ID
44131
Beskrivning
The main objective of each of the Expert Committees was to produce standardised data sets limited to less than 100 variables. The variables derived had to reflect current treatment guidelines, and also were to be of use for clinical audit, clinical care of patients, service planning and epidemiology. The process involved regular meetings of the Expert Committees, electronic communication between members, and consultation with specialist groups and cardiac societies represented by the European Society of Cardiology. The development of the draft data standards for the three modules was completed in April 2004.
Nyckelord
Versioner (3)
- 2015-04-15 2015-04-15 -
- 2021-04-10 2021-04-10 - Ahmed Rafee, MD
- 2021-09-20 2021-09-20 -
Rättsinnehavare
Copyright Irish Department of Health and Children/European Society of Cardiology
Uppladdad den
20 september 2021
DOI
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Creative Commons BY-NC 4.0
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Cardiology Audit and Registration Data Standards for Coronary Care Unit [CCU]/Acute Coronary Syndrome [ACS] admissions.
CCU/ACS Data Standards
- StudyEvent: ODM
Beskrivning
Past History relevant to Coronary Artery Disease
Beskrivning
Indicate if the patient had at least one previous myocardial infarction before this admission.
Datatyp
text
Alias
- UMLS CUI-1
- C1275835
Beskrivning
Indicate if the patient has a history of angina and / or has been treated previously for angina by a physician.
Datatyp
text
Alias
- UMLS CUI-1
- C0455530
Beskrivning
Indicate if the patient has a history of congestive heart failure and/or has previously been treated for congestive heart failure by a physician.
Datatyp
text
Alias
- UMLS CUI-1
- C0455531
Beskrivning
Indicate if the patient has a history of cerebrovascular accident (CVA) / stroke, as evidenced by a persistent neurological deficit due to ischaemia.
Datatyp
text
Alias
- UMLS CUI-1
- C0559159
Beskrivning
History or evidence of aneurysm or occlusive peripheral Code vascular disease or carotid disease, including aortic aneurysm, previous aorto-iliac or peripheral vascular surgery, or reduced or absent peripheral pulses and / or angiographic stenosis of more than 50%.
Datatyp
text
Alias
- UMLS CUI-1
- C1881056
Beskrivning
Indicate if the patient has a history of chronic renal failure documented by any one of the following: (a) Serum creatinine greater than 2.0 mg/dl or 200 umol/l in the past (b) On dialysis (c) Has had a renal transplantation
Datatyp
text
Alias
- UMLS CUI-1
- C1533077
Beskrivning
Indicate if the patient has a history of chronic lung disease and/or has previously been treated for chronic lung disease by a physician.
Datatyp
text
Alias
- UMLS CUI-1
- C1533075
Beskrivning
Indicate if the patient has had a previous PCI of any type before the current admission (e.g. balloon angioplasty, implantation of intra coronary stent or other catheter devices for treating coronary atheroma, atherectomy, laser angioplasty or other).
Datatyp
text
Alias
- UMLS CUI-1
- C1320647
Beskrivning
Indicate if the patient had coronary artery bypass graft (CABG) done prior to this admission
Datatyp
text
Alias
- UMLS CUI-1
- C1275842
Beskrivning
Indicate if the patient has a history confirming any form of tobacco use in the past. This includes cigarettes/cigar/pipe.
Datatyp
text
Alias
- UMLS CUI-1
- C0543414
Beskrivning
Indicate if the patient has a history of diabetes mellitus diagnosed prior to the current admission.
Datatyp
text
Alias
- UMLS CUI-1
- C0011849
Beskrivning
Indicate if the patient has a history of hypertension diagnosed and/or treated by a physician.
Datatyp
text
Alias
- UMLS CUI-1
- C0455527
Beskrivning
Indicate if the patient has a documented history of hypercholesterolemia diagnosed and/or treated by a physician.
Datatyp
text
Alias
- UMLS CUI-1
- C1533076
Beskrivning
Medication: pre hospital
Beskrivning
Indicate if the patient was taking aspirin regularly prior to this admission to hospital.
