Copd management
New COPD diagnosis and testing
Click here to record COPD diagnosis terms...
63H3...001Chronic obstructive pulmonary diseaseH3...111Chronic obstructive airways diseaseH31..001Chronic bronchitisH3123001Bronchiolitis obliterans
confirmation
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<Refer for Spirometry *>
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<Post bronchodilator spirometry *>
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<FEV1 before brochodilation>
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<FEV1 after Bronchodilation>
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Click here to record reasons for not performing COPD review
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<Patient unsuitable>
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<Informed dissent>
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COPD annual review QOF
>= "01 Jan 2011"'>
Last 2 FEV1/FVC Records Where EVENTDATE >= "01 Jan 2011"
>= "01 Jan 2011" AND (READ_CODE = "173H" OR READ_CODE = "173I" OR READ_CODE = "173J" OR READ_CODE = "173K" OR READ_CODE = "173L")'>
All Medical History Records in Descending order Where EVENTDATE >= "01 Jan 2011" AND (READ_CODE = "173H" OR READ_CODE = "173I" OR READ_CODE = "173J" OR READ_CODE = "173K" OR READ_CODE = "173L")
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<MRC 1>
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<MRC 2>
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<MRC 3>
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<MRC 4 >
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>= "01 Jan 2011" AND READ_CODE = "66YM"'>
All Medical History Records in Descending order Where EVENTDATE >= "01 Jan 2011" AND READ_CODE = "66YM"
>= "01 Jan 2011" AND READ_CODE2 = "66YM" AND STATUS = "RCS001 "'>
All Recall Records in Descending order Where RECALLDATE >= "01 Jan 2011" AND READ_CODE2 = "66YM" AND STATUS = "RCS001 "
COPD Management
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<Record Clinical COPD Questionnaire Completed>
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Management Plan Given
Last 1 Medical History Records Where READ_CODE = "8CR1"
Click here to record consultation data...
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<COPD Management Plan Given (Hx)>
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<COPD Management Plan Given>
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<No of COPD exacerbations in past year>
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[p:\macros\copdcare.exe'Copd care plan and Lucs informed]
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[p:\macros\pulrehabdeclined.exe'copd rehab declined]
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[p:\macros\pulrehabnot appropriate.exe'copd rehab not appropriate]
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smoking caesation
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<Smoking Cessation Advice (SDA)>
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<Health Education - Smoking>
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<Patient Unsuitable>
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<Informed Dissent>
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<Refused follow-up by smoking cessation team>
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Lung Function Tests
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To view complete list: Click top left empty header
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LFT>1D 0011ISmoking 0012IAlcohol 001DVWeight 001EVHeight 004ZIInhaler ability 007TVPF current 009tVSpirometry 009JVAirway Reversibility 008tVForced Expiratory Volume in 1 sec 008uVFEV1/FVC 008vVVital Capacity 007PVLung Func before bronchodilation 007QVLung Func after bronchodilation 00?7VLung function pre steroids 00?8VLung function post steroids 007gVBlood gases 006QIManagement at 30% best peak flow 006RIManagement at 50% best peak flow 006SIManagement at 80% best peak flow
Spirometry Exceptions *
>= "T-15m" AND (READ_CODE = "8I3b" OR READ_CODE = "8I6L" OR READ_CODE = "8I2j")'>
All Medical History Records in Descending order Where EVENTDATE >= "T-15m" AND (READ_CODE = "8I3b" OR READ_CODE = "8I6L" OR READ_CODE = "8I2j")
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Click here to record PF monitoring terms...
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<Airways obstruction reversible>
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<PEFR before Steriods>
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<PEFR after Steroids>
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<Serial PEFR>
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<Serial PEFR abnormal>
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<PFR before Bronchodilation>
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<PFR after Bronchodilation>
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Spirometry, positive reversibility or peak flow monitoring confirmation terms...
