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CAT4 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 osteoporosisThe patients listed in the report can have Osteoporosis, so I am not sure why this was in the BRS? Who are the patients targeted asides from the criteria below are is that all?and 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.

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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 program.


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

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Item

Column Name

Display value or format

1

Surname

Patients full surname

2

First name

Patient full first name

3

Sex

F or M

4

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

Y or blank (nothing displayed)

5

Experienced a fracture since age of 50

Y or blank (nothing displayed)

6

Osteoporosis

Y or blank (nothing displayed)

7

Minimum Trauma Fracture

Y or blank (nothing displayed)

8

Received bone active medication in the last 5yrs

Y or blank (nothing displayed)

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

Y or blank (nothing displayed)

12

Smoking

Smoking status from the clinical system or blank

13

Coeliac Disease

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)


CKD displays stages of CKD (indicated or diagnosed) as well as likelihood of the indication based on the extracted pathology
results.

  • Indicated Staging of CKD
  • Color code for the Clinical Action Plan to manage CKD

Patients on dialysis are displayed as 'level 5' CKD.

Colour codes and their meaning:

Red
•Clinical Action Plan to be monitored 1-3 monthly

Orange
•Clinical Action Plan to be monitored 3-6 monthly

Yellow
•Clinical Action Plan to be monitored 12 monthly

For more information refer to Kidney Health Australia web site and the CKD Guideline Booklet available at www.kidney.org.au
Detection of CKD requires follow up testing once an abnormal result is recorded. The outcome of 3 tests over a 3 month
period will inform a diagnosis. CAT4 is only using the most recent eGFR and ACR, not the last 3 results. This will

•inform a diagnosis if 3 tests have been done or
•flag that a patient should be recalled for follow up testing if there are not 3 results in the Patient Record.


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

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