ID
44131
Descrizione
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.
Keywords
versioni (3)
- 15/04/15 15/04/15 -
- 10/04/21 10/04/21 - Ahmed Rafee, MD
- 20/09/21 20/09/21 -
Titolare del copyright
Copyright Irish Department of Health and Children/European Society of Cardiology
Caricato su
20 settembre 2021
DOI
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Licenza
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
Descrizione
Past History relevant to Coronary Artery Disease
Descrizione
Indicate if the patient had at least one previous myocardial infarction before this admission.
Tipo di dati
text
Alias
- UMLS CUI-1
- C1275835
Descrizione
Indicate if the patient has a history of angina and / or has been treated previously for angina by a physician.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0455530
Descrizione
Indicate if the patient has a history of congestive heart failure and/or has previously been treated for congestive heart failure by a physician.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0455531
Descrizione
Indicate if the patient has a history of cerebrovascular accident (CVA) / stroke, as evidenced by a persistent neurological deficit due to ischaemia.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0559159
Descrizione
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%.
Tipo di dati
text
Alias
- UMLS CUI-1
- C1881056
Descrizione
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
Tipo di dati
text
Alias
- UMLS CUI-1
- C1533077
Descrizione
Indicate if the patient has a history of chronic lung disease and/or has previously been treated for chronic lung disease by a physician.
Tipo di dati
text
Alias
- UMLS CUI-1
- C1533075
Descrizione
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).
Tipo di dati
text
Alias
- UMLS CUI-1
- C1320647
Descrizione
Indicate if the patient had coronary artery bypass graft (CABG) done prior to this admission
Tipo di dati
text
Alias
- UMLS CUI-1
- C1275842
Descrizione
Indicate if the patient has a history confirming any form of tobacco use in the past. This includes cigarettes/cigar/pipe.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0543414
Descrizione
Indicate if the patient has a history of diabetes mellitus diagnosed prior to the current admission.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0011849
Descrizione
Indicate if the patient has a history of hypertension diagnosed and/or treated by a physician.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0455527
Descrizione
Indicate if the patient has a documented history of hypercholesterolemia diagnosed and/or treated by a physician.
Tipo di dati
text
Alias
- UMLS CUI-1
- C1533076
Descrizione
Medication: pre hospital
Descrizione
Indicate if the patient was taking aspirin regularly prior to this admission to hospital.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0004057
Descrizione
Indicate if the patient was taking antiplatelet medication (other than aspirin) regularly prior to this admission to hospital.
Tipo di dati
text
Descrizione
Indicate if the patient was taking anticoagulant medication before this hospital admission.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0003280
Descrizione
Indicate if the patient was taking Beta-blockers regularly prior to this admission to hospital
Tipo di dati
text
Alias
- UMLS CUI-1
- C0304516
Descrizione
Indicate if the patient was taking ACE inhibitors regularly prior to this admission to hospital.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0003015
Descrizione
Indicate if the patient was taking angiotensin II receptorblockers regularly prior to this admission to hospital.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0521942
Descrizione
Indicate the main method of diabetic treatment the patient has been receiving.
Tipo di dati
text
Alias
- UMLS CUI-1
- C3274787
Descrizione
Indicate if the patient was taking statins regularly prior to this admission to hospital.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0360714
Descrizione
Indicate if the patient was taking non-statin lipid lowering agents regularly prior to this admission to hospital.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0086440
Descrizione
Working Diagnosis
Alias
- UMLS CUI-1
- C0332135
Descrizione
Indicate the predominant symptom /reason why patient presented for medical attention.
Tipo di dati
text
Alias
- UMLS CUI-1
- C3177142
Descrizione
Indicate the date and time of onset of symptom / reason that prompted the patient's presentation for medical attention.
Tipo di dati
datetime
Alias
- UMLS CUI-1
- C1320528
Descrizione
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.
Tipo di dati
integer
Unità di misura
- bpm
Alias
- UMLS CUI-1
- C0018810
Descrizione
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.
Tipo di dati
integer
Unità di misura
- mmHg
Alias
- UMLS CUI-1
- C0871470
Descrizione
Indicate the date and time the patient first presented to the hospital for this admission.
Tipo di dati
datetime
Alias
- UMLS CUI-1
- C1320532
Descrizione
Indicate the Killip class of the patient at the time of hospital admission.
Tipo di dati
text
Alias
- UMLS CUI-1
- C1881332
Descrizione
Indicate the rhythm on the first admission ECG.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0232187
Descrizione
Indicate if first admission ECG has any QRS abnormalities.
