Demographic | Best Practice Data Mapping |
Gender | Open > Demographics screen > Sex
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Ethnicity | Open > Demographics screen > Drop down list for Aboriginal / TSI
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DVA | Open > Demographics screen > DVA No. has a value
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Age | Open > Demographics screen > DOB
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Last Visit / Activity | Past Visits screen > Checks most recent date in the list
Visits flagged as Type = Non Visit are excluded.
Last Visit = the most recent date recorded Active = 3 or more visits recorded in the last 2 years
Note: The past visits screen in Best Practice can be used by practices to record non clinical contacts, for example, when a recall letter is sent. These contacts must be flagged a type Non Visit to be excluded by CAT.
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Postcode | Open > Demographics screen > Postcode
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Family History | Main Patient Screen > Family & Social History |
Allergy | Main Patient Screen > Allergies / Adverse Drug Reactions Box |
Allergy Recorded | An Allergy Item is present
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No Known Allergies | The ‘Nil Known’ check box is checked
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Nothing Recorded | No Allergy Items are present and the ‘Nil Known’ check box is unchecked
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Smoking | Best Practice Mapping
Main Patient screen > Open > Alcohol and Smoking History > Tobacco
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Daily Smoker | Smoker = Smoker is selected
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Irregular Smoker | This option is not captured in Best Practice
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Ex Smoker | Smoker = Ex-Smoker is selected
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Never Smoked | Smoker = Never smoked is selected
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Nothing Recorded | Smoker has nothing selected
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Review Date | This will be the date something in the ‘Family & Social History’ section is changed. It is not possible to isolate Smoking changes. |
Alcohol | Best Practice Mapping
Main Patient screen > Open > Alcohol and Smoking History > Alcohol
Frequency = days a week patient usually drinks alcohol
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Drinker | Frequency = any except Never
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Non Drinker | Frequency = Never
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Nothing Recorded | Alcohol tab has nothing selected
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Review Date | This will be the date something in the ‘Family & Social History’ section is changed. It is not possible to isolate Alcohol changes. |
Measurements /Pathology * | Best Practice Mapping
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BMI | Patient Record >Main Patient Screen > Observations screen
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Waist | Patient Record >Main Patient Screen > Observations screen
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BSLF | Patient Record >Main Patient Screen > Observations screen OR Patient Record > Main Patient screen > Enhanced Primary Care > Diabetes Cycle of Care screen. OR Pathology HL7 results with LOINC codes 14771-0, 14996-3
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Cholesterol | Lipids data : Patient Record > Main Patient screen > Enhanced Primary Care > Diabetes Cycle of Care screen. OR Pathology HL7 results OR manually entered result
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HDL | |
LDL | |
Triglycerides | |
Creatinine | Patient Record > Main Patient screen > Enhanced Primary Care > Diabetes Cycle of Care screen. OR Pathology HL7 results OR manually entered result
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Urinary creatinine | Pathology HL7 results with LOINC code 14683-7
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Microalbumin | Patient Record > Main Patient screen > Enhanced Primary Care > Diabetes Cycle of Care screen. OR Pathology HL7 results
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ACR (Microalbumin Creatinine Ratio)
| Listed in the BP database as an ACR result (with the BP pathology code 17) OR one of these LOINC codes: 32294-1,30000-4,9318-7,14959-1 OR one of these result names: Alb/Cre, Alb/Creat, Albumin/Creatinine, Albumin/Creatinine Ratio, Urinary Albumin/Creatinine Ratio, Urinary Albumin/Creat Ratio, Microalbumin Ratio OR manually entered result
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HbA1c | Patient Record > Main Patient screen > Enhanced Primary Care > Diabetes Cycle of Care screen. OR Pathology HL7 results OR manually entered result OR Additional test name ‘Blood haemoglobin A 1 c’ |
BP | Patient Record > Main Patient screen either - opening the Observations screen, or - opening the Enhanced Primary Care > Diabetes Cycle of Care screen.
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Respiratory - Spirometry | Clinical > Respiratory function OR
Today’s Notes >History and Examination > Respiratory > Calculator > FEV1 and FVC
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INR
| Clinical > INR Manager |
Physical Activity | Clinical > Physical Activity Prescription The prescription must be printed for it to be saved. A selected ‘current physical activity level’ of moderate or active meets the physical activity guidelines, otherwise they do not meet the guidelines
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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 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, BOW, OCCULT BLOOD (OCB-0), OCCULT BLOOD (OCB-1), OCCULT BLOOD (OCB-2
FOBT Orders are extracted with any of the test names above.
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eGFR
| Pathology HL7 results with LOINC code 33914-3 OR Calculation (Refer Clinical Audit User Guide – Part 2 Functionality)
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Pap Smear | Best Practice Mapping |
| Female Patient Record > Main Patient Screen > Cervical Smears tab (Manual entry or Pathology HL7 results) |
Recorded | A smear test is listed |
Smear Date | Date of most recent entry |
Best Practice Pap Smear HL7 Mapping TEST NAME
Best Practice automatically recognises HL7 items as pap smear results if they are this list.
| CCSR CERVICAL CONVENTIONAL SMEAR CERVICAL CYTOLOGY CERVICAL SMEAR CERVICAL SMR CYTOLOGY GYNAECOLOGICAL CYTOLOGY GYNAECOLOGICAL (PAP-0) GYNAE CYTOLOGY GYNAECOLOGICAL CYTOLOGY GYNEA CYTOLOGY NON SCREENING PAP NON SCREENING SMEAR PAP PAP (BALLARAT) PAP (GEELONG) PAP NS PAP SMEAR PAP SMEAR (PAN-0) PAP SMEAR +/- THIN PREP PAP SMEAR OLD PAP SMEARS PAP TEST PAP-0 (PAP SMEAR) PAPFU PAPR PAPR NS THIN PREP ONLY THINP VAG SM VAGINAL SMR VAULT CYTOLOGY VAULT SMEAR
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.
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Pap Smear Ineligible | Best Practice Mapping |
| 1) Cervical Smears screen - tick-box ‘Not Required’ checked 2) Coded condition of Hysterectomy: -See Appendix B-1-ii – Screening exclusions
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Disease | Best Practice Mapping |
Condition | Past History screen > Checks the condition selected on history items, where Conditions are selected from a coded list.
Refer to Appendix C-1 for a list of conditions mapping to each CAT condition.
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Medications | Best Practice Mapping |
Medication | Current Rx screen > Checks the Drugs listed as current medications, where Drugs are selected from a coded list.
Refer to Appendix C-2 for a list of medications mapping to each CAT medication.
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Medication Count | Current Rx screen > Counts All Drugs listed as current medications
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* Refer to pathology note at the start of this manual and Appendix