Spreadsheet: 23dfe102-ebaa-4706-bc7f-27967a9c8d23
Sheet: Sheet1

Mark your selection here (x) | CCAD Seq | Field Prompt | Short Code | Text for long code | Version | Year | Variation 1 |  | Variation 2 | Variation 3
 | 1.01 | Hospital identifier |  |  | 2.8 | 2000
 | 1.02 | Patient case record number |  |  | 2.8 | 2000
 | 1.03 | NHS number |  |  | 2.8 | 2000
 | 1.04 | Patient surname |  |  | 2.8 | 2000
 | 1.05 | Patient forename |  |  | 2.8 | 2000
 | 1.06 | Patient date of birth |  |  | 2.8 | 2000
 | 1.07 | Patient gender |  |  | 2.8 | 2000
 |  |  | 0 | Not known
 |  |  | 1 | Male
 |  |  | 2 | Female
 |  |  | 9 | Not specified
 | 1.08 | Patient Ethnicity | 1 | White | 2.8 | 2000 | Replaced by 1.12 in Dataset v7
 |  |  | 2 | Black
 |  |  | 3 | Asian |  |  | *see also 1.13
 |  |  | 5 | Mixed
 |  |  | 6 | Not stated
 |  |  | 8 | Other
 |  |  | 9 | Unknown
 | 1.09 | Patient admin status |  |  | 2.8 | 2000
 |  |  | 1 | NHS
 |  |  | 2 | Private
 |  |  | 3 | Amenity
 |  |  | 4 | Other |  |  | option 4 introduced 2009 |  | option 4 withdrawn 2011
 |  |  | 5 | Visitor |  |  | option 5 introduced 2005 |  | option 5 withdrawn 2011
 |  |  | 9 | Unknown
 | 1.10 | Patient postcode |  |  | 2.8 | 2000
 | 1.11 | GP/ PCT code |  |  |  | 2000
 | 1.12 | Patient Ethnic Group | 1 | White (British) | 7 | 2007 | Replaced by 1.13 in dataset v9
 |  |  | 2 | White (Irish) |  |  | 1.12 was considered unneccessarily complex
 |  |  | 3 | White (other)
 |  |  | 4 | Mixed white/black Caribbean
 |  |  | 5 | Mixed white/black African
 |  |  | 6 | Mixed other
 |  |  | 7 | Indian
 |  |  | 8 | Pakistani
 |  |  | 9 | [NAME]
 |  |  | 10 | Other Asian
 |  |  | 11 | Black Caribbean
 |  |  | 12 | Black African
 |  |  | 13 | Black other
 |  |  | 14 | Chinese
 |  |  | 15 | Other ethnic group
 |  |  | 99 | Unknown
 | 1.13 | Patient ethnicity |  |  | v9 | 2011 | This version is the same as original 1.08
 |  |  | 1 | White |  |  | and identical to BCIS
 |  |  | 2 | Black
 |  |  | 3 | Asian
 |  |  | 5 | Mixed
 |  |  | 6 | Not stated
 |  |  | 8 | Other
 |  |  | 9 | Unknown
 | 2.01 | Initial diagnosis |  |  | v8.1 | 2009
 |  |  | 1 | Definite myocardial infarction |  |  | option 2. Probable myocardial infarction removed 2009 and all previous entries merged with 3. Acute coronary syndrome
 |  |  | 3 | Acute coronary syndrome
 |  |  | 4 | Chest pain ? cause
 |  |  | 5 | Other initial diagnosis
 | 2.02 | Method of admission |  |  | 2.8 | 2000 | 2.02 Replaced in 2011 v9; see 2.39
 |  |  | 1 | Called GP who saw patient then called emergency services
 |  |  | 2 | Called GP who called emergency service then saw patient
 |  |  | 3 | Called 999
 |  |  | 4 | called NHS direct
 |  |  | 5 | Made own way to hospital (did not call anyone)
 |  |  | 6 | Called local helpline
 |  |  | 7 | Called GP, told to make own way to hospital
 |  |  | 8 | Patient already in hospital
 |  |  | 9 | Transferred for PCI/Surgery
 |  |  | 10 | Transferred for initial treatment
 |  |  | 11 | Other |  |  | option 11 introduced 2005
 |  |  | 12 | Inter hospital transfer |  |  | 0ption 12 introduced 2007 for return of patient from interventional hospital
 |  |  | 99 | Unknown
 | 2.03 | ECG determining treatment |  |  | 9 | 2011 | These changes were made to align with BCIS
 |  |  | 0 | No acute changes |  |  | option 0. now includes 6. Normal ECG (V8.1)
 |  |  | 1 | ST segment elevation
 |  |  | 2 | Left bundle branch block
 |  |  | 3 | ST segment depression
 |  |  | 4 | T wave changes only
 |  |  | 5 | Other acute abnormality |  |  | Option 5. includes the term 'acute' not present in v8.1
 |  |  | 6 | Normal ECG |  |  | option 6 removed 2011; see option 0
 |  |  | 9 | Unknown
 | 2.04 | Where was aspirin/other antiplatelet given?
