PCS Clinical Audit Tool – User Guide
Contents
1. 100000091 2 Vulva al Dropdown list Reference B A 1000000911 Vulva abnorma Free text Text Description 00000 aist circumfe Numeric 1000000035 Waist circumfe Dropdown list 1000001003 Walks indepen 1000001026 Watches from Reference Yes No TrueFalse Description Yes No TrueFalse Description E at T Figure 4 Qualifier Type Maintenance screen with extended columns Step 2 From the Qualifier Type Maintenance screen locate the custom qualifier you want to link eg Waist Measurement Use the tool bar to add or edit the qualifier o lt gt m a e Add the appropriate System Code and ensure that the Value Type is the same Figure 5 Using another value type may give you unpredictable results e Click Save 20 March 2012 PAGE 33 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 d Qualifier Type Properties General Categories M Measure Enabled Qualifier Description Summary Export Code SEN System Code Co Aboriginality l o R I Gender Value Type Y H Min Value RE Units Max Value ft Definition of Waist Measurement X Cancel Help A Figure 5 Edit a custom qualifier Further Information The main functionalities of the Qualifier Type Maintenance window are described in the Communicare help file under System Administration2. Reference Tables Qualifier Types topic 20 March 2012 PAGE 34 of 34
3. 3 3 1 Contents COMPANY CONTACTS cesan at E AA A A da 2 Sydney Hedd Office EE 2 Melbourne OFFICE eege O NEO 2 DOGU MENT ere 2 DOCUMENT CONTROL iissiedssiciceantensdadedenshuesdeadnassboatadasneecests tnsaubeatacustedeaedngedecsasceanawayaedyunsineeydanayl teas aa eaae E KarS ES Eaei 3 s EC A INTRODUCTION E 5 CLINICAL AU DIT TOOL CA Mii id A A Ed id cidad 5 EUREN 5 IMPLEMENTED FUNCTIONALITY DEFINITIONS Tat Ke 6 APPENDIX G COMMUNICARE DATA MAPPING ssccccccessssceccesecseeeccceesececescncssscescuccssescccousceceesecessseescuseeseeseceensees 7 APPENDIX G 1 GENERAL auer g r eege Eed SEENEN EEN AE daca ainda Ea saseteelane dncbeatadecestassdadacbaes 7 APPENDIX ele CEET 8 APPENDIX G 3 MEASUREMENTS isssiccsssctvivssasaasstccsecessacasmaaseasd says sovsenasdsseasaadassaasaudesuceda eivaeidauds sascdaaawansdacadacadeassdacavasstiaates 9 Pathology ResUlES iii ii ENEE NEEESE leida d e 9 APPENDIX EOS A NA PROQNQINCY o cxczctatasacscanccasicentanssivtzizs APPENDIX G 5 MEDICATIONS APPENDDEG 6 1IVMIMUNISATION Sissi di si a ies 29 APPENDIX G 7 ASSIGNED PROVIDERS ed Eed ge EEN SEENEN eh h ccvaeacdica cectebes aeeai 30 REFERENCE APPENDIX COMMUNICARE CUSTOM FIELDS MAPPING cccccsessseeccccsssssesccceesseccecccesseeesceassseesceeenseeee 31 MAPPING TO SYSTEM CODES EE 31 20 March 2012 PAGE 4 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 IN
4. 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 Hydrocortisone sodium succinate 405 Methylprednisolone acetate 403 Methylprednisolone sodium succinate 408 Prednisolone 402 Prednisolone hexanoate 103 Prednisolone sodium phosphate 97 Prednisone 401 Triamcinolone acetonide 407 Diuretics G Acetazolamide 787 Amiloride hydrochloride 137 Bumetanide 141 Chlortalidone 4356 Chlorthalidone 148 Eplerenone 4147 Ethacrynic acid 145 Frusemide 147 Hydrochlorothiazide 138 Indapamide hemihydrate 1041 Spironolactone 136 Triamterene 144 Lipid M fying Statins G Atorvastatin calcium 1627 Fluvastatin sodium 1474 Pravastatin sodium 171 Rosuvastatin calcium 4236 Simvastatin 167 Lipid M fying Fibrates G Fenofibrate 4029 Gemfibrozil 168 Lipid M fying Other G Cholestyramine 172 Colestipol hydrochloride 166 Ezetimibe 3818 Nicotinic acid 170 Mental Health Antipsychotics G Amisulpride 3113 Aripiprazole 3817 Chlorpromazine hydrochloride 259 Clozapine 260 Droperidol 261 Flupenthixol decanoate 1194 Flupentixol decanoate 4368 Fluphenazine decanoate 262 Haloperidol 270 Haloperidol decanoate 263 Olanzapine 1542 Paliperidone 4287 20 March 2012 PAGE 22 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version Pericyazine 268 Prochlorperazine 322 Prochlorperazine maleate 320 Prochlorperazin
5. DTPA INFANRIX TRIPACEL TRIPLE ANTIGEN HIB ACTHIB HIBTITER HIBERIX PEDVAX HIB Polio IPOL ORAL POLIO Prevenar PREVENAR Rotavirus ROTATEQ ROTARIX MMR MMR PRIORIX MENCCV MENINGITEC MENJUGATE NEISVAC C 20 March 2012 PAGE 29 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 VZV VARILRIX VARIVAX REFRIGERATED APPENDIX G 7 ASSIGNED PROVIDERS Each patient is assigned an Assigned Provider This has no bearing on the activity status of the patient and is simply a means of trying to find the patient s regular doctor The Enabled and Specialty properties of providers and how often a patient has seen the provider are used to determine Assigned Providers See File Reference Tables Providers to view Enabled and Speciality properties of providers There are four rules for determining an assigned provider If no provider is found from the first rule following rules are tried until a provider is found 1 Active enabled provider with speciality General Medical Practitioner who has seen each patient the most number of times in the past 18 months 2 Inactive disabled provider with speciality General Medical Practitioner who has seen each patient the most number of times in the past 18 months 3 Active enabled provider with speciality General Medical Practitioner who has seen each patient most
