ID
17256
Description
Health sector data set specifications from METeOR, Australia's repository for national metadata standards, developed by the Australian Institute of Health and Welfare (http://meteor.aihw.gov.au/content/index.phtml/itemId/345165) Acute coronary syndrome (clinical) DSS 2013- The Acute coronary syndrome (ACS) data set specification is not mandated for collection but is recommended as best practice if ACS data are to be collected. This data set specification enables individual hospitals or health service areas to develop collection methods and policies appropriate for their service. The scope for the ACS data set specification 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. Acute coronary syndromes reflect 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 specification 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. The data elements specified in this metadata set provide a framework for: • promoting the delivery of evidenced-based acute coronary syndrome management care to patients; • facilitating the ongoing improvement in the quality and safety of acute coronary syndrome management in acute care settings in Australia and New Zealand; • improving the epidemiological and public health understanding of this syndrome; and • supporting acute care services as they develop information systems to complement the above. This is particularly important, as the scientific evidence supporting the development of the data elements within the ACS data set specification indicate that accurate identification of the evolving myocardial infarction patient or the high/intermediate risk patient leading to the implementation of the appropriate management pathway impacts on the patient's outcome. Having a nationally recognised set of definitions in relation to defining a patient's diagnosis, risk status and outcomes is a prerequisite to achieving the above aims. The ACS data set specification is based on the American College of Cardiology (ACC) Data Set for Acute Coronary Syndrome as published in the Journal of the American College of Cardiology in December 2001 (38:2114-30) as well as more recent scientific evidence around the diagnosis of myocardial infarction presented in the National Heart Foundation of Australia/Cardiac Society of Australia and New Zealand Guidelines for the management of acute coronary syndromes (MJA 2006;184;S1-S32). The data elements are alphabetically listed and grouped in a similar manner to the American College of Cardiology's data set format. These features of the Australian ACS data set should ensure that the data is internationally comparable. Many of the data elements in this data set specification may also be used in the collection of other cardiovascular clinical information. Where appropriate, it may be useful if the data definitions in this data set specification were also used to address data definition needs in non-clinical environments such as public health surveys etc. This could allow for qualitative comparisons between data collected in, and aggregated from, clinical settings (i.e. using application of the ACS data set specification), with that collected through other means (e.g. public health surveys, reports). A set of ACS data elements and standardised definitions can inform the development and conduct of future registries at both the national and local level. The working group formed under the National Heart Foundation of Australia (Heart Foundation) and the Cardiac Society of Australia and New Zealand (CSANZ) initiative was diverse and included representation from the following organisations: the Heart Foundation, the CSANZ, the Australasian College of Emergency Medicine, the Australian Institute of Health and Welfare, the Australasian Society of Cardiac & Thoracic Surgeons, Royal Australian College of Physicians (RACP), RACP - Towards a Safer Culture, National Centre for Classification in Health (Brisbane), the NSW Aboriginal Health & Medical Research Council, the George Institute for International Health, the School of Population Health at the University of Western Australia and the National Cardiovascular Monitoring System Advisory Committee. To ensure the broad acceptance of the data set specification, the working group also sought consultation from the heads of cardiology departments, other specialist professional bodies and regional key opinion leaders in the field of acute coronary syndromes. Metadata and Classifications Unit Australian Institute of Health and Welfare GPO Box 570 Canberra ACT 2601
Link
http://meteor.aihw.gov.au/content/index.phtml/itemId/345165
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Acute coronary syndrome (clinical) DSS 2013- Metadata Online Registry (METeOR)
Acute coronary syndrome (clinical) DSS 2013- Metadata Online Registry (METeOR)
Description
Emergency department stay
Description
Emergency department stay—transport mode (arrival), code N Identifying and definitional attributes Short name: Emergency department arrival mode - transport METeOR identifier: 471921 Registration status: Health, Standard 22/12/2011 Independent Hospital Pricing Authority, Standard 31/10/2012 Definition: The mode of transport by which the person arrives at the emergency department, as represented by a code. Data Element Concept: Emergency department stay—transport mode Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Ambulance, air ambulance or helicopter rescue service 2 Police/correctional services vehicle 8 Other Supplementary values: 9 Not stated/unknown Collection and usage attributes Guide for use: CODE 8 Other Includes walking, private transport, public transport, community transport, and taxi. Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- 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. Data element attributes Source and reference attributes Submitting organisation: National reference group for non-admitted patient data development, 2001-02 Relational attributes Related metadata references: Supersedes Non-admitted patient emergency department service episode—transport mode (arrival), code N Health, Superseded 22/12/2011 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Non-admitted patient emergency department care DSS 2015-16 Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014
Data type
integer
Description
Episode of admitted patient care
Description
Episode of admitted patient care—admission date, DDMMYYYY Identifying and definitional attributes Short name: Admission date METeOR identifier: 269967 Registration status: Health, Standard 01/03/2005 Tasmanian Health, Final 30/06/2014 National Health Performance Authority, Standard 07/11/2013 Commonwealth Department of Health, Candidate 16/07/2015 Definition: Date on which an admitted patient commences an episode of care. Data Element Concept: Episode of admitted patient care—admission date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Admitted patient palliative care NMDS 2015-16 DSS specific information: Right justified and zero filled. Admission date must be less than or equal to Separation date Admission date must be greater than or equal to Date of birth Data element attributes Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: Supersedes Admission date, version 4, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (14.4 KB) Is used in the formation of Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] Health, Superseded 13/12/2011 Is used in the formation of Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] Health, Standard 13/12/2011, Tasmanian Health, Draft 24/03/2014, National Health Performance Authority, Standard 25/07/2013 Is used in the formation of Episode of admitted patient care (antenatal)—length of stay (including leave days), total N[NN] Health, Superseded 04/07/2007 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 6) ANNA Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v5.1) ANNA Health, Superseded 22/12/2009 Is used in the formation of Episode of admitted patient care—length of stay (excluding leave days), total N[NN] Health, Standard 01/03/2005, Tasmanian Health, Draft 23/07/2012, National Health Performance Authority, Standard 30/04/2015 Is used in the formation of Episode of admitted patient care—length of stay (including leave days) (antenatal), total N[NN] Health, Standard 04/07/2007 Is used in the formation of Episode of admitted patient care—length of stay (including leave days), total N[NN] Health, Superseded 04/07/2007 Is used in the formation of Episode of admitted patient care—length of stay (including leave days), total N[NN] Health, Standard 04/07/2007 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v 6) NN Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v5.1) NN Health, Superseded 22/12/2009 Is used in the formation of Episode of care—number of psychiatric care days, total N[NNNN] Health, Standard 11/04/2014 Is used in the formation of Episode of care—number of psychiatric care days, total N[NNNN] Health, Superseded 11/04/2014, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Non-admitted patient emergency department service episode—waiting time (to hospital admission), total hours and minutes NNNN Health, Retired 02/04/2014 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Bowel cancer diagnosed cluster Health, Standard 29/08/2014 Surveillance of healthcare associated infection: Staphylococcus aureus bacteraemia DSS Health, Standard 15/11/2012 Implementation in Indicators: Used as numerator National Health Performance Authority, Healthy Communities: Number of selected potentially avoidable hospitalisations per 100,000 people, 2011–12 National Health Performance Authority, Standard 07/11/2013 National Healthcare Agreement: PB f-By 2014-15, improve the provision of primary care and reduce the proportion of potentially preventable hospital admissions by 7.6 per cent over the 2006-07 baseline to 8.5 per cent of total hospital admissions, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 09-Incidence of heart attacks (acute coronary events), 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 18-Selected potentially preventable hospitalisations, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 23-Unplanned hospital readmission rates, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 27-Number of hospital patient days used by those eligible and waiting for residential aged care, 2015 Health, Standard 14/01/2015 Used as denominator National Healthcare Agreement: PB f-By 2014-15, improve the provision of primary care and reduce the proportion of potentially preventable hospital admissions by 7.6 per cent over the 2006-07 baseline to 8.5 per cent of total hospital admissions, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 23-Unplanned hospital readmission rates, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 27-Number of hospital patient days used by those eligible and waiting for residential aged care, 2015 Health, Standard 14/01/2015
Data type
date
Description
Episode of admitted patient care—admission time, hhmm Identifying and definitional attributes Short name: Admission time METeOR identifier: 269972 Registration status: Health, Standard 01/03/2005 Tasmanian Health, Draft 23/07/2012 Definition: Time at which an admitted patient commences an episode of care. Data Element Concept: Episode of admitted patient care—admission time Value domain attributes Representational attributes Representation class: Time Data type: Date/Time Format: hhmm Maximum character length: 4 Source and reference attributes Reference documents: ISO 8601:2000 : Data elements and interchange formats - Information interchange - Representation of dates and times Data element attributes Collection and usage attributes Comments: Required to identify the time of commencement of the episode or hospital stay, for calculation of waiting times and length of stay. Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: Supersedes Admission time, version 2, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (13.5 KB) Is used in the formation of Non-admitted patient emergency department service episode—waiting time (to hospital admission), total hours and minutes NNNN Health, Retired 02/04/2014 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
time
Description
Episode of admitted patient care—separation date, DDMMYYYY Identifying and definitional attributes Short name: Separation date METeOR identifier: 270025 Registration status: Health, Standard 01/03/2005 Tasmanian Health, Final 01/07/2014 Commonwealth Department of Health, Candidate 16/07/2015 Definition: The date on which an admitted patient completes an episode of care, expressed as DDMMYYYY. Data Element Concept: Episode of admitted patient care—separation date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Admitted patient palliative care NMDS 2015-16 DSS specific information: For the provision of state and territory hospital data to Commonwealth agencies this field must: • be less than or equal to the last day of the financial year • be greater than or equal to the first day of the financial year • be greater than or equal to Admission date Data element attributes Collection and usage attributes Comments: There may be variations amongst jurisdictions with respect to the recording of separation date. This most often occurs for patients who are statistically separated after a period of leave (and who do not return for further hospital care). In this case, some jurisdictions may record the separation date as the date of statistical separation (and record intervening days as leave days) while other jurisdictions may retrospectively separate patients on the first day of leave. Despite the variations in recording of separation date for this group of patients, the current practices provide for the accurate recording of length of stay. Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: Is used in the formation of Episode of admitted patient care (postnatal)—length of stay (including leave days), total N[NN] Health, Superseded 04/07/2007 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 6) ANNA Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v5.1) ANNA Health, Superseded 22/12/2009 Is used in the formation of Episode of admitted patient care—length of stay (excluding leave days), total N[NN] Health, Standard 01/03/2005, Tasmanian Health, Draft 23/07/2012, National Health Performance Authority, Standard 30/04/2015 Is used in the formation of Episode of admitted patient care—length of stay (including leave days) (postnatal), total N[NN]Health, Standard 04/07/2007 Is used in the formation of Episode of admitted patient care—length of stay (including leave days), total N[NN] Health, Superseded 04/07/2007 Is used in the formation of Episode of admitted patient care—length of stay (including leave days), total N[NN] Health, Standard 04/07/2007 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v 6) NN Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v5.1) NN Health, Superseded 22/12/2009 Is used in the formation of Episode of care—number of psychiatric care days, total N[NNNN] Health, Superseded 11/04/2014, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of care—number of psychiatric care days, total N[NNNN] Health, Standard 11/04/2014 Is used in the formation of Establishment—number of separations (financial year), total N[NNNNN] Health, Standard 01/03/2005 Supersedes Separation date, version 5, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (15.2 KB) See also Specialised mental health service—number of episodes of admitted care, total episodes N[NNNN] Health, Standard 13/11/2014 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Perinatal NMDS 2014- Health, Standard 07/03/2014 Surveillance of healthcare associated infection: Staphylococcus aureus bacteraemia DSS Health, Standard 15/11/2012 Implementation in Indicators: Used as numerator National Healthcare Agreement: PI 09-Incidence of heart attacks (acute coronary events), 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 23-Unplanned hospital readmission rates, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 27-Number of hospital patient days used by those eligible and waiting for residential aged care, 2015 Health, Standard 14/01/2015 Used as denominator National Healthcare Agreement: PB f-By 2014-15, improve the provision of primary care and reduce the proportion of potentially preventable hospital admissions by 7.6 per cent over the 2006-07 baseline to 8.5 per cent of total hospital admissions, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 23-Unplanned hospital readmission rates, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 27-Number of hospital patient days used by those eligible and waiting for residential aged care, 2015 Health, Standard 14/01/2015
Data type
date
Description
Episode of admitted patient care—separation mode, code N Identifying and definitional attributes Short name: Mode of separation METeOR identifier: 270094 Registration status: Health, Standard 01/03/2005 Commonwealth Department of Health, Candidate 16/07/2015 Definition: Status at separation of person (discharge/transfer/death) and place to which person is released, as represented by a code. Data Element Concept: Episode of admitted patient care—separation mode Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Discharge/transfer to (an)other acute hospital 2 Discharge/transfer to a residential aged care service, unless this is the usual place of residence 3 Discharge/transfer to (an)other psychiatric hospital 4 Discharge/transfer to other health care accommodation (includes mothercraft hospitals) 5 Statistical discharge - type change 6 Left against medical advice/discharge at own risk 7 Statistical discharge from leave 8 Died 9 Other (includes discharge to usual residence, own accommodation/welfare institution (includes prisons, hostels and group homes providing primarily welfare services)) Collection and usage attributes Guide for use: CODE 4 Discharge/transfer to other health care accommodation (includes mothercraft hospitals) In jurisdictions where mothercraft facilities are considered to be acute hospitals, patients separated to a mothercraft facility should have a mode of separation of Code 1. If the residential aged care service is the patient's place of usual residence then they should have a mode of separation of Code 9. Data element attributes Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 6) ANNA Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v5.1) ANNA Health, Superseded 22/12/2009 See also Episode of admitted patient care—emergency department short stay unit departure destination, code N Health, Standardisation pending 01/05/2014 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v 6) NN Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v5.1) NN Health, Superseded 22/12/2009 Supersedes Mode of separation, version 3, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (16.3 KB) Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Implementation in Indicators: Used as numerator National Healthcare Agreement: PI 09-Incidence of heart attacks (acute coronary events), 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 27-Number of hospital patient days used by those eligible and waiting for residential aged care, 2015 Health, Standard 14/01/2015
Data type
integer
Description
Episode of care
Description
Episode of care—principal diagnosis, code (ICD-10-AM 8th edn) ANN{.N[N]} Identifying and definitional attributes Short name: Principal diagnosis—episode of care METeOR identifier: 514273 Registration status: Health, Superseded 13/11/2014 Tasmanian Health, Final 01/07/2014 National Health Performance Authority, Proposed 27/11/2013 Definition: The diagnosis established after study to be chiefly responsible for occasioning an episode of admitted patient care, an episode of residential care or an attendance at the health care establishment, as represented by a code. Data Element Concept: Episode of care—principal diagnosis Value domain attributes Representational attributes Classification scheme: International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification 8th edition Representation class: Code Data type: String Format: ANN{.N[N]} Maximum character length: 6 Data element attributes Collection and usage attributes Guide for use: The principal diagnosis must be determined in accordance with the Australian Coding Standards. Each episode of admitted patient care must have a principal diagnosis and may have additional diagnoses. The diagnosis can include a disease, condition, injury, poisoning, sign, symptom, abnormal finding, complaint, or other factor influencing health status. As a minimum requirement the Principal diagnosis code must be a valid code from the current edition of ICD-10-AM. For episodes of admitted patient care, some diagnosis codes are too imprecise or inappropriate to be acceptable as a principal diagnosis and will group to an error DRG in the Australian Refined Diagnosis Related Groups. Diagnosis codes starting with a V, W, X or Y, describing the circumstances that cause an injury, rather than the nature of the injury, cannot be used as principal diagnosis. Diagnosis codes which are morphology codes cannot be used as principal diagnosis. Collection methods: A principal diagnosis should be recorded and coded upon separation, for each episode of admitted patient care or episode of residential care or attendance at a health care establishment. The principal diagnosis is derived from and must be substantiated by clinical documentation. Comments: The principal diagnosis is one of the most valuable health data elements. It is used for epidemiological research, casemix studies and planning purposes. Source and reference attributes Origin: National Centre for Classification in Health National Data Standard for Injury Surveillance Advisory Group Relational attributes Related metadata references: Supersedes Episode of care—principal diagnosis, code (ICD-10-AM 7th edn) ANN{.N[N]} Health, Superseded 02/05/2013, Tasmanian Health, Draft 23/07/2012, National Health Performance Authority, Standard 07/11/2013, Commonwealth Department of Health, Candidate 16/07/2015 Has been superseded by Episode of care—principal diagnosis, code (ICD-10-AM 9th edn) ANN{.N[N]} Health, Standard 13/11/2014, Independent Hospital Pricing Authority, Proposed 15/09/2014 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Community mental health care NMDS 2015-16 Health, Standard 13/11/2014 Residential mental health care NMDS 2015-16 Health, Standard 13/11/2014
Data type
text
Description
Episode of care—principal source of funding, hospital code NN Identifying and definitional attributes Short name: Funding source for hospital patient METeOR identifier: 339080 Registration status: Health, Superseded 11/04/2012 Commonwealth Department of Health, Candidate 16/07/2015 Definition: The principal source of funds for an admitted patient episode or non-admitted patient service event, as represented by a code. Context: Admitted patient care. Hospital non-admitted patient care. Data Element Concept: Episode of care—principal source of funding Value domain attributes Representational attributes Representation class: Code Data type: String Format: NN Maximum character length: 2 Permissible values: Value Meaning 01 Australian Health Care Agreements 02 Private health insurance 03 Self-funded 04 Worker's compensation 05 Motor vehicle third party personal claim 06 Other compensation (e.g. public liability, common law, medical negligence) 07 Department of Veterans' Affairs 08 Department of Defence 09 Correctional facility 10 Other hospital or public authority (contracted care) 11 Reciprocal health care agreements (with other countries) 12 Other 13 No charge raised Supplementary values: 99 Not known Collection and usage attributes Guide for use: CODE 01 Australian Health Care Agreements Australian Health Care Agreements should be recorded as the funding source for Medicare eligible admitted patients who elect to be treated as public patients and Medicare eligible emergency department patients and Medicare eligible patients presenting at a public hospital outpatient department for whom there is not a third party arrangement. Includes: Public admitted patients in private hospitals funded by state or territory health authorities (at the state or regional level). Excludes: Inter-hospital contracted patients and overseas visitors who are covered by Reciprocal health care agreements and elect to be treated as public admitted patients. CODE 02 Private health insurance Excludes: overseas visitors for whom travel insurance is the major funding source. CODE 03 Self-funded This code includes funded by the patient, by the patient's family or friends, or by other benefactors. CODE 10 Other hospital or public authority Includes: Patients receiving treatment under contracted care arrangements (Inter-hospital contracted patient). CODE 11 Reciprocal health care agreements (with other countries) Australia has Reciprocal Health Care Agreements with the United Kingdom, the Netherlands, Italy, Malta, Sweden, Finland, Norway, New Zealand and Ireland. The Agreements provide for free accommodation and treatment as public hospital services, but do not cover treatment as a private patient in any kind of hospital. – The Agreements with Finland, Italy, Malta, the Netherlands, Norway, Sweden and the United Kingdom provide free care as a public patient in public hospitals, subsidised out-of-hospital medical treatment under Medicare, and subsidised medicines under the Pharmaceutical Benefits Scheme. – The Agreements with New Zealand and Ireland provide free care as a public patient in public hospitals and subsidised medicines under the Pharmaceutical Benefits Scheme, but do not cover out-of-hospital medical treatment. – Visitors from Italy and Malta are covered for a period of six months from the date of arrival in Australia only. Excludes: Overseas visitors who elect to be treated as private patients. CODE 12 Other funding source Includes: Overseas visitors for whom travel insurance is the major funding source. CODE 13 No charge Includes: Admitted patients who are Medicare ineligible and receive public hospital services free of charge at the discretion of the hospital or the state/territory. Also includes patients who receive private hospital services for whom no accommodation or facility charge is raised (for example, when the only charges are for medical services bulk-billed to Medicare), and patients for whom a charge is raised but is subsequently waived. Excludes: Admitted public patients (Medicare eligible) whose funding source should be recorded as Australian Health Care Agreements or Reciprocal Health Care Agreements. Also excludes Medicare eligible non-admitted patients, presenting to a public hospital emergency department and Medicare eligible patients (for whom there is not a third party payment arrangement) presenting at a public hospital outpatient department, whose funding source should be recorded as Australian Health Care Agreements. Also excludes patients presenting to an outpatient department who have chosen to be treated as a private patient and have been referred to a named medical specialist who is exercising a right of private practice. These patients are not considered to be patients of the hospital (see Guide for use). Data element attributes Collection and usage attributes Guide for use: If there is an expected funding source followed by a finalised actual funding source (for example, in relation to compensation claims), then the actual funding source known at the end of the reporting period should be recorded. The expected funding source should be reported if the fee has not been paid but is not to be waived. If a charge is raised for accommodation or facility fees for the episode/service event, the intent of this data element is to collect information on who is expected to pay, provided that the charge would cover most of the expenditure that would be estimated for the episode/service event. If the charge raised would cover less than half of the expenditure, then the funding source that represents the majority of the expenditure should be reported. The major source of funding should be reported for nursing-home type patients. Relational attributes Related metadata references: Supersedes Episode of care—expected principal source of funding, hospital code NN Health, Superseded 29/11/2006 Has been superseded by Episode of care—source of funding, patient funding source code NN Health, Superseded 07/03/2014 See also Non-admitted patient service event—principal source of funding Health, Superseded 11/04/2012, Independent Hospital Pricing Authority, Standard 01/11/2012 See also Non-admitted patient service event—principal source of funding, code NN Health, Superseded 11/04/2012, Independent Hospital Pricing Authority, Standard 01/11/2012 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Description
Establishment
Description