Tipo di dati
text
Alias
- UMLS CUI-1
- C2983649
Descrizione
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.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0232326
Descrizione
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).
Tipo di dati
text
Alias
- UMLS CUI [1,1]
- C1271630
- UMLS CUI [1,2]
- C07022401
Descrizione
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.
Tipo di dati
text
Alias
- UMLS CUI-1
- C1271630
Descrizione
Indicate the first total serum cholesterol level in mmol/l [ideally taken within 24 hours of this admission].
Tipo di dati
float
Unità di misura
- mmol/l
Alias
- UMLS CUI-1
- C1445957
Descrizione
Indicate the level of the serum creatinine (first) during this admission in mg/dl or umol/l.
Tipo di dati
float
Alias
- UMLS CUI-1
- C0201975
Descrizione
After initial assessment of the patient, indicate the diagnosis on which further management of the patient is based.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0332135
Descrizione
Investigations and Treatment
Alias
- UMLS CUI-1
- C0808232
Descrizione
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).
Tipo di dati
text
Alias
- UMLS CUI-1
- C0040044
Descrizione
Indicate the date and time thrombolysis was commenced. This is defined as the time the infusion was commenced and/or time of bolus injection.
Tipo di dati
datetime
Alias
- UMLS CUI [1,1]
- C0040044
- UMLS CUI [1,2]
- C1301880
Descrizione
Reason why thrombolysis not administered
Tipo di dati
text
Alias
- UMLS CUI-1
- C3260558
Descrizione
If the patient underwent a percutaneous coronary intervention indicate the type.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0027054
Descrizione
Indicate the date and time of percutaneous coronary intervention [PCI].
Tipo di dati
datetime
Alias
- UMLS CUI-1
- C1532338
- UMLS CUI-2
- C1264639
- UMLS CUI-3
- P
Descrizione
If the patient underwent a stress test during hospital stay indicate the type of stress test.
Tipo di dati
text
Alias
- UMLS CUI-1
- C1384495
Descrizione
Indicate if signs of ischaemia were present on the stress test used (as determined by the clinician).
Tipo di dati
text
Alias
- UMLS CUI-1
- C1274040
- UMLS CUI-2
- C1384495
- UMLS CUI-3
- P
Descrizione
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.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0428772
Descrizione
Indicate if the patient underwent diagnostic coronary angiography during this admission episode.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0085532
Descrizione
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.
Tipo di dati
text
Alias
- UMLS CUI-1
- C3275120
Descrizione
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'.
Tipo di dati
text
Alias
- UMLS CUI-1
- C1532338
Descrizione
Indicate the date the PCI was performed if performed during this admission episode.
Tipo di dati
datetime
Alias
- UMLS CUI [1,1]
- C1532338
- UMLS CUI [1,2]
- C1264639
Descrizione
Indicate if the patient underwent CABG during this admission episode.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0010055
Descrizione
Indicate the date the CABG was performed if performed during this admission episode.
Tipo di dati
datetime
Alias
- UMLS CUI [1,1]
- C0010055
- UMLS CUI [1,2]
- C0011008
Descrizione
Indicate if the patient had any of the following electrical devices implanted during this admission episode.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0018831
Descrizione
Medication during hospital stay
Descrizione
Indicate if aspirin was administered in the treatment of ACS.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0004057
Descrizione
Indicate if heparin/low molecular weight heparin [LMWH] was administered in the treatment of ACS .
Tipo di dati
text
Descrizione
Indicate the use of IV Glycoprotein IIb/IIIa inhibitors and type in the treatment of ACS.
Tipo di dati
text
Alias
- UMLS CUI-1
- C3640054
Descrizione
Indicate if ACE inhibitors were administered in the treatment of ACS.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0003015
Descrizione
Indicate if Beta-blockers were administered in the treatment of ACS.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0304516
Descrizione
Indicate if diuretics were administered in the treatment of ACS.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0012798
Descrizione
Indicate if inotropes were administered in the treatment of ACS.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0304509
Descrizione
Outcome
Descrizione
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)
Tipo di dati
text
Alias
- UMLS CUI-1
- C2882123
Descrizione
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).
Tipo di dati
text
Alias
- UMLS CUI-1
- C0019080
Descrizione
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.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0038454
Descrizione
Indicate if the patient had a cardiac arrest during hospital admission and was successfully resuscitated.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0018790
- UMLS CUI-2
- C1882942
Descrizione
Indicate the date and time of cardiac arrest
Tipo di dati
datetime
Alias
- UMLS CUI-1
- C2825160
Descrizione
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.
