 2019 Australian Health Performance Framework: 2017.

Compilation of calendar year data from the Admitted patient care NMDS requires data from 2 financial years (e.g. 2017 calendar year data uses Admitted patient care NMDSs for 2016–17 and 2017–18). Numerator, denominator and disaggregation data elements for previous financial years are similar to those listed above for the Admitted patient care NMDS 2017–18 (noting that some codes and classifications may change over time).

This is an estimate of the incidence of acute coronary events in a calendar 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.

The data for state/territory (of usual residence) has previously been published. Comparison of acute coronary event rates between jurisdictions should not be made as an AIHW assessment of validity study (based on New South Wales and Western Australia data) has shown that there are variations in the ascertainment of acute coronary events between jurisdictions. This is likely due to differing treatment and referral patterns and data recording practices across states/territories, which are likely to have an impact on administrative records and affect jurisdictional comparability. Validation of reporting of incidence of acute coronary events by Primary Health Networks (PHNs) is currently underway.

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 term

N[NNN].N

Indicator conceptual framework

Framework and dimensions:Help on this term1. Health conditions

Data source attributes

Data sources:Help on this term
Data SourceNational Hospital Morbidity Database (NHMD)
Frequency
Annual
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 (2016 Census-based)
Frequency
Quarterly
Data custodian

Australian Bureau of Statistics


Accountability attributes

Reporting requirements:Help on this term

Australian Health Performance Framework

Organisation responsible for providing data:Help on this term

Australian Institute of Health and Welfare

Source and reference attributes

Submitting organisation:Help on this term

Australian Institute of Health and Welfare

Relational attributes

Related metadata references:Help on this term

See also National Healthcare Agreement: PI 09–Incidence of heart attacks (acute coronary events), 2020 Health, Standard 13/03/2020

See also National Healthcare Agreement: PI 09–Incidence of heart attacks (acute coronary events), 2021 Health, Standard 16/09/2020

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