Establishment—organisation identifier (Australian), NNX[X]NNNNN Identifying and definitional attributes Short name: Establishment identifier METeOR identifier: 269973 Registration status: Health, Standard 01/03/2005 WA Health, Endorsed 19/03/2015 Independent Hospital Pricing Authority, Standard 31/10/2012 Indigenous, Draft 18/10/2012 National Health Performance Authority, Standard 25/07/2013 Commonwealth Department of Health, Candidate 30/07/2015 Definition: The identifier for the establishment in which episode or event occurred. Each separately administered health care establishment to have a unique identifier at the national level. Data Element Concept: Establishment—organisation identifier Value domain attributes Representational attributes Representation class: Identifier Data type: String Format: NNX[X]NNNNN Maximum character length: 9 Data element attributes Collection and usage attributes Guide for use: Concatenation of: Australian state/territory identifier (character position 1); Sector (character position 2); Region identifier (character positions 3-4); and Organisation identifier (state/territory), (character positions 5-9). Comments: Establishment identifier should be able to distinguish between all health care establishments nationally. Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: Supersedes Establishment identifier, version 4, Derived DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (17.0 KB) Is formed using Establishment—Australian state/territory identifier, code N Health, Standard 01/03/2005, Commonwealth Department of Health, Candidate 16/07/2015 See also Establishment—WA identifier, NNN[N] WA Health, Endorsed 04/03/2014 Is formed using Establishment—organisation identifier (state/territory), NNNNN Health, Standard 01/03/2005, National Health Performance Authority, Standard 27/11/2013, Commonwealth Department of Health, Candidate 16/07/2015 Is formed using Establishment—region identifier, X[X] Health, Standard 01/03/2005, Commonwealth Department of Health, Candidate 16/07/2015 Is formed usingEstablishment—sector, code N Health, Standard 01/03/2005, Commonwealth Department of Health, Candidate 16/07/2015 See also Hospital—hospital identifier, XXXXX Health, Standard 07/12/2011 Implementation in Data Set Specifications: Activity based funding: Emergency service care DSS 2013-2014 Independent Hospital Pricing Authority, Standard 31/10/2012 Activity based funding: Emergency service care DSS 2014-15Independent Hospital Pricing Authority, Standard 14/01/2015 Activity based funding: Emergency service care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Activity based funding: Mental health care DSS 2015-16 Independent Hospital Pricing Authority, Standard 15/10/2014 Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Alcohol and other drug treatment services NMDS 2015- Health, Standard 13/11/2014 Elective surgery waiting times (census data) NMDS 2015- Health, Standard 12/06/2015 Elective surgery waiting times (removals data) NMDS 2015- Health, Standard 12/06/2015 Elective surgery waiting times cluster Health, Standard 11/04/2014 Hospital teaching and training activities DSS 2014-15 Health, Standard 07/03/2014 Hospital teaching, training and research activities DSS 2015- Independent Hospital Pricing Authority, Standard 17/08/2015 Maternity model of care DSS Health, Standard 14/05/2015 Non-admitted patient care hospital aggregate NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 24/10/2014 Non-admitted patient care Local Hospital Network aggregate DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 13/09/2014 Non-admitted patient DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 23/07/2014 Non-admitted patient emergency department care DSS 2015-16 Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Perinatal NMDS 2014- Health, Standard 07/03/2014 Public hospital establishment address details DSS Health, Standard 07/12/2011 Radiotherapy waiting times NMDS 2015- Health, Standard 13/11/2014 WA Health Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC) 2013-14 WA Health, Endorsed 19/03/2015 WA Health Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC) 2014-15 WA Health, Endorsed 24/04/2015 Implementation in Indicators: Used as numerator National Health Performance Authority, Hospital Performance: Median waiting time for elective surgery 2012-13 National Health Performance Authority, Standard 25/07/2013 National Health Performance Authority, Hospital Performance: Median waiting time for elective surgery, 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Median waiting time for elective surgery, 2015 National Health Performance Authority, Standard 30/04/2015 National Health Performance Authority, Hospital Performance: Number of elective surgeries 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Patients who received their surgery within clinically recommended times 2012-13 National Health Performance Authority, Standard 25/07/2013 National Health Performance Authority, Hospital Performance: Patients who waited more than 365 days for elective surgery 2012-13 National Health Performance Authority, Standard 25/07/2013 National Health Performance Authority, Hospital Performance: Percentage of patients who waited longer than 365 days for elective surgery, 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Percentage of patients who waited longer than 365 days for elective surgery, 2015 National Health Performance Authority, Standard 30/04/2015 National Healthcare Agreement: PI 20a-Waiting times for elective surgery: waiting times in days, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 20b-Waiting times for elective surgery: proportion seen on time, 2015 Health, Standard 14/01/2015 Used as denominator National Health Performance Authority, Hospital Performance: Patients who received their surgery within clinically recommended times 2012-13 National Health Performance Authority, Standard 25/07/2013 National Health Performance Authority, Hospital Performance: Patients who waited more than 365 days for elective surgery 2012-13 National Health Performance Authority, Standard 25/07/2013 National Health Performance Authority, Hospital Performance: Percentage of patients who waited longer than 365 days for elective surgery, 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Percentage of patients who waited longer than 365 days for elective surgery, 2015 National Health Performance Authority, Standard 30/04/2015 National Health Performance Authority, Hospital Performance: Waiting times for emergency hospital care: Percentage completed within four hours, 2014 National Health Performance Authority, Standard 28/05/2014
Data type
text
Description
Health service event
Description
Health service event—presentation date, DDMMYYYY Identifying and definitional attributes Short name: Date patient presents METeOR identifier: 270393 Registration status: Health, Standard 01/03/2005 Tasmanian Health, Draft 23/07/2012 Definition: The date on which the patient/client presents for the delivery of a service. Data Element Concept: Health service event—presentation date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- 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. Data element attributes Collection and usage attributes Guide for use: For community health care, outreach services and services provided via telephone or telehealth, this may be the date on which the service provider presents to the patient or the telephone/telehealth session commences. The date of patient presentation at the Emergency department is the earliest occasion of being registered clerically or triaged. The date that the patient presents is not necessarily: • the listing date for care (see listing date for care), nor • the date on which care is scheduled to be provided, nor • the date on which commencement of care actually occurs (for admitted patients see admission date, for hospital non-admitted patient care and community health care see service commencement date). Source and reference attributes Submitting organisation: National Institution Based Ambulatory Model Reference Group Origin: National Health Data Committee Relational attributes Related metadata references: Supersedes Date patient presents, version 2, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (16.3 KB) See also Emergency department stay—presentation date, DDMMYYYY Health, Standard 22/12/2011, Tasmanian Health, Final 02/07/2014, Independent Hospital Pricing Authority, Standard 31/10/2012, National Health Performance Authority, Standard 28/05/2014 Is used in the formation of Non-admitted patient emergency department service episode—service episode length, total minutes NNNNN Health, Superseded 23/05/2012 Is used in the formation of Non-admitted patient emergency department service episode—waiting time (to hospital admission), total hours and minutes NNNN Health, Retired 02/04/2014 Is used in the formation of Non-admitted patient emergency department service episode—waiting time (to service delivery), total minutes NNNNN Health, Superseded 22/12/2009 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
date
Description
Health service event—presentation time, hhmm Identifying and definitional attributes Short name: Time patient presents METeOR identifier: 270080 Registration status: Health, Standard 01/03/2005 Tasmanian Health, Draft 23/07/2012 Definition: The time at which the patient presents for the delivery of a service. Data Element Concept: Health service event—presentation time Value domain attributes Representational attributes Representation class: Time Data type: Date/Time Format: hhmm Maximum character length: 4 Source and reference attributes Reference documents: ISO 8601:2000 : Data elements and interchange formats - Information interchange - Representation of dates and times Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- 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. Data element attributes Collection and usage attributes Guide for use: For community health care, outreach services and services provided via telephone or telehealth, this may be the time at which the service provider presents to the patient or the telephone/telehealth session commences. The time of patient presentation at the emergency department is the earliest occasion of being registered clerically or triaged. The time that the patient presents is not necessarily: • the listing time for care (see listing date for care for an analogous concept), nor • the time at which care is scheduled to be provided, nor • the time at which commencement of care actually occurs (for admitted patients see admission time, for hospital non-admitted patient care and community health care see service commencement time). Source and reference attributes Submitting organisation: National Institution Based Ambulatory Model Reference Group Origin: National Health Data Committee Relational attributes Related metadata references: See also Emergency department stay—presentation time, hhmm Health, Standard 22/12/2011, Tasmanian Health, Final 02/07/2014, Independent Hospital Pricing Authority, Standard 31/10/2012, National Health Performance Authority, Standard 28/05/2014 Is used in the formation of Non-admitted patient emergency department service episode—service episode length, total minutes NNNNN Health, Superseded 23/05/2012 Is used in the formation of Non-admitted patient emergency department service episode—waiting time (to hospital admission), total hours and minutes NNNN Health, Retired 02/04/2014 Is used in the formation of Non-admitted patient emergency department service episode—waiting time (to service delivery), total minutes NNNNN Health, Superseded 22/12/2009 Supersedes Time patient presents, version 2, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (16.2 KB) Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
time
Description
Health service event—referral to rehabilitation service date, DDMMYYYY Identifying and definitional attributes Short name: Date of referral to rehabilitation METeOR identifier: 269993 Registration status: Health, Standard 01/03/2005 Definition: The date on which a person is referred to a rehabilitation service. Data Element Concept: Health service event—referral to rehabilitation service date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- 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. Data element attributes Collection and usage attributes Guide for use: If date of referral is not known then provision should be made to collect month and year as a minimum, using 01 as DD (as the date part) if only the month and year are known. Collection methods: To be collected at the time of commencement of rehabilitation. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Relational attributes Related metadata references: Supersedes Date of referral to rehabilitation, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (14.2 KB) Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012
Data type
date
Description
Laboratory standard
Description
Laboratory standard—upper limit of normal range for creatine kinase isoenzyme, total units per litre N[NNN] Identifying and definitional attributes Short name: Creatine kinase isoenzyme—upper limit of normal range (U/L) METeOR identifier: 349630 Registration status: Health, Standard 01/10/2008 Definition: Laboratory standard for the value of creatine kinase (CK) isoenzyme measured in units per litre that is the upper boundary of the normal reference range. Data Element Concept: Laboratory standard—upper limit of normal range for creatine kinase isoenzyme Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[NNN] Maximum character length: 4 Supplementary values: Value Meaning 9998 Not measured 9999 Not stated/inadequately described Unit of measure: Units per litre (U/L) Data element attributes Collection and usage attributes Guide for use: Record the upper limit of the creatine kinase normal reference range for the testing laboratory. Comments: There are three different CK isoenzyme sub-forms: - CK-MM (skeletal muscle) - CK-MB (cardiac muscle) - CK-BB (brain tissue) Relational attributes Related metadata references: See also Person—creatine kinase isoenzyme level (measured), total units per litre N[NNN] Health, Standard 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Measurement units
- U/L
Description
Laboratory standard—upper limit of normal range for creatine kinase myocardial band isoenzyme, total micrograms per litre N[NNN] Obligation: Conditional Identifying and definitional attributes Short name: Creatine kinase MB isoenzyme—upper limit of normal range (micrograms per litre) METeOR identifier: 359287 Registration status: Health, Standard 01/10/2008 Definition: Laboratory standard for the value of creatine kinase myocardial band (CK-MB) isoenzyme measured in micrograms per litre that is the upper boundary of the normal reference range. Data Element Concept: Laboratory standard—upper limit of normal range for creatine kinase myocardial band isoenzyme Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[NNN] Maximum character length: 4 Supplementary values: Value Meaning 9998 Not measured 9999 Not stated/inadequately described Unit of measure: Microgram per litre (µg/L) Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Data element attributes Collection and usage attributes Guide for use: Record the upper limit of the creatine kinase myocardial band (CK-MB) normal reference range for the testing laboratory. Source and reference attributes Submitting organisation: Acute coronary syndrome data working group. Relational attributes Related metadata references: Supersedes Laboratory standard—upper limit of normal range for creatine kinase myocardial band isoenzyme, total micrograms per litre N[NNN] Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Measurement units
- µg/L
Description
Laboratory standard—upper limit of normal range for troponin assay, total micrograms per litre N[NNN] Obligation: Conditional Identifying and definitional attributes Short name: Troponin assay—upper limit of normal range (micrograms per litre) METeOR identifier: 359315 Registration status: Health, Standard 01/10/2008 Definition: Laboratory standard for the value of 'troponin T' or 'troponin I' measured in micrograms per litre that is the upper boundary of the normal reference range. Data Element Concept: Laboratory standard—upper limit of normal range of troponin assay Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[NNN] Maximum character length: 4 Supplementary values: Value Meaning 9998 Not measured 9999 Not stated/inadequately described Unit of measure: Microgram per litre (µg/L) Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Data element attributes Collection and usage attributes Guide for use: Record the upper limit of normal (usually the ninety-ninth percentile of a normal population) for the individual laboratory. Source and reference attributes Submitting organisation: Acute coronary syndrome data working group Relational attributes Related metadata references: Supersedes Laboratory standard—upper limit of normal range for troponin assay, total micrograms per litre N[NNN] Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Measurement units
- µg/L
Description
Laboratory standard—upper limit of normal range of glycosylated haemoglobin, percentage N[N].N Obligation: Conditional Identifying and definitional attributes Short name: Glycosylated haemoglobin—upper limit of normal range (percentage) METeOR identifier: 270333 Registration status: Health, Standard 01/03/2005 Definition: Laboratory standard for the value of glycosylated haemoglobin (HbA1c) measured as a percentage that is the upper boundary of the normal range. Data Element Concept: Laboratory standard—upper limit of normal range of glycosylated haemoglobin Value domain attributes Representational attributes Representation class: Percentage Data type: Number Format: N[N].N Maximum character length: 3 Supplementary values: Value Meaning 99.9 Not stated/inadequately described Data element attributes Collection and usage attributes Guide for use: Record the upper limit of the HbA1c normal reference range from the laboratory result. Collection methods: This value is usually notified in patient laboratory results and may vary for different laboratories. Comments: HbA1c results vary between laboratories; use the same laboratory for repeated testing. Source and reference attributes Submitting organisation: National Diabetes Data Working Group Origin: National Diabetes Outcomes Quality Review Initiative (NDOQRIN) data dictionary. Relational attributes Related metadata references: Supersedes Glycosylated Haemoglobin (HbA1c) - upper limit of normal range, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (15.9 KB) See also Person—glycosylated haemoglobin level (measured), percentage N[N].N Health, Standard 01/03/2005 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Diabetes (clinical) DSS Health, Standard 21/09/2005
Data type
float
Measurement units
- %
Description
Non-admitted patient emergency department service episode
Description
Non-admitted patient emergency department service episode—type of visit to emergency department, code N Identifying and definitional attributes Short name: Type of visit to emergency department METeOR identifier: 270362 Registration status: Health, Superseded 22/12/2011 Definition: The reason the patient presents to an emergency department, as represented by a code. Data Element Concept: Non-admitted patient emergency department service episode—type of visit to emergency department Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Emergency presentation: attendance for an actual or suspected condition which is sufficiently serious to require acute unscheduled care. 2 Return visit, planned: presentation is planned and is a result of a previous emergency department presentation or return visit. 3 Pre-arranged admission: a patient who presents at the emergency department for either clerical, nursing or medical processes to be undertaken, and admission has been pre-arranged by the referring medical officer and a bed allocated. 4 Patient in transit: the emergency department is responsible for care and treatment of a patient awaiting transport to another facility. 5 Dead on arrival: a patient who is dead on arrival at the emergency department. Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- 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. Data element attributes Collection and usage attributes Comments: Required for analysis of emergency department services. Source and reference attributes Submitting organisation: National Institution Based Ambulatory Model Reference Group Origin: National Health Data Committee Relational attributes Related metadata references: Has been superseded by Emergency department stay—type of visit to emergency department, code N Health, Superseded 30/01/2012 Supersedes Type of visit to emergency department, version 2, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (15.6 KB) Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Implementation in Indicators: Used as numerator National Healthcare Agreement: PI 19-Selected potentially avoidable GP-type presentations to emergency departments, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 21a-Waiting times for emergency hospital care: Proportion seen on time, 2015 Health, Standard 14/01/2015 Used as denominator National Healthcare Agreement: PI 21a-Waiting times for emergency hospital care: Proportion seen on time, 2015 Health, Standard 14/01/2015
Data type
integer
Description
Non-admitted patient emergency department service episode—triage category, code N Obligation: Conditional Identifying and definitional attributes Short name: Triage category METeOR identifier: 474185 Registration status: Health, Standard 30/01/2012 Independent Hospital Pricing Authority, Standard 31/10/2012 National Health Performance Authority, Standard 28/05/2014 Definition: The urgency of the patient's need for medical and nursing care as assessed at triage, as represented by a code. Context: Emergency department care. Data Element Concept: Non-admitted patient emergency department service episode—triage category Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Resuscitation: immediate (within seconds) 2 Emergency: within 10 minutes 3 Urgent: within 30 minutes 4 Semi-urgent: within 60 minutes 5 Non-urgent: within 120 minutes Data set specification specific attributes Non-admitted patient emergency department care NMDS 2015-16 Conditional obligation: This data item is to be recorded for patients who have one of the following Type of visit values recorded: · Code 1 - Emergency presentation; · Code 2 - Return visit, planned; · Code 3 - Pre-arranged admission; · Code 4 - Patient in transit. Data element attributes Collection and usage attributes Collection methods: This triage classification is to be used in the emergency departments of hospitals. Patients will be triaged into one of five categories on the Australasian Triage Scale according to the triageur's response to the question: 'This patient should wait for medical care no longer than ...?'. The triage category is allocated by an experienced registered nurse or medical practitioner. If the triage category changes, both triage categories can be captured, but the original category must be reported in this data element. A triage category should not be assigned for patients who have a Type of visit of 'Dead on arrival, emergency department clinician certified the death of the patient'. Source and reference attributes Origin: Australasian Triage Scale, Australasian College for Emergency Medicine Reference documents: The Australian College of Emergency Medicine (ACEM) policy on the Australian Triage Scheme is accessible at: Australian College of Emergency Medicine 2000. Australian College of Emergency Medicine, Melbourne. Viewed 15 February 2013, http://www.acem.org.au/media/policies_and_guidelines/ P06_Aust_Triage_Scale_-_Nov_2000.pdf In addition, the ACEM guideline provides descriptors for the individual triage categories which can be viewed at: Australian College of Emergency Medicine 2005. Australian College of Emergency Medicine, Melbourne. Viewed 15 February 2013, http://www.acem.org.au/media/policies_and_guidelines/ G24_Implementation__ATS.pdf Relational attributes Related metadata references: Supersedes Non-admitted patient emergency department service episode—triage category, code N Health, Superseded 30/01/2012 Implementation in Data Set Specifications: Activity based funding: Emergency service care DSS 2013-2014 Independent Hospital Pricing Authority, Standard 31/10/2012 Activity based funding: Emergency service care DSS 2014-15 Independent Hospital Pricing Authority, Standard 14/01/2015 Activity based funding: Emergency service care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Non-admitted patient emergency department care DSS 2015-16 Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Implementation in Indicators: Used as numerator National Health Performance Authority, Hospital Performance: Percentage of patients who commenced treatment within clinically recommended time 2014 National Health Performance Authority, Standard 28/05/2014 Used as denominator National Health Performance Authority, Hospital Performance: Percentage of patients who commenced treatment within clinically recommended time 2014 National Health Performance Authority, Standard 28/05/2014
Data type
integer
Description
Non-admitted patient emergency department service episode—triage date, DDMMYYYY Identifying and definitional attributes Short name: Date of triage Synonymous names: Triage date METeOR identifier: 474189 Registration status: Health, Standard 30/01/2012 Tasmanian Health, Final 02/07/2014 Independent Hospital Pricing Authority, Standard 01/11/2012 Definition: The date on which the patient is triaged, expressed as DDMMYYYY. Context: Emergency department care. Data Element Concept: Non-admitted patient emergency department service episode—triage date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Non-admitted patient emergency department care NMDS 2015-16 Conditional obligation: This data item is to be recorded for patients who have one of the following Type of visit values recorded: · Code 1 - Emergency presentation; · Code 2 - Return visit, planned; · Code 3 - Pre-arranged admission; · Code 4 - Patient in transit. Data element attributes Collection and usage attributes Guide for use: This data element should not be completed for patients who have a Type of visit of 'Dead on arrival'. Collection methods: Collected in conjunction with the data element 'Non-admitted patient emergency department service episode—triage time, hhmm'. Source and reference attributes Submitting organisation: Australian Government Department of Health and Ageing Relational attributes Related metadata references: Supersedes Non-admitted patient emergency department service episode—triage date, DDMMYYYY Health, Superseded 30/01/2012 See also Non-admitted patient emergency department service episode—triage time, hhmm Health, Standard 30/01/2012, Tasmanian Health, Final 02/07/2014, Independent Hospital Pricing Authority, Standard 01/11/2012 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Non-admitted patient emergency department care DSS 2015-16 Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014
Data type
date
Description
Non-admitted patient emergency department service episode—triage time, hhmm Identifying and definitional attributes Short name: Time of triage Synonymous names: Triage time METeOR identifier: 474193 Registration status: Health, Standard 30/01/2012 Tasmanian Health, Final 02/07/2014 Independent Hospital Pricing Authority, Standard 01/11/2012 Definition: The time at which the patient is triaged, expressed as hhmm. Context: Emergency department care. Data Element Concept: Non-admitted patient emergency department service episode—triage time Value domain attributes Representational attributes Representation class: Time Data type: Date/Time Format: hhmm Maximum character length: 4 Source and reference attributes Reference documents: ISO 8601:2000 : Data elements and interchange formats - Information interchange - Representation of dates and times Data set specification specific attributes Non-admitted patient emergency department care NMDS 2015-16 Conditional obligation: This data item is to be recorded for patients who have one of the following Type of visit values recorded: · Code 1 - Emergency presentation; · Code 2 - Return visit, planned; · Code 3 - Pre-arranged admission; · Code 4 - Patient in transit. Data element attributes Collection and usage attributes Guide for use: This data element should not be completed for patients who have a Type of visit of 'Dead on arrival'. Collection methods: Collected in conjunction with the data element 'Non-admitted patient emergency department service episode—triage date, DDMMYYYY'. Source and reference attributes Submitting organisation: Australian Government Department of Health and Ageing Relational attributes Related metadata references: See also Non-admitted patient emergency department service episode—triage date, DDMMYYYY Health, Standard 30/01/2012, Tasmanian Health, Final 02/07/2014, Independent Hospital Pricing Authority, Standard 01/11/2012 Supersedes Non-admitted patient emergency department service episode—triage time, hhmm Health, Superseded 30/01/2012 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Non-admitted patient emergency department care DSS 2015-16 Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014
Data type
time
Description
Person with acute coronary syndrome
Description
Person with acute coronary syndrome—bleeding location, instrumented code N(N) Identifying and definitional attributes Short name: Instrumented bleeding location Synonymous names: Instrumented bleeding site METeOR identifier: 344787 Registration status: Health, Standard 01/10/2008 Definition: The location of the person's bleeding episode, arising from an instrumented site, as represented by a code. Data Element Concept: Person with acute coronary syndrome—bleeding location Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N[N] Maximum character length: 2 Permissible values: Value Meaning 1 Percutaneous coronary procedure arterial access site 2 Coronary artery bypass graft site 3 Gastrointestinal site 4 Genitourinary site 5 Intracranial site 6 Pulmonary site 7 Pericardial site 8 Other site(s) 9 Unidentified site Supplementary values: 99 Not stated/inadequately described Collection and usage attributes Guide for use: CODE 1 Percutaneous coronary procedure arterial access site Use this code when the person's bleeding is originating from the site of arterial access for a percutaneous coronary procedure. Procedures may include cardiac catheterisation, percutaneous coronary intervention, angiogram, intra-aortic balloon pump and/or arterial pressure monitoring sheaths. CODE 2 Coronary artery bypass graft site Use this code when the person's bleeding is originating from the site of a coronary artery bypass graft. CODE 3 Gastrointestinal site Use this code when the person's bleeding is originating from the gastrointestinal area with mechanical instrumentation. CODE 4 Genitourinary site Use this code when the person's bleeding is originating from the genitourinary area with mechanical instrumentation. CODE 5 Intracranial site Use this code when the person's bleeding is originating from an intracranial site with mechanical instrumentation. CODE 6 Pulmonary site Use this code when the person's bleeding is originating from a pulmonary site with mechanical instrumentation. CODE 7 Pericardial site Use this code when the person's bleeding is originating from the pericardium, following percutaneous coronary intervention. This code does not include bleeding that is secondary to a coronary artery bypass graft. CODE 8 Other site(s) Use this code when the person's bleeding is originating from a site with mechanical instrumentation that is not listed in codes 1-7, such as central line access. CODE 9 Unidentified site Use this code when the person has a fall in haemoglobin without an identifiable instrumented site of bleeding. CODE 99 Not stated/inadequately described Not for use in primary data collections. Data element attributes Collection and usage attributes Guide for use: Record the location of all bleeding events that occur. More than one code can be applied. Relational attributes Related metadata references: See also Person with acute coronary syndrome—bleeding location, non-instrumented code N(N) Health, Standard 01/10/2008 See also Person—bleeding episode status, Thrombolysis in Myocardial Infarction (TIMI) code N Health, Standard 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Description
Person with acute coronary syndrome—bleeding location, non-instrumented code N(N) Identifying and definitional attributes Short name: Non-instrumented bleeding location Synonymous names: Non-instrumented bleeding site METeOR identifier: 372012 Registration status: Health, Standard 01/10/2008 Definition: The location of the person's bleeding episode, arising from a non-instrumented site, as represented by a code. Data Element Concept: Person with acute coronary syndrome—bleeding location Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N[N] Maximum character length: 2 Permissible values: Value Meaning 1 Gastrointestinal site 2 Genitourinary site 3 Intracranial site 4 Pulmonary site 5 Pericardial site 6 Other site(s) 7 Unidentified site Supplementary values: 99 Not stated/inadequately described Collection and usage attributes Guide for use: NOTE: Excludes bleeding arising from instrumented sites. CODE 1 Gastrointestinal site Use this code when the person's spontaneous bleeding is originating from the gastrointestinal area. CODE 2 Genitourinary site Use this code when the person's spontaneous bleeding is originating from the genitourinary area. CODE 3 Intracranial site Use this code when the person's spontaneous bleeding is originating from an intracranial site. CODE 4 Pulmonary site Use this code when the person's spontaneous bleeding is originating from a pulmonary site. CODE 5 Pericardial site Use this code when the person's spontaneous bleeding is originating from the pericardium. CODE 6 Other site(s) Use this code when the person's spontaneous bleeding is originating from a site not listed in codes 1-5. CODE 7 Unidentified site Use this code when the person has a fall in haemoglobin without an identifiable spontaneous site of bleeding. CODE 99 Not stated/inadequately described Not for use in primary data collections. Data element attributes Collection and usage attributes Guide for use: Record the location of all bleeding events that occur. More than one code can be applied. Relational attributes Related metadata references: See also Person with acute coronary syndrome—bleeding location, instrumented code N(N) Health, Standard 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Description