 |  |  | 1 | Already on aspirin / antiplatelet drug |  | 2000 | The term [NAME] drug added to each option 2005
 |  |  | 2 | Aspirin / antiplatelet drug given out of hospital
 |  |  | 3 | Aspirin / antiplatelet drug given after arrival in hospital
 |  |  | 4 | Aspirin / antiplatelet contraindicated
 |  |  | 8 | Not given
 |  |  | 9 | Unknown
 | 2.05 | Previous AMI |  |  | 5.x | 2003
 |  |  | 0 | No |  |  | The previous history fields were introduced in 2003, and replaced a composite field having these options: None;Previous AMI; Previous angina; Hypertension;Diabetes; Hyperlipidaemia; Peripheral vascular disease; Asthma.  This was because the original failed to distinguish between blank and unknown
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.06 | Previous angina |  |  | 5.x | 2003 | replacing above
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.07 | Hypertension |  |  | 5.x | 2003 | replacing above
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.08 | Hypercholesterolaemia |  |  | 5.x | 2003 | replacing above
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.09 | Peripheral vascular disease |  |  | 5.x | 2003 | replacing above
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.10 | Cerebrovascular disease |  |  | 5.x | 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.11 | Asthma or COPD |  |  | 5.x | 2003 | replacing above
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.12 | Chronic renal failure |  |  | 5.x | 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.13 | Heart failure |  |  | 5.x | 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.14 | Cardiac markers raised? |  |  | 2.8 | 2000
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.15 | Serum cholesterol |  |  | 2.8 | 2000
 | 2.16 | Smoking status |  |  |  | 2003 | Replaced CDS408 Current smoker (2000) having options Yes; No ; Not known
 |  |  | 0 | Never smoked
 |  |  | 1 | Ex smoker
 |  |  | 2 | Current smoker
 |  |  | 3 | Non smoker - smoking history unknown
 |  |  | 9 | Unknown
 | 2.17 | Diabetes |  |  | 5.x | 2003 | previously in composite field
 |  |  | 0 | Not diabetic
 |  |  | 1 | Diabetes (dietary control)
 |  |  | 2 | Diabetes (oral medicine)
 |  |  | 3 | Diabetes (insulin)
 |  |  | 4 | Newly diagnosed idabetic |  |  | original option 4. Newly diagnosed diabetic removed and merged with 0. Not known diabetic in 2007
 |  |  | 5 | Insulin plus oral medication |  |  | option 5 introduced 2007
 |  |  | 9 | Unknown
 | 2.18 | Previous PCI |  |  | 5.x | 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.19 | Previous CABG |  |  | 5.x | 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.20 | Systolic BP |  |  | 5 | 2002
 | 2.21 | Heart rate |  |  | 5 | 2002
 | 2.22 | Admitting consultant |  |  | 2.8 | 2000
 |  |  | 0 | Cardiologist
 |  |  | 1 | Other general physician
 |  |  | 9 | Other
 |  |  | 99 | Unknown
 | 2.23 | Place first 12 lead ECG performed |  |  | 6.2 | 2005
 |  |  | 1 | Ambulance
 |  |  | 2 | In hospital
 |  |  | 3 | Other healthcare facility
 |  |  | 9 | Unknown
 | 2.24 | Beta blocker use |  |  | 6.2 | 2005
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.25 | ACEI or ARB use |  |  | 6.2 | 2005
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.26 | Statin use |  |  | 6.2 | 2005
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.27 | Clopidogrel use | 0 | No | 6.2 | 2005 | Replaced by 2.38, a generic data field for all thienopyridines 2009 v8.1
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.28 | Serum glucose |  |  | 6.2 | 2005
 | 2.29 | Height |  |  | 6.2 | 2005
 | 2.30 | Weight |  |  | 6.2 | 2005
