Acute coronary syndrome (clinical) DSS 2013- Coronary artery cluster Metadata Online Registry (METeOR)

Description

Person—coronary artery bypass graft date, DDMMYYYY Obligation: Conditional, Maximum occurences: Unlimited Identifying and definitional attributes Short name: Date of coronary artery bypass graft Synonymous names: CABG date METeOR identifier: 344424 Registration status: Health, Standard 01/10/2008 Definition: The date on which a coronary artery bypass graft (CABG) procedure is performed on a person. Data Element Concept: Person—coronary artery bypass graft date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Coronary artery cluster Conditional obligation: Record when a coronary artery bypass graft is performed. Data element attributes Collection and usage attributes Guide for use: Record the date of each CABG if more than one has been performed. CABG includes grafts and valve replacement, but does not include valve replacement alone. Collection methods: The date/s should be recorded from the medical record. Relational attributes Implementation in Data Set Specifications: Coronary artery cluster Health, Standard 01/10/2008

Data type

date

Description

Person—coronary artery bypass graft location, code N Obligation: Conditional, Maximum occurences: 7 Identifying and definitional attributes Short name: Coronary artery bypass graft location METeOR identifier: 347161 Registration status: Health, Standard 01/10/2008 Definition: The location of the artery where a coronary artery bypass graft has been performed, as represented by a code. Data Element Concept: Person—coronary artery bypass graft location Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Left anterior descending artery (LAD) 2 Diagonal artery 3 Left circumflex artery (LCx) 4 Inferior surface artery 5 Posterior descending artery 6 Right coronary artery 8 Other artery Supplementary values: 9 Not stated/inadequately described Data set specification specific attributes Coronary artery cluster Conditional obligation: Record when a coronary artery bypass graft is performed. DSS specific information: Codes provided for each location where a graft is performed during this hospital presentation. Data element attributes Collection and usage attributes Guide for use: A bypass may be performed on more than one artery. In these cases more than one code may be recorded. For each graft location the data elements Person-coronary artery stenosis location, code N; Person-maximum stenosis coronary artery, percentage N[NN] must also be recorded. Relational attributes Implementation in Data Set Specifications: Coronary artery cluster Health, Standard 01/10/2008

Data type

integer

Description

Person—coronary artery stenosis location, code N Maximum occurences: 7 Identifying and definitional attributes Short name: Coronary artery stenosis location METeOR identifier: 361087 Registration status: Health, Standard 01/10/2008 Definition: The coronary artery in which stenosis is located, as represented by a code. Data Element Concept: Person—coronary artery stenosis location Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Left anterior descending artery (LAD) 2 Diagonal artery 3 Left circumflex artery (LCx) 4 Left main coronary artery 5 Inferior surface artery 6 Posterior descending artery 7 Right coronary artery Supplementary values: 9 Not stated/inadequately described Data element attributes Collection and usage attributes Guide for use: More than one code may be recorded. Record all codes that apply. For each coronary artery where stenosis is located the data element Person-maximum stenosis coronary artery, percentage N[NN] must also be recorded. Collection methods: This data is derived from visual reporting by the physician reporting the angiogram. Relational attributes Related metadata references: See also Person—maximum stenosis coronary artery, percentage N[NN] Health, Standard 01/10/2008 Implementation in Data Set Specifications: Coronary artery cluster Health, Standard 01/10/2008

Data type

integer

Description

Person—count of coronary artery lesions attempted, total number N[N] Obligation: Conditional, Maximum occurences: Unlimited Identifying and definitional attributes Short name: Number of coronary artery lesions attempted METeOR identifier: 344404 Registration status: Health, Standard 01/10/2008 Definition: A count of number of a person's coronary artery lesions into which an attempt was made to pass a percutaneous coronary intervention (PCI) guidewire. Data Element Concept: Person—count of coronary artery lesions attempted Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[N] Maximum character length: 2 Supplementary values: Value Meaning 99 Not stated/inadequately described Data set specification specific attributes Coronary artery cluster Conditional obligation: Record when a percutaneous coronary intervention is performed. Data element attributes Collection and usage attributes Guide for use: Record the total number of lesions into which an attempt was made to pass a PCI guidewire during a single given PCI procedure, whether they were successful or not. The number of lesions attempted should be reported for each PCI performed. The value '99' is not for use in primary data collections. Collection methods: The number of lesions attempted should be recorded from the angioplasty report. Relational attributes Implementation in Data Set Specifications: Coronary artery cluster Health, Standard 01/10/2008