Person with acute coronary syndrome—lifestyle counselling type, code N Identifying and definitional attributes Short name: Lifestyle counselling type METeOR identifier: 344710 Registration status: Health, Standard 01/10/2008 Definition: The counselling a person has received to modify lifestyle behaviour/s relevant to acute coronary syndromes, as represented by a code. Data Element Concept: Person with acute coronary syndrome—lifestyle counselling type Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Diet 2 Physical activity 3 Smoking cessation 4 Weight management Supplementary values: 9 Not stated/inadequately described Data element attributes Collection and usage attributes Guide for use: Counselling includes any method of individual or group counselling or advice directed towards any of the specific lifestyle behaviours. This metadata item refers to counselling that was conducted by a healthcare professional during the hospital stay. This may include counselling that was performed in conjunction with referral to a cardiac rehabilitation service. CODE 1 Diet Use this code where a person has received counselling on their diet. CODE 2 Physical activity Use this code where a person has received counselling encouraging at least 30 to 60 minutes of physical activity in at least five sessions per week. CODE 3 Smoking cessation Use this code where a person has received counselling regarding the importance of stopping smoking. CODE 4 Weight management Use this code where a person, whose weight is greater than 120% of the ideal weight for height, has received counselling on weight management. Relational attributes Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Description
Person with acute coronary syndrome—underlying cause of acute coronary syndrome, code N Identifying and definitional attributes Short name: Other/Underlying cause of acute coronary syndrome Synonymous names: Secondary cause of ACS METeOR identifier: 338310 Registration status: Health, Standard 01/10/2008 Definition: The condition or event, other than the usual risk factors, which has caused a person's acute coronary syndrome symptoms, as represented by a code Data Element Concept: Person—underlying cause of acute coronary syndrome Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N[N] Maximum character length: 9 Permissible values: Value Meaning 1 Anaemia 2 Severe valvular disease 3 Thyrotoxicosis 4 Fever 5 Hypoxaemia 6 Trauma 7 Surgery Supplementary values: 88 Other 99 Not stated/inadequately described Data element attributes Collection and usage attributes Collection methods: This is to be recorded by the clinician. Comments: This identifies whether the person experiencing acute coronary syndrome (ACS) symptoms is doing so due to another condition or event and where the treatment would be primarily targeted at managing that condition. The presence of one of these conditions or events has a significant impact on the appropriate treatment modalities for ACS. Therefore, the person's treatment may be different from those recommended for ACS. Relational attributes Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Description
Person
Description
Person—acute coronary syndrome procedure type, code NN Identifying and definitional attributes Short name: Acute coronary syndrome procedure type METeOR identifier: 356659 Registration status: Health, Standard 01/10/2008 Definition: The type of procedure performed, that is pertinent to the treatment of acute coronary syndrome, as represented by a code. Data Element Concept: Person—acute coronary syndrome procedure type Value domain attributes Representational attributes Representation class: Code Data type: String Format: NN Maximum character length: 2 Permissible values: Value Meaning 01 Coronary artery bypass graft (CABG) 05 Reperfusion: fibrinolytic therapy 06 Reperfusion: primary percutaneous coronary intervention (PCI) 07 Reperfusion: rescue percutaneous coronary intervention (PCI) 08 Vascular reconstruction, bypass surgery, or percutaneous intervention to the extremities or for aortic aneurysm 09 Amputation for arterial vascular insufficiency 10 Diagnostic cardiac catheterisation/angiography 11 Blood transfusion 12 Insertion of pacemaker 13 Implantable cardiac defibrillator 14 Intra-aortic balloon pump (IABP) 15 Non-invasive ventilation (CPAP) 16 Invasive ventilation 17 Defibrillation 18 Revascularisation: percutaneous coronary intervention (PCI) 19 Pulmonary artery (Swan Ganz) catheter 88 Other Supplementary values: 99 Not stated/inadequately described Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Data element attributes Collection and usage attributes Guide for use: More than one procedure can be recorded. Record all codes that apply. Codes '88' and '99' in combination cannot be used in multiple entries. CODE 06 Reperfusion: primary percutaneous coronary intervention (PCI) Primary PCI relates to balloon angioplasty and/or stent implantation for reperfusion therapy of a ST-segment-elevation myocardial infarction (STEMI). CODE 07 Reperfusion: rescue percutaneous coronary intervention (PCI) Rescue PCI relates to a balloon angioplasty and/or stent implantation that is performed following failed fibrinolysis in people with continuing or recurrent myocardial ischaemia. CODE 18 Revascularisation: percutaneous coronary intervention (PCI) Revascularisation PCI relates to the restoration of blood flow through balloon angioplasty and/or stent implantation outside the setting of myocardial salvage for STEMI. Revascularisation PCI may be performed on a person following STEMI where there is objective evidence of spontaneous or inducible ischaemia or hameodynamic instability. Revascularisation PCI may also be performed on a person with high-risk non-ST-segment-elevation acute coronary syndrome. When read in conjunction with Person—clinical procedure timing, code N, this metadata item provides information on the procedure(s) provided to a patient prior to or during this presentation. When read in conjunction with Person—acute coronary syndrome risk stratum, code N, codes 01, 05, 06, 07, 08, 09, 10 and 18 of this metadata item provide information for risk stratification. Where codes 06, 07 and 18 have been recorded please also record Person - percutaneous coronary intervention procedure, code N. Collection methods: For each Person-acute coronary syndrome procedure type, code NN, the following timing data elements must also be recorded, where applicable: • Person - clinical procedure timing, code N • Person - intravenous fibrinolytic therapy date, DDMMYYYY • Person - intravenous fibrinolytic therapy time, hhmm • Person - primary percutaneous coronary intervention date, DDMMYYYY • Person - primary percutaneous coronary intervention time, hhmm • Person - rescue percutaneous coronary intervention date, DDMMYYYY • Person - rescue percutaneous coronary intervention time, hhmm • Person - revascularisation percutaneous coronary intervention date, DDMMYYYY • Person - revascularisation percutaneous coronary intervention time, hhmm • Person - pacemaker insertion date, DDMMYYYY • Person - pacemaker insertion time, hhmm • Person - implantable cardiac defibrillator procedure date, DDMMYYYY • Person - implantable cardiac defibrillator procedure time, hhmm • Person - intra-aortic balloon pump procedure date, DDMMYYYY • Person - intra-aortic balloon pump procedure time, hhmm • Person - non-invasive ventilation administration date, DDMMYYYY • Person - non-invasive ventilation administration time, hhmm Source and reference attributes Submitting organisation: Acute coronary syndrome data working group Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand Relational attributes Related metadata references: Supersedes Person—acute coronary syndrome procedure type, code NN Health, Superseded 01/10/2008 See also Person—clinical procedure timing, code N Health, Standard 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Description
Person—acute coronary syndrome related medical history, code NN Identifying and definitional attributes Short name: Acute coronary syndrome related medical history METeOR identifier: 356598 Registration status: Health, Standard 01/10/2008 Definition: A person's history of acute coronary syndrome related medical conditions as represented by a code. Data Element Concept: Person—acute coronary syndrome related medical history Value domain attributes Representational attributes Representation class: Code Data type: Number Format: NN Maximum character length: 2 Permissible values: Value Meaning 11 Angina (excluding unstable angina): prior existing 12 Angina (excluding unstable angina): new onset 13 Unstable angina 21 Chronic lung disease 31 Heart failure 41 Hypertension 51 Ischaemic: non-haemorrhagic cerebral infarction 52 Haemorrhagic: intracerebral haemorrhage 61 Peripheral artery disease 62 Aortic aneurysm 63 Renal artery stenosis 71 Sleep apnoea 81 Previous myocardial infarction 91 Atrial fibrillation 92 Other dysrhythmia or conductive disorder 93 Left ventricular hypertrophy Supplementary values: 99 Not stated/inadequately described Collection and usage attributes Guide for use: Angina: CODE 11 Angina (excluding unstable angina): prior existing This code is used where there are symptoms, which can be described as chest pain or pain in either or both shoulders, the back, neck or jaw, or other equivalent discomfort (such as tightness, gripping or squeezing) suggestive of cardiac ischaemia, the onset of which occured more than two weeks ago. CODE 12 Angina (excluding unstable angina): new onset This code is used where there are symptoms which can be described as chest pain or pain in either or both shoulders, the back, neck or jaw, or other equivalent discomfort (such as tightness, gripping or squeezing) suggestive of cardiac ischaemia; the onset of which occured two or less weeks ago. CODE 13 Unstable angina This code is used where a person has experienced new onset or prior existing angina (described as chest pain or pain in either or both shoulders, the back, neck or jaw, or other equivalent discomfort (such as tightness, gripping or squeezing)), which is increasing in severity, duration or frequency. Chronic lung disease: CODE 21 Chronic lung disease This code is used where there is a history or symptoms suggestive of chronic lung disease. Heart failure: CODE 31 Heart failure This code is used where a person has past or current symptoms of heart failure (typically breathlessness or fatigue), either at rest or during physical activity and/or signs of pulmonary or peripheral congestion suggestive of cardiac dysfunction. Hypertension: CODE 41 Hypertension This code is used where there is current use of pharmacotherapy for hypertension and/or clinical evidence of high blood pressure. CODE 51 Ischaemic: non-haemorrhagic cerebral infarction This code is used if there is history of stroke or cerebrovascular accident (CVA) resulting from an ischaemic event where the patient suffered a loss of neurological function with residual symptoms remaining for at least 24 hours. CODE 52 Haemorrhagic: intracerebral haemorrhage This code is used if there is history of stroke or cerebrovascular accident (CVA) resulting from a haemorrhagic event where the patient suffered a loss of neurological function with residual symptoms remaining for at least 24 hours. Peripheral arterial disease: CODE 61 Peripheral artery disease This code is used where there is history of either chronic or acute occlusion or narrowing of the arterial lumen in the aorta or extremities. CODE 62 Aortic aneurysm This code is used where there is a history of aneurysmal dilatation of the aorta (thoracic and or abdominal). CODE 63 Renal artery stenosis This code is used where there is a history of functional stenosis of one or both renal arteries. Sleep apnoea syndrome: CODE 71 Sleep apnoea This code is used where there is evidence of sleep apnoea syndrome (SAS) on history. Myocardial infarction: CODE 81 Previous myocardial infarction This code is used where a person has previously experienced a myocardial infarction, excluding the current event that prompted this presentation to hospital. This may be supported by clinical documentation and evidenced by ECG changes or serum cardiac biomarker changes. Other vascular conditions: CODE 91 Atrial fibrillation This code is used where there is a history or symptoms suggestive of atrial fibrillation. CODE 92 Other cardiac arrhythmias or conductive disorders This code is used where there is a history of other cardiac arrhythmias or conductive disorders. CODE 93 Left ventricular hypertrophy This code is used where there is a history or symptoms suggestive of left ventricular hypertrophy. Data element attributes Collection and usage attributes Guide for use: More than one medical condition may be recorded. Record only those codes that apply. Record all codes that apply. Collection methods: Where codes 21, 31, 51, 52, 61, 62, 63, 71, 91, 92 and 93 are recorded Person - clinical evidence status (acute coronary syndrome related medical conditions), yes/no code N must also be recorded. Comments: A history of the listed medical conditions is pertinent to the risk stratification and treatment of acute coronary syndrome. Source and reference attributes Submitting organisation: Acute coronary syndrome data working group Reference documents: National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand. Guidelines for the management of acute coronary syndromes 2006. Med J Aust 2006; 184; S1-S32. © MJA 2006 Relational attributes Related metadata references: Supersedes Person—acute coronary syndrome concurrent clinical condition, code NN Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Description
Person—acute coronary syndrome risk stratum, code N Identifying and definitional attributes Short name: Acute coronary syndrome stratum METeOR identifier: 356665 Registration status: Health, Standard 01/10/2008 Definition: Risk stratum of a person presenting with clinical features consistent with an acute coronary syndrome defined by accompanying clinical, electrocardiogram (ECG) and biochemical features, as represented by a code. Data Element Concept: Person—acute coronary syndrome risk stratum Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 ST-segment-elevation (myocardial infarction) 2 Non-ST-segment-elevation ACS with high-risk features 3 Non-ST-segment-elevation ACS with intermediate-risk features 4 Non-ST-segment-elevation ACS with low-risk features Supplementary values: 9 Not stated/inadequately described Collection and usage attributes Guide for use: CODE 1 ST-segment-elevation (myocardial infarction) This code is used where persistent ST elevation of >=1mm in two contiguous limb leads, or ST elevation of >=2mm in two contiguous chest leads, or with new left bundle -branch block (BBB) pattern on the ECG. This classification is intended for identification of patients potentially eligible for reperfusion therapy, either pharmacologic or intervention-based. Other considerations such as the time to presentation and the clinical appropriateness of instituting reperfusion are not reflected in this metadata item. CODE 2 Non-ST-segment-elevation ACS with high-risk features This code is used when presentation with clinical features consistent with an acute coronary syndrome with high-risk features which include any of the following: • repetitive or prolonged (> 10 minutes) ongoing chest pain or discomfort; • elevated level of at least one cardiac biomarker (troponin or creatine kinase-MB isoenzyme); • persistent or dynamic ECG changes of ST segment depression >= 0.5mm or new T wave >= 2mm; • transient ST-segment elevation (>= 0.5 mm) in more than 2 contiguous leads; • haemodynamic compromise: Blood pressure < 90 mmHg systolic, cool peripheries, diaphoresis, Killip Class > 1, and/or new onset mitral regurgitation; • sustained ventricular tachycardia; • syncope; • left ventricular systolic dysfunction (left ventricular ejection fraction < 0.40); • prior percutaneous coronary intervention within 6 months or prior coronary artery bypass surgery; • presence of known diabetes (with typical symptoms of ACS);or • chronic kidney disease (estimated glomerular filtration rate < 60mL/minute) (with typical symptoms of ACS). This classification is intended for identification of patients potentially eligible for aggressive medical management and coronary angiography and revascularisation. CODE 3 Non-ST-segment-elevation ACS with intermediate-risk features This code is used when presentation with clinical features consistent with an acute coronary syndrome and any of the following intermediate-risk features AND NOT meeting the criteria for high-risk ACS: • chest pain or discomfort within the past 48 hours that occurred at rest, or was repetitive or prolonged (but currently resolved); • age greater than 65yrs; • known coronary heart disease: prior myocardial infarction with left ventricular ejection fraction >= 0.40 known coronary lesion more than 50% stenosed; • no high-risk changes on electrocardiography (see high-risk features); • two or more of the following risk factors: known hypertension, family history, active smoking or hyperlipidaemia; • presence of known diabetes (with atypical symptoms of ACS); • chronic kidney disease (estimated glomerular filtration rate < 60mL/minute) (with atypical symptoms of ACS); or • prior aspirin use. This classification is intended for identification of patients potentially eligible for accelerated diagnostic evaluation and further risk stratification. CODE 4 Non-ST-segment-elevation ACS with low-risk features This code is used when presentation with clinical features consistent with an acute coronary syndrome without intermediate or high-risk features of non-ST-segment-elevation ACS. This includes onset of anginal symptoms within the last month, or worsening in severity or frequency of angina, or lowering of anginal threshold. This classification is intended for identification of patients potentially eligible for outpatient investigation discharge on upgraded medical therapy and outpatient investigation. Data element attributes Collection and usage attributes Guide for use: Other clinical considerations influencing the decision to admit and investigate are not reflected in this metadata item. This metadata item is intended to simply provide a diagnostic classification at the time of, or within hours of clinical presentation. Acute coronary syndrome symptoms may include: • tightness, pressure, heaviness, fullness or squeezing in the chest which may spread to the neck and throat, jaw, shoulders, the back, upper abdomen, either or both arms and even into the wrists and hands • dyspnoea, nausea/vomiting, cold sweat or syncope. Collection methods: Recorded at time of presentation. Only one code should be recorded. Must be recorded in conjunction with Person—acute coronary syndrome procedure type, code NN and Person—clinical procedure timing, code N. Comments: The clinical, electrocardiogram and biochemical characteristics are important to enable early risk stratification. Source and reference attributes Submitting organisation: Acute coronary syndrome data working group Origin: National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand. Guidelines for the management of acute coronary syndromes 2006. Med J Aust 2006; 184; S1-S32. © MJA 2006 The TIMI Risk Score for Unstable Angina/Non-ST Elevation MI JAMA. 2000; 284:835-842. Relational attributes Related metadata references: Supersedes Person—acute coronary syndrome risk stratum, code N Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Description
Person—acute coronary syndrome symptoms onset date, DDMMYYYY Identifying and definitional attributes Short name: Date of onset of acute coronary syndrome symptoms Synonymous names: Date of onset of ACS symptoms METeOR identifier: 321201 Registration status: Health, Standard 01/10/2008 Definition: The date on which a person experienced acute coronary syndrome symptoms that prompted the person to seek medical attention, either at the hospital or from a general practitioner. Data Element Concept: Person—acute coronary syndrome symptoms onset date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data element attributes Collection and usage attributes Guide for use: Acute coronary syndrome symptoms may include: • tightness, pressure, heaviness, fullness or squeezing in the chest which may spread to the neck and throat, jaw, shoulders, the back, upper abdomen, either or both arms and even into the wrist and hands • dyspnoea, nausea/vomiting, cold sweat or syncope. Seeking medical attention could include the person presenting to their GP who then refers them to hospital or the person presenting directly to hospital (via ambulance or own form of transport). If the person is already a patient at the hospital for another reason then the date would be when they advised hospital staff of their symptoms. Collection methods: Record the date that the person identifies as being when the most significant acute coronary syndrome symptom/s occurred that prompted them to seek medical attention. Relational attributes Related metadata references: See also Person—acute coronary syndrome risk stratum, code N Health, Superseded 01/10/2008 See also Person—acute coronary syndrome symptoms onset time, hhmm Health, Standard 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
date
Description
Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Person—acute coronary syndrome symptoms onset time, hhmm Identifying and definitional attributes Short name: Time of onset of acute coronary syndrome symptoms METeOR identifier: 321211 Registration status: Health, Standard 01/10/2008 Definition: The time at which a person experienced acute coronary syndrome symptoms that prompted a person to seek medical attention, either at the hospital or from a general practitioner. Data Element Concept: Person—acute coronary syndrome symptoms onset time Value domain attributes Representational attributes Representation class: Time Data type: Date/Time Format: hhmm Maximum character length: 4 Source and reference attributes Reference documents: ISO 8601:2000 : Data elements and interchange formats - Information interchange - Representation of dates and times Data element attributes Collection and usage attributes Guide for use: Acute coronary syndrome symptoms may include: • tightness, pressure, heaviness, fullness or squeezing in the chest which may spread to the neck and throat, jaw, shoulders, the back, upper abdomen, either or both arms and even into the wrists and hands • dyspnoea, nausea/vomiting, cold sweat or syncope. Seeking medical attention could include the person presenting to their GP who then refers them to hospital or the person presenting directly to hospital (via ambulance or own form of transport). If the person is already a patient at the hospital for another reason then the time recorded would be when they advised hospital staff of their symptoms. Collection methods: Record the time of onset of the most significant acute coronary syndrome symptom/s that prompted the person to seek medical attention (from the person's perspective). Relational attributes Related metadata references: See also Person—acute coronary syndrome symptoms onset date, DDMMYYYY Health, Standard 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
time
Description
Person—angina episodes count (24 hours preceding hospital presentation), total number NN[N] Obligation: Conditional Identifying and definitional attributes Short name: Number of episodes of angina in last 24 hours METeOR identifier: 338293 Registration status: Health, Standard 01/10/2008 Definition: The number of angina episodes experienced by a person in the 24 hours preceding presentation to the hospital, including the current episode. Data Element Concept: Person—count of angina episodes Value domain attributes Representational attributes Representation class: Total Data type: Number Format: NN[N] Maximum character length: 3 Supplementary values: Value Meaning 999 Not stated/inadequately described Data element attributes Collection and usage attributes Guide for use: Is the total number of distinct episodes of anginal pain that occurred in the 24 hours preceding presentation to the hospital, including the current episode for which the person presented to hospital. An episode of angina may include chest pain (which may spread to either or both shoulders, the back, neck, jaws or down the arm) or overwhelming shortness of breath. Collection methods: Ask the individual how many distinct episodes of anginal pain he/she experienced in the 24 hours preceding presentation to hospital, including the current episode. Alternatively, if available, obtain this information from appropriate documentation. Relational attributes Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Description
Person—angina status, Canadian Cardiovascular Society code N Identifying and definitional attributes Short name: Angina status METeOR identifier: 338335 Registration status: Health, Standard 01/10/2008 Definition: The limitation of physical activity experienced by a person with the onset of angina, as represented by the Canadian Cardiovascular Society code. Data Element Concept: Person—angina status Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 No angina with ordinary physical activity 2 Slight limitation of ordinary physical activity 3 Marked limitation of ordinary physical activity 4 Inability for any physical activity without anginal symptoms Supplementary values: 9 Not stated/inadequately described Collection and usage attributes Guide for use: Code 1 No angina with ordinary physical activity Use this code for patients who have no angina on ordinary physical activity such as walking or stair climbing. Angina occurs with strenuous, rapid or prolonged exertion at work or recreation. Code 2 Slight limitation of ordinary physical activity Use this code for patients for whom angina occurs on walking or climbing stairs rapidly, walking uphill, walking or climbing stairs after a meal, or under emotional stress, or in the cold, or only during the first few hours after waking. Code 3 Marked limitation or ordinary physical activity Use this code for patients where angina occurs walking one or two blocks on the level and climbing one or more flights of stairs in normal conditions and at a normal pace. Code 4 Inability for any physical activity without anginal symptoms Use this code for patients who are unable to carry on any physical activity without discomfort - anginal symptoms may be present at rest. Collection methods: Angina status is self-reported by the person but is interpreted, coded and recorded by the health professional. Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- DSS specific information: This is the status of angina that a person experiences following discharge from hospital. Data element attributes Relational attributes Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Description
Person—bleeding episode status, Thrombolysis in Myocardial Infarction (TIMI) code N Identifying and definitional attributes Short name: Bleeding episode using TIMI criteria (status) METeOR identifier: 356725 Registration status: Health, Standard 01/10/2008 Definition: A person's episode of bleeding as described by the Thrombolysis In Myocardial Infarction (TIMI) criteria, as represented by a code. Data Element Concept: Person—bleeding episode status Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Major 2 Minor 3 Non TIMI bleeding Supplementary values: 9 Not stated/inadequately described Collection and usage attributes Guide for use: Note in calculating the fall in haemoglobin or haematocrit, transfusion of whole blood or packed red blood cells is counted as 1g/dl (0.1g/l) haemoglobin or 3% absolute haematocrit. CODE 1 Major Overt clinical bleeding (or documented intracranial or retroperitoneal haemorrhage) associated with a drop in haemoglobin of greater than 5g/dl (0.5g/l) or a haematocrit of greater than 15% (absolute). CODE 2 Minor Overt clinical bleeding associated with a fall in haemoglobin of 3 or less than or equal to 5g/dl (0.5g/l) or a haematocrit of 9% to less than or equal to 15% (absolute). CODE 3 Non TIMI Bleeding Bleeding event that does not meet the major or minor definition. Data element attributes Source and reference attributes Submitting organisation: Acute coronary syndrome data working group Origin: Rao AK, Pratt C, Berke A, et al. Thrombolysis in Myocardial Infarction (TIMI) Trial, phase I: hemorrhagic manifestations and changes in plasma fibrinogen and the fibrinolytic system in patients with recombinant tissue plasminogen activator and streptokinase. J Am Coll Cardiol 1988; 11:1-11. Relational attributes Related metadata references: See also Person with acute coronary syndrome—bleeding location, instrumented code N(N) Health, Standard 01/10/2008 Supersedes Person—bleeding episode status, code N Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Description
Person—C-reactive protein level (measured), total milligrams per litre N[NN].N Identifying and definitional attributes Short name: C-reactive protein level (measured) Synonymous names: CRP measured METeOR identifier: 338256 Registration status: Health, Standard 01/10/2008 Definition: A person's serum C-reactive protein (CRP) level, measured in milligrams per litre. Data Element Concept: Person—C-reactive protein level (measured) Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[NN].N Maximum character length: 4 Supplementary values: Value Meaning 999.9 Not stated/inadequately described Unit of measure: Milligram per litre (mg/L) Unit of measure precision: 1 Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- DSS specific information: The C-reactive protein (CRP) level should be measured as early as possible following presentation to the hospital. Data element attributes Collection and usage attributes Comments: The value should be recorded on a high sensitivity assay. CRP is used in the assessment of acute phase reaction in inflammatory, infective and neoplastic disorders. Source and reference attributes Reference documents: The Royal College of Pathologists of Australia Version 4.0 12th March 2004 ( last accessed 12May 2006). http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=468 Relational attributes Related metadata references: See also Person—C-reactive protein level measured date, DDMMYYYY Health, Standard 01/10/2008 See also Person—C-reactive protein level measured time, hhmm Health, Standard 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Measurement units
- mg/L
Description
Person—C-reactive protein level measured date, DDMMYYYY Identifying and definitional attributes Short name: Date C-reactive protein level measured Synonymous names: CRP measured date METeOR identifier: 338280 Registration status: Health, Standard 01/10/2008 Definition: The date a person's C-reactive protein (CRP) level is measured. Data Element Concept: Person—C-reactive protein level measured date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- 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. Data element attributes Collection and usage attributes Collection methods: The date C-reactive protein (CRP) is measured should be recorded from the laboratory report. Relational attributes Related metadata references: See also Person—C-reactive protein level (measured), total milligrams per litre N[NN].N Health, Standard 01/10/2008 See also Person—C-reactive protein level measured time, hhmm Health, Standard 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
date
Description
Person—C-reactive protein level measured time, hhmm Identifying and definitional attributes Short name: Time C-reactive protein level measured Synonymous names: CRP measured time METeOR identifier: 343853 Registration status: Health, Standard 01/10/2008 Definition: The time the person's C-reactive protein (CRP) level is measured. Data Element Concept: Person—C-reactive protein level measured time Value domain attributes Representational attributes Representation class: Time Data type: Date/Time Format: hhmm Maximum character length: 4 Source and reference attributes Reference documents: ISO 8601:2000 : Data elements and interchange formats - Information interchange - Representation of dates and times Data element attributes Collection and usage attributes Collection methods: The time C-reactive protein (CRP) is measured should be recorded from the laboratory report. Relational attributes Related metadata references: See also Person—C-reactive protein level (measured), total milligrams per litre N[NN].N Health, Standard 01/10/2008 See also Person—C-reactive protein level measured date, DDMMYYYY Health, Standard 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