Tipo di dati
text
Descrizione
Indicate the patients discharge ECG rhythm.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0232187
Descrizione
Indicate the discharge diagnosis.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0332144
Descrizione
Indicate vital status at discharge.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0586514
Descrizione
Indicate the date the patient was discharged from hospital or if patient died record the date of death.
Tipo di dati
datetime
Alias
- UMLS CUI-1
- C2361123
- UMLS CUI-2
- C1148348
Descrizione
Medication at discharge
Descrizione
Indicate if the patient was prescribed aspirin on discharge from hospital.
Tipo di dati
text
Descrizione
Indicate if the patient was prescribed antiplatelet medication (other than aspirin) on discharge from hospital.
Tipo di dati
text
Descrizione
Indicate if the patient was prescribed anticoagulant medication on discharge from hospital.
Tipo di dati
text
Descrizione
Indicate if the patient was prescribed Beta-Blockers on discharge from hospital.
Tipo di dati
text
Descrizione
Indicate if the patient was prescribed ACE inhibitors on discharge from hospital.
Tipo di dati
text
Descrizione
Indicate if the patient was prescribed angiotensin II receptor blockers on discharge from hospital.
Tipo di dati
text
Descrizione
Indicate the main method of diabetic treatment the patient was prescribed on discharge from hospital.
Tipo di dati
text
Descrizione
Indicate if the patient was prescribed statins on discharge.
Tipo di dati
text
Descrizione
Indicate if the patient was prescribed non-statin lipid lowering agents on discharge.
Tipo di dati
text
Descrizione
Follow up
Descrizione
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.
Tipo di dati
date
Alias
- UMLS CUI-1
- C3694716
Descrizione
Indicate vital status at follow up.
Tipo di dati
text
Descrizione
If the patient died indicate the date of death.
Tipo di dati
date
Alias
- UMLS CUI-1
- C1148348
Descrizione
Indicate the primary cause of death.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0007465
Descrizione
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.
Tipo di dati
text
Alias
- UMLS CUI-1
- C1277207
Descrizione
Grade breathing status using the New York Heart Association (NYHA) functional classification.
Tipo di dati
text
Alias
- UMLS CUI-1
- C1275491
Descrizione
If the patient was readmitted to hospital indicate the date.
Tipo di dati
date
Alias
- UMLS CUI [1,1]
- C0030700
- UMLS CUI [1,2]
- C0011008
Descrizione
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.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0027051
Descrizione
Indicate the date of the myocardial infarction.
Tipo di dati
date
Alias
- UMLS CUI-1
- C2924287
Descrizione
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.
Tipo di dati
text
Descrizione
Indicate the date of the stroke. Date
Tipo di dati
date
Descrizione
Indicate if the patient had a percutaneous coronary intervention since the date of discharge.
Tipo di dati
text
Descrizione
Indicate the date of percutaneous coronary intervention [PCI].
Tipo di dati
date
Descrizione
Indicate if the patient had coronary artery bypass graft [CABG] since the date of discharge.
Tipo di dati
text
Descrizione
Indicate the date of coronary artery bypass graft [CABG].
Tipo di dati
date
Descrizione
Indicate if the patient attended or is attending a cardiac rehabilitation programme since discharge.
Tipo di dati
text
Alias
- UMLS CUI-1
- C0700431
Descrizione
Medication at follow up
Descrizione
On follow up indicate if the patient is taking aspirin regularly.
Tipo di dati
text
Descrizione
On follow-up indicate if the patient is taking antiplatelet medication (other than aspirin) regularly.
Tipo di dati
text
Descrizione
On follow-up indicate if the patient is taking anticoagulant medication regularly.
Tipo di dati
text
Descrizione
On follow-up indicate if the patient is taking Beta-Blockers regularly.
Tipo di dati
text
Descrizione
On follow-up indicate if the patient is taking ACE inhibitors regularly.
Tipo di dati
text
Descrizione
On follow-up indicate if the patient is taking angiotensin II receptor blockers regularly.
Tipo di dati
text
Descrizione
On follow-up indicate the main method of diabetic control the patient is regularly receiving.
Tipo di dati
text
Descrizione
On follow-up indicate if the patient is taking statins regularly.
Tipo di dati
text
Descrizione
On follow-up indicate if the patient is taking non-statin lipid lowering agents regularly.
Tipo di dati
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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