 | 2.31 | Left ventricular ejection fraction |  |  | 6.2 | 2005
 |  |  | 1 | Good |  |  | >=50%   (in 2007) |  | The numeric values were originally the option titles; v7 onwards used the descriptive terms
 |  |  | 2 | Moderate |  |  | 30-49%
 |  |  | 3 | Poor |  |  | <30%
 |  |  | 8 | Not assessed
 |  |  | 9 | Unknown
 | 2.32 | Family history of CHD |  |  | 6.2 | 2005
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.33 | Cardiological care during admission |  |  | 7 | 2007
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.34 | Creatinine |  |  | 7 | 2007
 | 2.35 | Haemoglobin |  |  | 7 | 2007 | 2013.  Value conversion to G/L
 | 2.36 | Site of infarction |  |  | 7 | 2007
 |  |  | 1 | Anterior
 |  |  | 2 | Inferior
 |  |  | 3 | Posterior
 |  |  | 4 | Lateral
 |  |  | 5 | Indeterminate
 |  |  | 9 | Unknown
 | 2.37 | ECG QRS complex duration |  |  | 8.1 | 2009
 |  |  | 1 | QRS complex duration >= 120 msec
 |  |  | 2 | QRS complex duration <120 msec
 |  |  | 9 | Unknown
 | 2.38 | Thienopyridine inhibitor use |  |  | 8.1 | 2009
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 2.39 | Admission method |  |  | 9.1 | 2011 | Replaces 2.02
 |  |  | 1 | Direct admission via emergency service
 |  |  | 2 | Self presenter to this hospital
 |  |  | 3 | Already in this hospital
 |  |  | 4 | Inter-hospital transfer for specific treatment
 |  |  | 5 | Repatriation after coronary intervention
 |  |  | 6 | Other
 |  |  | 9 | Unknown
 | 2.4 | Patient location at time of STEMI |  |  | 9.1 | 2011 | Added in collaboration with BCIS, but essentially reduplicates existing MINAP options |  | See modified (clarified?) definition from 2013
 |  |  | 1 | Onset of STEMI while patient not in hospital (STE on first ECG)
 |  |  | 2 | STE first recorded on a subsequent ECG in, (or before arrival at) a non-interventional hospital
 |  |  | 3 | STE first recorded on a subsequent ECG in, (or before arrival at) the interventional hospital
 |  |  | 8 | Not applicable
 |  |  | 9 | Unknown
 | 2.41 | [NAME] class |  |  | 9.1 | 2011
 |  |  | 1 | No evidence of heart failure
 |  |  | 2 | Basal crepitations and/or elevated venous pressure
 |  |  | 3 | [NAME] oedema
 |  |  | 4 | Cardiogenic shock
 |  |  | 8 | Not applicable
 |  |  | 9 | Unknown
 | 2.42 | Stress Echo | 0 | No |  | 2013
 |  |  | 1 | Yes
 |  |  | 2 | Planned after discharge
 |  |  | 8 | Not indicated
 |  |  | 9 | Unknown
 | 3.01 | Date/time of symptom onset |  |  | 2.8 | 2000
 | 3.02 | Date/time of call for help |  |  | 2.8 | 2000
 | 3.03 | Date/time of arrival of first responder |  |  | 5 | 2002
 | 3.04 | Date/time of arrival of ambulance |  |  | 2.8 | 2000
 | 3.05 | Ambulance Job Number |  |  |  | 2000
 | 3.06 | Date/time arrival at hospital |  |  |  | 2000
 | 3.07 | Was reperfusion attempted | 1 | Thrombolytic drug | 2.8 | 2000 | 2005 option 6. Facilitated PCI added
 |  |  | 2 | Primary PTCA |  |  | 2005 option 7. Additional dose of lytic added
 |  |  | 3 | Rescue PTCA (in house) |  |  | Replaced by 3.39 / 3.40 in v7 2007
 |  |  | 4 | Referred for rescue PTCA elsewhere
 |  |  | 5 | Reperfusion not attempted
 |  |  | 9 | Not known
 | 3.08 | Reason reperfusion treatment not given |  |  | 2.8 | 2000
 |  |  | 0 | None |  |  | option 0. None added  in V6.2 2005
 |  |  | 1 | Ineligible ECG
 |  |  | 2 | Too late
 |  |  | 3 | Risk of haemorrhage
 |  |  | 4 | Uncontrolled hypertension
 |  |  | 5 | Administrative failure
 |  |  | 6 | Elective decision
 |  |  | 7 | Patient refused treatment
 |  |  | 8 | Other |  |  | option 10. Primary PCI performed added (inappropriately)  to [NAME] and removed from V7 2007
