Demographic | Best Practice Data Mapping |
Gender | Open > Demographics screen > Sex
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Ethnicity | Open > Demographics screen >Drop down list for Aboriginal / TSI
When 'Other' is chosen, BP gives additional options for ethnicity. Only one option can be chosen:
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DVA | Open > Demographics screen > DVA No. has a value
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Age | Open > Demographics screen > DOB
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Last Visit / Activity | After entering notes on the 'Today's notes' tab, the visit will appear on the 'Past Visits' tab CAT will check the most recent date in the list Visits flagged as Type = Non Visit are excluded. Last Visit = the most recent date recorded Active = 3 or more visits recorded in the last 2 years Note: The past visits screen in Best Practice can be used by practices to record non clinical contacts, for example, when a recall letter is sent. These contacts must be flagged a type Non Visit to be excluded by CAT.
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Postcode | Open > Demographics screen > Postcode |
Family History | Main Patient Screen > Family & Social History any information entered on this form will be counted as family history information |
Allergy | Main Patient Screen > Allergies / Adverse Drug Reactions Box |
Allergy Recorded | An Allergy Item is present |
No Known Allergies | The ‘Nil Known’ check box is checked |
Nothing Recorded | No Allergy Items are present and the ‘Nil Known’ check box is unchecked |
Smoking | Main Patient screen > Open > Alcohol and Smoking History > Tobacco |
| Smoking Cessation | Patient would like cessation advice yes/no will be mapped to:
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Daily Smoker | Smoker = Smoker is selected |
Irregular Smoker | This option is not captured in Best Practice |
Ex Smoker | Smoker = Ex-Smoker is selected |
Never Smoked | Smoker = Never smoked is selected |
Nothing Recorded | Smoker has nothing selected |
Review Date | This will be the date something in the ‘Family & Social History’ section is changed. It is not possible to isolate Smoking changes. |
Alcohol | Main Patient screen > Open > Alcohol and Smoking History > Alcohol Frequency = days a week patient usually drinks alcohol |
Drinker | Frequency = any except Never |
Non Drinker | Frequency = Never |
Nothing Recorded | Alcohol tab has nothing selected |
Review Date | This will be the date something in the ‘Family & Social History’ section is changed. It is not possible to isolate Alcohol changes. |
Measurements /Pathology * | Best Practice Mapping |
BMI | Patient Record >Main Patient Screen > Observations screen
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Waist | Patient Record >Main Patient Screen > Observations screen
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| Birth weight | For the Maternal Health Care report, CAT can extract the birth weight of the child from two sources. One is the child's record, which needs the weight entered and the date backdated to the child's birthday - this will be picked up under the 'Patient Record' report. For the Mother's Antenatal report the birth weight of the child has to be recorded in the mother's record. Under the 'Past Pregnancy' on the 'Obstetric History' tab after adding the pregnancy outcome, BP will show a field for the birth weight of the child born.
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BSLF | Patient Record >Main Patient Screen > Observations screen OR Patient Record > Main Patient screen > Enhanced Primary Care > Diabetes Cycle of Care screen. OR Pathology HL7 results with LOINC codes 14771-0, 14996-3
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Cholesterol | Lipids data : Patient Record > Main Patient screen > Enhanced Primary Care > Diabetes Cycle of Care screen. OR Pathology HL7 results OR manually entered result
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HDL | |
LDL | |
Triglycerides | |
Creatinine | Patient Record > Main Patient screen > Enhanced Primary Care > Diabetes Cycle of Care screen. OR Pathology HL7 results OR manually entered result
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Urinary creatinine | Pathology HL7 results with LOINC code 14683-7
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Microalbumin | Patient Record > Main Patient screen > Enhanced Primary Care > Diabetes Cycle of Care screen. OR Pathology HL7 results
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ACR (Microalbumin Creatinine Ratio)
| Listed in the BP database as an ACR result (with the BP pathology code 17) OR one of these LOINC codes: 32294-1,30000-4,9318-7,14959-1 OR one of these result names: Alb/Cre, Alb/Creat, Albumin/Creatinine, Albumin/Creatinine Ratio, Urinary Albumin/Creatinine Ratio, Urinary Albumin/Creat Ratio, Microalbumin Ratio OR manually entered result
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HbA1c | Patient Record > Main Patient screen > Enhanced Primary Care > Diabetes Cycle of Care screen. OR Pathology HL7 results OR manually entered result OR Additional test name ‘Blood haemoglobin A 1 c’ |
BP | Patient Record > Main Patient screen either - opening the Observations screen, or - opening the Enhanced Primary Care > Diabetes Cycle of Care screen.
