GENERAL DATA CATEGORY MAPPINGS0

Demographic

Medical Director Mapping

Gender

Patient Details screen > Sex

Ethnicity

Patient Details screen >
MD2: Tick boxes for Aboriginal / TSI
MD3: Drop down list for Aboriginal and/or TSI, non ATSI, Not Recorded

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.

Postcode

Patient Details screen > Postcode

Allergy

Medical Director Mapping

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

Smoking

Medical Director Mapping

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

Review Date

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

Alcohol

Medical Director Mapping

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 *

Medical Director Mapping

BMI

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

Waist

Tools > Weight Calculator

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)

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.

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, OCCULT BLOOD (OCB-0), OCCULT BLOOD (OCB-1), OCCULT BLOOD (OCB-2)

FOBT Orders are extracted with any of the test names above.

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

Medical Director Mapping

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:
PAP
PAPR
PAP NS
PAPRNS
PAP SMEAR
PAP SMEARS
PAP SMEAR(PAN-0)
NON SCREENING SMEAR
CERVICAL CYTOLOGY
CERVICAL SMEAR
CYTOLOGY GYNAECOLOGICAL (PAP-0)
CERVICAL SMR
GYNAECOLOGICAL CYTOLOGY
CYTOLOGY GYNAECOLOGICAL
PAP TEST
PAP (GEELONG)
PAP (BALLARAT)
CCSR
CERVICAL – CONVENTIONAL SMEAR
PAP-0 (PAP SMEAR)
PAP SMEAR +/- THIN PREP
CYG
CYTOLOGY-PAP SMEAR
PAP SMEAR\T\THINPREP
(PAP-0)CYTOLOGY GYNAECOLOGICAL
PAP (P150)

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

Medical Director Mapping

1) Smear tab – ticked to exclude OR

2) Coded condition of Hysterectomy:

Diseases

Medical Director Mapping

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

Medical Director Mapping

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