ID
44131
Beschreibung
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.
Stichworte
Versionen (3)
- 15.04.15 15.04.15 -
- 10.04.21 10.04.21 - Ahmed Rafee, MD
- 20.09.21 20.09.21 -
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Copyright Irish Department of Health and Children/European Society of Cardiology
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20. September 2021
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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
Beschreibung
Past History relevant to Coronary Artery Disease
Beschreibung
Indicate if the patient had at least one previous myocardial infarction before this admission.
Datentyp
text
Alias
- UMLS CUI-1
- C1275835
Beschreibung
Indicate if the patient has a history of angina and / or has been treated previously for angina by a physician.
Datentyp
text
Alias
- UMLS CUI-1
- C0455530
Beschreibung
Indicate if the patient has a history of congestive heart failure and/or has previously been treated for congestive heart failure by a physician.
Datentyp
text
Alias
- UMLS CUI-1
- C0455531
Beschreibung
Indicate if the patient has a history of cerebrovascular accident (CVA) / stroke, as evidenced by a persistent neurological deficit due to ischaemia.
Datentyp
text
Alias
- UMLS CUI-1
- C0559159
Beschreibung
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%.
Datentyp
text
Alias
- UMLS CUI-1
- C1881056
Beschreibung
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
Datentyp
text
Alias
- UMLS CUI-1
- C1533077
Beschreibung
Indicate if the patient has a history of chronic lung disease and/or has previously been treated for chronic lung disease by a physician.
Datentyp
text
Alias
- UMLS CUI-1
- C1533075
Beschreibung
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).
Datentyp
text
Alias
- UMLS CUI-1
- C1320647
Beschreibung
Indicate if the patient had coronary artery bypass graft (CABG) done prior to this admission
Datentyp
text
Alias
- UMLS CUI-1
- C1275842
Beschreibung
Indicate if the patient has a history confirming any form of tobacco use in the past. This includes cigarettes/cigar/pipe.
Datentyp
text
Alias
- UMLS CUI-1
- C0543414
Beschreibung
Indicate if the patient has a history of diabetes mellitus diagnosed prior to the current admission.
Datentyp
text
Alias
- UMLS CUI-1
- C0011849
Beschreibung
Indicate if the patient has a history of hypertension diagnosed and/or treated by a physician.
Datentyp
text
Alias
- UMLS CUI-1
- C0455527
Beschreibung
Indicate if the patient has a documented history of hypercholesterolemia diagnosed and/or treated by a physician.
Datentyp
text
Alias
- UMLS CUI-1
- C1533076
Beschreibung
Medication: pre hospital
Beschreibung
Indicate if the patient was taking aspirin regularly prior to this admission to hospital.
Datentyp
text
Alias
- UMLS CUI-1
- C0004057
Beschreibung
Indicate if the patient was taking antiplatelet medication (other than aspirin) regularly prior to this admission to hospital.
Datentyp
text
Beschreibung
Indicate if the patient was taking anticoagulant medication before this hospital admission.
Datentyp
text
Alias
- UMLS CUI-1
- C0003280
Beschreibung
Indicate if the patient was taking Beta-blockers regularly prior to this admission to hospital
Datentyp
text
Alias
- UMLS CUI-1
- C0304516
Beschreibung
Indicate if the patient was taking ACE inhibitors regularly prior to this admission to hospital.
Datentyp
text
Alias
- UMLS CUI-1
- C0003015
Beschreibung
Indicate if the patient was taking angiotensin II receptorblockers regularly prior to this admission to hospital.
Datentyp
text
Alias
- UMLS CUI-1
- C0521942
Beschreibung
Indicate the main method of diabetic treatment the patient has been receiving.
Datentyp
text
Alias
- UMLS CUI-1
- C3274787
Beschreibung
Indicate if the patient was taking statins regularly prior to this admission to hospital.
Datentyp
text
Alias
- UMLS CUI-1
- C0360714
Beschreibung
Indicate if the patient was taking non-statin lipid lowering agents regularly prior to this admission to hospital.
Datentyp
text
Alias
- UMLS CUI-1
- C0086440
Beschreibung
Working Diagnosis
Alias
- UMLS CUI-1
- C0332135
Beschreibung
Indicate the predominant symptom /reason why patient presented for medical attention.
Datentyp
text
Alias
- UMLS CUI-1
- C3177142
Beschreibung
Indicate the date and time of onset of symptom / reason that prompted the patient's presentation for medical attention.
Datentyp
datetime
Alias
- UMLS CUI-1
- C1320528
Beschreibung
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.
Datentyp
integer
Maßeinheiten
- bpm
Alias
- UMLS CUI-1
- C0018810
Beschreibung
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.
Datentyp
integer
Maßeinheiten
- mmHg
Alias
- UMLS CUI-1
- C0871470
Beschreibung
Indicate the date and time the patient first presented to the hospital for this admission.
Datentyp
datetime
Alias
- UMLS CUI-1
- C1320532
Beschreibung
Indicate the Killip class of the patient at the time of hospital admission.
Datentyp
text
Alias
- UMLS CUI-1
- C1881332
Beschreibung
Indicate the rhythm on the first admission ECG.