6. Diclofenac diethylammonium 1226 Diclofenac potassium 356 Diclofenac sodium 348 Etoricoxib 3252 Ibuprofen 341 Ibuprofen lysine 4049 Indomethacin 226 Ketoprofen 352 Ketorolac trometamol 355 Mefenamic acid 350 Meloxicam 2841 20 March 2012 PAGE 27 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 Naproxen 349 Naproxen sodium 351 Parecoxib sodium 3112 Piroxicam 347 Sulindac 344 Tiaprofenic acid 353 Pain Relief COX2 G Celecoxib 2333 Etoricoxib 3252 Meloxicam 2841 Parecoxib sodium 3112 20 March 2012 PAGE 28 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 APPENDIX G 6 IMMUNISATIONS Immunisations are collected if they have been entered in the clinical record as an Immunisation clinical item type and have a clinical item type description containing the immunisation name The check for matching description is case insensitive CAT Immunisation Communicare Mapping Immunisation Name Fluvax FLUVAX FLUARIX FLUAD FLUVIRIN INFLUENZA INFLUVAC VAXIGRIP VAXIGRIP JUNIOR Panvax PANVAX Gardasil GARDASIL Pertussis ADACEL BOOSTRIX BOOSTRIX IPV DTP PERTUSSIS Pneumovax PNEUMOVAX 23 PNEUMOVAX Hepatitis A HEPATITIS A Hepatitis B ENGERIX B PAEDIATRIC HBVAX II PAEDIATRIC HEPATITIS B
7. Ge Organisation Maintenance Se E Clinical Browse MIMS Patient Patient Communicare Transport User Groups Record DrugData Summary Labels Intay Management Bulk Bills Status Online Claiming h Service No program selected Reference Tables Address Book Ctrl Alt B Documents E G Printer Assignments Requirements Import Medicare Number File Public Holidays Import Patient Biographics File Queries gt Import MIMS Pharmaceutical Data Change Password Extemporaneous Preparations Er Locality Locality Group Patient Skin Patient Groups Encounter Place Encounter Program Provider Text Shortcuts Dosage Instructions Medicare Benefits Schedule Investigations gt Clinical Item Types Ctrl Alt C Clinical Item Keywords Clinical Item Topics Qualifier Types Ctri Alt Q Transport Mode Chart Types Clinical Item Groups Viewing Rights Automated Recall Types Figure 1 Qualifier Types option PAGE 31 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 e Locate Waist Circumference in the list by typing the first few letters Summa Deseipion MinVaie eiis Bebe E Vit A Alert do not repeat for 3 Tick Box Tick Box Vocal Fremtus pecans JEE ocational Assistance Provider d Tick Box i _ Dropde y F Reference iz o Fre
8. Mappings Version 3 3 1 Bone Disease Osteoporosis L95 001 Osteoporosis L95 002 Osteopenia L95 003 Fracture osteoporotic Osteoarthritis L84 001 Spondylosis L84 004 Osteoarthritis spine L89 001 Osteoarthritis hip L90 001 Osteoarthritis knee L91 003 Osteoarthritis L92 007 Osteoarthritis shoulder Renal Renal Impairment U28 001 Transplant renal U59 001 Dialysis kidney renal U59 008 Haemodialysis U85 001 Polycystic kidney U88 001 Nephropathy U88 003 Nephrotic syndrome U88 008 Glomerulonephritis chronic U88 010 Nephropathy analgesic U88 011 Nephropathy diabetic U88 012 Nephrosclerosis U99 005 Failure renal acute U99 006 Necrosis renal U99 016 Uraemia U99 022 Insufficiency renal U99 023 Failure renal chronic U99 024 Necrosis renal papillary U99 025 Pyelonephritis chronic U99 028 Stenosis artery renal U99 030 Failure renal NOS U99 031 Disease renal U99 032 Impairment renal U99 034 Disease kidney chronic U99 035 Disease kidney chronic stage 1 U99 036 Disease kidney chronic stage 2 U99 037 Disease kidney chronic stage 3 U99 038 Disease kidney chronic stage 4 U99 039 Disease kidney chronic stage 5 20 March 2012 PAGE 15 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Chronic Renal Failure U28 001 Transplant renal U59 001 Dialysis kidney renal U59 008 Haemodialysis U85 001 Pol
9. Type 2 diabetes treated with insulin Type I T89 001 Insulin dependant diabetes T89 002 Type 1 diabetes T89 003 Juvenile onset diabetes T89 004 Complicated diabetes T89 005 Diabetic coma T89 006 Diabetic hyperglycaemia Undefined Diabetic T99 011 Diabetes insipidus Respiratory Asthma R96 001 Asthma R96 002 Broncial Asthma R96 005 Status Asthmaticus R96 007 Wheezy Bronchitis COPD R95 001 Chronic Obstructive Airway Disease R95 002 Chronic Obstructive Pulmonary Disease R95 008 Chronic airways limitation R79 003 Chronic bronchitis 20 March 2012 PAGE 11 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Cardiovascular CHD K41 005 Angiography coronary K53 003 Angioplasty artery coronary K53 009 Stent s coronary K54 007 Graft coronary Artery Bypass K74 001 Angina Pectoris K74 002 Pain angina K74 003 Spasm artery coronary K74 004 Angina unstable K74 006 Insufficiency coronary K74 007 IHD with Angina K75 002 Infarction myocardial acute K75 004 Occlusion coronary K75 013 Infarction myocardial K75 014 Heart Attack K76 003 Coronary Artery Disease K76 005 Disease atherosclerotic heart K76 011 Disease ischaem Heart subacut K76 013 Coronary Heart Disease K76 014 Disease ischaemic Heart K76 015 Disease ischaem Heart chronic K76 018 IHD Without Angina K84 009 Disease heart Acute Coronary Syndrome K74 006 I