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Respiratory - Spirometry | Clinical > Respiratory function OR Today’s Notes >History and Examination > Respiratory > Calculator > FEV1 and FVC Please note that currently only POST results are extracted by CAT4 |
INR
| Clinical > INR Manager |
Physical Activity | Clinical > Physical Activity Prescription The prescription must be printed for it to be saved. A selected ‘current physical activity level’ of moderate or active meets the physical activity guidelines, otherwise they do not meet the guidelines. We report Inactive as sedentary, Moderate and Active as sufficient.
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FOBT
| Pathology HL7 results with LOINC code 2335-8, 27396-1, 14563-1, 14564-9, 14565-6, 12503-9, 12504-7, 27401-9, 27925-7, 27926-5, 57905-2,56490-6,56491-4,29771-3
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eGFR
| Pathology HL7 results with LOINC code 33914-3 OR Calculation (Refer Clinical Audit User Guide – Part 2 Functionality)
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Pap Smear | Best Practice Mapping |
| Female Patient Record > Main Patient Screen > Cervical Smears tab (Manual entry or Pathology HL7 results) |
Recorded | A smear test is listed |
Smear Date | Date of most recent entry |
Best Practice Pap Smear HL7 Mapping TEST NAME
Best Practice automatically recognises HL7 items as pap smear results if they are this list.
| CCSR CERVICAL CONVENTIONAL SMEAR CERVICAL CYTOLOGY CERVICAL SMEAR CERVICAL SMR CYTOLOGY GYNAECOLOGICAL CYTOLOGY GYNAECOLOGICAL (PAP-0) GYNAE CYTOLOGY GYNAECOLOGICAL CYTOLOGY GYNEA CYTOLOGY NON SCREENING PAP NON SCREENING SMEAR PAN-O PAP PAP (BALLARAT) PAP (GEELONG) PAP NS PAP SMEAR PAP SMEAR (PAN-0) PAP SMEAR +/- THIN PREP PAP SMEAR OLD PAP SMEARS PAP TEST PAP-0 (PAP SMEAR) PAPFU PAPR PAPR NS THIN PREP ONLY THINP VAG SM VAGINAL SMR VAULT CYTOLOGY VAULT SMEAR
Practices should check the test names appearing in the results tab and advise PCS if there is a test name that should be added to this list. |
Pap Smear Ineligible | Best Practice Mapping |
| Cervical Smears screen - tick-box ‘Not Required’ checked Coded condition of Hysterectomy: see Diagnosis Codes Screening Tests |
| Mammogram | If you are not receiving your results electronically, you will have to enter the test results manually using one of the names specified in the mapping guides. Please check the links below for details. Also please note that CAT4 can't pick up mammogram test from your conditions or past history list - it has to be a test name! Mammogram results are not sent electronically in all states, but if test names are entered manually into the results tab CAT4 will pick up that the test has been done. The following test names are recognised:
To manually add a mammogram result click on the 'Add' button under the 'Investigation report' tab, then enter one of the test names from above and complete the other fields. CAT4 will only extract the test name and date but no outcome/result.
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Disease | Best Practice Mapping |
Condition | Past History screen > Checks the condition selected on history items, where Conditions are selected from a coded list.
Refer to Appendix C-1 for a list of conditions mapping to each CAT condition.
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Medications | Best Practice Mapping |
Medication | Current Rx screen > Checks the Drugs listed as current medications, where Drugs are selected from a coded list.
Refer to Appendix C-2 for a list of medications mapping to each CAT medication.
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Medication Count | Current Rx screen > Counts All Drugs listed as current medications
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| My Health Record status | To update a patient's MHR status from unknown the 'My Health Record' menu needs to be accessed in BP. If no one has clicked on 'My Health Record' then CAT4 will list the status as 'unknown'.
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* Refer to pathology note at the start of this manual and Appendix