Data type

integer

Description

Person—count of coronary artery lesions successfully dilated, total number N[N] Obligation: Conditional, Maximum occurences: Unlimited Identifying and definitional attributes Short name: Number of coronary artery lesions successfully dilated METeOR identifier: 344411 Registration status: Health, Standard 01/10/2008 Definition: The number of a person's coronary artery lesions successfully dilated. Data Element Concept: Person—count of coronary artery lesions successfully dilated Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[N] Maximum character length: 2 Supplementary values: Value Meaning 99 Not stated/inadequately described Data set specification specific attributes Coronary artery cluster Conditional obligation: Record when a percutaneous coronary intervention is performed. Data element attributes Collection and usage attributes Guide for use: The number of lesions successfully dilated should be recorded for each percutaneous coronary intervention (PCI) performed. Successful dilation is where: · residual stenosis is less than 10% following coronary stenting; OR · residual stenosis is less than 50% after balloon angioplasty alone. The value '99' is not for use in primary data collections. Collection methods: The number of lesions successfully dilated should be recorded from the angioplasty report. Relational attributes Implementation in Data Set Specifications: Coronary artery cluster Health, Standard 01/10/2008

Data type

integer

Description

Person—count of coronary artery stents, total number N[N] Obligation: Conditional, Maximum occurences: Unlimited Identifying and definitional attributes Short name: Number of coronary artery stents METeOR identifier: 344417 Registration status: Health, Standard 01/10/2008 Definition: The number of stents placed during a person's angioplasty procedure. Data Element Concept: Person—count of coronary artery stents Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[N] Maximum character length: 2 Supplementary values: Value Meaning 99 Not stated/inadequately described Data set specification specific attributes Coronary artery cluster Conditional obligation: Record when a percutaneous coronary intervention with stent implantation (bare metal stent or drug eluting stent) is performed. Data element attributes Collection and usage attributes Guide for use: The value '99' is not for use in primary data collections. Collection methods: Record the total number of coronary stents placed during the entire angioplasty procedure, regardless of the number of individual lesions. Relational attributes Implementation in Data Set Specifications: Coronary artery cluster Health, Standard 01/10/2008

Data type

integer

Description

Person—maximum stenosis coronary artery, percentage N[NN] Identifying and definitional attributes Short name: Maximum stenosis coronary artery METeOR identifier: 344335 Registration status: Health, Standard 01/10/2008 Definition: The percentage of stenosis at its maximal point in a person's coronary artery. Data Element Concept: Person—maximum stenosis coronary artery Value domain attributes Representational attributes Representation class: Percentage Data type: Number Format: N[NN] Maximum character length: 3 Supplementary values: Value Meaning 999 Not stated/inadequately described Data element attributes Collection and usage attributes Guide for use: Stenosis represents the percentage of occlusion, from 0 to 100%, associated with the identified vessel system. Percent stenosis at its maximal point is estimated to be the amount of reduction in the diameter of the 'normal' vessel proximal and distal to the lesion. In instances where multiple lesions are present in a coronary artery, record the highest percentage stenosis noted. Collection methods: This data is derived from visual recording by the physician reporting the angiogram. Relational attributes Related metadata references: See also Person—coronary artery stenosis location, code N Health, Standard 01/10/2008 Implementation in Data Set Specifications: Coronary artery cluster Health, Standard 01/10/2008