6333G1.003Spirometry reversibility positive33H1.003Positive reversibility test to salbutamol33I1.003Positive reversibility test to ipratropium bromide33J1.003Pos reversib test to combin of salbutamol + ipratropium br33K1.003Positive reversibility test to corticosteroids66YX.003Peak expiratory flow rate monitoring66YY.003Peak expiratory flow rate monitoring using diary66YY.113PEFR monitoring using diary66Yc.003Number of cons days less than 80% peak expiratory flow rate
Click here to record Spirometry exception (expiring) *
- If post bronchodilator spirometry or referral not recorded, if appropriate record an
exception using the buttons below annually
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<Spirometry testing declined>
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<Spirometry not indicated>
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<Spirometry contraindicated>
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FeV1 in last 15 months *
>= "T-15m" AND (READ_CODE = "339O" OR READ_CODE = "339S" OR READ_CODE = "33971" OR READ_CODE = "339O0")'>
Last 1 Forced Expiratory Volume in 1 sec Records Where EVENTDATE >= "T-15m" AND (READ_CODE = "339O" OR READ_CODE = "339S" OR READ_CODE = "33971" OR READ_CODE = "339O0")
>= "T-15m" AND (READ_CODE = "3398" OR READ_CODE = "3399" OR READ_CODE = "339M" OR READ_CODE = "339R" OR READ_CODE = "339T" OR READ_CODE = "339U")'>
Last 1 FEV1/FVC Records Where EVENTDATE >= "T-15m" AND (READ_CODE = "3398" OR READ_CODE = "3399" OR READ_CODE = "339M" OR READ_CODE = "339R" OR READ_CODE = "339T" OR READ_CODE = "339U")
>= "T-15m" AND (READ_CODE = "339a" OR READ_CODE = "339l")'>
Last 1 Lung Func before bronchodilation Records Where EVENTDATE >= "T-15m" AND (READ_CODE = "339a" OR READ_CODE = "339l")
>= "T-15m" AND (READ_CODE = "339b" OR READ_CODE = "339m")'>
Last 1 Lung Func after bronchodilation Records Where EVENTDATE >= "T-15m" AND (READ_CODE = "339b" OR READ_CODE = "339m")
>= "T-15m" AND (READ_CODE = "339e" OR READ_CODE = "339j")'>
Last 1 Lung function pre steroids Records Where EVENTDATE >= "T-15m" AND (READ_CODE = "339e" OR READ_CODE = "339j")
>= "T-15m" AND (READ_CODE = "339f" OR READ_CODE = "339k")'>
Last 1 Lung function post steroids Records Where EVENTDATE >= "T-15m" AND (READ_CODE = "339f" OR READ_CODE = "339k")
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Click here to record FEV1
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<FEV1 before bronchodilation>
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<FEV1 after bronchodilation>
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<FEV1 pre steriods>
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<FEV1 post steroids>
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Flu & Pneumococcal *
All Drug Allergies & Adverse Reactions Records in Descending order Where READ_CODE = "8I2E" OR READ_CODE = "8I2F"
Last 4 Immunisations Records Where READ_CODE = "68NE" OR READ_CODE = "65E" OR READ_CODE = "68NX" OR READ_CODE = "6572"
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Click here to record immunisation data...
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<Flu Vaccination Given>
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<Pneumo Vaccination Given>
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<No Consent - Flu>
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<No Consent - Pneumo>
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<Flu Vaccination C/I>
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<Pneumo Vaccination C/I>
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COPD Annual Review & Recall in last 15 months *
>= "T-15m" AND (READ_CODE = "66YM" OR READ_CODE = "66YL")'>
All Medical History Records in Descending order Where EVENTDATE >= "T-15m" AND (READ_CODE = "66YM" OR READ_CODE = "66YL")
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Last 2 Recall Records Where READ_CODE = "66YM" OR READ_CODE = "66YL"
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Click here to view all Outstanding Future Recalls (+3 months previous)
>= "T-3m" AND STATUS = "RCS001 "'>
All Recall Records in Descending order Where RECALLDATE >= "T-3m" AND STATUS = "RCS001 "
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<COPD Annual review>
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<COPD Follow-up>
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Click here to record correspondence invites...
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<Add Correspondence>
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Please make sure you change the type of letter to either RECALL,
PATIENT or CLINICAL when adding correspondence.
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Click recall button in form for next invite
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<1st Letter Sent>
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<2nd Letter Sent>
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<3rd Letter Sent>
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<Verbal Invitation>
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<Telephone Invitation>
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Useful Links
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<Click here to go to NICE website>
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<British Thoracic Society>
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<COPD - NICE website>
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<Clinical COPD Questionnaire Manual>
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<Clinical COPD Questionnaire - Week>
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<Clinical COPD Questionnaire - Day>
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Updated: 20th June 2011