time
Description
Person—chest pain pattern, code N Identifying and definitional attributes Short name: Chest pain pattern category METeOR identifier: 356738 Registration status: Health, Standard 01/10/2008 Definition: The person's chest pain pattern, as represented by a code. Data Element Concept: Person—chest pain pattern Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Atypical chest pain 2 Stable chest pain pattern 3 Unstable chest pain pattern: rest &/or prolonged 4 Unstable chest pain pattern: new & severe 5 Unstable chest pain pattern: accelerated & severe Supplementary values: 9 Not 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. Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- DSS specific information: The Canadian Cardiovascular Society classes of angina can be used to support categorisation of chest pain patterns. Canadian Cardiovascular Society (CCS) classes of angina (Campeau L. Grading of angina pectoris. Circulation 1976; 54:522.) 1. 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. 2. 3. 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). 4. 5. 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). 6. 7. Inability to perform any physical activity without discomfort; angina syndrome may be present at rest. Data element attributes Source and reference attributes Submitting organisation: Acute coronary syndrome data working group Relational attributes Related metadata references: Supersedes Person—chest pain pattern, code N Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Description
Person—cholesterol level (measured), total millimoles per litre N[N].N Identifying and definitional attributes Short name: Cholesterol—total (measured) METeOR identifier: 359245 Registration status: Health, Standard 01/10/2008 Definition: A person's total cholesterol (TC), measured in millimoles per litre. Data Element Concept: Person—cholesterol level Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[N].N Maximum character length: 3 Supplementary values: Value Meaning 99.9 Not stated/inadequately described. Unit of measure: Millimole per litre (mmol/L) Data element attributes Collection and usage attributes Guide for use: Measurement in mmol/L to 1 decimal place. Record the absolute result of the total cholesterol measurement. When reporting, record whether or not the measurement of Cholesterol-total - measured was performed in a fasting specimen. Collection methods: When reporting, record absolute result of the most recent Cholesterol-total - measured in the last 12 months to the nearest 0.1 mmol/L. Measurement of lipid levels should be carried out by laboratories, or practices, which have been accredited to perform these tests by the National Association of Testing Authorities. • To be collected as a single venous blood sample, preferably following a 12-hour fast where only water and medications have been consumed. • Prolonged tourniquet use can artefactually increase levels by up to 20%. Comments: In settings where the monitoring of a person's health is ongoing and where a measure can change over time (such as general practice), the Service contact—service contact date, DDMMYYYY should be recorded. High blood cholesterol is a key factor in heart, stroke and vascular disease, especially coronary heart disease. Poor nutrition can be a contributing factor to heart, stroke and vascular disease as a population's level of saturated fat intake is the prime determinant of its level of blood cholesterol. Large clinical trials have shown that people at highest risk of cardiovascular events (e.g. pre-existing ischaemic heart disease) will derive the greatest benefit from lipid lowering drugs. Recent trials have suggested that there should be no cholesterol level threshold for the initiation of treatment in tis group of patients. In October 2006, the PBS criteria for lipid-lowering drugs was expanded to include all patients identified as high-risk (based on PBS criteria) regardless of their cholesterol level. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Origin: National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand, Lipid Management Guidelines - 2001, MJA 2001; 175: S57-S88 National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand, Position Statement on Lipid Management - 2005, Heart Lung and Circulation 2005; 14: 275-291. National Health Priority Areas Report: Cardiovascular Health 1998. AIHW Cat. No. PHE 9. HEALTH and AIHW, Canberra. The Royal College of Pathologists of Australasia web based Manual of Use and Interpretation of Pathology Tests. Version 4.0. Relational attributes Related metadata references: Supersedes Person—cholesterol level (measured), total millimoles per litre N[N].N Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012
Data type
float
Measurement units
- mmol/L
Description
Person—clinical evidence status (acute coronary syndrome related medical history), yes/no code N Identifying and definitional attributes Short name: Clinical evidence of acute coronary syndrome related medical history METeOR identifier: 356777 Registration status: Health, Standard 01/10/2008 Definition: An indicator of whether there is objective evidence for a person's history of an acute coronary syndrome related medical condition, as represented by a code. Data Element Concept: Person—clinical evidence status (acute coronary syndrome related medical history) Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Yes 2 No Supplementary values: 9 Not stated/inadequately described Collection and usage attributes Guide for use: CODE 9 Not stated/inadequately described This code is not for use in primary data collections. Data element attributes Collection and usage attributes Guide for use: CODE 1 Yes Use this code where there is objective evidence to support a history of an acute coronary syndrome related medical condition. CODE 2 No Use this code where the history is not supported by objective evidence. Objective evidence for acute coronary syndrome related medical conditions are classified as: Chronic lung disease: Diagnosis supported by current use of chronic lung disease pharmacological therapy (e.g. inhalers, theophylline, aminophylline, or steroids), or a forced expiratory volume in 1 second (FEV1) less than 80% predicted FEV1/forced vital capacity (FVC) less than 0.7 (post bronchodilator). Respiratory failure partial pressure of oxygen (PaO2) less than 60 mmHg (8kPa), or partial pressure of carbon dioxide (PaCO2) greater than 50 mmHg (6.7 kPa). Heart failure: Current symptoms of heart failure (typically shortness of breath or fatigue), either at rest or during exercise and/or signs of pulmonary or peripheral congestion and objective evidence of cardiac dysfunction at rest. The diagnosis is derived from and substantiated by clinical documentation from testing according to current practices. Stroke: Diagnosis for ischaemic: non-haemorrhagic cerebral infarction or haemorrhagic: intracerebral haemorrhage supported by cerebral imaging (CT or MRI). Peripheral arterial disease: • Peripheral artery disease: diagnosis is derived from and substantiated by clinical documentation for a person with a history of either chronic or acute occlusion or narrowing of the arterial lumen in the aorta or extremities. • Aortic aneurysm: diagnosis of aneurysmal dilatation of the aorta (thoracic and or abdominal) supported and substantiated by appropriate documentation of objective testing. • Renal artery stenosis: diagnosis of functional stenosis of one or both renal arteries is present and is supported and substantiated by appropriate documentation of objective testing. Sleep apnoea: Diagnosis derived from and substantiated by clinical documentation of sleep apnoea syndrome (SAS). SAS has been diagnosed from the results of a sleep study. Other vascular conditions: • Atrial fibrillation: diagnosis supported by electrocardiogram findings. • Other cardiac arrhythmias and conductive disorders: diagnosis supported by electrocardiogram findings. • Left ventricular hypertrophy: diagnosis supported by echocardiograph evidence. Collection methods: For each of the following medical conditions the clinical evidence status must also be recorded: • Chronic lung disease • Heart failure • Stroke • Peripheral arterial disease • Sleep apnoea syndrome • Other vascular conditions Comments: Heart failure: Chronic heart failure is a complex clinical syndrome with typical symptoms (e.g. shortness of breath, fatigue) that can occur at rest or on effort, and is characterised by objective evidence of an underlying structural abnormality of cardiac dysfunction that impairs the ability of the ventricle to fill with or eject blood (particularly during physical activity). The most widely available investigation for documenting left ventricular dysfunction is the transthoracic echocardiogram (TTE). Other modalities include: • transoesophageal echocardiography (TOE) • gated radionuclide angiocardiography • angiographic left ventriculography In the absence of any adjunctive laboratory tests, evidence of supportive clinical signs of ventricular dysfunction. These include: • cardiac auscultation (S3, cardiac murmurs), • cardiomegaly, • elevated jugular venous pressure (JVP), • chest X-ray evidence of pulmonary congestion Source and reference attributes Submitting organisation: Acute coronary syndrome data working group Reference documents: The Thoracic Society of Australia & New Zealand and the Australian Lung Foundation, Chronic Obstructive Pulmonary Disease (COPD) Australian & New Zealand Management Guidelines and the COPD Handbook. Version 1, November 2002. National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand (Chronic Heart Failure Guidelines Expert Writing Panel). Guidelines for the prevention, detection and management of chronic heart failure in Australia, 2006. Relational attributes Related metadata references: Supersedes Person—clinical evidence status (chronic lung disease), code N Health, Superseded 01/10/2008 Supersedes Person—clinical evidence status (heart failure), code N Health, Superseded 01/10/2008 Supersedes Person—clinical evidence status (peripheral arterial disease), code N Health, Superseded 01/10/2008 Supersedes Person—clinical evidence status (sleep apnoea syndrome), code N Health, Superseded 01/10/2008 SupersedesPerson—clinical evidence status (stroke), code N Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Description
Person—clinical procedure timing, code N Identifying and definitional attributes Short name: Clinical procedure timing (status) METeOR identifier: 356827 Registration status: Health, Standard 01/10/2008 Definition: The timing of the provision of a clinical procedure, as represented by a code. Data Element Concept: Person—clinical procedure timing Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Procedure performed prior to this hospital presentation 2 Procedure performed during this hospital presentation Data element attributes Collection and usage attributes Guide for use: Record only for those procedure codes that apply. Collection methods: This data element should be recorded for each type of procedure performed that is pertinent to the treatment of acute coronary syndrome. Source and reference attributes Submitting organisation: Acute coronary syndrome data working group Relational attributes Related metadata references: See also Person—acute coronary syndrome procedure type, code NN Health, Standard 01/10/2008 Supersedes Person—clinical procedure timing, code N Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Description
Person—country of birth, code (SACC 2011) NNNN Identifying and definitional attributes Short name: Country of birth METeOR identifier: 459973 Registration status: Housing assistance, Standard 13/10/2011 Health, Standard 13/10/2011 Homelessness, Standard 13/10/2011 Tasmanian Health, Final 30/06/2014 WA Health, Endorsed 19/03/2015 Independent Hospital Pricing Authority, Standard 01/11/2012 Disability, Standard 07/10/2014 Community Services (retired), Standard 13/10/2011 Definition: The country in which the person was born, as represented by a code. Data Element Concept: Person—country of birth Value domain attributes Representational attributes Classification scheme: Standard Australian Classification of Countries 2011 Representation class: Code Data type: Number Format: NNNN Maximum character length: 4 Collection and usage attributes Guide for use: The Standard Australian Classification of Countries 2011 (SACC) is a four-digit, three-level hierarchical structure specifying major group, minor group and country. A country, even if it comprises other discrete political entities such as states, is treated as a single unit for all data domain purposes. Parts of a political entity are not included in different groups. Thus, Hawaii is included in Northern America (as part of the identified country United States of America), despite being geographically close to and having similar social and cultural characteristics as the units classified to Polynesia. Data element attributes Collection and usage attributes Collection methods: Some data collections ask respondents to specify their country of birth. In others, a pre-determined set of countries is specified as part of the question, usually accompanied by an ‘other (please specify)’ category. Recommended questions are: In which country were you/was the person/was (name) born? Australia Other (please specify) Alternatively, a list of countries may be used based on, for example common Census responses. In which country were you/was the person/was (name) born? Australia England New Zealand Italy Viet Nam India Scotland Philippines Greece Germany Other (please specify) In either case coding of data should conform to the SACC. Sometimes respondents are simply asked to specify whether they were born in either 'English speaking' or 'non-English speaking' countries but this question is of limited use and this method of collection is not recommended. Comments: This metadata item is consistent with that used in the ABS collection methods and is recommended for use whenever there is a requirement for comparison with ABS data (last viewed 2/6/2008). Relational attributes Related metadata references: Supersedes Person—country of birth, code (SACC 2008) NNNN Housing assistance, Superseded 13/10/2011, Health, Superseded 22/11/2011, Homelessness, Superseded 13/10/2011, Commonwealth Department of Health, Candidate 16/07/2015, Community Services (retired), Superseded 13/10/2011 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Alcohol and other drug treatment services NMDS 2015- Health, Standard 13/11/2014 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Community mental health care NMDS 2015-16 Health, Standard 13/11/2014 Cultural and language diversity cluster Disability, Standard 13/08/2015 Community Services (retired), Standard 10/04/2013 Disability Services NMDS 2012-14 Community Services (retired), Standard 13/03/2013 Disability Services NMDS 2014-15 Disability, Standard 07/10/2014 Community Services (retired), Proposed 23/04/2014 Non-admitted patient DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 23/07/2014 Non-admitted patient emergency department care DSS 2015-16 Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Perinatal NMDS 2014- Health, Standard 07/03/2014 Person details data dictionary Disability, Standard 13/08/2015 Community Services (retired), Standard 06/02/2012 Public dental waiting times NMDS 2013- Health, Standard 09/11/2012 Residential mental health care NMDS 2015-16 Health, Standard 13/11/2014 Specialist Homelessness Services NMDS 2014-15 Housing assistance, Standard 30/06/2014 Homelessness, Standard 30/06/2014 WA Health Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC) 2013-14 WA Health, Endorsed 19/03/2015 WA Health Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC) 2014-15 WA Health, Endorsed 24/04/2015
Data type
integer
Description
Person—creatine kinase isoenzyme level (measured), total units per litre N[NNN] Obligation: Conditional Identifying and definitional attributes Short name: Creatine kinase level (U/L) Synonymous names: CK measured (U/L) METeOR identifier: 349536 Registration status: Health, Standard 01/10/2008 Definition: A person's measured creatine kinase (CK) isoenzyme level in units per litre. Data Element Concept: Person—creatine kinase isoenzyme level Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[NNN] Maximum character length: 4 Supplementary values: Value Meaning 9998 Not measured 9999 Not stated/inadequately described Unit of measure: Units per litre (U/L) Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- DSS specific information: The measured CK isoenzyme levels and the timing of these measurements are important to the diagnosis of myocardial infarction. Data element attributes Collection and usage attributes Guide for use: CODE 8888 if test for CK was not done for this hospital presentation. Where possible, several CK measures should be recorded and their associated date and time. At a minimum, an initial, peak and late value should be recorded. When only one CK level is recorded, this should be the peak level. Comments: Elevation of CK isoenzyme is an indication of damage to muscle. There are three different CK isoenzyme sub-forms: - CK-MM (skeletal muscle) - CK-MB (cardiac muscle) - CK-BB (brain tissue) Relational attributes Related metadata references: See also Laboratory standard—upper limit of normal range for creatine kinase isoenzyme, total units per litre N[NNN] Health, Standard 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Measurement units
- U/L
Description
Person—creatine kinase myocardial band isoenzyme measured date, DDMMYYYY Obligation: Conditional Identifying and definitional attributes Short name: Date creatine kinase MB isoenzyme measured METeOR identifier: 284973 Registration status: Health, Standard 04/06/2004 Definition: The date on which the person's creatine kinase myocardial band isoenzyme (CK-MB) is measured. Data Element Concept: Person—creatine kinase myocardial band isoenzyme measured date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- DSS specific information: The measured CK isoenzyme levels and the timing of these measurements are important to the diagnosis of myocardial infarction. Data element attributes Collection and usage attributes Guide for use: This metadata item pertains to the measuring of creatine kinase myocardial band (CK-MB) isoenzyme at any time point during this current event. Source and reference attributes Submitting organisation: Acute coronary syndrome data working group Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand Relational attributes Related metadata references: Supersedes Date creatine kinase MB isoenzyme (CK-MB) measured, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (13.7 KB) Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
date
Description
Person—creatine kinase myocardial band isoenzyme measured time, hhmm Obligation: Conditional Identifying and definitional attributes Short name: Time creatine kinase MB isoenzyme measured METeOR identifier: 285179 Registration status: Health, Standard 04/06/2004 Definition: The time at which the person's creatine kinase myocardial band (CK-MB) isoenzyme was measured. Data Element Concept: Person—creatine kinase myocardial band isoenzyme measured time Value domain attributes Representational attributes Representation class: Time Data type: Date/Time Format: hhmm Maximum character length: 4 Source and reference attributes Reference documents: ISO 8601:2000 : Data elements and interchange formats - Information interchange - Representation of dates and times Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- DSS specific information: The measured CK isoenzyme levels and the timing of these measurements are important to the diagnosis of myocardial infarction. Data element attributes Collection and usage attributes Guide for use: Record the time in 24-hour clock format. Source and reference attributes Submitting organisation: Acute coronary syndrome data working group Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand Relational attributes Related metadata references: Supersedes Time creatine kinase MB isoenzyme (CK-MB) measured, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (13.2 KB) Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
time
Description
Person—creatine kinase-myocardial band isoenzyme level (measured), total micrograms per litre N[NNN] Obligation: Conditional Identifying and definitional attributes Short name: Creatine kinase MB isoenzyme level (micrograms per litre) METeOR identifier: 356833 Registration status: Health, Standard 01/10/2008 Definition: A person's measured creatine kinase-myocardial band (CK-MB) isoenzyme level in micrograms per litre. Data Element Concept: Person—creatine kinase-myocardial band isoenzyme level Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[NNN] Maximum character length: 4 Supplementary values: Value Meaning 9998 Not measured 9999 Not stated/inadequately described Unit of measure: Microgram per litre (µg/L) Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Data element attributes Collection and usage attributes Guide for use: CODE 9998 if test for CK-MB was not done for this hospital presentation. Measured in different units dependent upon laboratory methodology. When only one CK-MB level is recorded, this should be the peak level. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Relational attributes Related metadata references: See also Laboratory standard—upper limit of normal range for creatine kinase myocardial band isoenzyme, total micrograms per litre N[NNN] Health, Superseded 01/10/2008 Supersedes Person—creatine kinase-myocardial band isoenzyme level (measured), total micrograms per litre N[NNNN] Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Measurement units
- µg/L
Description
Person—creatinine serum level measured date, DDMMYYYY Obligation: Conditional Identifying and definitional attributes Short name: Date creatinine serum level measured METeOR identifier: 343843 Registration status: Health, Standard 01/10/2008 Definition: The date when the person's creatinine serum level was measured. Data Element Concept: Person—creatinine serum level measured date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- DSS specific information: In settings where the monitoring of a person's health is ongoing and where a measure can change over time (such as general practice), the Service contact—service contact date, DDMMYYYY should be recorded. Record absolute result of the most recent serum creatinine measurement in the last 12 months to the nearest µmol/L (micromoles per litre). Data element attributes Collection and usage attributes Collection methods: Record the date of the most recent creatinine serum level measurement taken in the last 12 months. Date to be recorded from documentation on the laboratory test results and/or the medical record. Relational attributes Related metadata references: See also Person—creatinine serum level, micromoles per litre NN[NN] Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
date
Description
Person—creatinine serum level, total micromoles per litre NN[NN] Obligation: Conditional Identifying and definitional attributes Short name: Creatinine serum level (measured) METeOR identifier: 360936 Registration status: Health, Standard 01/10/2008 Definition: A person's serum creatinine level measured in micromoles per litre. Data Element Concept: Person—creatinine serum level Value domain attributes Representational attributes Representation class: Total Data type: String Format: NN[NN] Maximum character length: 4 Unit of measure: Micromole per litre (µmol/L) Data element attributes Collection and usage attributes Guide for use: There is no agreed standard as to which units serum creatinine should be recorded in. Note: If the measurement is obtained in mmol/L it is to be multiplied by 1000. Collection methods: Measurement of creatinine should be carried out by laboratories, or practices, which have been accredited to perform these tests by the National Association of Testing Authority. • Single venous blood test taken at the time of other screening blood tests. • Fasting not required. Comments: Serum creatinine can be used to help determine renal function. Serum creatinine by itself is an insensitive measure of renal function because it does not increase until more than 50% of renal function has been lost. Serum creatinine together with a patient's age, weight and sex can be used to calculate glomerular filtration rate (GFR), which is an indicator of renal status/ function. The calculation uses the Cockcroft-Gault formula. Creatinine is normally produced in fairly constant amounts in the muscles, as a result the breakdown of phosphocreatine. It passes into the blood and is excreted in the urine. Serum creatinine can be used to help determine renal function. The elevation in the creatinine level in the blood indicates disturbance in kidney function. GFR decreases with age, but serum creatinine remains relatively stable. When serum creatinine is measured, renal function in the elderly tends to be overestimated, and GFR should be used to assess renal function, according to the Cockcroft-Gault formula: GFR (ml/min) = (140 - age [yrs]) x body wt (kg) [x 0.85 (for women)] 814 x serum creatinine (mmol/l) An alternative formula is derived from the Modification of Diet in Renal Disease (MDRD) study and does not rely on knowledge of body weight: GFR (ml/min/1.73m2) = 32788 x creatinine-1.154 (umol/L) x age-0.203 x (males: 1, females: 0.742). To determine the degree of chronic renal impairment GFR > 90ml/min - normal GFR >60 - 90ml/min - mild renal impairment GFR >30 - 60ml/min - moderate renal impairment GFR 0 - 30 ml/min - severe renal impairment Note: The above GFR measurement should be for a period greater than 3 months. GFR may also be assessed by 24-hour creatinine clearance adjusted for body surface area. In general, patients with GFR < 30 ml/min are at high risk of progressive deterioration in renal function and should be referred to a nephrology service for specialist management of renal failure. Patients should be assessed for the complications of chronic renal impairment including anaemia, hyperparathyroidism and be referred for specialist management if required. Patients with rapidly declining renal function or clinical features to suggest that residual renal function may decline rapidly (ie. hypertensive, proteinuric (>1g/24hours), significant comorbid illness) should be considered for referral to a nephrologist well before function declines to less than 30ml/min. (Draft CARI Guidelines 2002. Australian Kidney Foundation). Patients in whom the cause of renal impairment is uncertain should be referred to a nephrologist for assessment. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group National Diabetes Data Working Group Origin: Caring for Australians with Renal Impairment (CARI) Guidelines. Australian Kidney Foundation Relational attributes Related metadata references: Supersedes Person—creatinine serum level, micromoles per litre NN[NN] Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012
Data type
text
Measurement units
- µmol/L
Description
Person—date of birth, DDMMYYYY Identifying and definitional attributes Short name: Date of birth METeOR identifier: 287007 Registration status: Housing assistance, Standard 20/06/2005 Health, Standard 04/05/2005 Early Childhood, Standard 21/05/2010 Homelessness, Standard 23/08/2010 Tasmanian Health, Final 30/06/2014 WA Health, Endorsed 19/03/2015 Independent Hospital Pricing Authority, Standard 01/11/2012 Indigenous, Endorsed 11/08/2014 National Health Performance Authority, Standard 07/11/2013 Commonwealth Department of Health, Candidate 25/05/2015 Disability, Standard 07/10/2014 Community Services (retired), Standard 25/08/2005 Definition: The date of birth of the person, expressed as DDMMYYYY. Data Element Concept: Person—date of birth Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data element attributes Collection and usage attributes Guide for use: If date of birth is not known or cannot be obtained, provision should be made to collect or estimate age. Collected or estimated age would usually be in years for adults, and to the nearest three months (or less) for children aged less than two years. Additionally, an estimated date flag or a date accuracy indicator should be reported in conjunction with all estimated dates of birth. For data collections concerned with children's services, it is suggested that the estimated date of birth of children aged under 2 years should be reported to the nearest 3 month period, i.e. 0101, 0104, 0107, 0110 of the estimated year of birth. For example, a child who is thought to be aged 18 months in October of one year would have his/her estimated date of birth reported as 0104 of the previous year. Again, an estimated date flag or date accuracy indicator should be reported in conjunction with all estimated dates of birth. Collection methods: Information on date of birth can be collected using the one question: What is your/(the person's) date of birth? In self-reported data collections, it is recommended that the following response format is used: Date of birth: _ _ / _ _ / _ _ _ _ This enables easy conversion to the preferred representational layout (DDMMYYYY). For record identification and/or the derivation of other metadata items that require accurate date of birth information, estimated dates of birth should be identified by a date accuracy indicator to prevent inappropriate use of date of birth data. The linking of client records from diverse sources, the sharing of patient data, and data analysis for research and planning all rely heavily on the accuracy and integrity of the collected data. In order to maintain data integrity and the greatest possible accuracy an indication of the accuracy of the date collected is critical. The collection of an indicator of the accuracy of the date may be essential in confirming or refuting the positive identification of a person. For this reason it is strongly recommended that the data element Date—accuracy indicator, code AAA also be recorded at the time of record creation to flag the accuracy of the data. Comments: Privacy issues need to be taken into account in asking persons their date of birth. Wherever possible and wherever appropriate, date of birth should be used rather than age because the actual date of birth allows a more precise calculation of age. When date of birth is an estimated or default value, national health and community services collections typically use 0101 or 0107 or 3006 as the estimate or default for DDMM. It is suggested that different rules for reporting data may apply when estimating the date of birth of children aged under 2 years because of the rapid growth and development of children within this age group which means that a child's development can vary considerably over the course of a year. Thus, more specific reporting of estimated age is suggested. Source and reference attributes Origin: National Health Data Committee National Community Services Data Committee Reference documents: AS5017 Health Care Client Identification, 2002, Sydney: Standards Australia AS4846 Health Care Provider Identification, 2004, Sydney: Standards Australia Relational attributes Related metadata references: See also Date—accuracy indicator, code AAA Housing assistance, Standard 23/08/2010, Health, Standard 04/05/2005, Early Childhood, Standard 21/05/2010, Homelessness, Standard 23/08/2010, Disability, Standard 07/10/2014, Community Services (retired), Standard 30/09/2005 See also Date—estimate indicator, code N Tasmanian Health, Draft 23/07/2012, Community Services (retired), Standard 27/04/2007 Is used in the formation of Episode of admitted patient care (antenatal)—length of stay (including leave days), total N[NN] Health, Superseded 04/07/2007 Is used in the formation of Episode of admitted patient care (postnatal)—length of stay (including leave days), total N[NN] Health, Superseded 04/07/2007 