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A click on the programs icon will open the programs window which will show all programs the user is licensed for, in the example below the Amgen REFRAME Osteoporosis program.


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Clicking on the program icon will open CAT4 and show the relevant report called REFRAME Osteoporosis.

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  • Patients that have experienced a fracture since the age of 50


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In addition to the report tab, a new filter tab will be available when the REFRAME program is selected. This new filter tab is under the Programs heading and is called 'REFRAME Osteoporosis'. It allows you to filter for patients with lapsed osteoporosis medication (>12mths <5yrs) in addition to the report criteria described above.

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Minimum Trauma Y Y

CKD displays stages of CKD (indicated or diagnosed) as well as likelihood of the indication based on the extracted pathology
results.

  • Indicated Staging of CKD
  • Color code for the Clinical Action Plan to manage CKD

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

For this report CAT will ignore any diagnosis of Kidney disease and the displayed indicated stages are purely based on the
eGFR and ACR results in the patient record.

Colour codes and their meaning:

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

For more information refer to Kidney Health Australia web site and the CKD Guideline Booklet available at www.kidney.org.au
Detection of CKD requires follow up testing once an abnormal result is recorded. The outcome of 3 tests over a 3 month
period will inform a diagnosis. CAT4 is only using the most recent eGFR and ACR, not the last 3 results. This will

•inform a diagnosis if 3 tests have been done or
•flag that a patient should be recalled for follow up testing if there are not 3 results in the Patient Record.

For full details on the CKD stage calculation please see here: http://kidney.org.au/cms_uploads/docs/02_algorithm-for-inital-detection-of-ckd.pdf

Item

Column Name

Display value or format

1

Surname

Patients full surname

2

First name

Patient full first name

3AgeAge in Years

4

Sex

F or M

45AgeAge in Years

5

>=70yrs and no DXA or >2yrs since last DXA

Y or blank (nothing displayed)

Providerregular GP, based on visits in last 18 months

5

DEXA

Date of last DEXA

6

Experienced a fracture since age of 50

Y or blank (nothing displayed)

7

Osteoporosis Diagnosis

Y Date of diagnosis or blank (nothing displayed)

8

Fracture

Y or blank (nothing displayed)

9

Type



Fracture Date

Osteoporosis MedicationType of Medication

Received bone active medication in the last 5yrs

or blank (nothing displayed)

Osteoporosis Medication DateLast prescribing date

10

Glucocorticoid drug class >7.5mg per day for >3 months

or blank (nothing displayed)

11

BMI <20

Y or blank (nothing displayed)

12

hyperthyroidism

Y or blank (nothing displayed)

13

Smoking

Smoking status from the clinical system or blank

14

Coeliac Disease

Y or blank (nothing displayed)

15

Primary Hyperparathyroidism

Y or blank (nothing displayed)

16

Previous treatment with aromatase inhibitor drug class

Y or blank (nothing displayed)

17

History of poor calcium intake

Y or blank (nothing displayed)

18

History of low vitamin D

Y or blank (nothing displayed)

19

Inflammatory conditions associated with bone loss

Y or blank (nothing displayed)

20

CKD

Please see below for details on this indicator

21

Diagnosis Sarcopenia

Y or blank (nothing displayed)

22>=70yrs and no DXA or >5yrs since last DXAY or blank (nothing displayed)
23Lapsed Osteoporosis medication >12mths and <5yrsY or blank (nothing displayed)

GPMPDate of last GP Management Plan or blank

>75/s HADate of last Health Assessment claim or blank

Recalledcustom field for user entries

Attended Appointmentcustom field for user entries

Notescustom field for user entries



The following functionality found also within the Cleansing CAT reports will be made available and functional within the REFRAME – Osteoporosis report:

  • double click on a patient name to open the patient in the clinical systemPage number selection
  • Export buttonPrev
  • Page number select option and Go buttonNext Page button


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The Export button will provide all information displayed in the report to save as Excel, PDF or MS Word file:


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