Identifying and definitional attributes | |
Metadata item type: | Data Element |
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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: | Yes/no/not stated/inadequately described code N |
Collection and usage attributes | |
Guide for use: | CODE 9 Not stated/inadequately described This code is not for use in primary data collections. |
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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:
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:
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Collection methods: | For each of the following medical conditions the clinical evidence status must also be recorded:
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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).
In the absence of any adjunctive laboratory tests, evidence of supportive clinical signs of ventricular dysfunction. These include:
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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 Supersedes Person—clinical evidence status (stroke), code N Health!, Superseded 01/10/2008 |
Implementation in Data Set Specifications: | Acute coronary syndrome (clinical) DSS Health!, Superseded 01/09/2012 Acute coronary syndrome (clinical) DSS Health!, Superseded 02/05/2013 Acute coronary syndrome (clinical) NBPDS 2013- Health!, Standard 02/05/2013 Implementation start date: 01/07/2013 |