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The indications tab will display notifications for four chronic conditions based on the following rules:

Indicated Diabetes with no Diagnosis

The "Indicated Diabetes with no Diagnosis" prompt will display the likelihood of Diabetes based on HbA1c, Anti-diabetic Medication and/or FBG being recorded in the patient record without a diagnosis:
•Red = likely
•Orange = possible
•Yellow = flag for review

Red: ANY of the following
•HbA1c >= 6.5
•OR HbA1c recorded AND on an Anti-diabetic Medication
•OR FBG > 7

Orange: ANY of the following
•HbA1c >6 and <6.5
•OR on an Anti-diabetic Medication excluding Metformin

Yellow : ANY of the following
•on Metformin


Medications need to be long term to be included.

 

Indicated CKD with no Diagnosis

The "Indicated CKD with no Diagnosis" prompt displays patients where the staging of CKD, as determined by the combined results of kidney function (eGFR) and kidney damage (the level of albuminuria using ACR), indicates the possibility of CKD.
The report displays:

  • eGFR, ACR and the resulting Indicated Staging of CKD
  • Color code for the Clinical Action Plan to manage CKD
  • Other CKD Risk Factors

Patients on dialysis are displayed as 'level 5' CKD.


Red
•Clinical Action Plan to be monitored 1-3 monthly

Orange
•Clinical Action Plan to be monitored 3-6 monthly

Yellow
•Clinical Action Plan to be monitored 12 monthly

Indicated Mental Health with no Diagnosis

The "Indicated Mental Health with no diagnosis" prompt will display the likelihood of a Mental Health condition based on a mental health medication or a mental health care plan being recorded in the patient record without a diagnosis:
•Red = likely
•Orange = possible

RED:
•Has a Mental Health Care Plan MBS Item number claimed (2700, 2701, 2715, 2717 or previous 2702 or 2710)

ORANGE:
•On a Mental Health Medication

 

Indicated COPD with no Diagnosis

The "Indicated COPD with no diagnosis" prompt will display the likelihood of COPD based on tiotropium medication or an adverse spirometry reading being recorded in the patient record without a diagnosis:
•Red = likely
•Orange = possible

Chronic Kidney Disease

RED:
Spirometry of FEV1/FVC < 0.7 and FEV < 50% predicted (High risk)

ORANGE:
•Spirometry of FEV1/FVC < 0.7 and FEV >= 50% predicted (Low risk)
•OR On a Tiotropium Medication

Last available eGFR and/or ACR result

Indicated Diabetes

Last available HbA1c and/or FBG and/or current prescription of antidiabetic drugs

Indicated Mental Health

Current mental health drug prescription and/or mental health related MBS item claimed

Indicated COPD

Current prescription for Tiotropium and/or last available spirometry results