Datatyp
text
Alias
- UMLS CUI-1
- C0004057
Beskrivning
Indicate if the patient was taking antiplatelet medication (other than aspirin) regularly prior to this admission to hospital.
Datatyp
text
Beskrivning
Indicate if the patient was taking anticoagulant medication before this hospital admission.
Datatyp
text
Alias
- UMLS CUI-1
- C0003280
Beskrivning
Indicate if the patient was taking Beta-blockers regularly prior to this admission to hospital
Datatyp
text
Alias
- UMLS CUI-1
- C0304516
Beskrivning
Indicate if the patient was taking ACE inhibitors regularly prior to this admission to hospital.
Datatyp
text
Alias
- UMLS CUI-1
- C0003015
Beskrivning
Indicate if the patient was taking angiotensin II receptorblockers regularly prior to this admission to hospital.
Datatyp
text
Alias
- UMLS CUI-1
- C0521942
Beskrivning
Indicate the main method of diabetic treatment the patient has been receiving.
Datatyp
text
Alias
- UMLS CUI-1
- C3274787
Beskrivning
Indicate if the patient was taking statins regularly prior to this admission to hospital.
Datatyp
text
Alias
- UMLS CUI-1
- C0360714
Beskrivning
Indicate if the patient was taking non-statin lipid lowering agents regularly prior to this admission to hospital.
Datatyp
text
Alias
- UMLS CUI-1
- C0086440
Beskrivning
Working Diagnosis
Alias
- UMLS CUI-1
- C0332135
Beskrivning
Indicate the predominant symptom /reason why patient presented for medical attention.
Datatyp
text
Alias
- UMLS CUI-1
- C3177142
Beskrivning
Indicate the date and time of onset of symptom / reason that prompted the patient's presentation for medical attention.
Datatyp
datetime
Alias
- UMLS CUI-1
- C1320528
Beskrivning
Indicate the patient's heart rate (beats per minute) reading. This should be the first heart rate recorded by a health care provider (GP/ ambulance staff/A&E staff) AND when the patient is in a stable cardiac rhythm.
Datatyp
integer
Måttenheter
- bpm
Alias
- UMLS CUI-1
- C0018810
Beskrivning
Indicate the patient's systolic blood pressure reading (mm Hg). This should be the first blood pressure recorded by a health care provider (GP/ ambulance staff/A&E staff) AND when the patient is in a stable cardiac rhythm.
Datatyp
integer
Måttenheter
- mmHg
Alias
- UMLS CUI-1
- C0871470
Beskrivning
Indicate the date and time the patient first presented to the hospital for this admission.
Datatyp
datetime
Alias
- UMLS CUI-1
- C1320532
Beskrivning
Indicate the Killip class of the patient at the time of hospital admission.
Datatyp
text
Alias
- UMLS CUI-1
- C1881332
Beskrivning
Indicate the rhythm on the first admission ECG.
Datatyp
text
Alias
- UMLS CUI-1
- C0232187
Beskrivning
Indicate if first admission ECG has any QRS abnormalities.
Datatyp
text
Alias
- UMLS CUI-1
- C2983649
Beskrivning
Indicate if the first admission ECG has any STT changes. Note: if more than one of these options are applicable to a patient then the most severe should be coded. For example if the patient has 2,3,and 4 then 2 should be coded. Options 2, 3, 4 and 88 are ranked in order.
Datatyp
text
Alias
- UMLS CUI-1
- C0232326
Beskrivning
Indicate if biochemical markers were raised above the levels recognised in guidelines for diagnosis of acute myocardial infarction (NB these levels may vary between laboratories).
Datatyp
text
Alias
- UMLS CUI [1,1]
- C1271630
- UMLS CUI [1,2]
- C07022401
Beskrivning
Indicate which biochemical marker was tested to indicate the presence/absence of an acute MI Note: these options are ranked in order so if all three biochemical markers were tested code option one, if option 2 and 3 were raised code option 2 etc.
Datatyp
text
Alias
- UMLS CUI-1
- C1271630
Beskrivning
Indicate the first total serum cholesterol level in mmol/l [ideally taken within 24 hours of this admission].
