A suite of Population Reporting searches for EMIS, created by the CDRC can be used identify and manage patients with undiagnosed and diagnosed Atrial Fibrillation (AF).
Accessing the Population Reporting Searches
To access the CDRC Atrial Fibrillation Population Reporting Searches on EMIS, you will need to download and import the following .zip file:
If you have not performed this process before, please refer to the Download/ Import guide below, which provides you with step-by-step instructions on how to Download and Import .zip files into EMIS:
You can check whether you have the most up-to-date version by reviewing the date on the .zip file. Any updates to the Population Reporting searches will be communicated to CDRC Precision users via the mailing list for the CDRC. To ensure you stay up to date with the latest information, please sign up to the mailing list at http://eepurl.com/9131L
Guidance on the Population Reporting Searches
The primary Population Reporting searches in the .zip file are highlighted below along with information that explains the patients that these searches return and possible actions to take.
|Search Name||Search Description|
|? AF 1.0 Screening – LTC with high risk of AF, no AF – without pulse check 12m|
|? AF 2.1 Casefinding – Medication that might be for AF but no AF code||Patients on rate limiting calcium channel blockers, beta-blockers, digoxin or amiodarone without obvious coded indication for these drugs.|
Also likely to detect patients with other uncoded diagnoses such as hypertension and heart failure.
|? AF 2.2 Casefinding – AF Indicator but no Read Code||Patients with Read codes suggestive of AF but no QoF code e.g. H/O Atrial fibrillation|
|? AF 2.3 Casefinding – Irregular Pulse but no subsequent ECG||Patients who have an irregular pulse without a subsequent ECG.|
Some of these patients will have erroneous entries of irregular pulse.
|? AF 2.4 Casefinding – AF Marked as resolved||Patients who have previously had AF which is currently marked as resolved |
AF resolved should not be used for patients with paroxysmal AF who are not currently in AF.
|? AF 3.1 Management – CHADVASC score not recorded or probably incorrect||Patient with AF who do not have a CHADSVASc score or whose most recently recorded score may be incorrect.|
Review patient and add/update score if appropriate.
|? AF 3.11 Management – CHADVASC score not recorded/incorrect – consider anticoag|
|? AF 3.2 Management – Consider Anticoagulation||Patients with AF and moderate or high stroke risk who are not anticoagulated and do have an expiring exception in the last year or a persistent exception.|
Review the patient and consider anticoagulation or record exception if appropriate.