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 6) ANNA Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v5.1) ANNA Health, Superseded 22/12/2009 Is used in the formation of Episode of admitted patient care—length of stay (including leave days) (antenatal), total N[NN] Health, Standard 04/07/2007 Is used in the formation of Episode of admitted patient care—length of stay (including leave days) (postnatal), total N[NN] Health, Standard 04/07/2007 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v 6) NN Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v5.1) NN Health, Superseded 22/12/2009 See also Person with cancer—date of initial medical specialist consultation, DDMMYYYY Health, Standard 04/02/2015 See also Person with cancer—date of initial primary health care consultation, DDMMYYYY Health, Standard 04/02/2015 Supersedes Person—date of birth, DDMMYYYY Health, Superseded 04/05/2005, Community Services (retired), Superseded 25/08/2005 Is used in the formation of Record—linkage key, code 581 XXXXXDDMMYYYYN Housing assistance, Standard 23/08/2010, Health, Standard 07/12/2011, Early Childhood, Standard 21/05/2010, Homelessness, Standard 23/08/2010, Disability, Standard 07/10/2014, Community Services (retired), Standard 21/05/2010 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Alcohol and other drug treatment services NMDS 2015- Health, Standard 13/11/2014 Audiology assessment client cluster Indigenous, Endorsed 11/08/2014 Cancer (clinical) DSS Health, Standard 14/05/2015 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Child protection and support services (CPSS) client cluster Community Services (retired), Standard 30/04/2008 Child protection and support services (CPSS) sibling cluster Community Services (retired), Standard 30/04/2008 Closing the Gap in the Northern Territory: Dental Services DSS, 2011 Indigenous, Endorsed 08/10/2014 Community mental health care NMDS 2015-16 Health, Standard 13/11/2014 Computer Assisted Telephone Interview demographic module DSS Health, Standard 03/12/2008 Diabetes (clinical) DSS Health, Standard 21/09/2005 Ear nose and throat services patient cluster Indigenous, Endorsed 05/09/2014 Early Childhood Education and Care: Unit Record Level NMDS 2015 Early Childhood, Standard 01/06/2015 Home purchase assistance DSS 2012-13 Housing assistance, Standard 03/07/2014 Household file cluster (Indigenous community housing) Housing assistance, Standard 01/05/2013 Indigenous, Endorsed 01/05/2013 Juvenile Justice Client file cluster Community Services (retired), Standard 14/09/2009 Medical indemnity DSS 2014- Health, Standard 21/11/2013 National Bowel Cancer Screening Program DSS 2014- Health, Standard 29/08/2014 Non-admitted patient DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 23/07/2014 Non-admitted patient emergency department care DSS 2015-16 Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Perinatal NMDS 2014- Health, Standard 07/03/2014 Person (housing assistance) cluster Housing assistance, Standard 01/05/2013 Person details data dictionary Disability, Standard 13/08/2015 Community Services (retired), Standard 06/02/2012 Person file cluster (Mainstream community housing) Housing assistance, Standard 01/05/2013 Prison clinic contact DSS Health, Standard 25/08/2011 Prison entrants DSS Health, Standard 25/08/2011 Prisoners in custody repeat medications DSS Health, Standard 25/08/2011 Private rent assistance DSS 2012-13 Housing assistance, Standard 03/07/2014 Public dental waiting times NMDS 2013- Health, Standard 09/11/2012 Radiotherapy waiting times NMDS 2015- Health, Standard 13/11/2014 Residential mental health care NMDS 2015-16 Health, Standard 13/11/2014 Statistical linkage key 581 cluster Housing assistance, Standard 23/08/2010 Health, Standard 07/12/2011 Early Childhood, Standard 21/05/2010 Homelessness, Standard 23/08/2010 Disability, Standard 07/10/2014 Community Services (retired), Standard 21/05/2010 Surveillance of healthcare associated infection: Staphylococcus aureus bacteraemia DSS Health, Standard 15/11/2012 WA Health Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC) 2013-14 WA Health, Endorsed 19/03/2015 WA Health Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC) 2014-15 WA Health, Endorsed 24/04/2015 Implementation in Indicators: Used as numerator National Health Performance Authority, Healthy Communities: Human papillomavirus (HPV) vaccination rates for girls turning 15 years in 2012 National Health Performance Authority, Standard 27/03/2014 National Health Performance Authority, Healthy Communities: Human papillomavirus (HPV) vaccination rates for girls turning 15 years in 2013 National Health Performance Authority, Standard 27/08/2015 National Health Performance Authority, Healthy Communities: Immunisation rates for children, 2012–13 National Health Performance Authority, Standard 27/03/2014 National Health Performance Authority, Healthy Communities: Number of selected potentially avoidable hospitalisations per 100,000 people, 2011–12 National Health Performance Authority, Standard 07/11/2013 National Indigenous Reform Agreement: PI 02-Mortality rate by leading causes, 2014 Indigenous, Endorsed 13/12/2013 National Indigenous Reform Agreement: PI 03-Rates of current daily smokers, 2014 Indigenous, Endorsed 13/12/2013 National Indigenous Reform Agreement: PI 06-Under five mortality rate by leading cause, 2014 Indigenous, Endorsed 13/12/2013 National Indigenous Reform Agreement: PI 10-The proportion of Indigenous children aged 4 and 5 years who are enrolled in, and attending, a preschool program in the year before full-time schooling, by remoteness, 2014 Indigenous, Endorsed 13/12/2013 Used as denominator National Health Performance Authority, Healthy Communities: Human papillomavirus (HPV) vaccination rates for girls turning 15 years in 2012 National Health Performance Authority, Standard 27/03/2014 National Health Performance Authority, Healthy Communities: Human papillomavirus (HPV) vaccination rates for girls turning 15 years in 2013 National Health Performance Authority, Standard 27/08/2015 National Health Performance Authority, Healthy Communities: Immunisation rates for children, 2012–13 National Health Performance Authority, Standard 27/03/2014 National Indigenous Reform Agreement: PI 03-Rates of current daily smokers, 2014 Indigenous, Endorsed 13/12/2013
Data type
date
Alias
- UMLS CUI [1]
- C0421451
Description
Person—date of death, DDMMYYYY Identifying and definitional attributes Short name: Date of death METeOR identifier: 287305 Registration status: Health, Standard 04/05/2005 Tasmanian Health, Draft 23/07/2012 WA Health, Endorsed 19/03/2015 Disability, Standard 13/08/2015 Community Services (retired), Standard 30/09/2005 Definition: The date of death of the person, expressed as DDMMYYYY. Data Element Concept: Person—date of death Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- 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. Data element attributes Collection and usage attributes Guide for use: Recorded for persons who have died. Where Date of birth is collected, Date of death must be equal to or greater than Date of birth for the same person. Collection methods: It is recommended that in cases where all components of the date of death are not known or where an estimate is arrived at from age, a valid date be used together with a flag to indicate that it is an estimate. For record identification and/or the derivation of other metadata items that require accurate date of death information, estimated dates of death should be identified by a date accuracy indicator to prevent inappropriate use of date of death data. The linking of client records from diverse sources, the sharing of patient data, and data analysis for research and planning all rely heavily on the accuracy and integrity of the collected data. In order to maintain data integrity and the greatest possible accuracy an indication of the accuracy of the date collected is critical. The collection of Date accuracy indicator may be essential in confirming or refuting the positive identification of a person. For this reason it is strongly recommended that the data element Date accuracy indicator also be recorded at the time of record creation to flag the accuracy of the data. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Origin: Health Data Standards Committee Relational attributes Related metadata references: Supersedes Date of death, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (13.5 KB) See also Person with cancer—date of initial medical specialist consultation, DDMMYYYY Health, Standard 04/02/2015 See also Person with cancer—date of initial primary health care consultation, DDMMYYYY Health, Standard 04/02/2015 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cancer (clinical) DSS Health, Standard 14/05/2015 National Bowel Cancer Screening Program DSS 2014- Health, Standard 29/08/2014 Person details data dictionary Disability, Standard 13/08/2015 Community Services (retired), Standard 06/02/2012 WA Health Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC) 2013-14 WA Health, Endorsed 19/03/2015 WA Health Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC) 2014-15 WA Health, Endorsed 24/04/2015 Implementation in Indicators: Used as numerator National Bowel Cancer Screening Program: PI 11-Colorectal cancer mortality rate Health, Standard 29/08/2014 National Healthcare Agreement: PI 24-Survival of people diagnosed with notifiable cancers, 2015 Health, Standard 14/01/2015 National Indigenous Reform Agreement: PI 02-Mortality rate by leading causes, 2014 Indigenous, Endorsed 13/12/2013 National Indigenous Reform Agreement: PI 06-Under five mortality rate by leading cause, 2014 Indigenous, Endorsed 13/12/2013
Data type
date
Alias
- UMLS CUI [1]
- C1148348
Description
Person—diabetes mellitus status, code NN Obligation: Conditional Identifying and definitional attributes Short name: Diabetes status METeOR identifier: 270194 Registration status: Health, Standard 01/03/2005 Indigenous, Endorsed 13/03/2015 Definition: Whether a person has or is at risk of diabetes, as represented by a code. Data Element Concept: Person—diabetes mellitus status Value domain attributes Representational attributes Representation class: Code Data type: String Format: NN Maximum character length: 2 Permissible values: Value Meaning 01 Type 1 diabetes 02 Type 2 diabetes 03 Gestational diabetes mellitus (GDM) 04 Other (secondary diabetes) 05 Previous gestational diabetes mellitus (GDM) 06 Impaired fasting glucose (IFG) 07 Impaired glucose tolerance (IGT) 08 Not diagnosed with diabetes 09 Not assessed Supplementary values: 99 Not stated/inadequately described Collection and usage attributes Guide for use: Note that where there is a Gestational diabetes mellitus (GDM) or Previous GDM (i.e. permissible values 3 & 5) and a current history of Type 2 diabetes then record 'Code 2' Type 2 diabetes. This same principle applies where a history of either Impaired fasting glycaemia (IFG) or Impaired glucose tolerance (IGT) and a current history and Type 2 diabetes, then record 'Code 2' Type 2 diabetes. CODE 01 Type 1 diabetes Beta-cell destruction, usually leading to absolute insulin deficiency. Includes those cases attributed to an autoimmune process, as well as those with beta-cell destruction and who are prone to ketoacidosis for which neither an aetiology nor pathogenesis is known (idiopathic). It does not include those forms of beta-cell destruction or failure to which specific causes can be assigned (e.g. cystic fibrosis, mitochondrial defects). Some subjects with Type 1 diabetes can be identified at earlier clinical stages than 'diabetes mellitus'. CODE 02 Type 2 diabetes Type 2 includes the common major form of diabetes, which results from defect(s) in insulin secretion, almost always with a major contribution from insulin resistance. CODE 03 Gestational diabetes mellitus (GDM) GDM is a carbohydrate intolerance resulting in hyperglycaemia of variable severity with onset or first recognition during pregnancy. The definition applies irrespective of whether or not insulin is used for treatment or the condition persists after pregnancy. Diagnosis is to be based on the Australian Diabetes in Pregnancy Society (ADIPS) Guidelines. CODE 04 Other (secondary diabetes) This categorisation include less common causes of diabetes mellitus, but are those in which the underlying defect or disease process can be identified in a relatively specific manner. They include, for example, genetic defects of beta-cell function, genetic defects in insulin action, diseases of the exocrine pancreas, endocrinopathies, drug or chemical-induced, infections, uncommon forms of immune-mediated diabetes, other genetic syndromes sometimes associated with diabetes. CODE 05 Previous GDM Where the person has a history of GDM. CODE 06 Impaired fasting glycaemia (IFG) IFG or 'non-diabetic fasting hyperglycaemia' refers to fasting glucose concentrations, which are lower than those required to diagnose diabetes mellitus but higher than the normal reference range. An individual is considered to have IFG if they have a fasting plasma glucose of 6.1 or greater and less than 7.0 mmol/L if challenged with an oral glucose load, they have a fasting plasma glucose concentration of 6.1 mmol/L or greater, but less than 7.0 mmol/L, AND the 2 hour value in the Oral Glucose Tolerance Test (OGTT) is less than 7.8 mmol/L. CODE 07 Impaired glucose tolerance (IGT) IGT is categorised as a stage in the natural history of disordered carbohydrate metabolism; subjects with IGT have an increased risk of progressing to diabetes. IGT refers to a metabolic state intermediate between normal glucose homeostasis and diabetes. Those individuals with IGT manifest glucose intolerance only when challenged with an oral glucose load. IGT is diagnosed if the 2 hour value in the OGTT is greater than 7.8 mmol/L. and less than 11.1 mmol/L AND the fasting plasma glucose concentration is less than 7.0 mmol/L. CODE 08 Not diagnosed with diabetes The subject has no known diagnosis of Type 1, Type 2, GDM, Previous GDM, IFG, IGT or Other (secondary diabetes). CODE 09 Not assessed The subject has not had their diabetes status assessed. CODE 99 Not stated/inadequately described This code is for unknown or information unavailable. Collection methods: The diagnosis is derived from and must be substantiated by clinical documentation. Source and reference attributes Origin: Developed based on Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications Part 1: Diagnosis and Classifications of Diabetes Mellitus Provisional Report of a World Health Organization Consultation (Alberti & Zimmet 1998). Data element attributes Collection and usage attributes Collection methods: Diabetes (clinical): A type of diabetes should be recorded and coded for each episode of patient care. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group National Diabetes Data Working Group Relational attributes Related metadata references: Supersedes Diabetes status, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (27.3 KB) Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Diabetes (clinical) DSS Health, Standard 21/09/2005 Indigenous primary health care DSS 2015- Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Implementation in Indicators: Used as numerator Indigenous primary health care: PI05a-Number of regular clients with Type II diabetes who have had an HbA1c measurement result recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI05b-Proportion of regular clients with Type II diabetes who have had an HbA1c measurement result recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI06a-Number of regular clients with Type II diabetes whose HbA1c measurement result was within a specified level, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI06b-Proportion of regular clients with Type II diabetes whose HbA1c measurement result was within a specified level, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI07a-Number of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI07b-Proportion of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI08a-Number of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI08b-Proportion of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI15a-Number of regular clients with Type II diabetes or COPD who are immunised against influenza, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI15b-Proportion of regular clients with Type II diabetes or COPD who are immunised against influenza, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI18a-Number of regular clients with a selected chronic disease who have had a kidney function test, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI18b-Proportion of regular clients with a selected chronic disease who have had a kidney function test, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI19a-Number of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI19b-Proportion of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI20a-Number of regular clients who have had the necessary risk factors assessed to enable CVD assessment, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI20b-Proportion of regular clients who have had the necessary risk factors assessed to enable CVD assessment, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI23a-Number of regular clients with Type II diabetes who have had a blood pressure measurement result recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI23b-Proportion of regular clients with Type II diabetes who have had a blood pressure measurement result recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI24a-Number of regular clients with Type II diabetes whose blood pressure measurement result was less than or equal to 130/80 mmHg, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI24b-Proportion of regular clients with Type II diabetes whose blood pressure measurement result was less than or equal to 130/80 mmHg, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Used as denominator Indigenous primary health care: PI05b-Proportion of regular clients with Type II diabetes who have had an HbA1c measurement result recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI06b-Proportion of regular clients with Type II diabetes whose HbA1c measurement result was within a specified level, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI07b-Proportion of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI08b-Proportion of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI15b-Proportion of regular clients with Type II diabetes or COPD who are immunised against influenza, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI18b-Proportion of regular clients with a selected chronic disease who have had a kidney function test, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI19b-Proportion of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI23b-Proportion of regular clients with Type II diabetes who have had a blood pressure measurement result recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI24b-Proportion of regular clients with Type II diabetes whose blood pressure measurement result was less than or equal to 130/80 mmHg, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015
Data type
text
Description
Person—diabetes therapy type, code NN Obligation: Conditional Identifying and definitional attributes Short name: Diabetes therapy type METeOR identifier: 270236 Registration status: Health, Standard 01/03/2005 Definition: The type of diabetes therapy the person is currently receiving, as represented by a code. Data Element Concept: Person—diabetes therapy type Value domain attributes Representational attributes Representation class: Code Data type: String Format: NN Maximum character length: 2 Permissible values: Value Meaning 01 Diet and exercise only 02 Oral hypoglycaemic - sulphonylurea only 03 Oral hypoglycaemic - biguanide (eg metformin) only 04 Oral hypoglycaemic - alpha-glucosidase inhibitor only 05 Oral hypoglycaemic - thiazolidinedione only 06 Oral hypoglycaemic - meglitinide only 07 Oral hypoglycaemic - combination (eg biguanide & sulphonylurea) 08 Oral hypoglycaemic - other 09 Insulin only 10 Insulin plus oral hypoglycaemic 98 Nil - not currently receiving diabetes treatment Supplementary values: 99 Not stated/inadequately described Collection and usage attributes Guide for use: CODE 01 Diet & exercise only This code includes the options of generalised prescribed diet; avoid added sugar/simple carbohydrates (CHOs); low joule diet; portion exchange diet and uses glycaemic index and a recommendation for increased exercise. CODE 98 Nil - not currently receiving diabetes treatment This code is used when there is no current diet, tablets or insulin therapy(ies). CODE 99 Not stated/inadequately described Use this code when missing information. Data element attributes Collection and usage attributes Collection methods: To be collected at the commencement of treatment and at each review. Comments: In settings where the monitoring of a person's health is ongoing and where management can change over time (such as general practice), the Service contact—service contact date, DDMMYYYY should be recorded. The main use of this data element is to enable categorisation of management regimes against best practice for diabetes. Source and reference attributes Submitting organisation: National Diabetes Data Working Group Cardiovascular Data Working Group Reference documents: Berkow R, editor. The Merck Manual. 16th ed. Rahway (New Jersey, USA): Merck Research Laboratories; 1992. Relational attributes Related metadata references: Supersedes Diabetes therapy type, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (19.1 KB) See also Female—type of diabetes mellitus therapy during pregnancy, code N Health, Standard 07/03/2014 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Diabetes (clinical) DSS Health, Standard 21/09/2005
Data type
text
Description
Person—diagnostic cardiac catheterisation date, DDMMYYYY Obligation: Conditional Identifying and definitional attributes Short name: Date of diagnostic cardiac catheterisation Synonymous names: Date of coronary angiography METeOR identifier: 359791 Registration status: Health, Standard 01/10/2008 Definition: The date when cardiac catheterisation is performed for diagnostic purposes. Data Element Concept: Person—diagnostic cardiac catheterisation date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data element attributes Collection and usage attributes Guide for use: This metadata item includes coronary angiography which is performed using a catheter. Source and reference attributes Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand Relational attributes Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
date
Description
Person—diagnostic cardiac catheterisation time, hhmm Obligation: Conditional Identifying and definitional attributes Short name: Time of diagnostic cardiac catheterisation Synonymous names: Time of coronary angiography METeOR identifier: 359777 Registration status: Health, Standard 01/10/2008 Definition: The time when cardiac catheterisation is performed for diagnostic purposes. Data Element Concept: Person—diagnostic cardiac catheterisation time Value domain attributes Representational attributes Representation class: Time Data type: Date/Time Format: hhmm Maximum character length: 4 Source and reference attributes Reference documents: ISO 8601:2000 : Data elements and interchange formats - Information interchange - Representation of dates and times Data element attributes Collection and usage attributes Guide for use: This metadata item includes coronary angiography which is performed using a catheter. Source and reference attributes Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand Relational attributes Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
time
Description
Person—dyslipidaemia treatment with anti-lipid medication indicator (current), code N Obligation: Conditional Identifying and definitional attributes Short name: Dyslipidaemia treatment indicator METeOR identifier: 302440 Registration status: Health, Standard 21/09/2005 Definition: Whether a person is being currently treated for dyslipidaemia using anti-lipid medication, as represented by a code. Data Element Concept: Person—dyslipidaemia treatment with anti-lipid medication indicator Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Yes 2 No Supplementary values: 9 Not stated/inadequately described Collection and usage attributes Guide for use: CODE 9 Not stated/inadequately described This code is not for use in primary data collections. Data element attributes Collection and usage attributes Guide for use: CODE 1 Yes: Record if a person is being treated for dyslipidaemia using anti-lipid medication. CODE 2 No: Record if a person is not being treated for dyslipidaemia using anti-lipid medication. Collection methods: Ask the individual if he/she is currently treated with anti-lipid medication. Alternatively obtain the relevant information from appropriate documentation. Source and reference attributes Submitting organisation: National diabetes data working group Origin: National Diabetes Outcomes Quality Review Initiative (NDOQRIN) data dictionary. Relational attributes Related metadata references: Supersedes Person—dyslipidaemia treatment status (anti-lipid medication), code N Health, Superseded 21/09/2005 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Diabetes (clinical) DSS Health, Standard 21/09/2005
Data type
integer
Description
Person—glycosylated haemoglobin level (measured), percentage N[N].N Identifying and definitional attributes Short name: Glycosylated haemoglobin level (measured) METeOR identifier: 270325 Registration status: Health, Standard 01/03/2005 Definition: A person's glycosylated haemoglobin (HbA1c) level, measured as percentage. Data Element Concept: Person—glycosylated haemoglobin level Value domain attributes Representational attributes Representation class: Percentage Data type: Number Format: N[N].N Maximum character length: 3 Supplementary values: Value Meaning 99.9 Not stated/inadequately described Data element attributes Collection and usage attributes Guide for use: HbA1c results vary between laboratories; use the same laboratory for repeated testing. When reporting, record absolute result of the most recent HbA1c level in the last 12 months. Record the absolute result of the test (%). Collection methods: Test is performed in accredited laboratories: · A single blood sample is sufficient and no preparation of the patient is required. · Measure HbA1c ideally using High Performance Liquid Chromatography (HPLC). Source and reference attributes Submitting organisation: National diabetes data working group Origin: National Diabetes Outcomes Quality Review Initiative (NDOQRIN) data dictionary. Reference documents: Koening, R. J. Peterson, CM and Kilo, C et al. Hemoglobin A1c as an indicator of the degree of glucose intolerance in diabetes. Diabetes 259 (1976): 230-232. Nathan, D.M., Singer, D.E, Hurxthal, K, and Goodson, J.D. The clinical information value of the glycosylated hemoglobin assay. N. Eng. J. Med. 310 (1984): 341-346. Relational attributes Related metadata references: Supersedes Glycosylated Haemoglobin (HbA1c) - measured, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (18.0 KB) See also Laboratory standard—upper limit of normal range of glycosylated haemoglobin, percentage N[N].N Health, Standard 01/03/2005 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Diabetes (clinical) DSS Health, Standard 21/09/2005
Data type
float
Measurement units
- %
Description
