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The Pen CS CAT4 software product provides easy access to reporting relating to patients that have osteoporosis risk factors . The report will list all patients that have no coded diagnosis of osteoporosis, but meet risk factors relating to the diseaseand gives the users a simple list of patients at risk and all of their available risk factors in one report. This report can be filtered further or downloaded to use for recall lists, reporting or further analysis.

The report will apply the following mandatory default filter requirements when populating the list of patients.

  • Patients over 70 years of age and never had a DXA,

Or

  • Patients over 70 years of age who or have not had a DXA within the last 2 years

Or

  • Patients that have experienced a fracture since the age of 50

Users can add other filters to further narrow down the patients shown in the report by using the standard CAT4 filters. More details on how to filter data can be found here: DATA FILTERING

We have added a new report for all users showing DEXA screening, the details can be found here: DEXA screening

Information on the data mapping can be found here: REFRAME Data Mapping

The report can be accessed by licensed users only by using the 'Programs' icon in on top of the dashboardscreen. The dashboard programs icon will be active for users participating in any particular program and greyed out for all others.


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A click on the programs icon will open the programs window which will show all programs the user is licensed for, in the example below the Amgen REFRAME Osteoporosis program.


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Clicking on the program icon will open CAT4 and show the relevant report called REFRAME Osteoporosis.

This will open CAT4 with the REFRAME Osteoporosis report tab open. The report applies a filter with the following criteria.:

  • Patients over 70 years of age and older and never had a DXA, or have not had a DXA within the last 2 years

...

  • Patients that have experienced a fracture since the age of 50


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In addition to the report tab, a new filter tab will be available when the REFRAME program is selected. This new filter tab is under the Programs heading and is called 'REFRAME Osteoporosis'. It allows you to filter for patients with lapsed osteoporosis medication (>12mths <5yrs) in addition to the report criteria described above.


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The following columns will be displayed within the report and populated if the data is stored within the patients recorded in a coded format. Columns listed below are in order and displayed from left to right within the report.


Item

Column Name

Display value or format

1

Surname

Patients full surname

2

First name

Patient full first name

3

Sex

F or M
AgeAge in Years

4

>70yrs and no DXA or >2yrs since last DXA

Sex

F or M

Y or blank (nothing displayed)

5

Experienced a fracture since age of 50

Y or blank (nothing displayed)

Providerregular GP, based on visits in last 18 months

5

DEXA

Date of last DEXA

6

Osteoporosis

Y

or blank (nothing displayed)

7

Minimum Trauma Fracture

Osteoporosis Diagnosis

Date of diagnosis

Y

or blank (nothing displayed)

8

Received bone active medication in the last 5yrs

Y or blank (nothing displayed)

Fracture Type


9Fracture Date

10

Osteoporosis MedicationType of Medication

9

Glucocorticoid drug class >7.5mg per day for >3 months

Y or blank (nothing displayed)

10

BMI <20

Y
or blank (nothing displayed)
11

hyperthyroidism

Osteoporosis Medication DateLast prescribing date
Y
or blank (nothing displayed)
12

Smoking

Smoking status from the clinical system
GPMPDate of last GP Management Plan or blank

13

Coeliac Disease

>75/s HADate of last Health Assessment claim or blank
Y or blank (nothing displayed)
14

Primary Hyperparathyroidism

Y or blank (nothing displayed)

15

Previous treatment with aromatase inhibitor drug class

Y or blank (nothing displayed)

16

History of poor calcium intake

Y or blank (nothing displayed)

17

History of low vitamin D

Y or blank (nothing displayed)

18

Inflammatory conditions associated with bone loss

Y or blank (nothing displayed)

19

CKD - this is not consistent with the mapping guide

Using the same rules that apply within the 'Indicated CKD

with no diagnosis' Cleansing CAT Report, details are

here: Report Details

20

Diagnosis Sarcopenia

Y or blank (nothing displayed)

Recalledcustom field for user entries
15Attended Appointmentcustom field for user entries
16Notescustom field for user entries



The following functionality found also within the Cleansing CAT reports will be made available and functional within the REFRAME – Osteoporosis report:

  • double click on a patient name to open the patient in the clinical system
  • Page number selection
  • Export buttonPrev
  • Page number select option and Go button
  • Next Page button


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The Export button will provide all information displayed in the report to save as Excel, PDF or MS Word file:


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