10. recently in the past 5 years 4 Inactive disabled provider with speciality General Medical Practitioner who has seen each patient most recently in the past 5 years 20 March 2012 PAGE 30 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 REFERENCE APPENDIX COMMUNICARE CUSTOM FIELDS MAPPING This Appendix explains how to map custom fields back to standard Communicare fields so they can be extracted by CAT This process makes use of Communicare system codes Some data items do not currently have system codes These may be reviewed and added in a future release Mapping to System Codes Example We have a custom qualifier called Waist Measurement and we want to link it the standard Communicare qualifier called Waist Circumference so it will be collected by the CAT extractor The system code mapping for waist listed in this document is WCM To link a custom qualifier to a standard Communicare qualifier follow the steps below Step 1 Locate the standard Communicare qualifier you want to link to and write down the value of the following fields System Code Value Type and Units e The Qualifier Type Maintenance screen is accessed from the File gt Reference Tables gt Qualifier Types menu option Figure 1 or by pressing Ctrl Alt Q shortcut key combination d Communicare Demo ADMINISTRATOR eko Patient Transport Report Tools Help System Parameters J
11. PCS Clinical Audit Tool User Guide Version 3 3 1 APPENDICES G COMMUNICARE DATA MAPPINGS REALI PEN es Microsoft COMPUTER Ee SYSTEMS 1993 2009 Partner PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 Company Contacts Sydney Head Office Document Contact Pen Computer Systems c E Christine Chid Level 6 The Barrington See EE 10 14 Smith St PARRAMATTA NSW 2150 Phone 61 3 9866 8477 Phone 61 2 9635 8955 ae S Email christine chidgeyOpencs com au Fax 61 2 9635 8966 Email enquiries pencs com au Web www pencs com au Melbourne Office Pen Computer Systems Level 5 434 St Kilda Rd MELBOURNE VIC 3004 Phone 61 3 9866 8477 Fax 61 3 9866 5699 20 March 2012 PAGE 2 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 Document Control Version Date Description ESS 31 05 2011 Christine Chidgey en 212 30 06 2011 Paul Lopez Updated Mappings aas 18 11 2011 Steve White Updated Mappings and descriptions ES 12 12 2011 Steve White Replaced medication mappings aas 15 02 2012 Nigel Patmore Updated mappings improved explanations 33 14 03 2012 Christine Chidgey Review and minor updates aan 20 03 2012 Christine Chidgey Add Reference Appendix E 20 March 2012 PAGE 3 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version
12. TRODUCTION Clinical Audit Tool CAT The Clinical Audit Tool CAT analyses clinical information from GP Clinical Desktop Systems It translates data into real statistical and graphical information that is easy to understand and action This allows practitioners to assess and improve the quality and completeness of patient information The benefit to the practice is to assist with its ongoing accreditation and provide opportunities to grow practice income The emphasis of the tool is to help practice staff to take specific action to improve patient coverage in chronic disease management and prevention User Guide The purpose of the User Guide is to provide instructions on how to install and use the functionality provided by the CAT The User Guide is split into 2 parts Part 1 Installation and Configuration including how to collect data sets Part 2 Functionality The Appendices for each Clinical Desktop System s Data Mappings are provided separately This full User Guide is available from http help pencs com au cat htm The Appendices contained in this document are for the Communicare clinical system 20 March 2012 PAGE 5 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 Implemented Functionality Patient data is exported according to version 1 10 of the Pen Computer Systems Clinical Audit Tool specification However the following features are yet to be impleme
