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This report allows customisation of the displayed demographic items by using the 'Show/Hide Colums' button highlighted above. When clicked, the additional options are displayed:

 

Indicated CKD with no Diagnosis Report

The "Indicated CKD with no Diagnosis" Report displays patients where the staging of CKD, as determined by the combined results of kidney function (eGFR) and kidney damage (the level of albuminuria using ACR), indicates the possibility of CKD.
The report displays:

  • eGFR, ACR and the resulting Indicated Staging of CKD
  • Color code for the Clinical Action Plan to manage CKD
  • Other CKD Risk Factors

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

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

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Indicated Diabetes with no Diagnosis Report

The "Indicated Diabetes with no Diagnosis" Report will display the likelihood of Diabetes based on HbA1c, Anti-diabetic Medication and/or FBG being recorded in the patient record without a diagnosis:
•Red = likely
•Orange = possible
•Yellow = flag for review

Red: ANY of the following
•HbA1c >= 6.5
•OR HbA1c recorded AND on an Anti-diabetic Medication
•OR FBG > 7

Orange: ANY of the following
•HbA1c >6 and <6.5
•OR on an Anti-diabetic Medication excluding Metformin

Yellow : ANY of the following
•on Metformin

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Indicated Mental Health with no Diagnosis Report

The "Indicated Mental Health with no diagnosis" Report will display the likelihood of a Mental Health condition based on a mental health medication or a mental health care plan being recorded in the patient record without a diagnosis:
•Red = likely
•Orange = possible

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RED:
•Has a Mental Health Care Plan MBS Item number claimed (2700, 2701, 2715, 2717 or previous 2702 or 2710)

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ORANGE:
•On a Mental Health Medication

The report displays
•MH medication, MH MBS item numbers and the resulting likelihood
•Chronic disease co-morbidities
•Other MH risk factors
Pen CS wishes to acknowledge the input of Noel Stewart from NEVDGP and his work in the use of CAT to manage patients with chronic disease and mental health conditions in the creation of this report.

 
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Indicated COPD with no Diagnosis Report

The "Indicated COPD with no diagnosis" Report will display the likelihood of COPD based on relevant respiratory medication or an adverse spirometry reading being recorded in the patient record without a diagnosis:
•Red = likely
•Orange = possible

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RED:
Spirometry of FEV1/FVC < 0.7 and FEV < 50% predicted (High risk)

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ORANGE:
•Spirometry of FEV1/FVC < 0.7 and FEV >= 50% predicted (Low risk)
•OR COPD medication (excluding relievers)

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COPD Management Tiotropium

(LAMA)

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Generic Name:

Tiotropium

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COPD Management - Other

(LAMA)

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Trade Name:

BRETARIS GENUAIR (ACLIDINIUM)

SEEBRI BREEZHALER (GLYCOPYRRONIUM)

INCRUSE ELLIPTA (UMECLIDINIUM)

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COPD LABA Medications

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ONBREZ BREEZHALER (INDACATEROL)

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COPD LAMA/LABA Medications

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SPILOTO RESPIMAT (Tiotropium/Olodatererol)

BRIMICA GENUAIR (Aclidinium/Formoterol)

ULTIBRO BREEZHALER (Indacaterl/glycopyrroium)

ANORO ELLIPTA (Umeclinium/vilannterol

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Indicated Osteoporosis with no Diagnosis

The "Indicated Osteoporosis with no diagnosis" prompt will display when a patient meeting the criteria below is opened in the clinical system. The likelihood of the patient having osteoporosis rises from Yellow over Orange to Red as per the table below.

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Red - Likely

•  Aged > 50 with a coded history of a Minimal trauma fracture)

•  On treatment and without a cancer diagnosis

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Orange – Possible

•  On treatment (Medication)
and with a coded history of a Minimal trauma
fracture and with a cancer diagnosis

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Yellow – Review

•  On treatment (Medication) and with a cancer diagnosis

The report will provide the following fields:

•  Surname
•  First name
•  Date of Birth
•  Indication Date
•  Sex
•  Age
•  Minimal Trauma Fracture (Type)
•  Treatment (Y/N)
•  Cancer (Y/N)
•  Vitamin D
•  BMD (Date)
•  Assigned Provider

The following medications are currently considered:

  • Bisphosphonates: alendronate, risedronate, zoledronic acid, pamidronate
  • Selective oestrogen modulating drugs: raloxifene
  • RANK Lipid Inhibitors: denosumab, stronitium ranelate
  • Anabolic drigs: teriparatide or pamathyroid tumor hormone (1-34)

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Medication review for Diabetes with elevated HbA1c

The "Medication review > Diabetes with elevated HbA1c" Report will display patients with Type 2 Diabetes whose HbA1c is not being controlled on their current Antidiabetic medications.
Patients will appear on the report where they meet the following criteria:
•Diabetes Type 2
•HbA1c > 8%
The report will display the Antidiabetic medications the patient is currently taking:

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Oral Hyperglycaemics
•Number of OHA Classes
•List of OHA Classes

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Injectables
•GLP-1
•Insulin

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Accessing a Patient Record (All Reports)

To access a patient record, double-click anywhere on the row containing the patient's details within the displayed report. This will open the patient record within the appropriate clinical system.
Note: The clinical system must be open and logged in for the above step to complete. If the clinical system is not open, an alert message will pop up requesting the clinical system be started.
Clinical systems where this functionality is currently provided are
•Medical Director
•Best Practice
•Zedmed
Other clinical systems are planned to be added.

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Condition Does Not Exist Option

CAT4 has an option to remove a patient from the Cleansing View reports by confirming that a particular condition does not exist. This will stop the patient from appearing on the Cleansing View and Cleansing App in Topbar. Only users of Topbar and CAT4 can use this option as it uses the Topbar server to store the information. CAT4 needs to be linked to Topbar in the Edit/Preferences/Topbar settings to activate this function, the details are provided here: Linking CAT4 to Topbar

Excluding patients can be done in CAT4 by using the Cleansing View or in Topbar in the Cleansing App. This guide describes the process for CAT4, please refer to the Cleansing App for Topbar users.
The following reports allow users to exclude patients from future reports and notifications:

  • Indicated CKD with no diagnosis
  • Indicated Diabetes with no diagnosis
  • Indicated Mental Health with no diagnosis
  • Indicated COPD with no diagnosis
  • Indicated Osteoporosis with no diagnosis
Warning

If a patient has new results such as pathology or medications that indicate the condition exists after a patient has been reviewed, the patient will appear again on the 'indicated condition' report. For example:

  1. A patient taking anti-diabetic medication since many years but the patient doesn't have diabetes and has thus been removed from the 'indicated diabetes without diagnosis' report and the respective Topbar prompt
  2. This patient has a FBG and/or HbA1c done and the values indicate that the patient might have diabetes, but no diagnosis is recorded.
  3. Now the patient appears again on the 'indicated diabetes without diagnosis' report and will receive the prompt in Topbar

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