Patient data is exported according to version 1.10 of the Pen Computer Systems Clinical Audit Tool specification.
However, the following features are currently out of scope:
For compliance with nKPI reporting the following additional patient data from version 1.15 IS EXPORTED and will be picked up by CAT:
Pregnancy – completed weeks at first antenatal visit (PI13)
The CAT export tool will export data from Communicare as of a reference date rather than the current date. By default, the reference date is set to the current date and time. The reference date can be set to a date in the past using the user interface, whereby all data occurring up to and including the reference date will be exported from Communicare. The time component of the reference date will be ignored except when run on today's date.
Running the CAT Export will generate a pair of XML files:
The reference date will form part of the XML filenames. For example:
MedicalMicrodata-DEMO_ALL_LOCALITIES-201105112359-650-v1_10-data.xml
For a date in the past, the time portion will always be '2359' (i.e. 11:59pm). For today's date, the current time will be used.
The reference date is also recorded in the XML. For example:
<extract_date>2011-05-11T23:59:00.000Z</extract_date>
Note: This is not the date and time the export is run, unless the reference date is today.
Patients in Communicare with status of 'Fictitious' or 'Non Patient' are excluded from the export. All other patients who have joined the practice prior to or on the reference date will be exported. Patient data such as status, age, allergies, and child age in months, are calculated relative to reference date.
If the patient is a child between 6 months and 7 years old, the CAT Export will calculate the child's immunisation status. If the child had no overdue 'immunisation' recalls and no overdue 'immunisation review' recalls, or had a completed 'immunisation review' recorded that matches the type (based on age) specified in Appendix G-7, then they are counted as 'fully immunised'.
CAT will flag fully immunised to true as follows:
The most recent smoking status and smoking review date prior to and including reference date are exported. See 'Appendix G-1' for information regarding smoking status mapping details.
The most recent alcohol data (alcohol status, consumption frequency and consumption amount), along with the alcohol review date (relative to reference date), are exported. See 'Appendix G-1' for information regarding alcohol data mapping details.
CAT Export will calculate the number of medications that had been prescribed as of the reference date, that had not been stopped or deleted, or were stopped or deleted only after the reference date.
A patient is considered 'active' if there have been at least three contact services (excluding No Client Contact services) provided in the two years prior to or on the reference date, by any provider.
The Communicare patient status that was current as of the reference date is submitted as a patient's status:
A patient is counted as pregnant if they have a clinical item recorded with system code of "PRE" and rule code of "PR-START" (normally Pregnancy Confirmed) recorded before the reference date and no clinical item recorded with system code "PRE" and rule code of "PR-END" (e.g. 'Normal vaginal delivery'), or one dated after the reference date. The values for the latest pregnancy LMP, gestation at birth, first antenatal visit, antenatal visits total, pregnancy statuses, and birth weights for this pregnancy are also exported.
Note: The Obstetrics tab will display 'Pregnancy outcome not recorded' or 'Pregnant (gestation unknown)' if the pregnancy gestation is >= 50 weeks or unknown, respectively. This status is not described in the export.
The following counts of services are calculated for each patient:
Each patient is exported with an Assigned Provider. This has no bearing on the activity status of the patient and is simply a means of trying to find the patient's regular doctor. The Enabled and Specialty properties of providers (and how often a patient has seen the provider) are used to determine Assigned Providers. See File | Reference Tables | Providers to view Enabled and Speciality properties of providers.
There are four rules for determining an assigned provider. If no provider is found from the first rule, the following rules are applied until a provider is found.
The CAT Export will export any diagnosis recorded on or previous to the reference date that has an ICPC code listed in the to the CAT Condition mapping table (see 'Appendix G-4'). If several diagnoses have been recorded for a patient that are in the same CAT Category, then only the earliest one of these is exported.
