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What is included in each option?

The following table displays the information included within each of the DCR selections:

 

Data included/Displayed for your patient

Comments

Problems

 

 

Current

Active Problem Headers with Read codes starting A%, B%, C%, D%, E%, F%, G%, H%, J%, K%, L%, M%, N%, P%, Q%, R%, S%, T%, U%, ZV%, , 141% , 142%, 143%, 144%, 145%, 146%, 147%, 148%, 149%, 14A%, 14B%, 14C%, 14D%, 14E..%, 14E1%, 14E3%, 14E4%, 14E5%, 14EZ%, 14F%, 14G%, 14H%, 14I%, 14J%, 14K%, 14R%, 14S%, 14T%, 14U%, 14W%, 14Y%, 14Z%, 14c..%, 14d..%, 14g..% and no End Date.

Inactive Problems are not included/displayed.

Past

Active Problem Headers with Read codes starting A%, B%, C%, D%, E%, F%, G%, H%, J%, K%, L%, M%, N%, P%, Q%, R%, S%, T%, U%, ZV%, , 141% , 142%, 143%, 144%, 145%, 146%, 147%, 148%, 149%, 14A%, 14B%, 14C%, 14D%, 14E..%, 14E1%, 14E3%, 14E4%, 14E5%, 14EZ%, 14F%, 14G%, 14H%, 14I%, 14J%, 14K%, 14R%, 14S%, 14T%, 14U%, 14W%, 14Y%, 14Z%, 14c..%, 14d..%, 14g..% and a completed End Date.

Inactive Problems are not included/displayed.

Diagnosis

 

 

Current

Any entries with Read codes starting A%, B%, C%, D%, E%, F%, G%, H%, J%, K%, L%, M%, N%, P%, Q%, R%, S....%, S0%, S1%, S2%, S3%, S4%, S5%, S6%, S7%, S8%, S9%, SA%, SB%, SC%, SD%, SE%, SF%, SG%, SH%, SJ%, SK%, SL%, SM%, SN...%, SN0%, SN1%, SN2%, SN3%, SN4%, Sn55%, SN56%, SN57%, SN5A%, SN5z.%, SNz..%, SP%, SQ%, SR%, Sy%, Sz...%, T....%, T0%, T1%, T2%, T3%, T4%, T5%, T6%, T7%, T8%, T9%, TA%, TB%, TC%, TD%, TE%, TF%, TG%, TH%, TK%, TL%, TM%, TN%, TP%, Tz...%, U....%, U0%, U1%, U2%, U3%, U4%, U5%, U6...%, U61%, U62%, U63%, U64%, U7%, U8%, ZV...%, ZV0..%, ZV01%, ZV02%, ZV07%, ZV0y%, ZV0z%, ZV1..%, ZV10%, ZV11%, ZV12%, ZV13%, ZV15%, ZV1B%, ZV1C%, ZV1y.%, ZV1z.%, ZV2%, ZV3%, ZV4%, ZV5%, ZV6..%, ZV60%, ZV61%, ZV62%, ZV63%, ZV64.%, ZV642%, ZV643%, ZV644%, ZV645%, ZV646%, ZV647%, ZV648%, ZV649%, ZV64A%, ZV64y%, ZV64z%, ZV65%, ZV66%, ZV67%, ZV68%, ZV69%, ZV6A%, ZV6B%, ZV6C%, ZV6D%, ZV6E%, ZV6F%, ZV6G%, ZV6H%, ZV6y%, ZV6z.%, ZV7%, ZVu%, ZVy..% and ZVz..% and no End Date.

 

Past

Any entries with Read codes starting A%, B%, C%, D%, E%, F%, G%, H%, J%, K%, L%, M%, N%, P%, Q%, R%, S....%, S0%, S1%, S2%, S3%, S4%, S5%, S6%, S7%, S8%, S9%, SA%, SB%, SC%, SD%, SE%, SF%, SG%, SH%, SJ%, SK%, SL%, SM%, SN...%, SN0%, SN1%, SN2%, SN3%, SN4%, Sn55%, SN56%, SN57%, SN5A%, SN5z.%, SNz..%, SP%, SQ%, SR%, Sy%, Sz...%, T....%, T0%, T1%, T2%, T3%, T4%, T5%, T6%, T7%, T8%, T9%, TA%, TB%, TC%, TD%, TE%, TF%, TG%, TH%, TK%, TL%, TM%, TN%, TP%, Tz...%, U....%, U0%, U1%, U2%, U3%, U4%, U5%, U6...%, U61%, U62%, U63%, U64%, U7%, U8%, ZV...%, ZV0..%, ZV01%, ZV02%, ZV07%, ZV0y%, ZV0z%, ZV1..%, ZV10%, ZV11%, ZV12%, ZV13%, ZV15%, ZV1B%, ZV1C%, ZV1y.%, ZV1z.%, ZV2%, ZV3%, ZV4%, ZV5%, ZV6..%, ZV60%, ZV61%, ZV62%, ZV63%, ZV64.%, ZV642%, ZV643%, ZV644%, ZV645%, ZV646%, ZV647%, ZV648%, ZV649%, ZV64A%, ZV64y%, ZV64z%, ZV65%, ZV66%, ZV67%, ZV68%, ZV69%, ZV6A%, ZV6B%, ZV6C%, ZV6D%, ZV6E%, ZV6F%, ZV6G%, ZV6H%, ZV6y%, ZV6z.%, ZV7%, ZVu%, ZVy..%, ZVz..%, , 141% , 142%, 143%, 144%, 145%, 146%, 147%, 148%, 149%, 14A%, 14B%, 14C%, 14D%, 14E..%, 14E1%, 14E3%, 14E4%, 14E5%, 14EZ%, 14F%, 14G%, 14H%, 14I%, 14J%, 14K%, 14R%, 14S%, 14T%, 14U%, 14W%, 14Y%, 14Z%, 14c..%, 14d..% and 14g..% and a completed End Date.