13. bulising Solution Unit Dose Vials 1284 Chemmart Ipratropium Nebuliser solution 5440 Combivent Metered Dose Aerosol Inhaler 4792 GenRx Ipratropium Nebuliser solution 5442 Ipratrin uni dose Nebulising Solution 3609 Ipravent Inhalation Solution Multidose Nebuliser solution 7114 Ipravent Inhalation Solution Unit dose Inhalation solution 5505 Terry White Chemists Ipratropium Nebuliser solution 5446 Atrovent Nasal Atrovent Nasal Forte Nasal Spray 3369 Atrovent Nasal Atrovent Nasal Forte Nasal Spray 3369 Respiratory Asthma Symptom Controllers B Serevent Inhaler 2673 Serevent Inhaler 2673 Powder for Inhalation 5264 Powder for Inhalation 5264 Powder for Inhalation 5264 Inhaler CFC free 5264 Inhaler CFC free 5264 Seretide Inhaler CFC free 5264 Foradile Powder for inhalation 3590 Oxis Turbuhaler Turbuhaler 3764 Respiratory Asthma Preventers B Qvar Inhaler 5241 Qvar Autohaler Inhaler Inhaler 5241 Pulmicort Turbuhaler 1293 Alvesco 80 metered dose inhaler Metered dose inhaler 7317 Alvesco 160 metered dose inhaler Metered dose inhaler 7317 Flixotide Junior CFC Free Inhaler Metered Dose Inhaler CFC Free 2948 Flixotide Inhaler CFC Free Metered Dose Inhaler CFC Free 2948 Flixotide Junior Accuhaler Inhaler Dry Powder Inhaler 2948 Flixotide Accuhaler Inhaler Dry Powder Inhaler 2948 Flixotide Junior Inhaler CFC containing Metered Dose Inhaler 2948 F
14. e 1517 Insulin lispro rbe protamine suspension 3910 Insulin neutral rbe 3954 Insulin neutral rys 4343 Insulin neutral bovine 4339 20 March 2012 PAGE 19 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version Isophane insulin bovine 4342 Isophane insulin rys 4026 Lispro insulin 1637 Neutral insulin bovine 4341 Antidiabetics Oral Acarbose 1543 Glibenclamide 452 Gliclazide 455 Glimepiride 2779 Glipizide 456 Glyburide 1313 Metformin hydrochloride 453 Pioglitazone hydrochloride 2831 Repaglinide 2556 Rosiglitazone maleate 2773 Antithrombotics anticoagulants Dabigatran etexilate 4387 Rivaroxaban 4390 Warfarin sodium 201 Antithrombotics antiplatets Aspirin 197 Clopidogrel bisulfate 4338 Clopidogrel hydrogen sulfate 3180 Dipridamole 204 Ticlopidine hydrochloride 205 Aspirin Aspirin 197 Warfarin Warfarin sodium 201 Clopidogrel Clopidogrel bisulfate 4338 Clopidogrel hydrogen sulfate 3180 Dabigatran Dabigatran etexilate 4387 Beta Blockers Antihypertensives Atenolol 135 Betaxolol hydrochloride 785 Bimatoprost 3245 Bisoprolol fumarate 3117 Carvedilol 1634 Dobutamine hydrochloride 179 Dorzolamide hydrochloride 1516 Esmolol hydrochloride 132 Isoprenaline hydrochloride 181 Isoproterenol hydrochloride 1322 Labetalol hydrochloride 124 Levarterenol acid tartrate 1353 Metoprolol succi
15. e mesylate 321 Quetiapine fumarate 2555 Quetiapine fumarate 2555 Risperidone 1196 Trifluoperazine hydrochloride 49 Zuclopenthixol acetate 1489 Zuclopenthixol decanoate 1521 Zuclopenthixol dihydrochloride 1559 Mental Health Antipsychotics Typical Chlorpromazine hydrochloride 259 Droperidol 261 Flupenthixol decanoate 1194 Flupentixol decanoate 4368 Fluphenazine decanoate 262 Haloperidol 270 Haloperidol decanoate 263 Pericyazine 268 Prochlorperazine 322 Prochlorperazine maleate 320 Prochlorperazine mesylate 321 Trifluoperazine hydrochloride 49 Zuclopenthixol acetate 1489 Zuclopenthixol decanoate 1521 Zuclopenthixol dihydrochloride 1559 Mental Health Antipsychotics Atypical Amisulpride 3113 Aripiprazole 3817 Clozapine 260 Olanzapine 1542 Paliperidone 4287 Quetiapine fumarate 2555 Risperidone 1196 Mental Health Antidepressants Amitriptyline hydrochloride 265 Citalopram hydrobromide 1630 Clomipramine hydrochloride 273 Desvenlafaxine 4388 Dosulepin hydrochloride 4364 Dothiepin hydrochloride 276 Doxepin hydrochloride 275 Duloxetine hydrochloride 4299 Escitalopram oxalate 3396 Fluoxetine hydrochloride 281 20 March 2012 PAGE 23 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Fluvoxamine maleate 1547 Imipramine hydrochloride 277 Mianserin hydrochloride 283 Mirtazapine 2825 Moclobemide 274 Nortriptyline hydrochloride 272 Paro
16. e text Description hee ee Wake independenty l Description Watones from across the room Yes Description Watches strangers quety e No Description Figure 2 Qualifier Type Maintenance screen e Right click in the screen to bring up the option Show Hidden Columns Figure 3 click this option E Qualifier Type Maintenance EN lm Lo ada Buse Descriptions Vahe Tys Urte Surman Descrion eiis Vit A Alert do not repeat for 3 Tick Box Tick Box A Vocal Fremitus Dropdown list Reference Vocational Assistance Provider Tick Box Tick Box Dropdown list Reference ji ir abnormality Free text T ext Vaist circumference Numeric A Waist circumference assessm Dropdown list Reference Bulk Application A Walks independently es No lTrueFalse Bulk Removal E Watches from across the room Yes No TrueFalse Qualifier Usage A Watches strangers quietly Yes No TrueFalse Show Hidden Columns Dropdown List Values Z Figure 3 Show Hidden Columns option 20 March 2012 PAGE 32 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 e Write down the following values from the extended fields view Figure 4 o System Code WCM o Value Type Numeric o Units cm S SS Te L 4 4 10000011 a Vocational Assi Tick Box Tick Box 2
