Notes:
INITIAL PATIENT CONTACT DATE AND TIME is derived from the e-Government Interoperability Framework (e-GIF) Data Elements date and time.

This is the Initial Patient Contact Date and Initial Patient Contact Time of an Acute Myocardial Infarction Care Spell initiated by the PATIENT.

The time of the initial call by PATIENT, relative or attendant. This may be to a GENERAL PRACTITIONER, NHS Direct, or the ambulance service.

This time may be available from the ambulance service record as the time of the emergency call, but may only be correct when a 999 call is made to the Ambulance service. Identify to whom the initial call was made. If the call was to a GENERAL PRACTITIONER (or deputising service), or NHS Direct, establish this time as accurately as possible from the PATIENT. An important time to record wherever possible for standard 6 of the National Service Framework for Coronary Heart Disease (NSF CHD).

Initial Patient Contact Date is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 16 'Initial Patient Contact Date'.

Initial Patient Contact Time is an ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is National Code 58 'Initial Patient Contact Time'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Care Spell'.

Central Cardiac Audit Database (CCAD) item name:
Date/time of call for help

This data element is also known by these names:

Context	Alias
plural	INITIAL PATIENT CONTACTS DATE AND TIME