The most recent qualifier is used for each CAT measurement. The value of the qualifier and the date it was recorded is exported to CAT. Some measurements have an additional flag for service incentive payments. This flag is set if the particular measurement has been recorded in the previous six months and the previous six months before that.
Pathology Results
Pathology Results must be received in atomised HL7 format in order for the results to be picked up by Communicare and processed automatically into qualifiers. 'Atomised' format means that the HL7 results contain the data in predefined coded segments. The test name and LOINC (Logical Observation Identifiers Names & Codes) code are the important data the extraction tool looks for.
If an investigation request is matched to a result which is known to have certain qualifiers associated with it, these qualifiers will be linked through to the investigation result. This allows qualifiers that were automatically imported (via LOINC codes) to be reviewed while reviewing the result itself.
Numeric and true/false qualifiers are supported. Numeric qualifiers receive the numeric value coded by the laboratory in the result. True/false qualifiers receive the 'Abnormal' flag coded by the laboratory in the result. This means that the qualifier will record whether the lab declared the result to be abnormal, not the actual text returned by the lab.
CAT Measurement | Communicare Qualifier |
|---|---|
Waist | 'Waist Circumference' or any qualifier with system code WCM |
Cholesterol | 'Total Cholesterol Level' or any qualifier with system code CHO |
HDL | 'HDL level' or any qualifier with system code HDL |
LDL | 'LDL Level' or any qualifier with system code LDL |
Triglycerides | 'Triglyceride Level' or any qualifier with system code TRG |
Creatinine | 'Creatinine' or any qualifier with system code CRU |
Urinary creatinine | 'Urinary creatinine' or any qualifier with LOINC code 14683-7 |
Microalbumin | 'Albumin' or any qualifier with system code ALB |
ACR (Microalbumin Creatinine Ratio) | 'ACR (Alb/Creat Ratio)' or any qualifier with system code ACR |
HbA1c | 'HbA1c' or any qualifier with system code HBA |
BP - Systolic | 'BP - Systolic blood pressure' or any qualifier with system code BPS |
BP - Diastolic | 'BP - Diastolic blood pressure' or any qualifier with system code BPD |
HbA1c | 'HbA1c' or any qualifier with system code HBA |
INR | 'INR (International Normalised Ratio)' or any qualifier with system code INR |
Random Blood Glucose | 'Blood glucose level - random' or any qualifier with system code BGR |
Fasting Blood Glucose | 'Blood glucose level - fasting' or any qualifier with system code BGF |
Height | 'Height' or any qualifier with system code HCM |
Weight | 'Weight' or any qualifier with system code WKG |
CAT Measurement | Communicare Qualifier |
|---|---|
Birth Weight | Birth Weight from patient biographics. If this is not recorded, uses qualifier with system code WGK) recorded on day of birth. |
BMI | 'BMI' or any qualifier with system code BMI |
Haemoglobin | 'Haemoglobin' or any qualifier with system code HBH |
Protein Creatinine Ratio | 'PCR (Protein/Creatinine Ratio)' or any qualifier with system code PCR |
Chlamydia Test | 'Chlamydia result abnormal' or any qualifier with system code XCL |
HIV Test | 'HIV result abnormal' or any qualifier with system code XHI |
Gonorrhoea Test | 'Gonorrhoea result abnormal' or any qualifier with system code XGN |
Syphilis Test | 'Syphilis result abnormal' or any qualifier with system code XSY |
Eye Exam | 'Eye Exam' or any qualifier with export code of EYEEXAM |
Foot Exam | 'Foot Exam' or any qualifier with export code of FOOTEXAM |
Pap Smear | 'PAP smear done' or any qualifier with export code of PAPSMEAR |
| Physical Activity | Dropdown list type qualifiers with system code = ‘EXL’. Export codes on dropdown list selected becomes the value exported to CAT. The standard Communicare distribution uses “Exercise Level” as the qualifier. Dropdown list values map:
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