Datatyp
float
Måttenheter
- mmol/l
Alias
- UMLS CUI-1
- C1445957
Beskrivning
Indicate the level of the serum creatinine (first) during this admission in mg/dl or umol/l.
Datatyp
float
Alias
- UMLS CUI-1
- C0201975
Beskrivning
After initial assessment of the patient, indicate the diagnosis on which further management of the patient is based.
Datatyp
text
Alias
- UMLS CUI-1
- C0332135
Beskrivning
Investigations and Treatment
Alias
- UMLS CUI-1
- C0808232
Beskrivning
Indicate the type of thrombolysis therapy administered. NB if in field ACS 6.04 option 'facilitated' is ticked the type of thrombolysis used should also be indicated in this field (6.01).
Datatyp
text
Alias
- UMLS CUI-1
- C0040044
Beskrivning
Indicate the date and time thrombolysis was commenced. This is defined as the time the infusion was commenced and/or time of bolus injection.
Datatyp
datetime
Alias
- UMLS CUI [1,1]
- C0040044
- UMLS CUI [1,2]
- C1301880
Beskrivning
Reason why thrombolysis not administered
Datatyp
text
Alias
- UMLS CUI-1
- C3260558
Beskrivning
If the patient underwent a percutaneous coronary intervention indicate the type.
Datatyp
text
Alias
- UMLS CUI-1
- C0027054
Beskrivning
Indicate the date and time of percutaneous coronary intervention [PCI].
Datatyp
datetime
Alias
- UMLS CUI-1
- C1532338
- UMLS CUI-2
- C1264639
- UMLS CUI-3
- P
Beskrivning
If the patient underwent a stress test during hospital stay indicate the type of stress test.
Datatyp
text
Alias
- UMLS CUI-1
- C1384495
Beskrivning
Indicate if signs of ischaemia were present on the stress test used (as determined by the clinician).
Datatyp
text
Alias
- UMLS CUI-1
- C1274040
- UMLS CUI-2
- C1384495
- UMLS CUI-3
- P
Beskrivning
Indicate the patients estimated or calculated left ventricular [LV] function This categorises the percentage of the blood emptied from the left ventricle at the end of the contraction. Data may have been derived from angiography, echocardiography, nuclear imaging, magnetic resonance imaging etc.
Datatyp
text
Alias
- UMLS CUI-1
- C0428772
Beskrivning
Indicate if the patient underwent diagnostic coronary angiography during this admission episode.
Datatyp
text
Alias
- UMLS CUI-1
- C0085532
Beskrivning
Indicate from the coronary angiogram performed the number of vessels with significant reduction in luminal diameter due to coronary atheroma (I.e. with stenosis greater than 50%) Significant disease is indicated if the luminal diameter of the coronary artery is reduced by > 50% due to coronary arteromatous disease.
Datatyp
text
Alias
- UMLS CUI-1
- C3275120
Beskrivning
Indicate if the patient underwent a PCI during this admission episode. This is for patients who had PCI during this admission that was not for primary reperfusion. Patients who had PCI for primary reperfusion and who had no subsequent PCI during this admission are coded as 'no'.
Datatyp
text
Alias
- UMLS CUI-1
- C1532338
Beskrivning
Indicate the date the PCI was performed if performed during this admission episode.
Datatyp
datetime
Alias
- UMLS CUI [1,1]
- C1532338
- UMLS CUI [1,2]
- C1264639
Beskrivning
Indicate if the patient underwent CABG during this admission episode.
Datatyp
text
Alias
- UMLS CUI-1
- C0010055
Beskrivning
Indicate the date the CABG was performed if performed during this admission episode.
Datatyp
datetime
Alias
- UMLS CUI [1,1]
- C0010055
- UMLS CUI [1,2]
- C0011008
Beskrivning
Indicate if the patient had any of the following electrical devices implanted during this admission episode.
Datatyp
text
Alias
- UMLS CUI-1
- C0018831
Beskrivning
Medication during hospital stay
Beskrivning
Indicate if aspirin was administered in the treatment of ACS.