Person—height (measured), total centimetres NN[N].N Obligation: Conditional Identifying and definitional attributes Short name: Height (measured) METeOR identifier: 270361 Registration status: Health, Standard 01/03/2005 Definition: The height of a person measured in centimetres. Context: Public health and health care Data Element Concept: Person—height Value domain attributes Representational attributes Representation class: Total Data type: Number Format: NN[N].N Maximum character length: 4 Supplementary values: Value Meaning 999.9 Not measured Unit of measure: Centimetre (cm) Data element attributes Collection and usage attributes Guide for use: In order to ensure consistency in measurement, the measurement protocol described under Collection methods should be used. Measurements of height should be assessed in relation to children and adolescents' age and pubertal status. Collection methods: The measurement protocol described below are those recommended by the International Society for the Advancement of Kinanthropometry as described by Norton et al. (1996), and the World Health Organization (WHO Expert Committee 1995), which was adapted from Lohman et al. (1988). Measurement protocol: Height measurements can be based on recumbent length or standing height. In general, length measurements are recommended for children under 2 years of age and height measurements for others. The measurement of height requires a vertical metric rule, a horizontal headboard, and a non-compressible flat even surface on which the subject stands. The equipment may be fixed or portable, and should be described and reported. The graduations on the metric rule should be at 0.1 cm intervals, and the metric rule should have the capacity to measure up to at least 210 cm. Measurement intervals and labels should be clearly readable under all conditions of use of the instrument. Apparatus that allows height to be measured while the subject stands on a platform scale is not recommended. Adults and children who can stand: The subject should be measured without shoes (i.e. is barefoot or wears thin socks) and wears little clothing so that the positioning of the body can be seen. Anything that may affect or interfere with the measurement should be noted on the data collection form (e.g. hairstyles and accessories, or physical problems). The subject stands with weight distributed evenly on both feet, heels together, and the head positioned so that the line of vision is at right angles to the body. The correct position for the head is in the Frankfort horizontal plan (Norton et al. 1996). The arms hang freely by the sides. The head, back, buttocks and heels are positioned vertically so that the buttocks and the heels are in contact with the vertical board. To obtain a consistent measure, the subject is asked to inhale deeply and stretch to their fullest height. The measurer applies gentle upward pressure through the mastoid processes to maintain a fully erect position when the measurement is taken. Ensure that the head remains positioned so that the line of vision is at right angles to the body, and the heels remain in contact with the base board. The movable headboard is brought onto the top of the head with sufficient pressure to compress the hair. The measurement is recorded to the nearest 0.1 cm. Take a repeat measurement. If the two measurements disagree by more than 0.5 cm, then take a third measurement. All raw measurements should be recorded on the data collection form. If practical, it is preferable to enter the raw data into the database as this enables intra-observer and, where relevant, inter-observer errors to be assessed. The subject's measured height is subsequently calculated as the mean of the two observations, or the mean of the two closest measurements if a third is taken, and recorded on the form. If only a mean value is entered into the database then the data collection forms should be retained. It may be necessary to round the mean value to the nearest 0.1 cm. If so, rounding should be to the nearest even digit to reduce systematic over reporting (Armitage & Berry 1994). For example, a mean value of 172.25 cm would be rounded to 172.2 cm, while a mean value of 172.35 cm would be rounded to 172.4 cm. Infants: For the measurement of supine length of children up to and including 2 years of age, two observers are required. One observer positions the head correctly while the other ensures the remaining position is correct and brings the measuring board in contact with the feet. The subject lies in a supine position on a recumbent length table or measuring board. The crown of the head must touch the stationary, vertical headboard. The subject's head is held with the line of vision aligned perpendicular to the plane of the measuring surface. The shoulders and buttocks must be flat against the table top, with the shoulders and hips aligned at right angles to the long axis of the body. The legs must be extended at the hips and knees and lie flat against the table top and the arms rest against the sides of the trunk. The measurer must ensure that the legs remain flat on the table and must shift the movable board against the heels. In infants care has to be taken to extend the legs gently. In some older children two observers may also be required. In general, length or height is measured and reported to the nearest 0.1 cm. For any child, the length measurement is approximately 0.5 - 1.5 cm greater than the height measurement. It is therefore recommended that when a length measurement is applied to a height-based reference for children over 24 months of age (or over 85 cm if age is not known), 1.0 cm be subtracted before the length measurement is compared with the reference. It is also recommended that as a matter of procedure and data recording accuracy, the date be recorded when the change is made from supine to standing height measure. Validation and quality control measures: All equipment, whether fixed or portable should be checked prior to each measurement session to ensure that both the headboard and floor (or footboard) are at 90 degrees to the vertical rule. With some types of portable anthropometer it is necessary to check the correct alignment of the headboard, during each measurement, by means of a spirit level. Within- and, if relevant, between-observer variability should be reported. They can be assessed by the same (within-) or different (between-) observers repeating the measurement of height, on the same subjects, under standard conditions after a short time interval. The standard deviation of replicate measurements (technical error of measurement (Pederson & Gore 1996)) between observers should not exceed 5 mm and be less than 5 mm within observers. Extreme values at the lower and upper end of the distribution of measured height should be checked both during data collection and after data entry. Individuals should not be excluded on the basis of true biological difference. Last digit preference, and preference or avoidance of certain values, should be analysed in the total sample and (if relevant) by observer, survey site and over time if the survey period is long. Comments: This metadata item applies to persons of all ages. It is recommended for use in population surveys and health care settings. It is recommended that in population surveys, sociodemographic data including ethnicity should be collected, as well as other risk factors including physiological status (e.g. pregnancy), physical activity, smoking and alcohol consumption. Summary statistics may need to be adjusted for these variables. Metadata items currently exist for sex, date of birth, country of birth, Indigenous status and smoking. Metadata items are being developed for physical activity. Presentation of data: Means, 95% confidence intervals, medians and centiles should be reported to one decimal place. Where the sample permits, population estimates should be presented by sex and 5-year age groups. However 5-year age groups are not generally suitable for children and adolescents. Estimates based on sample surveys may need to take into account sampling weights. For consistency with conventional practice, and for current comparability with international data sets, recommended centiles are 5, 10, 15, 25, 50, 75, 85, 90 and 95. To estimate the 5th and 95th centiles, a sample size of at least 200 is recommended for each group for which the centiles are being specified. For some reporting purposes, it may be desirable to present height data in categories. It is recommended that 5 cm groupings are used for this purpose. Height data should not be rounded before categorisation. The following categories may be appropriate for describing the heights of Australian men, women, children and adolescents although the range will depend on the population: Height 70 cm = Height 75 cm = Height ... in 5 cm categories 185 cm = Height Height => 190 cm Relational attributes Related metadata references: Is used in the formation of Adult—body mass index (measured), ratio NN[N].N[N] Health, Standard 01/03/2005 Is used in the formation of Adult—body mass index (self-reported), ratio NN[N].N[N] Health, Standard 01/03/2005, National Health Performance Authority, Standard 24/10/2013 Is used in the formation of Child—body mass index (measured), ratio NN[N].N[N] Health, Standard 01/03/2005 Is used in the formation of Child—body mass index (self-reported), ratio NN[N].N[N] Health, Standard 01/03/2005 Supersedes Height - measured, version 2, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (28.7 KB) Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Diabetes (clinical) DSS Health, Standard 21/09/2005 Perinatal DSS 2015-16 Health, Standard 13/11/2014
Data type
float
Measurement units
- cm
Description
Person—high-density lipoprotein cholesterol level (measured), total millimoles per litre [N].NN Identifying and definitional attributes Short name: Cholesterol—HDL (measured) METeOR identifier: 270401 Registration status: Health, Standard 01/03/2005 Definition: A person's high-density lipoprotein cholesterol (HDL-C), measured in mmol/L. Data Element Concept: Person—high-density lipoprotein cholesterol level Value domain attributes Representational attributes Representation class: Total Data type: Number Format: [N].NN Maximum character length: 3 Supplementary values: Value Meaning 9.99 Not measured/inadequately described Unit of measure: Millimole per litre (mmol/L) Data element attributes Collection and usage attributes Guide for use: When reporting, record whether or not the measurement of High-density Lipoprotein Cholesterol (HDL-C) was performed in a fasting specimen. In settings where the monitoring of a person's health is ongoing and where a measure can change over time (such as general practice), the date of assessment should be recorded. Collection methods: When reporting, record absolute result of the most recent HDL-Cholesterol measurement in the last 12 months to the nearest 0.01 mmol/L. Measurement of lipid levels should be carried out by laboratories, or practices, which have been accredited to perform these tests by the National Association of Testing Authorities. · To be collected as a single venous blood sample, preferably following a 12-hour fast where only water and medications have been consumed. · Prolonged tourniquet use can artefactually increase levels by up to 20%. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group National Diabetes Data Working Group Origin: National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand, Lipid Management Guidelines - 2001, MJA 2001; 175: S57-S88. Relational attributes Related metadata references: Supersedes Cholesterol-HDL - measured, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (22.0 KB) Is used in the formation of Person—low-density lipoprotein cholesterol level (calculated), total millimoles per litre N[N].N Health, Superseded 01/10/2008 Is used in the formation of Person—low-density lipoprotein cholesterol level (calculated), total millimoles per litre N[N].N Health, Standard 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Diabetes (clinical) DSS Health, Standard 21/09/2005
Data type
float
Measurement units
- mmol/L
Description
Person—hypertension treatment with antihypertensive medication indicator (current), code N Identifying and definitional attributes Short name: Hypertension - treatment METeOR identifier: 302442 Registration status: Health, Standard 21/09/2005 Definition: Whether a person is currently being treated for hypertension (high blood pressure) using antihypertensive medication, as represented by a code. Data Element Concept: Person—hypertension treatment with antihypertensive medication indicator Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Yes 2 No Supplementary values: 9 Not stated/inadequately described Collection and usage attributes Guide for use: CODE 9 Not stated/inadequately described This code is not for use in primary data collections. Data element attributes Collection and usage attributes Guide for use: CODE 1 Yes Record if a person is currently being treated for hypertension using antihypertensive medication. CODE 2 No Record if a person is not currently being treated for hypertension using antihypertensive medication. Collection methods: Ask the individual if he/she is currently treated with anti-hypertensive medications. Alternatively obtain the relevant information from appropriate documentation. Source and reference attributes Submitting organisation: National diabetes data working group Origin: National Diabetes Outcomes Quality Review Initiative (NDOQRIN) data dictionary. Reference documents: Pahor M, Psaty BM, Furberg CD. Treatment of hypertensive patients with diabetes. Lancet 1998; 351:689-90. Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. UK Prospective Diabetes Study Group [erratum appears in Br Med J 1999; 318:29]. Br Med J 1998; 317:703-13. Grossman E, Messerli FH, Goldbourt U, Curb JD, Pressel SL, Cutler JA, Savage PJ, Applegate WB, Black H, et al. Effect of diuretic-based antihypertensive treatment on cardiovascular disease risk in older diabetic patients with isolated systolic hypertension. Systolic Hypertension in the Elderly Program Cooperative Research Group. JAMA 1996; 276:1886-92. Hypertension in diabetes [Australian Prescriber Feb 2002]. American Journal of Preventive Medicine 2002;21. Relational attributes Related metadata references: Supersedes Person—hypertension treatment status (antihypertensive medication), code N Health, Superseded 21/09/2005 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Diabetes (clinical) DSS Health, Standard 21/09/2005
Data type
integer
Description
Person—implantable cardiac defibrillator procedure date, DDMMYYYY Identifying and definitional attributes Short name: Date of implantable cardiac defibrillator procedure Synonymous names: ICD procedure date METeOR identifier: 359611 Registration status: Health, Standard 01/10/2008 Definition: The date when a procedure is performed for insertion of an implantable cardiac defibrillator (ICD). Data Element Concept: Person—implantable cardiac defibrillator procedure date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data element attributes Source and reference attributes Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand Relational attributes Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
date
Description
Person—implantable cardiac defibrillator procedure time, hhmm Identifying and definitional attributes Short name: Time of implantable cardiac defibrillator procedure Synonymous names: ICD procedure time METeOR identifier: 359678 Registration status: Health, Standard 01/10/2008 Definition: The time when a procedure is performed for insertion of an implantable cardiac defibrillator (ICD). Data Element Concept: Person—implantable cardiac defibrillator procedure time Value domain attributes Representational attributes Representation class: Time Data type: Date/Time Format: hhmm Maximum character length: 4 Source and reference attributes Reference documents: ISO 8601:2000 : Data elements and interchange formats - Information interchange - Representation of dates and times Data element attributes Source and reference attributes Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand Relational attributes Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
time
Description
Person—Indigenous status, code N Identifying and definitional attributes Short name: Indigenous status METeOR identifier: 291036 Registration status: Housing assistance, Standard 15/04/2010 Health, Standard 04/05/2005 Early Childhood, Standard 21/05/2010 Homelessness, Standard 23/08/2010 Tasmanian Health, Final 30/06/2014 WA Health, Endorsed 04/03/2014 Independent Hospital Pricing Authority, Standard 01/11/2012 Indigenous, Endorsed 11/09/2012 Commonwealth Department of Health, Candidate 16/07/2015 Disability, Standard 07/10/2014 Community Services (retired), Standard 25/08/2005 Definition: Whether a person identifies as being of Aboriginal or Torres Strait Islander origin, as represented by a code. This is in accord with the first two of three components of the Commonwealth definition. Data Element Concept: Person—Indigenous status Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Aboriginal but not Torres Strait Islander origin 2 Torres Strait Islander but not Aboriginal origin 3 Both Aboriginal and Torres Strait Islander origin 4 Neither Aboriginal nor Torres Strait Islander origin Supplementary values: 9 Not stated/inadequately described Collection and usage attributes Guide for use: This metadata item is based on the Australian Bureau of Statistics (ABS) standard for Indigenous status. For detailed advice on its use and application please refer to the ABS Website as indicated in the Reference documents. The classification for Indigenous status has a hierarchical structure comprising two levels. There are four categories at the detailed level of the classification which are grouped into two categories at the broad level. There is one supplementary category for 'not stated' responses. The classification is as follows: Indigenous: · Aboriginal but not Torres Strait Islander origin. · Torres Strait Islander but not Aboriginal origin. · Both Aboriginal and Torres Strait Islander origin. Non-Indigenous: · Neither Aboriginal nor Torres Strait Islander origin. Not stated/ inadequately described: This category is not to be available as a valid answer to the questions but is intended for use: · Primarily when importing data from other data collections that do not contain mappable data. · Where an answer was refused. · Where the question was not able to be asked prior to completion of assistance because the client was unable to communicate or a person who knows the client was not available. Only in the last two situations may the tick boxes on the questionnaire be left blank. Data element attributes Collection and usage attributes Collection methods: The standard question for Indigenous Status is as follows: [Are you] [Is the person] [Is (name)] of Aboriginal or Torres Strait Islander origin? (For persons of both Aboriginal and Torres Strait Islander origin, mark both 'Yes' boxes.) No.................................................... Yes, Aboriginal............................... Yes, Torres Strait Islander............ This question is recommended for self-enumerated or interview-based collections. It can also be used in circumstances where a close relative, friend, or another member of the household is answering on behalf of the subject. It is strongly recommended that this question be asked directly wherever possible. When someone is not present, the person answering for them should be in a position to do so, i.e. this person must know well the person about whom the question is being asked and feel confident to provide accurate information about them. This question must always be asked regardless of data collectors' perceptions based on appearance or other factors. The Indigenous status question allows for more than one response. The procedure for coding multiple responses is as follows: If the respondent marks 'No' and either 'Aboriginal' or 'Torres Strait Islander', then the response should be coded to either Aboriginal or Torres Strait Islander as indicated (i.e. disregard the 'No' response). If the respondent marks both the 'Aboriginal' and 'Torres Strait Islander' boxes, then their response should be coded to 'Both Aboriginal and Torres Strait Islander Origin'. If the respondent marks all three boxes ('No', 'Aboriginal' and 'Torres Strait Islander'), then the response should be coded to 'Both Aboriginal and Torres Strait Islander Origin' (i.e. disregard the 'No' response). This approach may be problematical in some data collections, for example when data are collected by interview or using screen based data capture systems. An additional response category Yes, both Aboriginal and Torres Strait Islander... may be included if this better suits the data collection practices of the agency or establishment concerned. Comments: The following definition, commonly known as 'The Commonwealth Definition', was given in a High Court judgement in the case of Commonwealth v Tasmania (1983) 46 ALR 625. 'An Aboriginal or Torres Strait Islander is a person of Aboriginal or Torres Strait Islander descent who identifies as an Aboriginal or Torres Strait Islander and is accepted as such by the community in which he or she lives'. There are three components to the Commonwealth definition: · descent; · self-identification; and · community acceptance. In practice, it is not feasible to collect information on the community acceptance part of this definition in general purpose statistical and administrative collections and therefore standard questions on Indigenous status relate to descent and self-identification only. Source and reference attributes Origin: National Health Data Committee National Community Services Data Committee Reference documents: Australian Bureau of Statistics 1999. Standards for Social, Labour and Demographic Variables. Cultural Diversity Variables, Canberra. Viewed 3 August 2005. Relational attributes Related metadata references: See also Person—Indigenous status, code AAA WA Health, Endorsed 19/03/2015 Supersedes Person—Indigenous status, code N Health, Superseded 04/05/2005, Community Services (retired), Superseded 25/08/2005 Has been superseded by Person—Indigenous status, code N Health, Standardisation pending 05/03/2015 See also Service provider organisation—number of Indigenous children attending a preschool program, total number N[NNNN] Early Childhood, Superseded 28/05/2014, Indigenous, Endorsed 11/09/2012 See also Service provider organisation—number of Indigenous children attending an early childhood education program, total number N[NNNN] Early Childhood, Superseded 01/06/2015 See also Service provider organisation—number of Indigenous children attending an early childhood education program, total number N[NNNN] Early Childhood, Standard 01/06/2015 See also Service provider organisation—number of Indigenous children enrolled in a preschool program, total N[NNNN] Early Childhood, Superseded 28/05/2014, Indigenous, Endorsed 08/04/2013 See also Service provider organisation—number of Indigenous children enrolled in a preschool program, total N[NNNN] Early Childhood, Superseded 08/04/2013, Indigenous, Archived 08/04/2013 See also Service provider organisation—number of Indigenous children enrolled in an early childhood education program, total N[NNNN] Early Childhood, Standard 01/06/2015 See also Service provider organisation—number of Indigenous children enrolled in an early childhood education program, total N[NNNN] Early Childhood, Superseded 01/06/2015 Implementation in Data Set Specifications: Aboriginal and Torres Strait Islander primary health-care services client numbers cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander primary health-care services episodes of care cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander primary health-care services paid full-time equivalent positions cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander primary health-care services unpaid full-time equivalent positions cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services client numbers cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services non-residential/follow-up/aftercare client numbers cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services non-residential/follow-up/aftercare episodes of care cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services paid full-time equivalent positions cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services residential treatment/rehabilitation client numbers cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services residential/rehabilitation episodes of care cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services sobering up/residential respite/short-term care client numbers cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services sobering-up/residential respite/short term care episodes of care cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services unpaid full-time equivalent positions cluster Indigenous, Endorsed 16/09/2014 Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Adoptions DSS 2011-13 Community Services (retired), Standard 20/05/2013 Alcohol and other drug treatment services NMDS 2015- Health, Standard 13/11/2014 Bringing Them Home/Link Up Counselling Program client contacts cluster Indigenous, Endorsed 16/09/2014 Bringing them Home/Link Up Counselling Program client numbers cluster Indigenous, Endorsed 16/09/2014 Bringing them Home/Link Up Counsellors cluster Indigenous, Endorsed 16/09/2014 Cancer (clinical) DSS Health, Standard 14/05/2015 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Child protection and support services (CPSS) client cluster Community Services (retired), Standard 30/04/2008 Community mental health care NMDS 2015-16 Health, Standard 13/11/2014 Computer Assisted Telephone Interview demographic module DSS Health, Standard 03/12/2008 Cultural and language diversity cluster Disability, Standard 13/08/2015 Community Services (retired), Standard 10/04/2013 Diabetes (clinical) DSS Health, Standard 21/09/2005 Disability services client details cluster Disability, Standard 13/08/2015 Community Services (retired), Standard 10/04/2013 Disability Services NMDS 2012-14 Community Services (retired), Standard 13/03/2013 Disability Services NMDS 2014-15 Disability, Standard 07/10/2014 Community Services (retired), Proposed 23/04/2014 Early Childhood Education and Care: Aggregate NMDS 2015 Early Childhood, Standard 01/06/2015 Early Childhood Education and Care: Unit Record Level NMDS 2015 Early Childhood, Standard 01/06/2015 Elective surgery waiting times (census data) NMDS 2015- Health, Standard 12/06/2015 Elective surgery waiting times (removals data) NMDS 2015- Health, Standard 12/06/2015 Estimated resident population (ERP) cluster (early childhood education and care) Early Childhood, Standard 21/05/2010 Indigenous primary health care DSS 2015- Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Juvenile Justice Client file cluster Community Services (retired), Standard 14/09/2009 Medical indemnity DSS 2014- Health, Standard 21/11/2013 National Bowel Cancer Screening Program DSS 2014- Health, Standard 29/08/2014 Non-admitted patient DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 23/07/2014 Non-admitted patient emergency department care DSS 2015-16 Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Perinatal NMDS 2014- Health, Standard 07/03/2014 Person (housing assistance) cluster Housing assistance, Standard 01/05/2013 Prison clinic contact DSS Health, Standard 25/08/2011 Prison entrants DSS Health, Standard 25/08/2011 Prisoners in custody repeat medications DSS Health, Standard 25/08/2011 Public dental waiting times NMDS 2013- Health, Standard 09/11/2012 Radiotherapy waiting times NMDS 2015- Health, Standard 13/11/2014 Registered chiropractic labour force DSS Health, Standard 10/12/2009 Registered dental and allied dental health professional labour force DSS Health, Standard 10/12/2009 Registered medical professional labour force DSS Health, Standard 10/12/2009 Registered midwifery labour force DSS Health, Standard 10/12/2009 Registered nursing professional labour force DSS Health, Standard 10/12/2009 Registered optometry labour force DSS Health, Standard 10/12/2009 Registered osteopathy labour force DSS Health, Standard 10/12/2009 Registered pharmacy labour force DSS Health, Standard 10/12/2009 Registered physiotherapy labour force DSS Health, Standard 10/12/2009 Registered podiatry labour force DSS Health, Standard 10/12/2009 Registered psychology labour force DSS Health, Standard 10/12/2009 Residential mental health care NMDS 2015-16 Health, Standard 13/11/2014 Specialist Homelessness Services NMDS 2014-15 Housing assistance, Standard 30/06/2014 Homelessness, Standard 30/06/2014 Surveillance of healthcare associated infection: Staphylococcus aureus bacteraemia DSS Health, Standard 15/11/2012 WA Abortion Notification System WA Health, Endorsed 04/03/2014 Implementation in Indicators: Used as numerator Indigenous primary health care: PI01a-Number of Indigenous babies born within the previous 12 months whose birth weight has been recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI01b-Proportion of Indigenous babies born within the previous 12 months whose birth weight has been recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI02a-Number of Indigenous babies born within the previous 12 months whose birth weight results were low, normal or high, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI02b-Proportion of Indigenous babies born within the previous 12 months whose birth weight results were low, normal or high, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI03a-Number of regular clients for whom an MBS Health Assessment for Aboriginal and Torres Strait Islander People (MBS Item 715) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI03b-Proportion of regular clients for whom an MBS Health Assessment for Aboriginal and Torres Strait Islander People (MBS Item 715) was claimed, 20115 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI04a-Number of Indigenous children who are fully immunised, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI04b-Proportion of Indigenous children who are fully immunised, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI05a-Number of regular clients with Type II diabetes who have had an HbA1c measurement result recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI05b-Proportion of regular clients with Type II diabetes who have had an HbA1c measurement result recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI06a-Number of regular clients with Type II diabetes whose HbA1c measurement result was within a specified level, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI06b-Proportion of regular clients with Type II diabetes whose HbA1c measurement result was within a specified level, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI07a-Number of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI07b-Proportion of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI08a-Number of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI08b-Proportion of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI09a-Number of regular clients whose smoking status has been recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI09b-Proportion of regular clients whose smoking status has been recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI10a-Number of regular clients with a smoking status result, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI10b-Proportion of regular clients with a smoking status result, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI11a-Number of regular clients who gave birth within the previous 12 months with a smoking status of 'current smoker', 'ex-smoker' or 'never smoked', 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI11b-Proportion of regular clients who gave birth within the previous 12 months with a smoking status of 'current smoker', 'ex-smoker' or 'never smoked', 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI12a-Number of regular clients who are classified as overweight or obese, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI12b-Proportion of regular clients who are classified as overweight or obese, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI13a-Number of regular clients who had their first antenatal care visit within specified periods, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI13b-Proportion of regular clients who had their first antenatal care visit within specified periods, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI14a-Number of regular clients aged 50 years and over who are immunised against influenza, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI14b-Proportion of regular clients aged 50 years and over who are immunised against influenza, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI15a-Number of regular clients with Type II diabetes or COPD who are immunised against influenza, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI15b-Proportion of regular clients with Type II diabetes or COPD who are immunised against influenza, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI16a-Number of regular clients whose alcohol consumption status has been recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI16b-Proportion of regular clients whose alcohol consumption status has been recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI17a-Number of regular clients who had an AUDIT-C with result within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI17b-Proportion of regular clients who had an AUDIT-C with result within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI18a-Number of regular clients with a selected chronic disease who have had a kidney function test, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI18b-Proportion of regular clients with a selected chronic disease who have had a kidney function test, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI19a-Number of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI19b-Proportion of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI20a-Number of regular clients who have had the necessary risk factors assessed to enable CVD assessment, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI20b-Proportion of regular clients who have had the necessary risk factors assessed to enable CVD assessment, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI21a-Number of regular clients aged 35 to 74 years who have had an absolute cardiovascular disease risk assessment with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI21b-Proportion of regular clients aged 35 to 74 years who have had an absolute cardiovascular disease risk assessment with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI22a-Number of regular clients who have had a cervical screening, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI22b-Proportion of regular clients who have had a cervical screening, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI23a-Number of regular clients with Type II diabetes who have had a blood pressure measurement result recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI23b-Proportion of regular clients with Type II diabetes who have had a blood pressure measurement result recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI24a-Number of regular clients with Type II diabetes whose blood pressure measurement result was less than or equal to 130/80 mmHg, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI24b-Proportion of regular clients with Type II diabetes whose blood pressure measurement result was less than or equal to 130/80 mmHg, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 National Disability Agreement: f(1)-Number of Indigenous people with disability receiving disability services as a proportion of the Indigenous potential population requiring services, 2012 Indigenous, Endorsed 11/09/2012 Community Services (retired), Superseded 23/05/2013 National Disability Agreement: f(2)-Number of Indigenous people with disability receiving disability services as a proportion of the Indigenous potential population requiring services, 2012 Indigenous, Endorsed 11/09/2012 Community Services (retired), Superseded 23/05/2013 National Disability Agreement: f(3)-Number of non-Indigenous persons and Indigenous persons who separated from permanent residential aged care to return home/family, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Healthcare Agreement: PI 09-Incidence of