 |  |  | 9 | Unknown
 | 3.09 | Date/time of reperfusion treatment |  |  | 2.8 | 2000
 | 3.10 | Delay before treatment |  |  | 5 | 2002
 |  |  | 0 | No
 |  |  | 1 | Sustained hypertension
 |  |  | 2 | Clinical concern about recent cerebrovascular event or surgery
 |  |  | 3 | Delay obtaining consent
 |  |  | 4 | Initial ECG ineligible
 |  |  | 5 | Cardiac arrest
 |  |  | 6 | Obtaining consent for therapeutic trial |  |  | 2005
 |  |  | 7 | Hospital administrative failure |  |  | 2005
 |  |  | 8 | Ambulance procedural delay |  |  | 2005
 |  |  | 9 | Other |  |  | note use of 9. Other (normally reserved for Not known)
 |  |  | 10 | Ambulance 12 lead ECG not diagnostic of STEMI |  |  | 2005
 |  |  | 11 | Consideration of primary PCI |  |  | 2005
 |  |  | 12 | Ambulance administrative delay |  |  | 2005
 |  |  | 13 | Cath lab access delayed |  |  | 2007 | note that BCIS does not use any justification for delay except presence of cardiogenic shock and ?need for pacing
 |  |  | 14 | Delay in activating cath lab team |  |  | 2007
 |  |  | 15 | Pre-PCI complication |  |  | 2007
 |  |  | 16 | Equipment failure |  |  | 2007
 |  |  | 17 | Convalescent STEMI |  |  | 2013.  New option. See definition
 | 3.11 | Where was initial reperfusion treatment given? |  |  | 2.8 | 2000
 |  |  | 0 | No reperfusion attempted
 |  |  | 1 | Before admission to hospital
 |  |  | 2 | In A&E
 |  |  | 3 | In CCU (direct admission)
 |  |  | 4 | In CCU (slowtrack)
 |  |  | 5 | Elsewhere in hospital
 |  |  | 6 | Cath lab |  |  | Added v5 2007
 |  |  | 9 | Unknown
 | 3.12 | Whose iinitial decision to reperfuse? | 0 | No reperfusion attempted | 2.8 | 2000 | Removed as redundant v8.1 2009
 |  |  |  |  |  |  | This version differed from the original 1999 CDS (below) which was not used for data collection
 |  |  | 1 | Specialist nurse |  |  | 1. Specialist nurse
 |  |  | 2 | A&E clinician |  |  | 2. A&E clinician
 |  |  | 3 | Member of on-call medical team |  |  | 3. House physician
 |  |  | 4 | Member of on-call cardiology team |  |  | 4. Medical SHO
 |  |  | 9 | Not known |  |  | 5. SpR or senior clinician
 |  |  |  |  |  |  | 9. Not known
 | 3.13 | Cardiac arrest date/time - FIRST ARREST ONLY |  |  | 2.8 | 2000
 | 3.14 | Cardiac arrest location |  |  | 2.8 | 2000
 |  |  | 1 | No arrest
 |  |  | 2 | Before ambulance arrival
 |  |  | 3 | After ambulance arrival
 |  |  | 4 | A&E
 |  |  | 5 | CCU
 |  |  | 6 | Medical ward
 |  |  | 7 | Elsewhere in hospital
 |  |  | 8 | Catheter lab |  |  | Added v6.2 2005
 | 3.15 | Arrest presenting rhythm |  |  | 2.8 | 2000
 |  |  | 1 | Asystole
 |  |  | 2 | VF/pulseless VT
 |  |  | 3 | EMD
 |  |  | 9 | Unknown
 | 3.16 | Outcome of arrest |  |  | 2.8 | 2000
 |  |  | 1 | No return of circulation
 |  |  | 2 | Return of spontaneous circulation but died in hospital
 |  |  | 3 | Discharged from hospital (with neurological deficit)
 |  |  | 4 | Discharged from hospital (no neurological deficit)
 |  |  | 5 | Resuscitation not attempted
 |  |  | 6 | Transferred to another hospital |  |  | Added v6.2 2005
 |  |  | 9 | Unknown
 | 3.17 | Admission ward |  |  | 2.8 | 2000
 |  |  | 1 | Cardiac care unit
 |  |  | 2 | Acute admissions unit
 |  |  | 3 | General medical ward
 |  |  | 4 | Intensive therapy unit
 |  |  | 5 | Other
 |  |  | 6 | Died in A&E
 |  |  | 7 | Cardiac ward (non CCU)
 |  |  | 8 | Stepdown ward
 |  |  | 9 | Unknown
 | 3.18 | Peak CK |  |  | 4 | 2001 | Removed as redundant v8.1 2009
 | 3.19 | Peak Troponin |  |  | 4 | 2001 | see 3.37 |  | 2013. Revised, simplified definition
 | 3.20 | Unfractionated heparin |  |  | 5.x | 2003 |  | .