Datentyp
text
Alias
- UMLS CUI-1
- C0232187
Beschreibung
Indicate if first admission ECG has any QRS abnormalities.
Datentyp
text
Alias
- UMLS CUI-1
- C2983649
Beschreibung
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.
Datentyp
text
Alias
- UMLS CUI-1
- C0232326
Beschreibung
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).
Datentyp
text
Alias
- UMLS CUI [1,1]
- C1271630
- UMLS CUI [1,2]
- C07022401
Beschreibung
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.
Datentyp
text
Alias
- UMLS CUI-1
- C1271630
Beschreibung
Indicate the first total serum cholesterol level in mmol/l [ideally taken within 24 hours of this admission].
Datentyp
float
Maßeinheiten
- mmol/l
Alias
- UMLS CUI-1
- C1445957
Beschreibung
Indicate the level of the serum creatinine (first) during this admission in mg/dl or umol/l.
Datentyp
float
Alias
- UMLS CUI-1
- C0201975
Beschreibung
After initial assessment of the patient, indicate the diagnosis on which further management of the patient is based.
Datentyp
text
Alias
- UMLS CUI-1
- C0332135
Beschreibung
Investigations and Treatment
Alias
- UMLS CUI-1
- C0808232
Beschreibung
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).
Datentyp
text
Alias
- UMLS CUI-1
- C0040044
Beschreibung
Indicate the date and time thrombolysis was commenced. This is defined as the time the infusion was commenced and/or time of bolus injection.
Datentyp
datetime
Alias
- UMLS CUI [1,1]
- C0040044
- UMLS CUI [1,2]
- C1301880
Beschreibung
Reason why thrombolysis not administered
Datentyp
text
Alias
- UMLS CUI-1
- C3260558
Beschreibung
If the patient underwent a percutaneous coronary intervention indicate the type.
Datentyp
text
Alias
- UMLS CUI-1
- C0027054
Beschreibung
Indicate the date and time of percutaneous coronary intervention [PCI].
Datentyp
datetime
Alias
- UMLS CUI-1
- C1532338
- UMLS CUI-2
- C1264639
- UMLS CUI-3
- P
Beschreibung
If the patient underwent a stress test during hospital stay indicate the type of stress test.
Datentyp
text
Alias
- UMLS CUI-1
- C1384495
Beschreibung
Indicate if signs of ischaemia were present on the stress test used (as determined by the clinician).
Datentyp
text
Alias
- UMLS CUI-1
- C1274040
- UMLS CUI-2
- C1384495
- UMLS CUI-3
- P
Beschreibung
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.
Datentyp
text
Alias
- UMLS CUI-1
- C0428772
Beschreibung
Indicate if the patient underwent diagnostic coronary angiography during this admission episode.
Datentyp
text
Alias
- UMLS CUI-1
- C0085532
Beschreibung
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.
Datentyp
text
Alias
- UMLS CUI-1
- C3275120
Beschreibung
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'.
Datentyp
text
Alias
- UMLS CUI-1
- C1532338
Beschreibung
Indicate the date the PCI was performed if performed during this admission episode.
Datentyp
datetime
Alias
- UMLS CUI [1,1]
- C1532338
- UMLS CUI [1,2]
- C1264639
Beschreibung
Indicate if the patient underwent CABG during this admission episode.
Datentyp
text
Alias
- UMLS CUI-1
- C0010055
Beschreibung
Indicate the date the CABG was performed if performed during this admission episode.
Datentyp
datetime
Alias
- UMLS CUI [1,1]
- C0010055
- UMLS CUI [1,2]
- C0011008
Beschreibung
Indicate if the patient had any of the following electrical devices implanted during this admission episode.
Datentyp
text
Alias
- UMLS CUI-1
- C0018831
Beschreibung
Medication during hospital stay
Beschreibung
Indicate if aspirin was administered in the treatment of ACS.
Datentyp
text
Alias
- UMLS CUI-1
- C0004057
Beschreibung
Indicate if heparin/low molecular weight heparin [LMWH] was administered in the treatment of ACS .
Datentyp
text
Beschreibung
Indicate the use of IV Glycoprotein IIb/IIIa inhibitors and type in the treatment of ACS.
Datentyp
text
Alias
- UMLS CUI-1
- C3640054
Beschreibung
Indicate if ACE inhibitors were administered in the treatment of ACS.
Datentyp
text
Alias
- UMLS CUI-1
- C0003015
Beschreibung
Indicate if Beta-blockers were administered in the treatment of ACS.
Datentyp
text
Alias
- UMLS CUI-1
- C0304516
Beschreibung
Indicate if diuretics were administered in the treatment of ACS.
Datentyp
text
Alias
- UMLS CUI-1
- C0012798
Beschreibung
Indicate if inotropes were administered in the treatment of ACS.
Datentyp
text
Alias
- UMLS CUI-1
- C0304509
Beschreibung
Outcome
Beschreibung
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)
Datentyp
text
Alias
- UMLS CUI-1
- C2882123
Beschreibung
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).