heart attacks (acute coronary events), 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 64a-Indigenous Australians in the health workforce, 2012 Health, Retired 25/06/2013 Indigenous, Endorsed 11/09/2012 National Healthcare Agreement: PI 64b-Indigenous Australians in the health workforce, 2012 Health, Retired 25/06/2013 Indigenous, Endorsed 11/09/2012 National Indigenous Reform Agreement: PI 10-The proportion of Indigenous children aged 4 and 5 years who are enrolled in, and attending, a preschool program in the year before full-time schooling, by remoteness, 2014 Indigenous, Endorsed 13/12/2013 Used as denominator Indigenous primary health care: PI01b-Proportion of Indigenous babies born within the previous 12 months whose birth weight has been recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI02b-Proportion of Indigenous babies born within the previous 12 months whose birth weight results were low, normal or high, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI03b-Proportion of regular clients for whom an MBS Health Assessment for Aboriginal and Torres Strait Islander People (MBS Item 715) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI04b-Proportion of Indigenous children who are fully immunised, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI05b-Proportion of regular clients with Type II diabetes who have had an HbA1c measurement result recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI06b-Proportion of regular clients with Type II diabetes whose HbA1c measurement result was within a specified level, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI07b-Proportion of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI09b-Proportion of regular clients whose smoking status has been recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI10b-Proportion of regular clients with a smoking status result, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI11b-Proportion of regular clients who gave birth within the previous 12 months with a smoking status of 'current smoker', 'ex-smoker' or 'never smoked', 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI12b-Proportion of regular clients who are classified as overweight or obese, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI13b-Proportion of regular clients who had their first antenatal care visit within specified periods, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI14b-Proportion of regular clients aged 50 years and over who are immunised against influenza, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI15b-Proportion of regular clients with Type II diabetes or COPD who are immunised against influenza, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI16b-Proportion of regular clients whose alcohol consumption status has been recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI17b-Proportion of regular clients who had an AUDIT-C with result within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI18b-Proportion of regular clients with a selected chronic disease who have had a kidney function test, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI19b-Proportion of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI20b-Proportion of regular clients who have had the necessary risk factors assessed to enable CVD assessment, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI21b-Proportion of regular clients aged 35 to 74 years who have had an absolute cardiovascular disease risk assessment with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI22b-Proportion of regular clients who have had a cervical screening, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI23b-Proportion of regular clients with Type II diabetes who have had a blood pressure measurement result recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI24b-Proportion of regular clients with Type II diabetes whose blood pressure measurement result was less than or equal to 130/80 mmHg, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 National Disability Agreement: d(1)-Proportion of the potential population who used State/Territory delivered disability support services, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: d(2)-Proportion of people with a disability with an employment restriction who used Disability Employment Services (Open Employment), 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: d(3)-Proportion of the potential population who used Australian Disability Enterprises (Supported Employment), 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: f(1)-Number of Indigenous people with disability receiving disability services as a proportion of the Indigenous potential population requiring services, 2012 Indigenous, Endorsed 11/09/2012 Community Services (retired), Superseded 23/05/2013 National Disability Agreement: f(1)-Rate of non-Indigenous persons and Indigenous persons admitted to permanent residential aged care, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: f(2)-Number of Indigenous people with disability receiving disability services as a proportion of the Indigenous potential population requiring services, 2012 Indigenous, Endorsed 11/09/2012 Community Services (retired), Superseded 23/05/2013 -
Data type
integer
Description
Person—intra-aortic balloon pump procedure date, DDMMYYYY Obligation: Conditional Identifying and definitional attributes Short name: Date of intra-aortic balloon pump procedure METeOR identifier: 359623 Registration status: Health, Standard 01/10/2008 Definition: The date when a procedure is performed for insertion of an intra-aortic balloon pump. Data Element Concept: Person—intra-aortic balloon pump procedure date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data element attributes Source and reference attributes Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand Relational attributes Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
date
Description
Person—intra-aortic balloon pump procedure time, hhmm Obligation: Conditional Identifying and definitional attributes Short name: Time of intra-aortic balloon pump procedure METeOR identifier: 359691 Registration status: Health, Standard 01/10/2008 Definition: The time when a procedure is performed for insertion of an intra-aortic balloon pump. Data Element Concept: Person—intra-aortic balloon pump procedure time Value domain attributes Representational attributes Representation class: Time Data type: Date/Time Format: hhmm Maximum character length: 4 Source and reference attributes Reference documents: ISO 8601:2000 : Data elements and interchange formats - Information interchange - Representation of dates and times Data element attributes Source and reference attributes Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand Relational attributes Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
time
Description
Person—Killip classification, code N Identifying and definitional attributes Short name: Killip classification code METeOR identifier: 285151 Registration status: Health, Standard 04/06/2004 Definition: The Killip class, as a measure of haemodynamic compromise, of the person at the time of presentation, as represented by a code. Data Element Concept: Person—Killip classification Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Class 1 2 Class 2 3 Class 3 4 Class 4 Supplementary values: 8 Other 9 Not stated/inadequately described Collection and usage attributes Guide for use: Rales or crepitations represent evidence of pulmonary interstitial oedema on lung auscultation and an S3 is an audible extra heart sound by cardiac auscultation. CODE 1 Class 1 Absence of crepitations/rales over the lung fields and absence of S3. CODE 2 Class 2 Crepitations/rales over 50% or less of the lung fields or the presence of an S3. CODE 3 Class 3 Crepitations/rales over more than 50% of the lung fields. CODE 4 Class 4 Cardiogenic Shock. Clinical criteria for cardiogenic shock are hypotension (a systolic blood pressure of less than 90 mmHg for at least 30 minutes or the need for supportive measures to maintain a systolic blood pressure of greater than or equal to 90 mmHg), end-organ hypoperfusion (cool extremities or a urine output of less than 30 ml/h, and a heart rate of greater than or equal to 60 beats per minute). The haemodynamic criteria are a cardiac index of no more than 2.2 l/min per square meter of body-surface area and a pulmonary-capillary wedge pressure of at least 15 mmHg. Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- 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. Data element attributes Source and reference attributes Submitting organisation: Acute coronary syndrome data working group Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand Relational attributes Related metadata references: Supersedes Killip classification code, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (15.7 KB) Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Alias
- UMLS CUI [1]
- C1881332
Description
Person—low-density lipoprotein cholesterol level (calculated), total millimoles per litre N[N].N Identifying and definitional attributes Short name: Cholesterol—LDL (calculated) METeOR identifier: 359262 Registration status: Health, Standard 01/10/2008 Definition: A person's calculated low-density lipoprotein cholesterol (LDL-C) in millimoles per litre. Data Element Concept: Person—low-density lipoprotein cholesterol level Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[N].N Maximum character length: 3 Supplementary values: Value Meaning 99.9 Not stated/inadequately described Unit of measure: Millimole per litre (mmol/L) Data element attributes Collection and usage attributes Guide for use: Formula: LDL-C = (plasma total cholesterol) - (high density lipoprotein cholesterol) - (fasting plasma triglyceride divided by 2.2). Collection methods: The LDL-C is usually calculated from the Friedwald Equation (Friedwald et al. 1972), which depends on knowing the blood levels of the total cholesterol and HDL-C and the fasting level of the triglyceride. Note that the Friedwald equation becomes unreliable when the plasma triglyceride exceeds 4.5 mmol/L. Note also that while cholesterol levels are reliable for the first 24 hours after the onset of acute coronary syndromes, they may be unreliable for the subsequent 8 weeks after an event. · Measurement of lipid levels should be carried out by laboratories, or practices, which have been accredited to perform these tests by the National Association of Testing Authorities. · To be collected as a single venous blood sample, preferably following a 12-hour fast where only water and medications have been consumed. Comments: High blood cholesterol is a key factor in heart, stroke and vascular disease, especially coronary heart disease (CHD). Poor nutrition can be a contributing factor to heart, stroke and vascular disease as a population's level of saturated fat intake is the prime determinant of its level of blood cholesterol. The majority of the cholesterol in plasma is transported as a component of LDL-C. Recent trials support a target LDL-C of <2.0 mmol/L for high risk patients with existing coronary heart disease. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Origin: National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand, Lipid Management Guidelines - 2001, MJA 2001; 175: S57-S88. National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand, Position Statement on Lipid Management - 2005, Heart, Lung and Circulation 2005; 14: 275-291. Relational attributes Related metadata references: Is formed using Health service event—fasting indicator, code N Health, Standard 21/09/2005 Is formed using Person—cholesterol level (measured), total millimoles per litre N[N].N Health, Superseded 01/10/2008 Is formed using Person—high-density lipoprotein cholesterol level (measured), total millimoles per litre [N].NN Health, Standard 01/03/2005 Supersedes Person—low-density lipoprotein cholesterol level (calculated), total millimoles per litre N[N].N Health, Superseded 01/10/2008 Is formed using Person—triglyceride level (measured), total millimoles per litre N[N].N Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012
Data type
float
Measurement units
- mmol/L
Description
Person—most recent stroke date, DDMMYYYY Obligation: Conditional Identifying and definitional attributes Short name: Date of most recent stroke Synonymous names: CVA date METeOR identifier: 338263 Registration status: Health, Standard 01/10/2008 Definition: The date of the most recent cerebrovascular accident or stroke experienced by a person. Data Element Concept: Person—most recent stroke date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- DSS specific information: Record the date of the most recent stroke that preceded presentation to the hospital. Data element attributes Collection and usage attributes Collection methods: The date should be self-reported by the person or recorded by the clinician based on the notes in the medical record. The occurrence of a stroke should be evidenced by a record of cerebral imaging (CT or MRI). Relational attributes Related metadata references: See also Person—clinical evidence status (stroke), code N Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
date
Description
Person—non-invasive ventilation administration date, DDMMYYYY Obligation: Conditional Identifying and definitional attributes Short name: Date of non-invasive ventilation administration METeOR identifier: 359637 Registration status: Health, Standard 01/10/2008 Definition: The date when non-invasive ventilation is administered. Data Element Concept: Person—non-invasive ventilation administration date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data element attributes Source and reference attributes Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand Relational attributes Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
date
Description
Person—non-invasive ventilation administration time, hhmm Identifying and definitional attributes Short name: Time of non-invasive ventilation administration METeOR identifier: 359647 Registration status: Health, Standard 01/10/2008 Definition: The time of administration of non-invasive ventilation. Data Element Concept: Person—non-invasive ventilation administration time Value domain attributes Representational attributes Representation class: Time Data type: Date/Time Format: hhmm Maximum character length: 4 Source and reference attributes Reference documents: ISO 8601:2000 : Data elements and interchange formats - Information interchange - Representation of dates and times Data element attributes Source and reference attributes Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand Relational attributes Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
time
Description
Person—pacemaker insertion date, DDMMYYYY Identifying and definitional attributes Short name: Date of pacemaker insertion METeOR identifier: 359591 Registration status: Health, Standard 01/10/2008 Definition: The date when a procedure is performed for insertion of a pacemaker. Data Element Concept: Person—pacemaker insertion date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data element attributes Source and reference attributes Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand Relational attributes Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
date
Description
Person—pacemaker insertion time, hhmm Obligation: Conditional Identifying and definitional attributes Short name: Time of pacemaker insertion METeOR identifier: 359662 Registration status: Health, Standard 01/10/2008 Definition: The time when a procedure is performed for insertion of a pacemaker. Data Element Concept: Person—pacemaker insertion time Value domain attributes Representational attributes Representation class: Time Data type: Date/Time Format: hhmm Maximum character length: 4 Source and reference attributes Reference documents: ISO 8601:2000 : Data elements and interchange formats - Information interchange - Representation of dates and times Data element attributes Source and reference attributes Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand Relational attributes Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
time
Description
Person—person identifier, XXXXXX[X(14)] Identifying and definitional attributes Short name: Person identifier METeOR identifier: 290046 Registration status: Health, Standard 04/05/2005 Early Childhood, Standard 08/04/2013 Independent Hospital Pricing Authority, Standard 01/11/2012 Indigenous, Endorsed 11/08/2014 National Health Performance Authority, Standard 28/05/2014 Commonwealth Department of Health, Candidate 16/07/2015 Disability, Standard 13/08/2015 Community Services (retired), Standard 25/08/2005 Definition: Person identifier unique within an establishment or agency. Data Element Concept: Person—person identifier Value domain attributes Representational attributes Representation class: Identifier Data type: String Format: XXXXXX[X(14)] Maximum character length: 20 Data element attributes Collection and usage attributes Guide for use: Individual agencies, establishments or collection authorities may use their own alphabetic, numeric or alphanumeric coding systems. Field cannot be blank. Source and reference attributes Reference documents: AS5017 Health Care Client Identification, 2002, Sydney: Standards Australia AS4846 Health Care Provider Identification, 2004, Sydney: Standards Australia Relational attributes Related metadata references: Supersedes Person—person identifier (within establishment/agency), XXXXXX[X(14)] Health, Superseded 04/05/2005, Community Services (retired), Superseded 25/08/2005 See also Person—person identifier, X(8) WA Health, Endorsed 19/03/2015 See also Person—unique identifier used indicator, yes/no code N Health, Standard 07/02/2013, Community Services (retired), Standard 19/09/2013 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Alcohol and other drug treatment services NMDS 2015- Health, Standard 13/11/2014 Audiology assessment client cluster Indigenous, Endorsed 11/08/2014 Cancer (clinical) DSS Health, Standard 14/05/2015 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Closing the Gap in the Northern Territory: Dental Services DSS, 2011 Indigenous, Endorsed 08/10/2014 Community mental health care NMDS 2015-16 Health, Standard 13/11/2014 Disability services client details cluster Disability, Standard 13/08/2015 Community Services (retired), Standard 10/04/2013 Ear nose and throat services patient cluster Indigenous, Endorsed 05/09/2014 Early Childhood Education and Care DSS 2015 Early Childhood, Standard 01/06/2015 Juvenile Justice Client file cluster Community Services (retired), Standard 14/09/2009 Juvenile Justice Detention file cluster Community Services (retired), Standard 14/09/2009 Juvenile Justice Order file cluster Community Services (retired), Standard 14/09/2009 Non-admitted patient DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 23/07/2014 Non-admitted patient emergency department care DSS 2015-16 Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Perinatal NMDS 2014- Health, Standard 07/03/2014 Prison clinic contact DSS Health, Standard 25/08/2011 Prison entrants DSS Health, Standard 25/08/2011 Prisoners in custody repeat medications DSS Health, Standard 25/08/2011 Radiotherapy waiting times NMDS 2015- Health, Standard 13/11/2014 Residential mental health care NMDS 2015-16 Health, Standard 13/11/2014 Surveillance of healthcare associated infection: Staphylococcus aureus bacteraemia DSS Health, Standard 15/11/2012 Implementation in Indicators: Used as numerator National Healthcare Agreement: PI 20a-Waiting times for elective surgery: waiting times in days, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 20b-Waiting times for elective surgery: proportion seen on time, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 23-Unplanned hospital readmission rates, 2015 Health, Standard 14/01/2015 Used as denominator National Health Performance Authority, Hospital Performance: Percentage of patients who commenced treatment within clinically recommended time 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Waiting times for emergency hospital care: Percentage completed within four hours, 2014 National Health Performance Authority, Standard 28/05/2014 National Healthcare Agreement: PI 21a-Waiting times for emergency hospital care: Proportion seen on time, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 21b-Waiting times for emergency hospital care: Proportion completed within four hours, 2015 Health, Standard 14/01/2015 National Partnership Agreement on Improving Public Hospital Services: National Emergency Access Target Health, Standard 21/11/2013
Data type
text
Description
Person—premature cardiovascular disease family history status, code N Identifying and definitional attributes Short name: Premature cardiovascular disease family history (status) METeOR identifier: 359398 Registration status: Health, Standard 01/10/2008 Definition: Whether a person has a first degree relative (father, mother or sibling) who has had a vascular event or condition diagnosed before the age of 60 years, as represented by a code. Data Element Concept: Person—premature cardiovascular disease family history status Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Yes 2 No 3 Family history status not known Supplementary values: 9 Not recorded Data element attributes Collection and usage attributes Guide for use: CODE 1: Yes, the person has a first-degree relative under the age of 60 years who has had a vascular disease/condition diagnosed. CODE 2: No, the person does not have a first-degree relative under the age of 60 years who has had a vascular disease/condition diagnosed. CODE 3: Family history status not known, the existence of a premature family history for cardiovascular disease cannot be determined. CODE 9: Not recorded, the information as to the existence of a premature family history for cardiovascular disease has not been recorded. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Origin: Guidelines Subcommittee of the World Health Organization/International Society of Hypertension (WHO-ISH): 1999 WHO-ISH guidelines for management of hypertension. J Hypertension 1999; 17: 151 - 83. Relational attributes Related metadata references: Supersedes Person—premature cardiovascular disease family history status, code N Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012
Data type
integer
Description
Person—reason for readmission following acute coronary syndrome episode, code N[N] Identifying and definitional attributes Short name: Reason for readmission—acute coronary syndrome METeOR identifier: 359404 Registration status: Health, Standard 01/10/2008 Definition: The main reason for the admission, to any hospital, of a person within 28 days of discharge from an episode of admitted patient care for acute coronary syndrome, as represented by a code. Data Element Concept: Person—reason for readmission following acute coronary syndrome episode Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N[N] Maximum character length: 2 Permissible values: Value Meaning 1 ST-segment-elevation myocardial infarction 2 non-ST-segment-elevation ACS with high-risk features 3 non-ST-segment-elevation ACS with intermediate-risk features 4 non-ST-segment-elevation ACS with low-risk features 5 Percutaneous coronary intervention (PCI) 6 Coronary artery bypass graft (CABG) 7 Heart Failure (without MI) 8 Arrhythmia (without MI) Supplementary values: 99 Not stated/inadequately described Collection and usage attributes Guide for use: CODE 1 ST-segment-elevation myocardial infarction This code is used when the reason for admission is persistent ST elevation of >=1mm in two contiguous limb leads, or ST elevation of >=2mm in two contiguous chest leads, or with new left bundle-branch block (BBB) pattern on the ECG. CODE 2 Non-ST-segment-elevation ACS with high-risk features This code is used when the reason for admission is clinical features consistent with an acute coronary syndrome with high-risk features which include any of the following: · repetitive or prolonged (> 10 minutes) ongoing chest pain or discomfort; · elevated level of at least one cardiac biomarker (troponin or creatine kinase-MB isoenzyme); · persistent or dynamic ECG changes of ST segment depression >= 0.5mm or new T wave >= 2mm; · transient ST-segment elevation (>= 0.5 mm) in more than 2 contiguous leads; · haemodynamic compromise: Blood pressure < 90 mmHg systolic, cool peripheries, diaphoresis, Killip Class > 1, and/or new onset mitral regurgitation; · sustained ventricular tachycardia; · syncope; · left ventricular systolic dysfunction (left ventricular ejection fraction < 0.40); · prior percutaneous coronary intervention within 6 months or prior coronary artery bypass surgery; · presence of known diabetes (with typical symptoms of ACS); or · chronic kidney disease (estimated glomerular filtration rate < 60mL/minute) (with typical symptoms of ACS). CODE 3 Non-ST-segment-elevation ACS with intermediate-risk features This code is used when the reason for admission is clinical features consistent with an acute coronary syndrome and any of the following intermediate-risk features AND NOT meeting the criteria for high-risk ACS: · chest pain or discomfort within the past 48 hours that occurred at rest, or was repetitive or prolonged (but currently resolved); · age greater than 65yrs; · known coronary heart disease: prior myocardial infarction with left ventricular ejection fraction >= 0.40, or known coronary lesion more than >50% stenosed; · no high-risk changes on electrocardiography (see high-risk features); · two or more of the following risk factors: of known hypertension, family history, active smoking or hyperlipidaemia; · presence of known diabetes (with atypical symptoms of ACS); · chronic kidney disease (estimated glomerular filtration rate < 60mL/minute) (with atypical symptoms of ACS); or · prior aspirin use. CODE 4 Non-ST-segment-elevation ACS with low-risk features This code is used when the reason for admission is clinical features consistent with an acute coronary syndrome without intermediate or high-risk features of non-ST-segment-elevation ACS. This includes onset of anginal symptoms within the last month, or worsening in severity or frequency of angina, or lowering of anginal threshold. CODE 5 Percutaneous coronary intervention (PCI) This code is used when the reason for admission is for a PCI, where the PCI is not immediately precipitated by a recurrent ischaemic event. If a recurrent ischaemic event precipitates a readmission with an associated PCI undertaken, one of codes 1-4 should be coded. CODE 6 Coronary artery bypass graft (CABG) This code is used when the reason for admission is for a CABG, where the CABG is not immediately precipitated by a recurrent ischaemic event. If a recurrent ischaemic event precipitates a readmission with an associated CABG undertaken, one of codes 1-4 should be coded. CODE 7 Heart failure (without MI) This code is used when the reason for admission is for the treatment of heart failure, where heart failure is not immediately precipitated by a recurrent ischaemic event. If a recurrent ischaemic event precipitates a readmission, one of codes 1-4 should be coded. CODE 8 Arrhythmia (without MI) This code is used when the reason for admission is for the treatment of an arrhythmia, where the arrhythmia is not immediately precipitated by a recurrent ischaemic event. If a recurrent ischaemic event precipitates a readmission, one of codes 1-4 should be coded. Data element attributes Collection and usage attributes Guide for use: To determine if this item should be collected ask the person being admitted if they have been discharged from an episode of admitted patient care for acute coronary syndrome within the last 28 days. Comments: This metadata item is designed to identify recurrent admissions following an initial presentation with acute coronary syndromes (ACS), not necessarily to the hospital responsible for the index admission. Source and reference attributes Submitting organisation: Acute coronary syndrome data working group Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand Relational attributes Related metadata references: Supersedes Person—reason for readmission following acute coronary syndrome episode, code N[N] Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Description
