As the eligibility criteria for this recipe are quite comprehensive this recipe will show how to find those patients meeting all or most of the criteria. We provide other recipes showing how to find patients based on a single eligibility criteria on our My Health For Life recipe page here: My Health For Life Recipes

CAT Start screen

 RECIPE Steps Filters:

• In the Start Age box type 45 to only show patients older than 45.
• If you want to search for indigenous patients older than 18 you will have to also apply the ‘Indigenous’ filter on the ‘Ethnicity’ tab. See here for full details: Ethnicity Filter)
• In the "General" filter tab click on 'Active (3x in 2yrs)' - OPTIONAL as this will only show those patients with at least 3 visits in the last 2 years

• Click on "Conditions" tab under Diabetes select “No”
• Select "No" for Heart Failure
• Select “No” for all conditions listed under the CVD group
• Select “No” for “Chronic Renal Failure”

• Click on the 'Date Range (Results) filter to only show results that have been recorded in a specified date range, in this case in the last 24 months. This will move all patients with results older than 24 months to the 'not recorded' part of the reports and avoids listing patients with old results.

We have now created a filter to find patients older than 45, with no diagnosis of diabetes, Heart Failure, CVD or chronic renal disease. All of these patients may be eligible for the My Health For Life program. To see a list of all patients, click “Recalculate”

This will most likely produce a large list of patients, in this case more than 3000 patients. Further filters can be applied to reduce the number of patients found, for example only active patients (3 visits in 2 years) or only patients who have been to the clinic in the last 6 months can be selected by adding to the filter criteria.

As this recipe is targeting patients meeting all or most of the eligibility criteria, we will now add additional reports/filters to only show those patients most at risk.

My Health for Life eligibility also includes patients with the following conditions or pathology results. They need to be older than 18 years old and meet at least one of the conditions or pathology results listed below:

• Previously diagnosed gestational diabetes*
• Familial hypercholesterolaemia
• High cholesterol (on cholesterol lowering medication)
• High blood pressure (generally 3 separate readings ≥140/90 by a GP)

Adding Filters

Familial Hypercholesterolemia

• without clearing your filters, click on the Conditions/Other tab and then on "Yes" under familial hypercholesterolaemia

Taking lipid modifying medication

This will only show patients who are currently taking Statins or other lipid modifying medications, for details check the mapping guides for your clinical system (example MD3 medication mapping: Medications Data Category Mappings MD3)

• on the Medication tab, click on 'Medications/Heart' and then tick the 'Yes' under Lipid M/fying

Adding Measures/Pathology

High BP

• click on the "Measures/BP" tab and then on the '>140/90' part of the graph to select it

High Cholesterol

• Click on the "Pathology/Lipids/Cholesterol" tab and select the parts of the graph higher than 5.5:

Combining high BP and high Cholesterol

You will notice that both report tabs have a next to the report title. This indicates that you have selected one or more parts of a graph.

To combine the selections, click on the "Report" icon. For more information on cross-tabulation see our user guide here: Cross Tabulation Report

This will create a cross-tabulated report showing only those patients older than 18 with no diabetes, CVD or CKD, taking lipid modifying medications and with a high BP AND a high Cholesterol in the last two years. In my example there are only 19 patients - these would be at high risk and benefit from being referred to the My Health for Life program as soon as possible.

You can modify the above steps by applying less or more filters - depending on which patients you want to find.