Datentyp
text
Alias
- UMLS CUI-1
- C0019080
Beschreibung
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.
Datentyp
text
Alias
- UMLS CUI-1
- C0038454
Beschreibung
Indicate if the patient had a cardiac arrest during hospital admission and was successfully resuscitated.
Datentyp
text
Alias
- UMLS CUI-1
- C0018790
- UMLS CUI-2
- C1882942
Beschreibung
Indicate the date and time of cardiac arrest
Datentyp
datetime
Alias
- UMLS CUI-1
- C2825160
Beschreibung
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.
Datentyp
text
Beschreibung
Indicate the patients discharge ECG rhythm.
Datentyp
text
Alias
- UMLS CUI-1
- C0232187
Beschreibung
Indicate the discharge diagnosis.
Datentyp
text
Alias
- UMLS CUI-1
- C0332144
Beschreibung
Indicate vital status at discharge.
Datentyp
text
Alias
- UMLS CUI-1
- C0586514
Beschreibung
Indicate the date the patient was discharged from hospital or if patient died record the date of death.
Datentyp
datetime
Alias
- UMLS CUI-1
- C2361123
- UMLS CUI-2
- C1148348
Beschreibung
Medication at discharge
Beschreibung
Indicate if the patient was prescribed aspirin on discharge from hospital.
Datentyp
text
Beschreibung
Indicate if the patient was prescribed antiplatelet medication (other than aspirin) on discharge from hospital.
Datentyp
text
Beschreibung
Indicate if the patient was prescribed anticoagulant medication on discharge from hospital.
Datentyp
text
Beschreibung
Indicate if the patient was prescribed Beta-Blockers on discharge from hospital.
Datentyp
text
Beschreibung
Indicate if the patient was prescribed ACE inhibitors on discharge from hospital.
Datentyp
text
Beschreibung
Indicate if the patient was prescribed angiotensin II receptor blockers on discharge from hospital.
Datentyp
text
Beschreibung
Indicate the main method of diabetic treatment the patient was prescribed on discharge from hospital.
Datentyp
text
Beschreibung
Indicate if the patient was prescribed statins on discharge.
Datentyp
text
Beschreibung
Indicate if the patient was prescribed non-statin lipid lowering agents on discharge.
Datentyp
text
Beschreibung
Follow up
Beschreibung
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.
Datentyp
date
Alias
- UMLS CUI-1
- C3694716
Beschreibung
Indicate vital status at follow up.
Datentyp
text
Beschreibung
If the patient died indicate the date of death.
Datentyp
date
Alias
- UMLS CUI-1
- C1148348
Beschreibung
Indicate the primary cause of death.
Datentyp
text
Alias
- UMLS CUI-1
- C0007465
Beschreibung
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.
Datentyp
text
Alias
- UMLS CUI-1
- C1277207
Beschreibung
Grade breathing status using the New York Heart Association (NYHA) functional classification.
Datentyp
text
Alias
- UMLS CUI-1
- C1275491
Beschreibung
If the patient was readmitted to hospital indicate the date.
Datentyp
date
Alias
- UMLS CUI [1,1]
- C0030700
- UMLS CUI [1,2]
- C0011008
Beschreibung
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.
Datentyp
text
Alias
- UMLS CUI-1
- C0027051
Beschreibung
Indicate the date of the myocardial infarction.
Datentyp
date
Alias
- UMLS CUI-1
- C2924287
Beschreibung
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.
Datentyp
text
Beschreibung
Indicate the date of the stroke. Date
Datentyp
date
Beschreibung
Indicate if the patient had a percutaneous coronary intervention since the date of discharge.
Datentyp
text
Beschreibung
Indicate the date of percutaneous coronary intervention [PCI].
Datentyp
date
Beschreibung
Indicate if the patient had coronary artery bypass graft [CABG] since the date of discharge.
Datentyp
text
Beschreibung
Indicate the date of coronary artery bypass graft [CABG].
Datentyp
date
Beschreibung
Indicate if the patient attended or is attending a cardiac rehabilitation programme since discharge.
Datentyp
text
Alias
- UMLS CUI-1
- C0700431
Beschreibung
Medication at follow up
Beschreibung
On follow up indicate if the patient is taking aspirin regularly.
Datentyp
text
Beschreibung
On follow-up indicate if the patient is taking antiplatelet medication (other than aspirin) regularly.
Datentyp
text
Beschreibung
On follow-up indicate if the patient is taking anticoagulant medication regularly.
Datentyp
text
Beschreibung
On follow-up indicate if the patient is taking Beta-Blockers regularly.
Datentyp
text
Beschreibung
On follow-up indicate if the patient is taking ACE inhibitors regularly.
Datentyp
text
Beschreibung
On follow-up indicate if the patient is taking angiotensin II receptor blockers regularly.
Datentyp
text
Beschreibung
On follow-up indicate the main method of diabetic control the patient is regularly receiving.
Datentyp
text
Beschreibung
On follow-up indicate if the patient is taking statins regularly.
Datentyp
text
Beschreibung
On follow-up indicate if the patient is taking non-statin lipid lowering agents regularly.
Datentyp
text
Ähnliche Modelle
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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