Disease | Diabetes | Depression | Osteoarthritis | Hypertension | COPD |
---|---|---|---|---|---|
Case Finding | |||||
1. Billing: ICD9- 250.x; Service code: in Ontario K030A or Q040A, in other provinces consult physician and document the code. | 1. Billing: ICD9 309.0, 309.1 or 309.81 (Physicians should be asked which code they use before doing this search. Potential codes include: 296, 300, 309, 311, 648) | 1. Billing: ICD9 –715.x | 1. Billing: ICD9 –401–405 | 1. Billing: ICD9 –490–492, 496 | |
EMR | EMR | EMR | EMR | EMR | |
2. In Problem List | 2. In Problem List | 2. In Problem List | 2. In Problem List | 2. In Problem List | |
Diabetes/NIDDM/DM | Depression, post-traumatic stress disorder, 311 | Osteoarthritis | Hypertension, HTN, | Bronchitis | |
3. In the medication list: | 3. In Medication list: | 3. In Medication List | 3. In Medication List | Emphysema | |
Insulin | SSRI | None identified | ACEi/ARB | COPD/COLD | |
Glyburide (Sulfonylureas) | MAOI | Diuretics | 3. In Medication List | ||
Metformin (Biguanides) | Tricyclics (>75 mg/day) | Beta Blockers | Beta agonists | ||
4. In the lab result: | Calcium Channel Blockers Alpha blockers | Anticholinergics Xanthines | |||
HbA1C > 7% | Inhalant corticosteroids | ||||
Fasting BS > 7 | |||||
4. Risk Factors | |||||
Smoker | |||||
Data Type | |||||
Data to be extracted | |||||
Billing Data | None identified | None identified | None identified | None identified | None identified |
EMR –Problem List | All Diagnoses | All Diagnoses | All Diagnoses | All Diagnoses | All Diagnoses |
EMR –Physiological* | BP | Weight | Weight | BP | Weight |
Weight, | Joint pain | PEFR | |||
Height | |||||
foot ulcer, | |||||
Waist:hip ratio | |||||
Waist circumference | |||||
EMR -Adverse Events | Allergies to medication Adverse Events | ||||
Non-efficacious medication | |||||
EMR –Medications List† | All medications | All medications | All medications | All medications | All medications |
EMR –Risks | Smoker | Smoker | Obesity | Smoker | Smoker |
Obesity | Alcohol | Exercise | |||
Exercise | Alcohol | ||||
Diet | |||||
EMR –Labs | F-Glucose, | None Identified | None Identified | None Identified | None Identified |
HbA1c, | |||||
TG | |||||
LDL, | |||||
HDL, | |||||
TC, | |||||
Alb:Creat in urine | |||||
EMR –Referral | Ophthalmology, nephrology, | PsychiatristPsychologist | Orthopedic surgeon Physiotherapy | CardiologyNephrology | RespirologyThoracic surgery |
neurology, | Occupational therapy | ||||
endocrinology | Exercise program | ||||
Diabetes Education | |||||
Dietician | |||||
EMR –Diagnostic Imaging | Not being collected | Not being collected | Not being collected | Not being collected | Not being collected |
EMR –Procedures | Revascularization procedure | ECT | Knee-replacement | Angioplasty | Spirometry |
Coronary artery disease investigation | Hip-Replacement | Coronary artery stent | |||
EMR –Other | N/A | ER Crisis visits | ADL/IADL | ||
Hospitalization | Education | Hospitalization |
* BMI would not be collected as that should be calculated.
† We will use look-up tables to allow conversion of names of meds to particular classes of drugs. This will be done at the central repository level.
EMR, electronic medical record; NIDDM, non-insulin dependent diabetes mellitus; DM, diabetes mellitus; HTN, hypertension; SSRI, selective serotonin reuptake inhibitor; ACEi, angiotensin converting enzyme inhibitor; ARB, angiotensin receptor blocker; COPD, chronic obstructive pulmonary disease; COLD, chronic obstructive lung disease; MAOI, monoamine oxidase inhibitor (MAOI) antidepressants; HbA1c, hemoglobin A1c levels in diabetic patients; BS, blood sugar; BP, blood pressure; PEFR, peak expiratory flow rate; TG, triglycerides; LDL, low density lipoproteins cholesterol; HDL, high density lipoproteins; TC, total blood cholesterol; Alb:Creat, albumin/creatinine ratio (ACR) urine; ECT, electroconvulsive therapy; ER, emergency room; ADL, activities of daily living; IADL, instrumental activities of daily living.