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 3.21 | Low molecular weight heparin |  |  | 5.x | 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 3.22 | Thienopyridine platelet inhibitor |  |  | 5.x | 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 3.24 | IV 2b/3a agent |  |  | 5.x | 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 3.25 | IV beta blocker |  |  | 5.x | 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 3.27 | Calcium channel blocker |  |  | 5.x | 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 3.28 | IV nitrate |  |  | 5.x | 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 3.29 | Oral nitrate |  |  | 5.x | 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 3.30 | Potassium channel modulator |  |  | 5.x | 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 3.31 | Warfarin |  |  | 5.x | 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 3.32 | [NAME] converting enzyme inhibitor or angiotensin receptor blocker (ARB) |  |  | 5.x | 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 3.33 | Thiazide diuretic |  |  | 5.x | 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 3.34 | Loop diuretic |  |  | 5.x | 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 3.36 | Thrombolytic drug |  |  | 5.x | 2003
 |  |  | 1 | Streptokinase
 |  |  | 2 | Alteplase
 |  |  | 3 | Reteplase
 |  |  | 4 | Tenecteplase
 | 3.37 | Troponin assay |  |  | 6.2 | 2005
 |  |  | 1 | Troponin I
 |  |  | 2 | Troponin T
 |  |  | 3 | High sensitivity Troponin T |  |  | 2011. option 3. High sensitivity troponin T added
 |  |  | 4 | high sensitivity Troponin I |  |  | 2013 option 4 introduced 2013
 |  |  | 9 | Unknown
 | 3.38 | Fondaparinux |  |  | 7 | 2007
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 3.39 | Initial reperfusion treatment |  |  | 7 | 2007
 |  |  | 0 | None
 |  |  | 1 | Thrombolytic treatment
 |  |  | 2 | pPCI in house
 |  |  | 3 | Referred for consideration for pPCI elsewhere
 |  |  | 4 | pPCI already was peformed at the interventional hospital |  | 2013 | This option is redundant; see 4.29
 |  |  | 9 | Unknown
 | 3.40 | Additional reperfusion treatment |  |  | 7 | 2007
 |  |  | 0 | None
 |  |  | 1 | Rescue PCI in house
 |  |  | 2 | Referred for rescue PCI elsewhere
 |  |  | 3 | Facilitated PCI
 |  |  | 4 | Additional dose of thrombolytic
 | 3.41 | In patient management of hyperglycaemia/diabetes |  |  | 7 | 2007 | There have been no variations
 |  |  | 0 | None |  |  | Prior to 2007 there were two candidate fields for management of hyperglycaemia with options (below). These were introduced [NAME], and initially not widely used. They had the following options; |  |  | 2013.  0. None See revised definition
 |  |  | 1 | Glucose insulin regime
 |  |  | 2 | Insulin pump |  |  | 1. DIGAMI regime used
 |  |  | 3 | Multi dose insulin |  |  | 2. Insulin pump
 |  |  | 4 | Other pre-admission insulin regime |  |  | 3. Multidose insulin
 |  |  | 5 | Oral medication only |  |  | 4. Any other insulin regime
 |  |  | 7 | Diet only |  |  | 5. None of the above
 |  |  | 9 | Unknown |  |  | 6. Not applicable (patient not diabetic)
 |  |  |  |  |  |  | 9. Unknown
 | 3.42 | Diabetic therapy at discharge
 |  |  | 0 | None | 7 | 2007 | 0. None
 |  |  | 1 | Multi dose insulin regime |  |  | 1. DIGAMI regime
 |  |  | 2 | Other insulin regime |  |  | 2. Another insulin regime
 |  |  | 3 | Oral medication |  |  | 3. Oral medication / diet
 |  |  | 4 | Insulin plus oral medication |  |  | 4. Not applicable
 |  |  | 5 | Diet only |  |  | 9. Unknown
 |  |  | 6 | Not applicable
 |  |  | 9 | Unknown
 | 3.43 | Oral beta blocker |  |  | 8.1 | 2009
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 3.44 | Aldosterone antagonist |  |  | 8.1 | 2009
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 3.45 | Bivalirudin |  |  | 10 | 2013
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 2 | Contraindicated
 |  |  | 8 | Not indicated
