Basic consultation

Basic Consultation

Medical History

All Medical History Records in Descending order Where PRIORITY = "1 " All Medical History Records in Descending order Where PRIORITY = "2 "
<Add Free Text> <Consultation> <Telephone encounter> <Patient Informed of Result> <Nursing Care> <Add General symptoms>
<Notes summarised> <Error entry deleted> <mammography> <has served in armed forces> <has left armed forces>
[p:\macros\createproblem.exe'Create problem] [p:\macros\labs.exe'Request Bloods] [p:\macros\ppp.exe'Lifestyle advice given]
<Patient informed biochem test result> <Patient informed Haematology test result>
<Patient informed microbiology test result> <Patient informed other test result> <patient informed of test result and appointment made>

Examination and Lifestyle Information

BP History for Last 12 Months
>= "T-12m"'> All Blood pressure Records in Descending order Where EVENTDATE >= "T-12m"
Smoking Status
Last 3 Smoking Records
Height/Weight
Last 1 Height Records Last 3 Weight Records
Alcohol Consumption
Last 1 Alcohol Records
Exercise Grading
Last 1 Exercise Records
Diet
Last 1 Diet Records
Family History
All Family History Records in Descending order
<BP> <Height> <Weight> <BMI>
<Never Smoked> <Current Smoker> <Ex-Smoker> <Smoking Cessation Advice>
<Alcohol> <Exercise> <Diet>

Unknown Guideline

Current Medication and Sensitivities

All Active Repeats
All Repeat Masters Records in Descending order Where INACTIVE = "N "
Last 3 Months of Acutes
>= "T-3m" AND ISSUE_NO = "0 "'> All Acute and Repeat Issue Therapy Records in Descending order Where EVENTDATE >= "T-3m" AND ISSUE_NO = "0 "
Drug Allergies and Adverse Reactions
All Drug Allergies & Adverse Reactions Records in Descending order
<No Known Allergies> <Drug Allergy>
Last 3 Medication Reviews
Last 5 Repeat Medication Review Records

Recalls

Future Recalls
>= "Today"'> All Recall Records in Descending order Where RECALLDATE >= "Today"
Last 3 Months Recalls
>= "T-3m" AND RECALLDATE < "Today")'> All Recall Records in Descending order Where (RECALLDATE >= "T-3m" AND RECALLDATE < "Today")

Actions Taken

<Blood Taken> <Urine Sample> <Stool Sample> <Saliva Sample> <Sputum Sample>
<Injection Given> <Urinalysis>

Exception Coding Guideline

Last 5 Consultations...

Last 6 Consultation Records Where CATEGORY = "COT001 " OR CATEGORY = "COT018 " OR CATEGORY = "COT027 " OR CATEGORY = "COT009 " OR CATEGORY = "COT010 " OR CATEGORY = "COT021 " OR CATEGORY = "COT034 "