Diabetes management

Eaps.bmp Diabetes management
Don't forget to add the recall for the annual review and select Type of Program
Diabetic Review>1w 001UIDiabetes Annual Check 005BIDiabetic Consultation 005wIDiabetes concerns 001EVHeight 001DVWeight 00?FIWaist Circumference 000sVBlood pressure 0011ISmoking 0012IAlcohol 005fVUrinalysis - Glucose 006M*FOOT_PULSR+R_DPR dorsalis pedis 006M*FOOT_PULSR+R_PTR post tibialis 006N*FOOT_PULSL+L_DPL dorsalis pedis 006N*FOOT_PULSL+L_PTL post tibialis 0052*ANKLE_NEUR+RIGHT_JERKR ankle jerk 0052*ANKLE_NEUR+RIGHT_VIBR vibration sense 0052*ANKLE_NEUR+LEFT_JERKL ankle jerk 0052*ANKLE_NEUR+LEFT_VIBL vibration sense 00?A*SENSATION+QUALIFIERTactile Sensation 004T*FUNDOSCOPY+RESULTFundoscopy 006d*VISUAL_R+VISUAL_ACR visual acuity 006e*VISUAL_L+VISUAL_ACL visual acuity 0061IRisk right foot 0061IRisk left foot
<Blood sample taken> <Urine sample taken> <Depression questions>
[p:\macros\lifestyle.exe'lifestyle advice given alcohol,smoking,exercise and diet] <diabetic monitoring>

- Investigations

Investigations>1D 0038IGlucose Tolerance test 002wVBlood glucose 0046VFasting glucose 0047VHb A1C - Diabetic control 0036VFructosamine 0022VSerum cholesterol 002kVTriglycerides 003KVThyroid function 0024VSerum creatinine 005fVUrinalysis - Glucose 005gVUrinalysis - Protein 009WVUrine microalbumin 00?4VAlbumin Creatinine Ratio

- Treatment

Current...

Last 1 Repeat Masters Records Where (BNF_CODE = "0601" OR BNF_CODE = "9601") ANDINACTIVE = "N "

Therapy review

All Repeat Medication Review Records in Descending order Where READ_CODE = "8B3l.00 "
- If line above indicates diabetes medication review is due, press right mouse, select
Edit, tick Review done and enter/accept date of next review
- If no diabetes medication review shown above, click button below to add
<Diabetes medication review>
All Medical History Records in Descending order Where READ_CODE = "8BL2" OR READ_CODE = "8BL1"
<Maximal tolerated diabetic therapy> <Maximal tolerated lipid lowering therapy>

New Therapy

Insulin

060101011001Short-acting insulin preparations 060101021001Intermediate- and long-acting insulins 910000001001Hypodermic equipment 060102001001Oral antidiabetic drugs 060106001001Diagnostic & monitoring agents for diabetes mellitus

Administration

- Correspondence

<Add Correspondence>
Last 1 Medical History Records Where READ_CODE = "9OL" Last 1 Diabetic Consultation Records Where READ_CODE = "9OL"
<1st Letter Sent> <2nd Letter Sent> <3rd Letter Sent>
<Verbal Invitation> <Telephone Invitation>
<Refuses Monitoring>

- Recall

Last 3 Recall Records Where READ_CODE2 = "9OL" OR READ_CODE2 = "66A"
<Check Done (readcode 9OLA)> <Annual Recall> <Monitoring Recall>

(References)

<HTML><HEAD><TITLE>V12 DATASET RULES</TITLE></HEAD>
<BODY><H2>
<a href="file:///O:/Download/Guidelines/gpcontract/docs/Vision 3 GP Contract Guidelines.pdf"> Vision 3 GP Contract Guidelines User Guide </a>
</H2></BODY></HTML>

Changes made in August 2009 for v14.1

1. Added further differentiation for new HbA1c coding
2. Added new recall codes at user request
3. Added 9mOA. Declined diabetic retinopathy screening
4. Added 44lD. Urine protein/creatinine ratio

Changes made in May 2009 for V14.0.00

Monitoring code added
update to v14 rules

Changes made in February 2009 for V13.0.00

1. Read Code 66Aq. Diabetic Foot Check added to criteria for searches
2. Text associated with Microalbuminurea & serum creatinine changed to 01/01/08 previous version an error stating 01/01/07 !

Changes made in September 2008 for V12.0.00

1. A2 antagonists now include bkD..% Amlodipine + Valsartan, and bkF..% Aliskiren
2. Neuropathy testing code range changed to 29B7. - 29BV 10g monofilament sensation present etc (v12 change - range up to 29BV, not 29BC as previously)
3. Note that proteinuria codes in DM15 differ from those in CKD5. Proteinuria codes for DM15 Diabetics with proteinuria and microalbuminuria on ACE inhibitors are unchanged with R110., R1100., R110z, C10EK, C10FL, K190X, Kyu5G

There were no changes made in June 2007 for V10.0.00

There were no changes made in May 2007 for V9.0.02

Changes made in February 2007 for V9.0.01

1. DM21: Add new Diabetic Retinopathy Screening entity to buttons and patient data display
2. DM21: Adjust data display to include 2BB% & 3128%

Changes made in November 2006 for V9.0.00

1. DM 1: Diabetes diagnostic codes: C10E.% and C10F.% but excluding C10F8 Reaven's syndrome
2. DM15: ACE inhibitor contraindications (persistent) - additional codes:
- TJC77 Adverse reaction to captopril
- TJC78 Adverse reaction to enalapril
- TJC79 Adverse reaction to ramipril
3. DM22 : eGFR Estimated Glomerular filtration rate - Additional code: 451G GFR calculated abbreviated MDRD adj for African American origin
4. Influenza is now hierarchal - 65E%
5. Made the depression question text more obvious for reading purposes

0710