 |  |  | 9 | Unknown
 | 3.46 | Date/time of arrival at non interventional hospital |  |  | 8.1 | 2009
 | 3.47 | Assessment at non interventional hospital |  |  | 8.1 | 2009
 |  |  | 0 | No contact with a non interventional hospital
 |  |  | 1 | Patient remains in ambulance
 |  |  | 2 | A&E
 |  |  | 3 | Acute assessment unit
 |  |  | 4 | CCU / cardiac facility
 |  |  | 5 | Self referral
 |  |  | 6 | Already in hospital
 |  |  | 7 | Other
 |  |  | 9 | Unknown
 | 3.48 | Assessment at interventional centre |  |  | 8.1 | 2009
 |  |  | 1 | Assessed in A&E
 |  |  | 2 | Acute assessment unit
 |  |  | 3 | CCU / cardiac facility
 |  |  | 4 | Catheter laboratory
 |  |  | 5 | Already in hospital
 |  |  | 9 | Unknown
 | 3.49 | Intended reperfusion procedure |  |  | 8.1 | 2009
 |  |  | 0 | None
 |  |  | 1 | Primary PCI
 |  |  | 2 | Rescue PCI
 |  |  | 3 | Thrombolytic treatment
 |  |  | 4 | Other coronary intervention
 |  |  | 9 | Unknown
 | 3.5 | Procedure performed |  |  | 8.1 | 2009
 |  |  | 1 | No angiogram
 |  |  | 2 | Angiogram but no PCI
 |  |  | 3 | Angiogram and PCI
 |  |  | 9 | Unknown
 | 3.51 | Why was no angiogram performed? |  |  | 8.1 | 2009
 |  |  | 0 | Not applicable |  |  | Clarification; it became clear that 0. Not applicable was widely being used when angiography had been performed, (determined by the fact that PCI had also been carried out) and NOT for the intended purpose that was to identify patients who had contraindications to angiography such as advanced malignancy or other severe co-morbidity likely to have an immediate impact on prognosis.  As option 5 also covered co-morbidities, the original intention was ambiguous.  Therefore, option 0 now indicates that a procedure has been performed, and option 5. now covers the initial purpose of option 0.
 |  |  | 1 | Diagnosis not ACS
 |  |  | 2 | Patient refused
 |  |  | 3 | Patient died
 |  |  | 4 | Complication before angio could be performed
 |  |  | 5 | Angio inappropriate due to co-morbidity
 |  |  | 6 | Technical failure
 |  |  | 7 | Lab unavailable
 |  |  | 8 | Other
 |  |  | 9 | Unknown
 | 3.52 | Why was no intervention performed? |  |  | 8.1 | 2009 | As above
 |  |  | 0 | Not applicable
 |  |  | 1 | Patient refused
 |  |  | 2 | Patient died
 |  |  | 3 | Complication before PCI could be performed
 |  |  | 4 | PCI felt to be inappropriate
 |  |  | 5 | Angiographically normal coronaries / mild disease / Infarct Related Vessel unclear
 |  |  | 6 | Surgical disease
 |  |  | 7 | Technical failure
 |  |  | 8 | Other
 |  |  | 9 | Unknown
 | 3.53 | Date/time of start of insulin infusion |  |  | 10.3.1 | 2013
 | 4.01 | Date of discharge |  |  | 2 | 2000
 | 4.02 | Discharge diagnosis
 |  |  | 1 | Myocardial infarction (ST elevation)
 |  |  | 2 | Myocardial infarction (non ST elevation) |  |  | 2009.  option 2 removed and all troponin positive non ST elevation infarctions are covered by option 4.
 |  |  | 3 | Threatened MI
 |  |  | 4 | Acute coronary syndrome (troponin positive)/ nSTEMI
 |  |  | 5 | Acute coronary syndrome (troponin negative)
 |  |  | 6 | Chest pain of uncertain cause
 |  |  | 7 | Myocardial infarction (unconfirmed)
 |  |  | 8 | Other diagnosis
 |  |  | 9 | Takotsubo Cardiomyopathy |  |  | 2013.  see definition
 |  |  | 10 | Acute coronary syndrome (troponin unspecified) |  |  | 2007.  Option removed
 |  |  | 11 | PCI related infarction |  |  | 2013 See definition
 | 4.03 | Bleeding complications |  |  | 5.x | 2003
 |  |  | 0 | None |  |  | Option 0. None introduced 2007
 |  |  | 1 | Intracranial bleed
 |  |  | 2 | Retroperitoneal haemorrhage |  |  | Text of options 3-5 reworded 2007; originals below
 |  |  | 3 | Any bleed with Hb fall > 5g |  |  | 3. Any other spontaneous bleed with Hb fall >= 5g or Hct >15% |  | 2013  Haemoglobin now in G/L
 |  |  | 4 | Any bleed with Hb fall > 3g and < 5g |  |  | 4. Bleed from any non-intracranial or non-retroperitoneal site with Hb fall >3g and <5g.