17. ed up by Communicare and processed automatically into qualifiers Atomised format means that the HL7 results contain the data in predefined coded segments The test name and LOINC Logical Observation Identifiers Names amp Codes code are the important bits of data the extraction tool looks for If an investigation request is matched to a result which is known to have certain qualifiers associated with it these qualifiers will be linked through to the investigation result This allows qualifiers that were automatically imported via LOINC codes to be reviewed while reviewing the result itself Numeric and true false qualifiers are supported Numeric qualifiers receive the numeric value coded by the laboratory in the result True false qualifiers receive the Abnormal flag coded by the laboratory in the result This means that the qualifier will record whether the lab declared the result to be abnormal not the actual text returned by the lab CAT Measurement Communicare Qualifier Waist Waist Circumference or any qualifier with system code WCM Cholesterol Total Cholesterol Level or any qualifier with system code CHO HDL HDL level or any qualifier with system code HDL LDL LDL Level or any qualifier with system code LDL Triglycerides Triglyceride Level or any qualifier with system code TRG Creatinine Creatinine or any qualifier with sys
18. er month M1 2 to 3 days per month M3 3 to 4 days per week W4 Every day D Alcohol Consumption Amount The most recent Communicare qualifier with an export code of ALC AMT normally Alcohol Audit Interview Q1 is used for the Alcohol Consumption Amount field CAT Value Communicare Export Code of Qualifier Result 2 2 4 4 6 6 9 9 10 10 APPENDIX G 2 PROCEDURES CAT Procedure Communicare Equivalent Eye Exam Clinical item with ICPC code of F30 or F31 and any term Foot Exam Clinical item with ICPC code of L41 and any term Spirometry Clinical item with ICPC code of R39 and term code of 004 MMSE Clinical item with ICPC code of P43 and term code of 004 Breast Screen Clinical item with export code of BREAST Pap Smear Clinical item with export code of PAPSMEAR 20 March 2012 PAGE 8 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 APPENDIX G 3 MEASUREMENTS The most recent qualifier is used for each each CAT measurement The value of the qualifier and the date it was recorded is exported to CAT Some measurements have an additional flag for service incentive payments This flag is set if the particular measurement has been recorded in the previous six months and the previous six months before that Pathology Results Pathology Results must be received in atomised HL7 format in order for the results to be pick
19. iromir Autohaler and Inhaler Inhaler 4009 Asmol CFC free Inhaler Inhaler 4114 Asmol uni dose Nebulising Solution 3363 Butamol Nebuliser solution 7147 Chemmart Salbutamol Nebulising Solution 6004 Combivent Metered Dose Aerosol Inhaler 4792 Epaq Inhaler Inhaler 5558 GenRx Salbutamol Inhalation Ampoule Nebulising Solution 6006 Pharmacor Salbutamol Nebulising solution 8000 Salbutamol Inhalation Solution Nebulising Solution 1295 Salbutamol Inhalation Solution Nebulising Solution 1295 Salbutamol Sandoz Nebulising solution 7999 Salbutamol GA Nebulising solution 8001 Terry White Chemists Salbutamol Nebulising Solution 6008 Ventolin CFC free Inhaler Inhaler 4115 Ventolin Respirator Solution and Nebules Nebulising Solution 1296 Ventolin Respirator Solution and Nebules Nebulising Solution 1296 Ventolin Rotacaps Powder for Inhalation 2982 Bricanyl Elixir and Injection Elixir 1266 Bricanyl Elixir and Injection Injection 1266 Bricanyl for Inhalation Turbuhaler 1288 Bricanyl for Inhalation Nebulising Solution 1288 Aeron Nebuliser solution 7315 APO Ipratropium Nebuliser solution 8203 Apoven Nebuliser Solution 5559 Atrovent Metered Aerosol CFC free Metered aerosol 6818 Atrovent Nebulising Solution Inhalation Solution 1284 20 March 2012 PAGE 25 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 Atrovent Ne
20. known if the pregnancy gestation is gt 50 weeks or unknown respectively This status is not described in the export 20 March 2012 PAGE 18 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 APPENDIX G 5 MEDICATIONS The data collection process collects medications that are found on the medication summary screen It does not make any decisions about whether a medication should actually have been removed from the medication summary screen The GP is responsible for making sure the list of medications is accurate ARB G Irbesartan 1638 Candesartan cilexetil 1739 Telmisartan 2336 Eprosartan mesylate 2559 Losartan potassium 3186 Olmesartan medoxomil 4258 Valsartan 4318 ACE linhibitors G Quinapril hydrochloride 107 Enalapril maleate 112 Captopril 114 Perindopril erbumine 117 Fosinopril sodium 122 Lisinopril dihydrate 125 Ramipril 126 Trandolapril 1227 Perindopril arginine 4220 Antidiabetics Glitazones G Rosiglitazone maleate 2773 Pioglitazone hydrochloride 2831 Antidiabetics Metformin G Metformin hydrochloride 453 Antidiabetics Insulin G Glargine insulin 3799 glulisine insulin 4265 Insulin aspart rys 2761 Insulin aspart rys protamine suspension 4043 Insulin detemir rys 4143 Insulin glargine 3798 Insulin glulisine 4264 Insulin isophane rbe 3956 Insulin isophane rys 4025 Insulin isophane bovine 4340 Insulin lispro rb
