*** Guideline triggered from parent ***

This guideline will only show for female patients over 60 years of age
Filter : Female 60 years and over.
Women over 60 with fragility fracture after 01/04/2011.
Offer referral for Dexa scan unless done in last 5 years. If more than 5 years reassess.
Offer all preventative treatment.
Any recorded fractures
All All other Clinical Data Records in Descending order Where READ_CODE = "S3" OR READ_CODE = "S2" OR READ_CODE = "S0" OR READ_CODE = "S1"

Fragility Fracture

All Medical History Records in Descending order Where READ_CODE = "N331N00 "
<Fragility Fracture>

Referral for Dexa scan

All Referrals Records in Descending order Where READ_CODE = "8HQA" All Medical History Records in Descending order Where READ_CODE = "8HQA"

DEXA

<reffered for Dexa scan>

No Dexa Scan

Last 1 Medical History Records Where READ_CODE = "8I2a.00 " OR READ_CODE = "8I3j.00 " OR READ_CODE = "8I6X.00 "
<Scan Contraindicated> <Scan Declined> <Scan Not Indicated>

Diagnosis

Last 2 Medical History Records Where READ_CODE = "NyuB.00 " OR READ_CODE = "N330.00 " OR READ_CODE = "NyuBC00 "
<Osteoporosis> <Osteopenia>

Offered or on bone sparing treatment

All All other Clinical Data Records in Descending order Where READ_CODE = "9kj0"
<bone sparing treatment offered for osteoporosis>

result of dexa

Forearm Dexa Scan

Last 3 Dexa scan/Bone mineral density Records Where READ_CODE = "58E0.00 " OR READ_CODE = "58E3.00 " OR READ_CODE = "58E4.00 " OR READ_CODE = "58E5.00 "
<Result NORMAL> <Result OSTEOPOROTIC> <Result OSTEOPENIC>

Hip Dexa Scan

Last 3 Dexa scan/Bone mineral density Records Where READ_CODE = "58EC.00 " OR READ_CODE = "58EF.00 " OR READ_CODE = "58EG.00 " OR READ_CODE = "58EH.00 "
<Result NORMAL> <Result OSTEOPOROTIC> <Result OSTEOPENIC>

Lumbar Spine Dexa Scan

Last 3 Dexa scan/Bone mineral density Records Where READ_CODE = "58EI.00 " OR READ_CODE = "58EL.00 " OR READ_CODE = "58EM.00 " OR READ_CODE = "58EN.00 "
<Result NORMAL> <Result OSTEOPOROTIC> <Result OSTEOPENIC>