Spreadsheet: 2558acbc-2026-4549-9fed-54371cd56ee0
Sheet: Sheet1

Revision of MINAP dataset December 2010 | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6
 |  |  |  |  | Change | Suggested new number
1.09 | Patient admin status | 1 | NHS | NHS patient, including overseas visitors charged under Section 121 of the NHS Act 1977 as amended by Section 7(12) and (14) of the Health and Medicine Act 1988. | Change definition to BCIS definition
 |  | 2 | Private | A private patient is any patient whose care is not funded by the NHS, wherever that care is delivered | Change definition to BCIS definition
 |  | 3 | Amenity | Amenity patient, one who pays for the use of a single room or small ward in accord with section 12 of the NHS Act 1977, as amended by section 7(12) and (14) of the Health and Medicine Act 1988 | Change definition to BCIS definition
 |  | 4 | Other |  | Remove option
 |  | 5 | Visitor |  | Remove option
1.12 | Patient ethnic group |  |  | The patient's ethnic group as perceived by the patient. | New field Patient ethnicity with new options. | 1.13
 |  | 1 | White | Includes British, Irish, any other White background.
 |  | 2 | Black | Includes Caribbean, African, Black British, any other Black background.
 |  | 3 | Asian | Includes Indian, Pakistani, [NAME], Asian British, any other Asian background.
 |  | 5 | Mixed | Includes White and Black Caribbean, White and Black African, White and Asian, any other mixed background.
 |  | 6 | Not stated | Where the patient cannot or does not wish to state his/her ethnic background.
 |  | 8 | Other | Includes Chinese, any other ethnic group.
 |  | 9 | Unknown
2.02 | Method of admission |  |  |  | New field Admission method with new options | 2.39
 |  | 1 | Direct admission via emergency service | Implies arrival by ambulance, helicopter.
 |  | 2 | Self presenter to this hospital | Implies that the patient made their own way (public transport, brought by relative etc,.) to hospital.  Includes those advised to do so by GP.
 |  | 3 | Already in this hospital | If the patient is already in hospital with another diagnosis it is only necessary to enter the date of symptom onset and the date of arrival at hospital.  Use if patient is admitted from a Rapid Access Chest Pain Clinic.
 |  | 4 | Inter-hospital transfer for specific treatment | Specifically covers transfer to specialist centre for proposed treatment (other than 5).
 |  | 5 | Repatriation after coronary intervention | Return from interventional centre (usually after pPCI)
 |  | 6 | Other
 |  | 9 | Unknown
2.03 | ECG determining treatment
 |  | 0 | No acute changes | ECG is normal or unchanged from one recorded before this admission. | New option
 |  | 5 | Other abnormality | Other ECG abnormality related to this acute event. | Change option to Other acute abnormality
 |  | 6 | Normal ECG |  | Remove option
2.14 | Cardiac markers raised? |  |  | Identifies if cardiac biomarkers are raised during the acute phase of this admission. The local reference limit should be confirmed with your clinical chemistry department. | Change in title of field to Cardiac markers raised and change of definition.
 |  | 0 | No | An absence of any rise in cardiac bio-markers (usually troponin) to a value above the 99th centile of the upper reference limit for the assay used. | Change in definition
 |  | 1 | Yes | A rise in cardiac bio-markers (usually troponin) with at least one value above the 99th centile of the upper reference limit for the assay used. | Change in definition
2.17 | Diabetes | 0 |  | Not diabetic | Change definition to Not known diabetic
 | Patient location at time of STEMI |  |  | The purpose of this field is to permit identification of STE MI not originating in the community, in order that such patients can be excluded, where appropriate, from call to needle and call to balloon analyses | New field | 2.4
 |  | 1 | Onset of STEMI while patient not in hospital (STE on first ECG) | This implies that ST elevation was found on first ECG performed in an ambulance or other medical facility (GP surgery etc) before arrival at the first hospital or on the first ECG recorded in hospital for a self presenter.  If no ECG was taken prior to admission and first ECG recorded in hospital  shows ST elevation then it should be assumed that STEMI  developed before reaching hospital. This option should also be selected where an ECG was not considered diagnostic before admission, but STE is diagnosed on arrival at A&E.
 |  | 2 | STE first recorded on a subsequent ECG in, (or before arrival at) a non-interventional hospital | The word subsequent applies to any ECG taken after an initial non-diagnostic ECG was performed at the non-interventional hospital.  This group of patients will have arrived in hospital without a diagnosis of STE MI, and then develop ST segment elevation after hospital admission. The subsequent ECG may be at any time after admission to hospital.  This option covers a spectrum from patients initially presenting with features consistent with ACS who go on to develop STEMI through to patients who are admitted for some other condition who develop STEMI while in hospital.
 |  | 3 | STE first recorded on a subsequent ECG in, (or before arrival at) the interventional hospital | The word subsequent applies to any ECG taken after an initial non-diagnostic ECG was performed at the interventional hospital.  This group of patients will have arrived in hospital without a diagnosis of STE MI, and then develop ST segment elevation after hospital admission. The subsequent ECG may be at any time after admission to hospital.  This option covers a spectrum from patients initially presenting with features consistent with ACS who go on to develop STEMI through to patients who are admitted for some other condition who develop STEMI while in hospital.
 |  | 9 | Unknown
 | [NAME] class |  |  | A part of the GRACE score.  The worst category developing during the admission should be used. | New field | 2.41
 |  | 1 | No evidence of heart failure
 |  | 2 | Basal crepitations and/or elevated venous pressure
 |  | 3 | [NAME] oedema | Extensive lung crepitations consistent with pulmonary oedema, or confirmatory X ray evidence.
 |  | 4 | Cardiogenic shock | Hypotension, poor tissue perfusion and oliguria due to venticular dysfunction in the presence of raised filling pressures.
 |  | 8 | Not applicable | Where patient dies or is transferred early in the event.
 |  | 9 | Unknown
3.09 | Date/time of reperfusion treatment |  |  | The time of onset of lytic treatment, whether infusion or injection. The time the first device is used in coronary artery (balloon, stent or extraction catheter). It is not the time the angioplasty guidewire is first introduced, even if this restores flow. | New definition in line with BCIS.
3.19 | Peak troponin level |  |  |  | [NAME] 3.2 to 4.2 to allow for high sensitivity troponin assay.
3.37 | Troponin assay | 3 | High sensitivity Troponin T |  | New option
3.42 | Diabetic therapy at discharge
 |  | 4 | Insulin plus oral medication |  | New option
 |  | 6 | Not applicable |  | Change definition. For patients who die or are transferred to another hospital
3.51 | Why no angio performed
 |  | 0 | Not applicable |  | Change definition to: Where angiography has been performed
 |  | 5 | Angio inappropriate due to co-morbidity |  | Change definition to Patient co-morbidity made angio inappropriate. For use where there is advanced malignancy, dementia, progressive neurological disease or other conditions having an immediate impact on prognosis.  Includes other clinical reasons identified by the clinician.
3.52 | Why no intervention performed
 |  | 0 | Not applicable |  | Change definition to: Where pPCI or other coronary intervention has been performed
4.22 | Patient case record at referring hospital |  |  |  | Remove field
4.27 | Discharged on thienopyridine inhibitor | 8 | Not indicated |  | New option
4.28 | Discharged on aldosterone antagonist | 8 | Not indicated |  | New option
5.1 | Smoking cessation | 2 | Planned in rehab |  | New option
5.2 | Dietary advice | 9 | Unknown |  | New option