21. lixotide Nebules Nebuliser solution 4917 Intal Nebulising Solution 1289 Seretide Seretide Seretide Seretide Seretide Ban E a eS E ES 20 March 2012 PAGE 26 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 Intal CFC Free Inhaler Inhaler 4736 Intal Forte CFC Free Inhaler Inhaler 4736 Intal Spincaps Powder Powder for Inhalation 7422 Intal Spinhaler Inhalation Device 7422 Tilade CFC Free Inhaler 4814 Singulair Tablets 3977 Accolate Tablet 4036 Respiratory Asthma Combination B Seretide MDI 50 25 Inhaler CFC free 5264 Seretide MDI 125 25 Inhaler CFC free 5264 Seretide MDI 250 25 Inhaler CFC free 5264 Seretide Accuhaler 100 50 Powder for Inhalation 5264 Seretide Accuhaler 250 50 Powder for Inhalation 5264 Seretide Accuhaler 500 50 Powder for Inhalation 5264 Symbicort Turbuhaler 100 6 Powder for Inhalation 6540 Symbicort Turbuhaler 200 6 Powder for Inhalation 6540 Symbicort Turbuhaler 400 12 Powder for Inhalation 6540 Respiratory Steriod Inhaled G Beclomethasone dipropionate 714 Budesonide 717 Ciclesonide 4125 Fluticasone propionate 1230 Respiratory Steroid Oral B Cortate Tablets 672 Panafcort Panafcortelone Tablets 688 Predsone Predsolone Tablets 7072 Sone Tablets 691 Respiratory COPD G Tiotropium bromide 3390 Pain Relief NSAIDS G Celecoxib 2333
22. nate 2995 Metoprolol tartrate 130 Noradrenaline acid tartrate 182 Oxprenolol hydrochloride 133 20 March 2012 PAGE 20 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version Pindolol 129 Prindolol 1367 Propranolol hydrochloride 134 Sotalol hydrochloride 153 Timolol maleate 131 Travoprost 3070 Beta Blockers Chronic heart failure Bisoprolol Fumarate 3117 Carvedilol 1634 Nebivolol 4484 Toprol XL 6956 Beta Blockers Myocardial Infarction Atenolol 135 Betaxolol Hydrochloride 785 Bisoprolol Fumarate 3117 Carvedilol 1634 Esmolol Hydrochloride 132 Labetalol Hydrochloride 124 Metoprolol 3968 2995 130 Nebivolol 4484 Oxprenolol Hydrochloride 133 Pindolol 129 Sotalol Hydrochloride 153 Calcium Antagonists Amlodipine besylate 123 Diltiazem hydrochloride 115 Felodipine 109 Lercanidipine hydrochloride 2937 Nifedipine 108 Verapamil hydrochloride 113 Corticosteroids Glucocorticoids Beclomethasone dipropionate 714 Betamethasone acetate 396 Betamethasone dipropionate 875 Betamethasone sodium phosphate 397 Betamethasone valerate 874 Budesonide 717 Cortisol 1319 Cortisol acetate 1320 Cortisol sodium succinate 1321 Cortisone acetate 399 Dexamethasone 404 Dexamethasone sodium phosphate 400 Fluticasone furoate 4317 Fluticasone propionate 1230 Hydrocortisone 99 Hydrocortisone acetate 92 20 March 2012 PAGE 21 of
23. nsufficiency coronary K74 001 Angina pectoris K74 004 Angina unstable Myocardial Infarction K75 002 Infarction myocardial acute K75 013 Infarction myocardial Hypertension K85 001 Elevated Blood Pressure K85 004 High Blood Pressure K85 007 Raised Blood Pressure K86 001 Hypertension essential K86 004 Hypertension uncomplicated K86 005 Hypertension K85 008 Hypertension labile K87 002 Hypertension renal disease K87 001 Hypertension heart disease K87 003 Hypertension nephropathy K87 004 Hypertension malignant K87 005 Hypertension LV hypertrophy K87 006 Hypertension cardiorenal K87 007 Hypertensive encephalopathy K87 010 Hypertension complicated K87 011 Hypertension secondary 20 March 2012 PAGE 12 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Heart Failure K77 001 Oedema pulmonary acute K77 002 Failure congestive Cardiac K77 004 Failure cardiac K77 008 Failure ventricular left K77 011 Failure heart K77 013 Oedema pulmonary K77 014 Failure ventricular right K82 003 Cor Pulmonale Stroke K90 002 Cerebrovascular Accident K90 006 Haemorrhage cerebral K90 017 Stoke Peripheral Vascular Disease K92 003 Disease peripheral vascular K92 004 Gangrene K92 005 Ischaemia contracture K92 006 Ischaemia limb gangrene K92 017 Claudication intermittent K92 021 Thromboangitis obliterans K92 022 Stenosis artery K92 025 Arteri
24. nted e Colorectal screening e FOBT test e Antibiotics Systemic e Antithrombotics gt Anticoagulants e Antithrombotics gt Antiplatelets e Anticoagulants gt Dabigatran e Lipid Modifying gt Fibrates e Gestational Diabetes e Left Ventricular Hypertrophy e Glucose 2H Tolerance Test e Patient Smoking Quit Date e Alternate MBS items for 715 721 and 723 e Birth ethnicity e Health Fund name and number e Sexuality field Definitions Activity A patient is considered active if there are three contact services excluding No Client Contact services provided in the previous two years by any provider i e there is no requirement for a Provider Number Status The Communicare current patient status is submitted as a patient s status e C Current Patient e T Transient Patient e B Banned e P Past Patient e F Fictitious not exported e N Non Patient not exported e Null Deceased not exported 20 March 2012 PAGE 6 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings APPENDIX G COMMUNICARE DATA MAPPINGS APPENDIX G 1 GENERAL CAT Field Communicare Equivalent Gender Patient Biographics Sex Ethnicity Patient Biographics Aboriginality DVA Patient Biographics DVA Age Patient Biographics Date of Birth Email Patient Biographics Email Last Visit Service Recording Client contacts only P