Data type

integer

Measurement units

• %

Description

Person—percutaneous coronary intervention procedure type, code N Obligation: Conditional Identifying and definitional attributes Short name: Percutaneous coronary intervention procedure type Synonymous names: PCI procedure type METeOR identifier: 359751 Registration status: Health, Standard 01/10/2008 Definition: The type of procedure performed during a percutaneous coronary intervention (PCI), as represented by a code. Data Element Concept: Person—percutaneous coronary intervention procedure type Value domain attributes Representational attributes Representation class: Code Data type: String Format: N Permissible values: Value Meaning 1 Balloon angioplasty only 2 Bare metal stent implantation 3 Drug-eluting stent implantation Supplementary values: 99 Not stated/inadequately described Collection and usage attributes Guide for use: CODE 1 Balloon angioplasty only Use this code where only balloon angioplasty has been performed during a percutaneous coronary intervention. CODE 2 Bare metal stent implantation Use this code where a bare metal stent has been implanted during a percutaneous coronary intervention. CODE 3 Drug-eluting stent implantation Use this code where at least one drug-eluting stent has been implanted during a percutaneous coronary intervention (i.e. if more than one stent has been placed during the procdure and at least one stent is a drug-eluting stent). CODES 2 and 3 include the performance of balloon angioplasty. Data set specification specific attributes Coronary artery cluster Conditional obligation: Record when a percutaneous coronary intervention is performed. This includes those performed for primary, rescue or revascularisation reasons. 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: Coronary artery cluster Health, Standard 01/10/2008

Data type

text

Description

Person—primary percutaneous coronary intervention date, DDMMYYYY Obligation: Conditional Identifying and definitional attributes Short name: Date of primary percutaneous coronary intervention Synonymous names: Primary PCI date METeOR identifier: 359175 Registration status: Health, Standard 01/10/2008 Definition: Date of the primary percuatenous coronary intervention (PCI). Data Element Concept: Person—primary percutaneous coronary intervention date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Coronary artery cluster Conditional obligation: Record when a primary percutaneous coronary intervention is performed. Data element attributes Collection and usage attributes Guide for use: Primary PCI relates to the first balloon angioplasty inflation and/or stent implantation for reperfusion therapy of a ST-segment-elevation myocardial infarction (STEMI). The date or the first balloon angioplasty inflation should be recorded, even if this includes implantation of a stent. Source and reference attributes Submitting organisation: Acute coronary syndrome data working group Relational attributes Related metadata references: Supersedes Person—first angioplasty balloon inflation or stenting date, DDMMYYYY Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Coronary artery cluster Health, Standard 01/10/2008

Data type

date

Description

Person—primary percutaneous coronary intervention time, hhmm Obligation: Conditional Identifying and definitional attributes Short name: Time of primary percutaneous coronary intervention Synonymous names: Primary PCI time METeOR identifier: 359201 Registration status: Health, Standard 01/10/2008 Definition: The time of the primary percutaneous coronary intervention (PCI). Data Element Concept: Person—primary percutaneous coronary intervention 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 Coronary artery cluster Conditional obligation: Record when a primary percutaneous coronary intervention is performed. Data element attributes Collection and usage attributes Guide for use: Primary PCI relates to the first balloon angioplasty inflation and/or stent implantation for reperfusion therapy of a ST-segment-elevation myocardial infarction (STEMI). The time of the first balloon inflation should be recorded, even if this includes the implantation of a stent. Comments: This is used to calculate the time between initial presentation and reperfusion. Source and reference attributes Submitting organisation: Acute coronary syndrome data working group Relational attributes Related metadata references: Supersedes Person—first angioplasty balloon inflation or stenting time, hhmm Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Coronary artery cluster Health, Standard 01/10/2008

