Demographic

Medical Director Mapping

Gender

Patient Details screen > Sex

Ethnicity

Patient Details screen > ATSI >  Drop down list for Aboriginal and/or TSI, non ATSI, Not Recorded



Patient Details screen > Ethnicity > ... button will open up a list of countries/ethnicities. Multiple selections can be made



DVA

Patient Details Screen >
the Pension Status set to 'Full DVA' or 'Limited DVA'
or the DVA No. field has a value

Age

Patient Details screen > DOB

Last Visit / Activity

Progress screen > Checks entries on previous visits list
Last Visit = the most recent date recorded
Active = 3 or more entries recorded in the last 2 years

Note: The progress screen in Medical Director is used by some practices to record non clinical contacts,
for example, when a recall letter is sent. These contacts cannot be distinguished from clinical contacts by CAT. To correctly
record a non clinical visit please use the 'Practice Admin' visit type in MD3.



Postcode

Patient Details screen > Postcode

Allergy

Patient Details > Allergies tab

Allergy Recorded

An Allergy Item is present

No Known Allergies

The 'No Known Allergies' check box is checked

Nothing Recorded

No Allergy Items are present and the 'No Known Allergies' check box is unchecked

Family History

Family/Social Hx tab - any entry (free text) in the Family History box will be counted
 

Smoking

Patient Details > Smoking tab >

[Note that smoking data from the Diabetes record is not used. Adding data to the diabetes record does not update
the smoking tab which is taken as the primary MD smoking data.]

Daily Smoker

Smoker = Smoker is selected and frequency is daily

Irregular Smoker

Smoker = Smoker is selected and frequency is not daily

Ex Smoker

Smoker = Ex-Smoker is selected

Never Smoked

Smoker = Never smoked is selected

Nothing Recorded

Smoker has nothing selected

State of Change Assessment

Not ready = not ready

Unsure = Intends to quit

Ready = Ready

Recent quitter = Other

Review Date

Date of Assessment
[Note that this date only gets updated if something on the screen is changed]

Alcohol

Patient Details > Alcohol tab >

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

Date of Assessment
[Note that this date only gets updated if something on the screen is changed]

Measurements /Pathology *

 

BMI

Clinical > Diabetes Record > Add Values or Assessment
OR
Tools > Weight Calculator

Waist

Tools > Weight Calculator

Birthweight

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 Obstetric tab
the 'Past Pregnancy' button will open a new window where the details of the baby, including the birth weight, can be entered.



FBG (BSLF)

Clinical > Diabetes Record > Add Values or Assessment
OR
Pathology HL7 results with LOINC codes 14771-0, 14996-3

Cholesterol

Clinical > Diabetes Record > Add Values or Assessment
OR
Pathology HL7 results

HDL

Clinical > Diabetes Record > Add Values or Assessment
OR
Pathology HL7 results

LDL

Clinical > Diabetes Record > Assessment
OR
Pathology HL7 results

Triglycerides

Clinical > Diabetes Record > Add Values or Assessment
OR
Pathology HL7 results

Creatinine

Clinical > Diabetes Record > Add Values or Assessment
OR
Pathology HL7 results

Urinary creatinine

Pathology HL7 results with LOINC code 14683-7

Microalbumin

Clinical > Diabetes Record > Assessment (Microalbumin in units mg/L)
OR
Pathology HL7 results

ACR (Microalbumin Creatinine Ratio)

Clinical > Diabetes Record > Assessment (Microalbumin ratio)
OR
Pathology HL7 results with LOINC code 32294-1, 30000-4,
9318-7 or 14959-1 (units mg/mmol or g/mol)
OR calculated from Microalbumin and Urinary Creatinine if results are on the same day

HbA1c

Clinical > Diabetes Record > Add Values or Assessment
OR
Pathology HL7 results
OR
Additional test name 'Blood haemoglobin A 1 c'

BP

Clinical > Diabetes Record > Add Values or Assessment
OR
Tools > BP Monitor > Sitting

Respiratory – Spirometry

Tools > Toolbox > Respiratory Calculator > FEV1 and FVC post values
(entered manually or collected via a device)

Please note that currently on POST results are extracted by CAT4

INR

Tools > Toolbox > INR Record > INR

Physical Activity

Assessment > Physical Activity (or running man icon)
A physical activity assessment is deemed as done if either an assessment or a prescription is recorded.
Where an assessment has been done, if the score is > 5 the patient meets the physical activity guidelines,
otherwise they do not meet the guidelines.

We are reporting:

  • Low (< 3 points) = Sedentary
  • Nearly there (>=3 points) = Insufficient
  • Active (>=5 points) = Sufficient

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
or with test names Faecal Occult Blood ,Faecal occult blood screening, Faecal Occult Blood Test, FOB,
FOBT, Occult blood – faeces, Stool occult blood test, OCCULT BLOOD, faecal human haemoglobin,
Insure FOBT, FOBT1, FOBT2, FOBT3, FOB1, FOB2, FOB3, Faecal Occult Blood1, Faecal Occult Blood2,
Faecal Occult Blood3, BOW, IFOBT, OCCULT BLOOD (OCB-0), OCCULT BLOOD (OCB-1), OCCULT BLOOD (OCB-2),
OCB NATIONAL SCREENING, FHB, FAECAL BLOOD, %FOBT%, %OCCULT%, Faecal Immunochemical Test,
FAECAL HAEMOGLOBIN


FOBT test orders are extracted with any of the test names above. The % indicates a wild card search which will pick up any
test name with FOBT or OCCULT in the name.

If no FOBT test is displayed on your list of available tests on the pathology request screen, you can add a new test. Please
see here for details: Add Custom Pathology Requests to MD3

eGFR

Pathology HL7 results with LOINC code 33914-3
OR
Renal Function Calculator
OR
Calculation (Refer Clinical Audit User Guide – Part 2 Functionality)

Pap Smear

Female Patient Record > Smears tab

Recorded

An entry is present on the tab

Done Date

Date of most recent entry

 

Pathology HL7 Results

Recorded

True if a result exists

Done Date

Date of test result

Test Name

CAT checks for the test names in the list below:

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

1) Smear tab – ticked to exclude OR

2) Coded condition of Hysterectomy:

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 a

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:

  • Breast Mammogram Screening
  • Bilateral Mammography
  • Ultrasound Breast Bilateral
  • Wesley Breast Clinic Consultation Report
  • Mammogram
  • Mammogram-normal
  • Breast Mammography
  • Mammography - Bilateral
  • Mammogram Breastscreen NSW
  • Screening Mammogram - BreastScreen Queensland


To add a test name manually to the Results tab in MD3 and right click in the results area to bring up the 'Add' option:

Then add one of the test names above and save the result (there has to be some text in the result field but CAT4
will only extract the test name from the 'Subject' field:

Diseases

 

Condition

Past History screen > Checks the condition selected on history items, where Conditions are
selected from a coded list.


Refer to the Appendices for a list of conditions mapping to each CAT condition.

Medications

 

Medication

Current Rx screen >
Checks the Drugs listed, where Drugs are selected from a coded list

Refer to the Appendices for a list of medications mapping to each CAT medication.

Medication Count

Current Rx screen > Counts All Drugs listed as current medications


* Refer to pathology note at the start of this manual