 |  |  | 5 | Any bleed with Hb fall <3 g |  |  | 5. Bleed from any non-intracranial or non-retroperitoneal site with Hb fall <=3 g.
 |  |  | 9 | Unknown
 | 4.04 | Death in hospital |  |  | 5.x | 2003
 |  |  | 0 | No
 |  |  | 1 | From MI
 |  |  | 2 | From complication of treatment
 |  |  | 3 | Other non cardiac related cause
 |  |  | 4 | Other cardiac cause |  |  | option 4. introduced 2005
 |  |  | 9 | Unknown
 | 4.05 | Discharged on beta blocker |  |  | 5.x | 2003 | Initial version 2.8 (2000) had options 1. Yes, 2. No, 3. Contraindicated, 9 Not known.  Options were correctly reallocated in 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 2 | Contraindicated
 |  |  | 3 | Patient declined treatment |  |  | option 3 introduced 2005
 |  |  | 4 | Not applicable |  |  | option 4 introduced 2007
 |  |  | 8 | Not indicated
 |  |  | 9 | Unknown
 | 4.06 | [NAME] converting enzyme inhibitor or angiotensin receptor blocker |  |  | 5.x | 2003 | Initial version 2.8 (2000) had options 1. Yes, 2. No, 3. Contraindicated, 9 Not known.  Options were correctly reallocated in 2003 |  | 2013 Field name change. Discharged on angiotensin converting enzyme inhibitor or angiotensin receptor blocker
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 2 | Contraindicated
 |  |  | 3 | Patient declined treatment |  |  | option 3 introduced 2005
 |  |  | 4 | Not applicable |  |  | option 4 introduced 2007
 |  |  | 8 | Not indicated
 |  |  | 9 | Unknown
 | 4.07 | Discharged on statin |  |  | 5 | 2003 | Initial version 2.8 (2000) had options 1. Yes, 2. No, 3. Contraindicated, 9 Not known.  Options were correctly reallocated in 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 2 | Contraindicated
 |  |  | 3 | Patient declined treatment |  |  | option 3 introduced 2005
 |  |  | 4 | Not applicable |  |  | option 4 introduced 2007
 |  |  | 8 | Not indicated
 |  |  | 9 | Unknown
 | 4.08 | Discharged on aspirin |  |  | 5 | 2003 | Initial version 2.8 (2000) had options 1. Yes, 2. No, 3. Contraindicated, 9 Not known.  Options were correctly reallocated in 2003
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 2 | Contraindicated
 |  |  | 3 | Patient declined treatment |  |  | option 3 introduced 2005
 |  |  | 4 | Not applicable |  |  | option 4 introduced 2007
 |  |  | 8 | Not indicated
 |  |  | 9 | Unknown
 | 4.09 | Cardiac rehabilitation |  |  | 2.8 | 2000
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 3 | Patient declined |  |  | option 3 introduced 2005
 |  |  | 8 | Not indicated |  |  | option 8 introduced 2005
 |  |  | 9 | Unknown
 | 4.10 | Exercise test |  |  | 2.8 | 2000
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 2 | Planned after discharge
 |  |  | 8 | Not indicated |  |  | option 8 introduced 2005
 |  |  | 9 | Unknown
 | 4.11 | Echocardiography |  |  | 2.8 | 2000
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 2 | Planned after discharge
 |  |  | 8 | Not indicated |  |  | option 8 introduced 2005
 |  |  | 9 | Unknown
 | 4.12 | Radionuclide study |  |  | 2.8 | 2000
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 2 | Planned after discharge
 |  |  | 8 | Not indicated |  |  | option 8 introduced 2005
 |  |  | 9 | Unknown
 | 4.13 | Coronary angiography |  |  | 2.8 | 2000
 |  |  | 1 | Protocol driven investigation performed in this hospital
 |  |  | 2 | Symptom driven investigation performed in this hospital
 |  |  | 3 | Protocol driven investigation performed at another hospital
 |  |  | 4 | Symptom driven investigation performed at another hospital
 |  |  | 5 | Planned after discharge
 |  |  | 6 | Not applicable |  |  | option 6 introduced 2007