25. osclerosis Carotid Stenosis K52 008 Endarterectomy intern carotid K53 007 Stent s carotid K53 010 Angioplasty cerebral K91 011 Stenosis arterial precerebral K91 014 Stenosis artery carotid Renal Artery Stenosis U99 028 Stenosis artery renal 20 March 2012 PAGE 13 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 Mental Health Depression P76 001 Depression P76 002 Depression postnatal P76 010 Depression reactive P76 016 Depression endogenous P76 017 Melancholia P76 018 Anxiety with Depression Anxiety P01 002 Feeling anxious P01 003 Anxiety P01 010 Feeling tense P01 018 Tense P74 001 Anxious State P74 002 Feeling anxious P74 004 Anxiety Neurosis P76 018 Anxiety with Depression P79 009 Phobia Schizophrenia P72 002 Schizophrenia paranoid P72 011 Schizophrenia Bipolar P73 002 Depression manic P73 004 Disorder bipolar P73 007 Manic depressive P73 012 Psychosis manic depressive ADHD P81 001 Hyperkinetic syndrome P81 003 Disorder attent deficit hyper Autism P99 005 Autism P99 006 Autism child P99 010 Aspergers syndrome Dementia P70 001 Disease Alzheimers P70 003 Dementia P70 004 Alzheimers dementia P70 007 Psychosis senile PO5 003 Senility 20 March 2012 PAGE 14 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data
26. ostcode Patient Biographics Locality Postcode Status Patient Biographics Patient Status at time of extract CAT Allergy Value Communicare Equivalent Allergy Recorded At least one record in Adverse Reaction Summary No Known Allergies Nil Known box checked on Adverse Reaction Summary Nothing Recorded No records and Nil Known box is unchecked on Adverse Reaction Summary Smoking Status The most recent Communicare qualifier with a system code of SMO or SMP normally Smoking Status amp Smoking During Pregnancy is used for the Smoking Status field CAT Smoking Status System Code of Qualifier Result Smoker S Ex smoker E Non smoker N Alcohol Status The most recent Communicare qualifier with a system code of ALC or ALP normally Alcohol Consumption Level amp Alcohol Consumption During Pregnancy is used for the Alcohol Status field CAT Alcohol Status System Code of Qualifier Result Drinker D Non drinker N Not recorded 20 March 2012 PAGE 7 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 Alcohol Consumption Frequency The most recent Communicare qualifier with an export code of ALC FRQ normally Alcohol Audit Interview Q1 is used for the Alcohol Consumption Frequency field CAT Value Communicare Export Code of Qualifier Result Never in my life N 1 day p
27. system code PCR Chlamydia Test Chlamydia result abnormal or any qualifier with system code XCL HIV Test HIV result abnormal or any qualifier with system code XHI Gonorrhoea Test Gonorrhoea result abnormal or any qualifier with system code XGN Syphilis Test Syphilis result abnormal or any qualifier with system code XSY Eye Exam Eye Exam or any qualifier with export code of EYEEXAM Foot Exam Foot Exam or any qualifier with export code of FOOTEXAM Pap Smear PAP smear done or any qualifier with export code of PAPSMEAR OR Any clinical item with the export code of PAPSMEAR OR Any investigation request with description of PAP SMEAR 20 March 2012 PAGE 10 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 APPENDIX G A CONDITIONS The data collection process collects conditions that are found on the clinical record screen Chronic conditions are flagged as true for a patient if the condition recorded in the patient s clinical record Conditions are mapped using ICPC Code and ICPC Term Code to determine if a condition is to be included CAUTION This list of ICPC codes needs to be reviewed after each release of ICPC2 Plus to include new codes CAT Category Communicare Mapping ICPC Code Diabetes Type II T90 002 Diabetes mellitus T90 005 Non insulin dependant diabetes T90 007 Adult onset diabetes T90 009 Type 2 diabetes T90 016
