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 | Orange: ANY of the following | Yellow : ANY of the following |
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 | Orange | Yellow |
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: | ORANGE: |
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
RED: | ORANGE: |
Indicated Osteoporosis with no Diagnosis
The "Indicated Osteoporosis with no diagnosis" prompt will display when a patient meeting the criteria below is opened in the clinical system. The likelihood of the patient having osteoporosis rises from Yellow over Orange to Red as per the table below.
Red - Likely • Aged > 50 with a coded history of a Minimal trauma fracture) • On treatment and without a cancer diagnosis | Orange – Possible • On treatment (Medication) | Yellow – Review • On treatment (Medication) and with a cancer diagnosis |
The following medications are currently considered:
- Bisphosphonates: alendronate, risedronate, zoledronic acid, pamidronate
- Selective oestrogen modulating drugs: raloxifene
- RANK Lipid Inhibitors: denosumab, stronitium ranelate
- Anabolic drigs: teriparatide or pamathyroid tumor hormone (1-34)