Page History
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The 'Adjusted' column will use the most recent visit on record as a starting point for the virtual patient and remove all other instances of patients with more than one visit. Then PAT CAT will find missing/incomplete fields for the patient in the data uploaded from other clinics and attempt to complete the virtual record.
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With PAT CAT version 3.3 and above we have introduced the following behaviour for a number of different patient statuses:
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For example if you have a patient who visited 3 clinics who all uploaded their data to PAT CAT and only one of the three clinics has a diagnosis of diabetes on file, PAT CAT will use the patient record with the most recent visit date. PAT CAT will then go through all reported indicators and check if there are results missing from the most recent record. Anything missing from the original record will be completed using data from the other visits of the patient. If there is more than one result available, the most recent one is used.
This creates a single virtual patient with all available and most up to date information from all clinics visited in the current reporting period.
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The adjusted column was not designed for this function but it can provide interesting data as it enables the PAT CAT user to see information about patient groups that has been entered at other clinics than the one filtered for. It does not provide information where the information was entered, but it might still be useful for some research.
Generally we don't recommend to use the adjusted data for report not when filtering by practice(s), but as the above example shows, there can be valuable information gained from this report when filtering for one practice.