 |  |  | 7 | Patient refused |  |  | option 7 introduced 2007
 |  |  | 8 | Not performed
 |  |  | 9 | Unknown
 | 4.14 | Coronary intervention |  |  | 2.8 | 2000
 |  |  | 1 | Percutaneous coronary intervention
 |  |  | 2 | CABG
 |  |  | 3 | Planned after discharge |  |  | This non specific option covered PCI and CABG and was withdrawn 2007
 |  |  | 4 | PCI planned after discharge |  |  | option 4 introduced 2007
 |  |  | 5 | CABG planned after discharge |  |  | option 5 introduced 2007
 |  |  | 6 | Not applicable |  |  | option 6 introduced 2009
 |  |  | 7 | Patient refused |  |  | option 7 introduced 2009
 |  |  | 8 | Not performed or arranged
 |  |  | 9 | Unknown
 | 4.15 | Date of referral for investigation/intervention |  |  |  | 2003 |  |  | 2013 Field name change.   Date/time of referral for investigation/intervention
 | 4.16 | Discharge destination |  |  |  | 2003
 |  |  | 1 | Home
 |  |  | 2 | Other hospital
 |  |  | 3 | Convalescence
 |  |  | 4 | Death
 |  |  | 8 | Other specialty in same hospital
 |  |  | 9 | Unknown
 | 4.17 | Daycase transfer date |  |  |  | 2003
 | 4.18 | Local angio date |  |  |  | 2003 |  |  | 2013 Field name change.  [NAME] date/time
 | 4.19 | Local intervention date |  |  |  | 2003
 | 4.20 | Interventional centre code (originally Referral Centre) |  |  |  | 2003
 | 4.21 | Referring hospital code |  |  |  | 2005
 | 4.23 | Followed up by |  |  |  | 2005
 |  |  | 1 | Cardiologist
 |  |  | 2 | Non cardiologist
 |  |  | 3 | No follow up |  |  | option 3 introduced 2009
 |  |  | 4 | Not applicable |  |  | option 4 introduced 2009
 |  |  | 9 | Unknown
 | 4.24 | Reinfarction
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 9 | Unknown
 | 4.25 | Discharged on clopidogrel |  |  |  | 2005 | Superseded by 4.27 in 2009
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 2 | Contraindicated
 |  |  | 3 | Patient declined treatment
 |  |  | 8 | Not indicated
 |  |  | 9 | Unknown
 | 4.26 | Date of return to referring hospital
 | 4.27 | Discharged on a thienopyridine inhibitor |  |  | 8.1 | 2009
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 2 | Contraindicated
 |  |  | 3 | Patient declined treatment
 |  |  | 4 | Not applicable
 |  |  | 8 | Not indicated
 |  |  | 9 | Unknown
 | 4.28 | Discharged on an aldosterone antagonist |  |  | 8.1 | 2009
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 2 | Contraindicated
 |  |  | 3 | Patient declined treatment
 |  |  | 4 | Not applicable
 |  |  | 8 | Not indicated
 |  |  | 9 | Unknown
 | 4.29 | What procedure was performed at the interventional hospital? |  |  | 8.1 | 2009
 |  |  | 0 | No angio or primary reperfusion treatment performed
 |  |  | 1 | Angiogram only
 |  |  | 2 | Primary angioplasty
 |  |  | 3 | Rescue angioplasty
 |  |  | 4 | CABG
 |  |  | 5 | Thrombolytic treatment
 |  |  | 9 | Unknown
 | 4.3 | Delay to performance of angiogram |  |  | 10.3.1 | 2013
 | 4.31 | Discharged on Ticagrelor |  |  | 10.3.1 | 2013
 |  |  |  | 0. No
 |  |  |  | 1. Yes
 |  |  |  | 2. Contraindicated
 |  |  |  | 3. Patient declined treatment
 |  |  |  | 4. Not applicable
 |  |  |  | 8. Not indicated
 |  |  |  | 9. Unknown
 | 4.32 | High risk nSTEMI |  |  | 10.3.1 | 2013
 |  |  |  | 0. No
 |  |  |  | 1. Yes
 |  |  |  | 9. Unknown
 | 5.1 | Smoking cessation advice given
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 2 | Planned in rehab |  |  | option 2 introduced 2011
 |  |  | 3 | Not  applicable
 |  |  | 9 | Unknown
 | 5.2 | Dietary advice given during this admission
 |  |  | 0 | No
 |  |  | 1 | Yes
 |  |  | 3 | Planned in rehab |  |  | option 3 introduced 2011
 |  |  | 4 | Not applicable
 |  |  | 9 | Unknown