Data type

time

Description

Person—rescue percutaneous coronary intervention date, DDMMYYYY Obligation: Conditional Identifying and definitional attributes Short name: Date of rescue percutaneous coronary intervention Synonymous names: Rescue PCI date METeOR identifier: 359580 Registration status: Health, Standard 01/10/2008 Definition: The date when rescue percutaneous coronary intervention (PCI) is performed. Data Element Concept: Person—rescue percutaneous coronary intervention date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Coronary artery cluster Conditional obligation: Record when a rescue percutaneous coronary intervention is performed. Data element attributes Collection and usage attributes Guide for use: Rescue PCI relates to balloon angioplasty inflation and/or stent implantation performed following failed fibrinolysis in patients with continuing or recurrent myocardial ischaemia. Source and reference attributes 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 Implementation in Data Set Specifications: Coronary artery cluster Health, Standard 01/10/2008

Data type

date

Description

Person—rescue percutaneous coronary intervention time, hhmm Obligation: Conditional Identifying and definitional attributes Short name: Time of rescue percutaneous coronary intervention Synonymous names: Rescue PCI time METeOR identifier: 359569 Registration status: Health, Standard 01/10/2008 Definition: The time when rescue percutaneous coronary intervention (PCI) is performed. Data Element Concept: Person—rescue percutaneous coronary intervention 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 Coronary artery cluster Conditional obligation: Record when a rescue percutaneous coronary intervention is performed. Data element attributes Collection and usage attributes Guide for use: Rescue PCI relates to balloon angioplasty inflation and/or stent implantation performed following failed fibrinolysis in patients with continuing or recurrent myocardial ischaemia. 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: Coronary artery cluster Health, Standard 01/10/2008

Data type

time

Description

Person—revascularisation percutaneous coronary intervention date, DDMMYYYY Obligation: Conditional Identifying and definitional attributes Short name: Date of revascularisation percutaneous coronary intervention Synonymous names: Revascularisation PCI date METeOR identifier: 359731 Registration status: Health, Standard 01/10/2008 Definition: The date when a percutaneous coronary intervention (PCI) is performed for revascularisation. Data Element Concept: Person—revascularisation percutaneous coronary intervention date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Coronary artery cluster Conditional obligation: Record when a percutaneous coronary intervention is performed for revascularisation. Data element attributes Collection and usage attributes Guide for use: Revascularisation PCI relates to balloon angioplasty inflation and/or stent implantation performed for subsequent restoration of blood flow. Comments: Routine revascularisation PCI may be performed after ST-segment-elevation myocardial infarction for people with objective evidence of recurrent myocardial infarction in whom there is spontaneous or inducible ischaemia or haemodynamic instability. Revascularisation PCI may also be performed for treatment of high-risk non-ST-segment-elevation acute coronary syndrome. Source and reference attributes 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 Implementation in Data Set Specifications: Coronary artery cluster Health, Standard 01/10/2008

Data type

date

Description

Person—revascularisation percutaneous coronary intervention time, hhmm Obligation: Conditional Identifying and definitional attributes Short name: Time of revascularisation percutaneous coronary intervention Synonymous names: Revascularisation PCI time METeOR identifier: 359738 Registration status: Health, Standard 01/10/2008 Definition: The time when a percutaneous coronary intervention (PCI) is performed for revascularisation. Data Element Concept: Person—revascularisation percutaneous coronary intervention 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 Coronary artery cluster Conditional obligation: Record when a percutaneous coronary intervention is performed for revascularisation. Data element attributes Collection and usage attributes Guide for use: Revascularisation PCI relates to balloon angioplasty inflation and/or stent implantation performed for subsequent restoration of blood flow. Comments: Routine revascularisation PCI may be performed after ST-segment-elevation myocardial infarction for people with objective evidence of recurrent myocardial infarction in whom there is spontaneous or inducible ischaemia or haemodynamic instability. Revascularisation PCI may also be performed for treatment of high-risk non-ST-segment-elevation acute coronary syndrome. Source and reference attributes Steward: The National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand 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 Implementation in Data Set Specifications: Coronary artery cluster Health, Standard 01/10/2008

Data type

time