 

Medications

 

 

Acute

Issued in the last 2 years

 

Acute History

Issued over 2 years ago

 

Repeat

Repeat Masters that meet one of the following criteria:

- The repeat master is inactive but the last issue date is within the last 6 months

-The repeat master is active and the repeat until date is within the last 6 months

- The repeat master is active and the last issue date is within the last 18 months

- The repeat master is active with no repeat until date and it was added within the last 18 months

 

Past Repeat

Medication that meets one of the following criteria:

- The repeat master is inactive and the last issue is over 6 months ago

- The repeat master is active and the repeat until date is over 18 months ago

- The repeat master is active and the last issue date is over 18 months ago

- The repeat master is active and the repeat until date not completed and the event date is over 18 months ago

 

Events and Recalls

 

 

Encounters

The following consultation types Clinic, Night visit, Deputising service, Follow-up/routine visit, Night visit, Local rota, Mail from patient, Night visit, practice, Out of hours, Practice, Out of hours, Non Practice, Surgery consultation, Telephone call from a patient, Acute visit, Mail to patient, Emergency Consultation, Telephone call to a patient, Children's Home Visit, Home Visit, Hotel Visit, Nursing Home Visit, Residential Home Visit, Twilight Visit, Triage, Walk-in Centre, Co-op Telephone advice, Co-op Surgery Consultation, Co-op Home Visit, Minor Injury Service, Community Clinic, Community Nursing Note, Community Nursing Report, Health Visitor Note, Health Visitor Report, Night Visit and Telephone Consultation

 

 

Referrals

A list of Referrals recorded

 

Admissions

All clinical entries with a Read code starting 8H%

 

Recalls

All recalls recorded

 

Examinations

 

 

Blood Pressure

Any blood pressure recorded

 

Fundoscopy

Any fundoscopy recorded

 

Heart Exam

Any heart exam recorded

 

Pulse (CVS/BP)

Any pulse class recorded

 

Pulse Oximetry

Any pulse oximetry recorded

 

Visual Acuity Left Eye

Any visual acuity left eye recorded

 

Visual Acuity Right Eye

Any visual acuity right eye recorded

 

Weight

Any weight recorded

 

PF Current

Any pf current recorded

 

Respiratory Rate

Any respiratory recorded

 

Spirometry

Any spirometry recorded

 

Temperature

Any temperature recorded

 

Procedures

 

 

Operations

All Medical History entries with Read codes starting 7% excluding 7F%, 7E2A2 and 7E2A3

 

Immunisations

All Immunisation entries with a status of Given

 

Investigations

 

Remember - This includes filed test results that have not yet been seen by a clinician

Recent Tests

All Tests entries recorded in the last 3 months

 

Biochemistry

All Test entries with Read codes starting 44%

 

ECG

All Test entries with Read codes starting 32%

 

Haematology

All Test entries with Read codes starting 42%

 

Imaging

All Test entries with Read codes starting 5%

 

Microbiology

All Test entries with Read codes starting 4J% and 4I1%

 

Cytology

All Test entries with Read codes starting 4K% excluding 4K2%, 4K3%, 4K4%, 4KA% and 4KZ%

 

Physiology

All Test entries with Read codes starting 337%, 338%, 339%, 33G%. 33H%, 33I%, 33J% and 33K%

 

Urinalysis

All Test entries with Read codes starting 46%

 

Other

All Test entries with Read codes starting 4% excluding 41%, 42%, 44%, 4J%, 46%, 4I1% and 4K%

 

Risks and Warnings

 

 

Allergies

Allergy entries with Read codes starting 14L%, 14M%, TJ%, 816%, 817%, U60%, ZV14%, SN5..%, SN50%, SN51%, SN52%, SN53%, SN54%, SN58%, SN59%, SN5y%, 360% and 1151.

Read code 1151. is only displayed if there are no positive allergy codes recorded after the date Read code 1151. is added

Contraindications

Contraindications with Read codes starting 8I2%, 8I6%, 8I7%, ZV640% and ZV641%