Datatyp
text
Alias
- UMLS CUI-1
- C0004057
Beskrivning
Indicate if heparin/low molecular weight heparin [LMWH] was administered in the treatment of ACS .
Datatyp
text
Beskrivning
Indicate the use of IV Glycoprotein IIb/IIIa inhibitors and type in the treatment of ACS.
Datatyp
text
Alias
- UMLS CUI-1
- C3640054
Beskrivning
Indicate if ACE inhibitors were administered in the treatment of ACS.
Datatyp
text
Alias
- UMLS CUI-1
- C0003015
Beskrivning
Indicate if Beta-blockers were administered in the treatment of ACS.
Datatyp
text
Alias
- UMLS CUI-1
- C0304516
Beskrivning
Indicate if diuretics were administered in the treatment of ACS.
Datatyp
text
Alias
- UMLS CUI-1
- C0012798
Beskrivning
Indicate if inotropes were administered in the treatment of ACS.
Datatyp
text
Alias
- UMLS CUI-1
- C0304509
Beskrivning
Outcome
Beskrivning
Indicate if the patient had a myocardial reinfarction during this hospital stay. To meet the criteria as a post admission event, an MI must be distinct from the index event at the time of admission. See ESC/ACC definition of MI (appendix 1)
Datatyp
text
Alias
- UMLS CUI-1
- C2882123
Beskrivning
Indicate if there was an episode of bleeding during the hospital stay that required close monitoring and/ or specific treatment, e.g. transfusion (blood or blood products).
Datatyp
text
Alias
- UMLS CUI-1
- C0019080
Beskrivning
Indicate if the patient was diagnosed as having a stroke during hospital stay, as evidenced by persistent loss of neurological function caused by an ischaemic event.
Datatyp
text
Alias
- UMLS CUI-1
- C0038454
Beskrivning
Indicate if the patient had a cardiac arrest during hospital admission and was successfully resuscitated.
Datatyp
text
Alias
- UMLS CUI-1
- C0018790
- UMLS CUI-2
- C1882942
Beskrivning
Indicate the date and time of cardiac arrest
Datatyp
datetime
Alias
- UMLS CUI-1
- C2825160
Beskrivning
Indicate if the patient developed any of the following mechanical complications during this admission. If more than one occurred indicate the most life threatening complications - i.e. 2>3>4.
Datatyp
text
Beskrivning
Indicate the patients discharge ECG rhythm.
Datatyp
text
Alias
- UMLS CUI-1
- C0232187
Beskrivning
Indicate the discharge diagnosis.
Datatyp
text
Alias
- UMLS CUI-1
- C0332144
Beskrivning
Indicate vital status at discharge.
Datatyp
text
Alias
- UMLS CUI-1
- C0586514
Beskrivning
Indicate the date the patient was discharged from hospital or if patient died record the date of death.
Datatyp
datetime
Alias
- UMLS CUI-1
- C2361123
- UMLS CUI-2
- C1148348
Beskrivning
Medication at discharge
Beskrivning
Indicate if the patient was prescribed aspirin on discharge from hospital.
Datatyp
text
Beskrivning
Indicate if the patient was prescribed antiplatelet medication (other than aspirin) on discharge from hospital.
Datatyp
text
Beskrivning
Indicate if the patient was prescribed anticoagulant medication on discharge from hospital.
Datatyp
text
Beskrivning
Indicate if the patient was prescribed Beta-Blockers on discharge from hospital.
Datatyp
text
Beskrivning
Indicate if the patient was prescribed ACE inhibitors on discharge from hospital.
Datatyp
text
Beskrivning
Indicate if the patient was prescribed angiotensin II receptor blockers on discharge from hospital.
Datatyp
text
Beskrivning
Indicate the main method of diabetic treatment the patient was prescribed on discharge from hospital.
Datatyp
text
Beskrivning
Indicate if the patient was prescribed statins on discharge.
Datatyp
text
Beskrivning
Indicate if the patient was prescribed non-statin lipid lowering agents on discharge.
Datatyp
text
Beskrivning
Follow up
Beskrivning
Indicate the date of last follow up alive. This may be the date of follow up or the date the patient is last seen alive by verifiable sources.