28. t P19 006 Abuse drug s non dependent P19 007 Abuse drug s glue P19 008 Abuse drug s other substance P19 009 Problem drugs P19 010 Problem substance related P19 011 Withdrawal drug illegal P19 012 Addiction drug s heroin P19 013 Addiction drug s amphetamine P19 014 Addiction drug s ecstasy P19 015 Addiction drug s marijuana P19 016 Addiction drug s LSD P19 017 Addiction drug s cocaine P19 018 Abuse drug s heroin P19 019 Abuse drug s amphetamine P19 020 Abuse drug s ecstasy P19 021 Abuse drug s marijuana 1 1 e e P19 022 Abuse drug s LSD P19 023 Abuse drug s cocaine P19 024 Abuse drug s P19 025 Withdrawal drug P19 026 Overdose drug non medicinal P19 027 Abuse kava P19 028 Abuse solvent P19 029 Sniffing petrol P19 030 Sniffing paint P19 031 Intoxication other substance 20 March 2012 PAGE 17 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 Pregnancy Pregnancy is true if the patient has a clinical item recorded with system code of PRE and rule code of PR START normally Pregnancy Confirmed recorded with no clinical item recorded with system code PRE and rule code of PR END eg Normal vaginal delivery Click on the End Preganancy button on the Obstetrics tab on the clinical record screen for more examples Note The Obstetrics tab will display Pregnancy outcome not recorded or Pregnant gestation un
29. tem code CRU Urinary creatinine Urinary creatinine or any qualifier with LOINC code 14683 7 Microalbumin Albumin or any qualifier with system code ALB ACR Microalbumin ACR Alb Creat Ratio or any qualifier with system code ACR Creatinine Ratio HbAlc HbA1c or any qualifier with system code HBA BP Systolic BP Systolic blood pressure or any qualifier with system code BPS BP Diastolic BP Diastolic blood pressure or any qualifier with system code BPD HbAlc HbAlc or any qualifier with system code HBA INR INR International Normalised Ratio or any qualifier with system code INR Random Blood Glucose Blood glucose level random or any qualifier with system code BGR Fasting Blood Glucose Blood glucose level fasting or any qualifier with system code BGF Height Height or any qualifier with system code HCM Weight Weight or any qualifier with system code WKG Birth Weight Birth Weight from patient biographics If this is not recorded uses qualifier with system code WGK recorded on day of birth 20 March 2012 PAGE 9 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 BMI BMI or any qualifier with system code BMI Haemoglobin Haemoglobin or any qualifier with system code HBH Protein Creatinine Ratio PCR Protein Creatinine Ratio or any qualifier with
30. xetine hydrochloride 1181 Paroxetine mesilate 3123 Phenelzine sulfate 278 Reboxetine mesylate 3071 Sertraline hydrochloride 1224 Tranylcypromine sulfate 279 Trimipramine 282 Venlafaxine hydrochloride 1504 Mental Health Mood Stabiliser Lithium Lithium carbonate 264 Lithium chloride 3286 Mental Health Anti anxiety Alprazolam 255 Bromazepam 253 Buspirone hydrochloride 250 Chlorpromazine hydrochloride 259 Clobazam 252 Diazepam 248 Dosulepin hydrochloride 4364 Dothiepin hydrochloride 276 Doxepin hydrochloride 275 Escitalopram oxalate 3396 Gentian 4429 Gentiana lutea root dry 4427 Hops 4428 Humulus lupulus fruit dry 4426 Lorazepam 249 Mianserin hydrochloride 283 Oxazepam 247 Paroxetine hydrochloride 1181 Paroxetine mesilate 3123 Passiflora incarnata herb dry 4217 Passionflower 4218 Pericyazine 268 Sertraline hydrochloride 1224 Trifluoperazine hydrochloride 49 Trimipramine 282 Valerian 3541 Valeriana officinalis root dry 2485 20 March 2012 PAGE 24 of 34 Version 3 3 1 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Version 3 3 1 Mental Health Stimulants G Atomoxetine hydrochloride 3962 Dexamphetamine sulfate 284 Methylphenidate hydrochloride 285 Respiratory Asthma Relievers B Ventolin Obstetric Injection Injection 815 Ventolin Syrup 1281 Ventolin Injection 1281 Airomir Autohaler and Inhaler Autohaler 4009 A
31. ycystic kidney U88 001 Nephropathy U88 003 Nephrotic syndrome U88 008 Glomerulonephritis chronic U88 010 Nephropathy analgesic U88 011 Nephropathy diabetic U88 012 Nephrosclerosis U99 006 Necrosis renal U99 016 Uraemia U99 022 Insufficiency renal U99 023 Failure renal chronic U99 024 Necrosis renal papillary U99 025 Pyelonephritis chronic U99 028 Stenosis artery renal U99 030 Failure renal NOS U99 031 Disease renal U99 032 Impairment renal U99 034 Disease kidney chronic U99 035 Disease kidney chronic stage 1 U99 036 Disease kidney chronic stage 2 U99 037 Disease kidney chronic stage 3 U99 038 Disease kidney chronic stage 4 U99 039 Disease kidney chronic stage 5 Other Hyperlipidaemia T93 001 Hypercholesterolaemia T93 006 High Cholesterol T93 008 Hyperlipidaemia T93 015 Dyslipidaemia Chlamydia X92 001 Chlamydia F X92 002 Chlamydia cervical 20 March 2012 PAGE 16 of 34 PCS Clinical Audit Tool User Guide Appendices G COMMUNICARE Data Mappings Drug Abuse P18 001 Dependence medicinal P18 002 Abuse medicinal dependent P18 003 Abuse medicinal non depend P18 004 Withdrawal drug legal P18 005 Abuse prescript drug depend P18 006 Abuse prescript drug non depen P18 007 Dependence prescription drug P18 008 Drug seeking behaviour P19 001 Addiction drug s P19 002 Dependence drug s P19 003 Glue sniffing habitual P19 004 Psychosis drug P19 005 Abuse drug s dependen
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