Person—sex, code N Identifying and definitional attributes Short name: Sex METeOR identifier: 287316 Registration status: Housing assistance, Standard 10/02/2006 Health, Standard 04/05/2005 Early Childhood, Standard 21/05/2010 Homelessness, Standard 23/08/2010 WA Health, Draft 23/08/2012 Independent Hospital Pricing Authority, Standard 01/11/2012 Indigenous, Endorsed 11/08/2014 National Health Performance Authority, Standard 07/11/2013 Commonwealth Department of Health, Candidate 16/07/2015 Disability, Standard 07/10/2014 Community Services (retired), Standard 25/08/2005 Definition: The biological distinction between male and female, as represented by a code. Data Element Concept: Person—sex Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Male 2 Female 3 Intersex or indeterminate Supplementary values: 9 Not stated/inadequately described Collection and usage attributes Guide for use: Diagnosis and procedure codes should be checked against the national ICD-10-AM sex edits, unless the person is undergoing, or has undergone a sex change or has a genetic condition resulting in a conflict between sex and ICD-10-AM code. CODE 3 Intersex or indeterminate Intersex or indeterminate, refers to a person, who because of a genetic condition, was born with reproductive organs or sex chromosomes that are not exclusively male or female or whose sex has not yet been determined for whatever reason. Intersex or indeterminate, should be confirmed if reported for people aged 90 days or greater. Comments: The definition for Intersex in Guide for use is sourced from the ACT Legislation (Gay, Lesbian and Transgender) Amendment Act 2003. Source and reference attributes Origin: Australian Capital Territory 2003. Legislation (Gay, Lesbian and Transgender) Amendment Act 2003 Reference documents: Legislation (Gay, Lesbian and Transgender) Amendment Act 2003. See http://www.legislation.act.gov.au/a/2003-14/20030328-4969/pdf/2003-14.pdf. Data element attributes Collection and usage attributes Collection methods: Operationally, sex is the distinction between male and female, as reported by a person or as determined by an interviewer. When collecting data on sex by personal interview, asking the sex of the respondent is usually unnecessary and may be inappropriate, or even offensive. It is usually a simple matter to infer the sex of the respondent through observation, or from other cues such as the relationship of the person(s) accompanying the respondent, or first name. The interviewer may ask whether persons not present at the interview are male or female. A person's sex may change during their lifetime as a result of procedures known alternatively as sex change, gender reassignment, transsexual surgery, transgender reassignment or sexual reassignment. Throughout this process, which may be over a considerable period of time, the person's sex could be recorded as either Male or Female. In data collections that use the ICD-10-AM classification, where sex change is the reason for admission, diagnoses should include the appropriate ICD-10-AM code(s) that clearly identify that the person is undergoing such a process. This code(s) would also be applicable after the person has completed such a process, if they have a procedure involving an organ(s) specific to their previous sex (e.g. where the patient has prostate or ovarian cancer). CODE 3 Intersex or indeterminate Is normally used for babies for whom sex has not been determined for whatever reason. Should not generally be used on data collection forms completed by the respondent. Should only be used if the person or respondent volunteers that the person is intersex or where it otherwise becomes clear during the collection process that the individual is neither male nor female. CODE 9 Not stated/inadequately described Is not to be used on primary collection forms. It is primarily for use in administrative collections when transferring data from data sets where the item has not been collected. Source and reference attributes Origin: Australian Institute of Health and Welfare (AIHW) National Mortality Database 1997/98 AIHW 2001 National Diabetes Register, Statistical Profile, December 2000 (Diabetes Series No. 2.) Reference documents: Australian Bureau of Statistics AS4846 Health Care Provider Identification, 2004, Sydney: Standards Australia AS5017 Health Care Client Identification, 2002, Sydney: Standards Australia In AS4846 and AS5017 alternative codes are presented. Refer to the current standard for more details. Relational attributes Related metadata references: Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 6) ANNA Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v5.1) ANNA Health, Superseded 22/12/2009 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v 6) NN Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v5.1) NN Health, Superseded 22/12/2009 See also Person—gender, code N Housing assistance, Proposed 28/06/2013, Health, Proposed 28/06/2013, Early Childhood, Proposed 28/06/2013, Homelessness, Proposed 28/06/2013, Indigenous, Endorsed 05/09/2014, Community Services (retired), Candidate 02/09/2013 Supersedes Person—sex (housing assistance), code N Housing assistance, Superseded 10/02/2006 See also Person—sex, code A WA Health, Endorsed 19/03/2015 Supersedes Person—sex, code N Health, Superseded 04/05/2005, Community Services (retired), Superseded 31/08/2005 Is used in the formation of Record—linkage key, code 581 XXXXXDDMMYYYYN Housing assistance, Standard 23/08/2010, Health, Standard 07/12/2011, Early Childhood, Standard 21/05/2010, Homelessness, Standard 23/08/2010, Disability, Standard 07/10/2014, Community Services (retired), Standard 21/05/2010 Implementation in Data Set Specifications: Aboriginal and Torres Strait Islander primary health-care services episodes of care cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander primary health-care services individual client contacts cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services client numbers cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services non-residential/follow-up/aftercare client numbers cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services non-residential/follow-up/aftercare episodes of care cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services residential treatment/rehabilitation client numbers cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services residential treatment/rehabilitation length of stay cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services residential/rehabilitation episodes of care cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services sobering up/residential respite/short-term care client numbers cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services sobering-up/residential respite/short term care episodes of care cluster Indigenous, Endorsed 16/09/2014 Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Adoptions DSS 2011-13 Community Services (retired), Standard 20/05/2013 Alcohol and other drug treatment services NMDS 2015- Health, Standard 13/11/2014 Audiology assessment client cluster Indigenous, Endorsed 11/08/2014 Bringing Them Home/Link Up Counselling Program client contacts cluster Indigenous, Endorsed 16/09/2014 Bringing them Home/Link Up Counselling Program client numbers cluster Indigenous, Endorsed 16/09/2014 Cancer (clinical) DSS Health, Standard 14/05/2015 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Child protection and support services (CPSS) client cluster Community Services (retired), Standard 30/04/2008 Child protection and support services (CPSS) sibling cluster Community Services (retired), Standard 30/04/2008 Closing the Gap in the Northern Territory: Dental Services DSS, 2011 Indigenous, Endorsed 08/10/2014 Community mental health care NMDS 2015-16 Health, Standard 13/11/2014 Computer Assisted Telephone Interview demographic module DSS Health, Standard 03/12/2008 Diabetes (clinical) DSS Health, Standard 21/09/2005 Early Childhood Education and Care: Unit Record Level NMDS 2015 Early Childhood, Standard 01/06/2015 Household file cluster (Indigenous community housing) Housing assistance, Standard 01/05/2013 Indigenous, Endorsed 01/05/2013 Indigenous primary health care DSS 2015- Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Juvenile Justice Client file cluster Community Services (retired), Standard 14/09/2009 Medical indemnity DSS 2014- Health, Standard 21/11/2013 National Bowel Cancer Screening Program DSS 2014- Health, Standard 29/08/2014 Non-admitted patient DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 23/07/2014 Non-admitted patient emergency department care DSS 2015-16 Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Perinatal NMDS 2014- Health, Standard 07/03/2014 Person (housing assistance) cluster Housing assistance, Standard 01/05/2013 Person details data dictionary Disability, Standard 13/08/2015 Community Services (retired), Standard 06/02/2012 Person file cluster (Mainstream community housing) Housing assistance, Standard 01/05/2013 Prison clinic contact DSS Health, Standard 25/08/2011 Prison entrants DSS Health, Standard 25/08/2011 Prisoners in custody repeat medications DSS Health, Standard 25/08/2011 Private rent assistance DSS 2012-13 Housing assistance, Standard 03/07/2014 Public dental waiting times NMDS 2013- Health, Standard 09/11/2012 Radiotherapy waiting times NMDS 2015- Health, Standard 13/11/2014 Registered chiropractic labour force DSS Health, Standard 10/12/2009 Registered dental and allied dental health professional labour force DSS Health, Standard 10/12/2009 Registered medical professional labour force DSS Health, Standard 10/12/2009 Registered midwifery labour force DSS Health, Standard 10/12/2009 Registered nursing professional labour force DSS Health, Standard 10/12/2009 Registered optometry labour force DSS Health, Standard 10/12/2009 Registered osteopathy labour force DSS Health, Standard 10/12/2009 Registered pharmacy labour force DSS Health, Standard 10/12/2009 Registered physiotherapy labour force DSS Health, Standard 10/12/2009 Registered podiatry labour force DSS Health, Standard 10/12/2009 Registered psychology labour force DSS Health, Standard 10/12/2009 Residential mental health care NMDS 2015-16 Health, Standard 13/11/2014 Sex of prison entrants cluster Health, Standard 25/08/2011 Statistical linkage key 581 cluster Housing assistance, Standard 23/08/2010 Health, Standard 07/12/2011 Early Childhood, Standard 21/05/2010 Homelessness, Standard 23/08/2010 Disability, Standard 07/10/2014 Community Services (retired), Standard 21/05/2010 Surveillance of healthcare associated infection: Staphylococcus aureus bacteraemia DSS Health, Standard 15/11/2012 Implementation in Indicators: Used as numerator Indigenous primary health care: PI19a-Number of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI19b-Proportion of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI20a-Number of regular clients who have had the necessary risk factors assessed to enable CVD assessment, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI20b-Proportion of regular clients who have had the necessary risk factors assessed to enable CVD assessment, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI22a-Number of regular clients who have had a cervical screening, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI22b-Proportion of regular clients who have had a cervical screening, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 National Health Performance Authority, Healthy Communities: Human papillomavirus (HPV) vaccination rates for girls turning 15 years in 2012 National Health Performance Authority, Standard 27/03/2014 National Health Performance Authority, Healthy Communities: Human papillomavirus (HPV) vaccination rates for girls turning 15 years in 2013 National Health Performance Authority, Standard 27/08/2015 National Healthcare Agreement: PI 24-Survival of people diagnosed with notifiable cancers, 2015 Health, Standard 14/01/2015 Used as denominator Indigenous primary health care: PI13b-Proportion of regular clients who had their first antenatal care visit within specified periods, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI19b-Proportion of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI20b-Proportion of regular clients who have had the necessary risk factors assessed to enable CVD assessment, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI22b-Proportion of regular clients who have had a cervical screening, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 National Disability Agreement: d(1)-Proportion of the potential population who used State/Territory delivered disability support services, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: d(2)-Proportion of people with a disability with an employment restriction who used Disability Employment Services (Open Employment), 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreeement: d(3)-Proportion of the potential population who used Australian Disability Enterprises (Supported Employment), 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: f(1)-Number of Indigenous people with disability receiving disability services as a proportion of the Indigenous potential population requiring services, 2012 Indigenous, Endorsed 11/09/2012 Community Services (retired), Superseded 23/05/2013 National Disability Agreement: f(1)-Rate of non-Indigenous persons and Indigenous persons admitted to permanent residential aged care, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: f(2)-Number of Indigenous people with disability receiving disability services as a proportion of the Indigenous potential population requiring services, 2012 Indigenous, Endorsed 11/09/2012 Community Services (retired), Superseded 23/05/2013 National Health Performance Authority, Healthy Communities: Human papillomavirus (HPV) vaccination rates for girls turning 15 years in 2012 National Health Performance Authority, Standard 27/03/2014 National Health Performance Authority, Healthy Communities: Human papillomavirus (HPV) vaccination rates for girls turning 15 years in 2013 National Health Performance Authority, Standard 27/08/2015 National Healthcare Agreement: PI 02-Incidence of selected cancers, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 24-Survival of people diagnosed with notifiable cancers, 2015 Health, Standard 14/01/2015
Data type
integer
Description
Person—tobacco smoking status, code N Identifying and definitional attributes Short name: Tobacco smoking status METeOR identifier: 270311 Registration status: Health, Standard 01/03/2005 Indigenous, Endorsed 13/03/2015 Definition: A person's current and past smoking behaviour, as represented by a code. Context: Public health and health care Data Element Concept: Person—tobacco smoking status Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Daily smoker 2 Weekly smoker 3 Irregular smoker 4 Ex-smoker 5 Never smoked Collection and usage attributes Guide for use: CODE 1 Daily smoker A person who smokes daily CODE 2 Weekly smoker A person who smokes at least weekly but not daily CODE 3 Irregular smoker A person who smokes less than weekly CODE 4 Ex-smoker A person who does not smoke at all now, but has smoked at least 100 cigarettes or a similar amount of other tobacco products in his/her lifetime. CODE 5 Never-smoker A person who does not smoke now and has smoked fewer than 100 cigarettes or similar amount of other tobacco products in his/her lifetime. Source and reference attributes Reference documents: Standard Questions on the Use of Tobacco Among Adults (1998) Data set specification specific attributes
Data type
integer
Description
Person—triglyceride level (measured), total millimoles per litre N[N].N Identifying and definitional attributes Short name: Triglyceride level (measured) METeOR identifier: 359411 Registration status: Health, Standard 01/10/2008 Definition: A person's triglyceride level measured in millimoles per litre. Data Element Concept: Person—triglyceride level Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[N].N Maximum character length: 3 Supplementary values: Value Meaning 99.9 Not stated/inadequately described. Unit of measure: Millimole per litre (mmol/L) Data element attributes Collection and usage attributes Guide for use: Record the absolute result of the total triglyceride measurement. Collection methods: Measurement of lipid levels should be carried out by laboratories, or practices, which have been accredited to perform these tests by the National Association of Testing Authorities. · To be collected as a single venous blood sample, preferably following a 12-hour fast where only water and medications have been consumed. Note that to calculate the low-density lipoprotein - cholesterol (LDL-C) from the Friedwald Equation (Friedwald et al, 1972): · a fasting level of plasma triglyceride and knowledge of the levels of plasma total cholesterol and high-density lipoprotein - cholesterol (HDL-C) is required, · the Friedwald equation becomes unreliable when the plasma triglyceride exceeds 4.5 mmol/L, and · that while levels are reliable for the first 24 hours after the onset of acute coronary syndromes, they may be unreliable for the subsequent 8 weeks after an event. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Relational attributes Related metadata references: Supersedes Person—triglyceride level (measured), total millimoles per litre N[N].N Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012
Data type
float
Measurement units
- mmol/L
Description
Person—troponin assay type, code N Identifying and definitional attributes Short name: Troponin assay type METeOR identifier: 356929 Registration status: Health, Standard 01/10/2008 Definition: The type of troponin assay (I or T) used to assess the person's troponin levels, as represented by a code. Data Element Concept: Person—troponin assay type Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Cardiac troponin T (cTnT) 2 Cardiac troponin I (cTnI) Supplementary values: 9 Not stated/inadequately described Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- 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. Data element attributes Source and reference attributes Submitting organisation: Acute coronary syndrome data working group. Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand Relational attributes Related metadata references: Supersedes Person—troponin assay type, code N Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Description
Person—troponin level measured date, DDMMYYYY Identifying and definitional attributes Short name: Date troponin measured METeOR identifier: 359422 Registration status: Health, Standard 01/10/2008 Definition: Date the person's troponin assay is measured. Data Element Concept: Person—troponin level measured date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data element attributes Collection and usage attributes Guide for use: This metadata item pertains to the measuring of troponin at any time point during this current event. Source and reference attributes Submitting organisation: Acute coronary syndrome data working group Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand Relational attributes Related metadata references: Supersedes Person—troponin level measured date, DDMMYYYY Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
date
Description
Person—troponin level measured time, hhmm Identifying and definitional attributes Short name: Time troponin measured METeOR identifier: 359427 Registration status: Health, Standard 01/10/2008 Definition: The time at which the troponin (T or I) was measured. Data Element Concept: Person—troponin level measured time Value domain attributes Representational attributes Representation class: Time Data type: Date/Time Format: hhmm Maximum character length: 4 Source and reference attributes Reference documents: ISO 8601:2000 : Data elements and interchange formats - Information interchange - Representation of dates and times Data element attributes Collection and usage attributes Guide for use: This metadata item pertains to the measuring of troponin at any time point during this current event. Source and reference attributes Submitting organisation: Acute coronary syndrome data working group Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand Relational attributes Related metadata references: Supersedes Person—troponin level measured time, hhmm Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
time
Description
Person—underlying cause of death, code (ICD-10 2nd edn) ANN-ANN Identifying and definitional attributes Short name: Underlying cause of death Synonymous names: UCOD code METeOR identifier: 307931 Registration status: Health, Standard 01/10/2008 Definition: The disease or injury which initiated the train of morbid events leading directly to a person's death or the circumstances of the accident or violence which produced the fatal injury, as represented by a code. (WHO 2004) Data Element Concept: Person—underlying cause of death Value domain attributes Representational attributes Classification scheme: International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, (2nd edition) Representation class: Code Data type: String Format: ANN-ANN Maximum character length: 6 Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- 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. Data element attributes Collection and usage attributes Guide for use: Underlying cause of death is central to mortality coding and comparable international mortality reporting. Comments: The Australian Bureau of Statistics (ABS) codes and classifies the underlying cause of death (UCOD) according to the rules and guidelines for mortality coding adopted by the World Health Assembly and set out in the World Health Organisation's International Classification of Diseases and Related Health Problems (ICD). The ABS uses the Mortality Medical Data System (MMDS) to process and code cause-of-death information reported on death certificates. Source and reference attributes Submitting organisation: Australian Bureau of Statistics Origin: Australian Bureau of Statistics 2004. Information Paper: Cause of death certification. Catalogue no. 1205.0.55.001. Canberra: Australian Bureau of Statistics. Viewed 31 August 2005. National Center for Health Statistics 2005. About the Mortality Medical Data System. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Viewed 31 August 2005. World Health Organisation 2004. The International statistical classification of diseases and related health problems, tenth revision, (2nd edn). Geneva: World Health Organisation. Reference documents: Australian Bureau of Statistics 2004. Information Paper: Cause of death certification. Catalogue no. 1205.0.55.001. Canberra: Australian Bureau of Statistics. Viewed 31 August 2005. World Health Organisation 2004. The International statistical classification of diseases and related health problems, tenth revision, (2nd edn). Geneva: World Health Organisation. Relational attributes Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cancer (clinical) DSS Health, Standard 14/05/2015 National Bowel Cancer Screening Program DSS 2014- Health, Standard 29/08/2014 Implementation in Indicators: Used as numerator National Bowel Cancer Screening Program: PI 11-Colorectal cancer mortality rate Health, Standard 29/08/2014 National Healthcare Agreement: PI 08-Major causes of death, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 09-Incidence of heart attacks (acute coronary events), 2015 Health, Standard 14/01/2015
Data type
text
Description
Person—units of blood transfused, total N[NNN] Obligation: Conditional Identifying and definitional attributes Short name: Total blood units transfused METeOR identifier: 344798 Registration status: Health, Standard 01/10/2008 Definition: The total number of units of blood that a person has received, either whole blood or packed red blood cells. Data Element Concept: Person—units of blood transfused Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[NNN] Maximum character length: 4 Supplementary values: Value Meaning 9999 Not stated/inadequately described Collection and usage attributes Guide for use: 1 blood unit (or one bag of blood) = approx 500ml of blood Data set specification specific attributes Acute coronary syndrome (clinical) DSS 2013- 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. Data element attributes Collection and usage attributes Guide for use: Platelet transfusions or transfusions of fresh frozen plasma (FFP) should not be included in the total. Relational attributes Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013
Data type
integer
Description
Person—vascular condition status (history), code NN Obligation: Conditional Identifying and definitional attributes Short name: Vascular history METeOR identifier: 269958 Registration status: Health, Standard 01/03/2005 Definition: Whether the person has had a history of vascular conditions, as represented by a code. Context: The vascular history of the patient is important as an element in defining future risk for a cardiovascular event and as a factor in determining best practice management for various cardiovascular risk factor(s). It may be used to map vascular conditions, assist in risk stratification and link to best practice management. Data Element Concept: Person—vascular condition status Value domain attributes Representational attributes Representation class: Code Data type: String Format: NN Maximum character length: 2 Permissible values: Value Meaning 01 Myocardial infarction 02 Unstable angina pectoris 03 Angina 04 Heart failure 05 Atrial fibrillation 06 Other dysrhythmia or conductive disorder 07 Rheumatic heart disease 08 Non-rheumatic valvular heart disease 09 Left ventricular hypertrophy 10 Stroke 11 Transient ischaemic attack 12 Hypertension 13 Peripheral vascular disease (includes abdominal aortic aneurism) 14 Deep vein thrombosis 15 Other atherosclerotic disease 16 Carotid stenosis 17 Vascular renal disease 18 Vascular retinopathy (hypertensive) 19 Vascular retinopathy (diabetic) 97 Other vascular 98 No vascular history Supplementary values: 99 Unknown/not stated /not specified Collection and usage attributes Comments: Can be mapped to the current version of ICD-10-AM. Source and reference attributes Origin: International Classification of Diseases - Tenth Revision - Australian Modification (3rd Edition 2000), National Centre for Classification in Health, Sydney Data element attributes Collection and usage attributes Guide for use: More than one code can be recorded. Collection methods: Ideally, vascular history information is derived from and substantiated by clinical documentation. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Origin: National Centre for Classification in Health National Data Standards for Injury Surveillance Advisory Group Relational attributes Related metadata references: Supersedes Vascular history, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (17.8 KB) Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012
Data type
text
Description
Person—weight (measured), total kilograms N[NN].N Obligation: Conditional Identifying and definitional attributes Short name: Weight in kilograms (measured) Synonymous names: Infant weight, neonate, stillborn METeOR identifier: 270208 Registration status: Health, Standard 01/03/2005 Definition: The weight (body mass) of a person measured in kilograms. Data Element Concept: Person—weight Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[NN].N Maximum character length: 4 Supplementary values: Value Meaning 999.9 Not collected Unit of measure: Kilogram (Kg) Unit of measure precision: 1 Collection and usage attributes Guide for use: A continuous variable measured to the nearest 0.1 kg. CODE 999.9 Not collected Use this code if measured weight is not collected. Data element attributes Collection and usage attributes Guide for use: In order to ensure consistency in measurement, the measurement protocol described under Collection methods should be used. Collection methods: The collection of anthropometric measurements, particularly in those who are overweight or obese or who are concerned about their weight, should be performed with great sensitivity and without drawing attention to an individual's weight. The measurement protocol described below is that recommended by the WHO Expert Committee (1995). Measurement protocol: Equipment used should be described and reported. Scales should have a resolution of at least 0.1kg and should have the capacity to weigh up to at least 200 kg. Measurement intervals and labels should be clearly readable under all conditions of use of the instrument. Scales should be capable of being calibrated across the entire range of measurements. Precision error should be no more than 0.1kg. Scales should be calibrated on each day of use. Manufacturers' guidelines should be followed with regard to the transportation of the scales. Adults and children who can stand: The subject stands over the centre of the weighing instrument, with the body weight evenly distributed between both feet. Heavy jewellery should be removed and pockets emptied. Light indoor clothing can be worn, excluding shoes, belts, and sweater. Any variations from light indoor clothing (e.g. heavy clothing, such as kaftans or coats worn because of cultural practices) should be noted on the data collection form. Adjustments for non-standard clothing (i.e. other than light indoor clothing) should only be made in the data checking/cleaning stage prior to data analysis. If the subject has had one or more limbs amputated, record this on the data collection form and weigh them as they are. If they are wearing an artificial limb, record this on the data collection form but do not ask them to remove it. Similarly, if they are not wearing the limb, record this but do not ask them to put it on. The measurement is recorded to the nearest 0.1 kg. If the scales do not have a digital readout, take a repeat measurement. If the two measurements disagree by more than 0.5 kg, then take a third measurement. All raw measurements should be recorded on the data collection form. If practical, it is preferable to enter the raw data into the database as this enables intra-observer and, where relevant, inter-observer errors to be assessed. The subject's measured weight is subsequently calculated as the mean of the two observations, or the mean of the two closest measurements if a third is taken, and recorded on the form. If only a mean value is entered into the database then the data collection forms should be retained. It may be necessary to round the mean value to the nearest 0.1 kg. If so, rounding should be to the nearest even digit to reduce systematic over reporting (Armitage and Berry 1994). For example, a mean value of 72.25 kg would be rounded to 72.2 kg, while a mean value of 72.35 kg would be rounded to 72.4 kg. Infants: Birth weight and gender should be recorded with gestational age. During infancy a levelled pan scale with a bean and movable weights or digital scales capable of measuring to two decimal places of a kilogram are acceptable. Birth weight should be determined within 12 hours of birth. The infant, with or without a nappy or diaper is placed on the scales so that the weight is distributed equally about the centre of the pan. When the infant is lying or suspended quietly, weight is recorded to the nearest 10 grams. If the nappy or diaper is worn, its weight is subtracted from the observed weight i.e. reference data for infants are based on nude weights. Validation and quality control measures: If practical, equipment should be checked daily using one or more objects of known weight in the range to be measured. It is recommended that the scale be calibrated at the extremes and in the mid range of the expected weight of the population being studied. Within- and, if relevant, between-observer variability should be reported. They can be assessed by the same (within -) or different (between-) observers repeating the measurement of weight, on the same subjects, under standard conditions after a short time interval. The standard deviation of replicate measurements (technical error of measurement) between observers should not exceed 0.5 kg and be less than 0.5 kg within observers. Extreme values at the lower and upper end of the distribution of measured height should be checked both during data collection and after data entry. Individuals should not be excluded on the basis of true biological difference. Last digit preference, and preference or avoidance of certain values, should be analysed in the total sample and (if relevant) by observer, survey site and over time if the survey period is long. Comments: This metadata item applies to persons of all ages. It is recommended for use in population surveys and health care settings. It is recommended that in population surveys, sociodemographic data including ethnicity should be collected, as well as other risk factors including physiological status (e.g. pregnancy), physical activity, smoking and alcohol consumption. Summary statistics may need to be adjusted for these variables. Metadata items currently exist for sex, date of birth, country of birth, Indigenous status and smoking. Metadata items are being developed for physical activity. Presentation of data: Means and 95% confidence intervals, medians and centiles should be reported to one decimal place. Where the sample permits, population estimates should be presented by sex and 5-year age groups. However 5-year age groups are not generally suitable for children and adolescents. Estimates based on sample surveys may need to take into account sampling weights. For consistency with conventional practice, and for current comparability with international data sets, recommended centiles are 5, 10, 15, 25, 50, 75, 85, 90 and 95. To estimate the 5th and 95th centiles, a sample size of at least 200 is recommended for each group for which the centiles are being specified. For some reporting purposes, it may be desirable to present weight data in categories. It is recommended that 5 kg groupings are used for this purpose. Weight data should not be rounded before categorisation. The following categories may be appropriate for describing the weights of Australian men, women, children and adolescents, although the range will depend on the population. Weight 10 kg = Weight 15 kg = Weight ... in 5 kg categories 135 kg = Weight Weight => 140 kg Source and reference attributes Submitting organisation: World Health Organization The consortium to develop standard methods for the collection and collation of anthropometric data in children as part of the National Food and Nutrition Monitoring and Surveillance Project, funded by the Commonwealth Department of Health and Ageing Reference documents: Clinical Guidelines on the Identification, Evaluation and Treatment of Overweight and Obesity in Adults (US National Heart, Lung and Blood Institute (NHLBI) in cooperation with the National Institute of Diabetes and Digestive and Kidney Diseases). Chronic Diseases and Associated Risk Factors in Australia 2001 (AIHW). Relational attributes Related metadata references: Is used in the formation of Adult—body mass index (measured), ratio NN[N].N[N] Health, Standard 01/03/2005 Is used in the formation of Adult—body mass index (self-reported), ratio NN[N].N[N] Health, Standard 01/03/2005, National Health Performance Authority, Standard 24/10/2013 Is used in the formation of Child—body mass index (measured), ratio NN[N].N[N] Health, Standard 01/03/2005 Is used in the formation of Child—body mass index (self-reported), ratio NN[N].N[N] Health, Standard 01/03/2005 Supersedes Weight - measured, version 2, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (29.3 KB) Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Diabetes (clinical) DSS Health, Standard 21/09/2005 Perinatal DSS 2015-16 Health, Standard 13/11/2014
Data type
float
Measurement units
- Kg