Datatyp
date
Alias
- UMLS CUI-1
- C3694716
Beskrivning
Indicate vital status at follow up.
Datatyp
text
Beskrivning
If the patient died indicate the date of death.
Datatyp
date
Alias
- UMLS CUI-1
- C1148348
Beskrivning
Indicate the primary cause of death.
Datatyp
text
Alias
- UMLS CUI-1
- C0007465
Beskrivning
Indicate the patients anginal status at the time of followup using the Canadian Cardiovascular Society (CCS) grading system NB: there are eight blocks to a mile.
Datatyp
text
Alias
- UMLS CUI-1
- C1277207
Beskrivning
Grade breathing status using the New York Heart Association (NYHA) functional classification.
Datatyp
text
Alias
- UMLS CUI-1
- C1275491
Beskrivning
If the patient was readmitted to hospital indicate the date.
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0030700
- UMLS CUI [1,2]
- C0011008
Beskrivning
Indicate if the patient was diagnosed as having an myocardial infarction since the date of discharge. See Appendix 1 for ESC/ACC definition of MI.
Datatyp
text
Alias
- UMLS CUI-1
- C0027051
Beskrivning
Indicate the date of the myocardial infarction.
Datatyp
date
Alias
- UMLS CUI-1
- C2924287
Beskrivning
Indicate if the patient was diagnosed as having a stroke since discharge from hospital, as evidenced by persistent loss of neurological function caused by an ischaemic event.
Datatyp
text
Beskrivning
Indicate the date of the stroke. Date
Datatyp
date
Beskrivning
Indicate if the patient had a percutaneous coronary intervention since the date of discharge.
Datatyp
text
Beskrivning
Indicate the date of percutaneous coronary intervention [PCI].
Datatyp
date
Beskrivning
Indicate if the patient had coronary artery bypass graft [CABG] since the date of discharge.
Datatyp
text
Beskrivning
Indicate the date of coronary artery bypass graft [CABG].
Datatyp
date
Beskrivning
Indicate if the patient attended or is attending a cardiac rehabilitation programme since discharge.
Datatyp
text
Alias
- UMLS CUI-1
- C0700431
Beskrivning
Medication at follow up
Beskrivning
On follow up indicate if the patient is taking aspirin regularly.
Datatyp
text
Beskrivning
On follow-up indicate if the patient is taking antiplatelet medication (other than aspirin) regularly.
Datatyp
text
Beskrivning
On follow-up indicate if the patient is taking anticoagulant medication regularly.
Datatyp
text
Beskrivning
On follow-up indicate if the patient is taking Beta-Blockers regularly.
Datatyp
text
Beskrivning
On follow-up indicate if the patient is taking ACE inhibitors regularly.
Datatyp
text
Beskrivning
On follow-up indicate if the patient is taking angiotensin II receptor blockers regularly.
Datatyp
text
Beskrivning
On follow-up indicate the main method of diabetic control the patient is regularly receiving.
Datatyp
text
Beskrivning
On follow-up indicate if the patient is taking statins regularly.
Datatyp
text
Beskrivning
On follow-up indicate if the patient is taking non-statin lipid lowering agents regularly.
Datatyp
text
Similar models
CCU/ACS Data Standards
- StudyEvent: ODM
C0019994 (UMLS CUI [1,2])
C0070166 (UMLS CUI-2)
C0085298 (UMLS CUI-2)
C07022401 (UMLS CUI [1,2])
C1141947 (UMLS CUI-2)
C1301880 (UMLS CUI [1,2])
C1264639 (UMLS CUI-2)
P (UMLS CUI-3)
C1384495 (UMLS CUI-2)
P (UMLS CUI-3)
C1264639 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
C1522726 (UMLS CUI-2)
P (UMLS CUI-3)
C0304516 (UMLS CUI-2)
P (UMLS CUI-3)
C1882942 (UMLS CUI-2)
C1148348 (UMLS CUI-2)
C0011008 (UMLS CUI [1,2])
C0070166 (UMLS CUI-2)
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