The following fields are proposed as being the minimum compatible with the proposed uses of the database and the requirements for practicality. Where dates are requested for events and investigations, it is to be assumed that the date of the most recent episode is required. The design of the data entry screens for these fields will be such as to allow for as many tick box responses as possible with minimal typing in of data.
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Fields for Patient Identification (all of this data will be entered automatically by the GP clinical systems except for the consultant details) |
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Surname |
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Forename/Initial |
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Address |
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Postcode |
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Date of Birth |
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CHI Number |
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GP and Practice Code |
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Discharge Consultant and Hospital |
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Follow-up Consultant and Hospital |
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Diagnostic Fields |
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MI |
Y/N |
date (of most recent) |
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Symptomatic CHD |
Y/N |
date of diagnosis |
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Asymptomatic CHD |
Y/N |
date of diagnosis |
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Heart Failure |
Y/N |
date |
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Valvular Disease |
Y/N |
date of diagnosis |
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Risk Factor Fields |
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Smoking - |
never/former/current amount and date recorded |
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Hypertension - |
Y/N |
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Diabetes - |
Y/N |
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Hyperlipidaemia - |
Y/N and date of last lipid check |
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Family History - |
Y/N |
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Treatment or Intervention Fields |
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Aspirin - |
Y/N/Contra-indicated |
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Beta Blocker - |
Y/N/Contra-indicated |
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Statin - |
Y/N/Contra-indicated |
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ACE Inhibitor - |
Y/N/Contra-indicated |
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Exercise Test - |
date and result - normal/abnormal/inconclusive |
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Echocardiography - |
date and result - normal/abnormal |
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Angiography - |
date and result - normal/abnormal |
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PCTA |
Y/N |
date |
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CABG |
Y/N |
date |
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Thrombolysis given - |
/N/Contra-indicated and date and preparation |
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Cardiac Rehab - |
referred/completed/defaulted |
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Invisible Default Data from ISD Added Centrally |
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ISD Location Code |
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(GMC no of GP/consultant) |
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Health Board of Residence |
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