The CAT Export will export measurement data recorded for each of the exported patients that matches CAT measurement mappings. Only measures belonging to clinical items dated prior to or on the reference date will be exported. Measurements take precedence over procedures; in other words, if a concept has been recorded as both a procedure and measurement in a patient's clinical record, then the date of the measurement is exported in preference to the date of the procedure (even if the date of the procedure is more recent than the date of the measurement). See 'Measurements Mapping' for information regarding measure mapping details.
The CAT Export will export procedure data recorded for each of the exported patients that matches CAT procedure mappings. Only procedures belonging to clinical items dated prior to or on the reference date will be exported. Measurements take precedence over procedures; in other words, if a concept has been recorded as both a procedure and measurement in a patient's clinical record, then the date of the measurement is exported in preference to the date of the procedure (even if the date of the procedure is more recent than the date of the measurement). Procedures are only exported when there is no equivalent measurement to export. See 'Medication Mapping' for information regarding procedure mapping details.
The CAT Export will export medication data recorded for each of the exported patients that was prescribed on or before the reference date, and that matches CAT medication mappings. Only the latest medication from each medication group is listed. The active statuses of the medications are also calculated relative to the reference date e.g. a medication that was stopped after the reference date will be counted as active. See ' Medication Mapping' for information regarding medication mapping details.
The CAT Export will export immunisation data recorded for each of the exported patients as of the reference date that matches the CAT immunisation mappings. The immunisation data are grouped by the immunisation types. Note: An immunisation active status will always be set to 'True', unless it is a Fluvax immunisation that was done more than 12 months previous to the reference date. See 'Childhood or Adult Immunisations Mapping' for information regarding immunisation mapping details, and a definition of what is counted as a 'Fluvax' immunisation.
The CAT Export will export data for providers that were enabled as of the reference date. The total number of medications and the number of medications without reasons for each of the providers in the 3 months on or prior to the reference date are also exported.
The CAT Export will export MBS items for each patient that belongs to a service that occurred prior to or on the reference date. Only MBS items included in the mapping (see MBS Item Numbers Communicare Mapping), that have been recorded against a patient more than once are included; as are the most recent service date and provider.
The CAT Export will export certain patient related OSR (Online Services Report) data that occurred prior to or on the reference date. The following data (if available) is included:
Data | Related OSR Report |
---|---|
‘Stolen Generation’ generation
| SE-6, L-6 |
Number of contact episodes, excluding episodes while a client was in residential care.
providers with a speciality of 'transport worker' and services recorded using the Transport module.
| CS-1, CS-3 |
Number of contacts by worker type / specialty
| CS-2 |
Number of MBS (Medicare Benefits Schedule) Item 715 health checks Determined by counting the number of 715 Medicare claim items attached to a patient’s services.
| CS-4, MCH-1 |
Data | Related OSR Report |
---|---|
Number of alternative indigenous adult health checks
| CS-4 |
Number of MBS Item 721 GP chronic disease management plans
| CS-4 |
Number of alternative indigenous child health checks
| MCH-1 |
Number of MBS Item 10986 healthy kids checks
| MCH-1 |
Number of mothers antenatal checks
| MCH-2 |
Number of SEWB (Social and emotional wellbeing) Program funded contacts
| SE-6, SE-7 |
Number of Linkup Service contacts
| L6, L7 |
Number of contact episodes
| S-6 |
Data | Related OSR Report |
---|---|
Number of days spent in residence
| S-7, S-7a |
Number of residential treatment episodes
| S-7b |
Number of sobering up/residential respite/short-term episodes
| S-10, S-11 |
Number of non-residential/follow-up/aftercare episodes
Non-residential/follow-up/aftercare episodes is a count episodes that have at least one clinical item recorded in a service, excluding residential care and groups, as identified by export codes 'DR-ENROL', 'DA-SUOS', 'DA-ENROL', 'DR-EXIT', 'DA-EXIT' and any code ending '-GRP' and excluding records during a period of residence.
| S-13, S-14 |