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You are here: Home / Resources / EMIS Resource Centre / EMIS Specialties / EMIS Cardiovascular Resource Overview / Lipids, Familial Hypercholesterolaemia (FH), PCSK9i & Inclisiran Guide for EMIS

Lipids, Familial Hypercholesterolaemia (FH), PCSK9i & Inclisiran Guide for EMIS

A suite of Population Reporting searches for EMIS, created by the CDRC can be used identify patients in your practice who might benefit from lipid lowering or optimisation of treatment.

To enable actioning of these Population Reporting searches with guided instruction for patient care, please use the CDRC Lipid Management Template which can be accessed using the CDRC Precision Launcher. This holistic tool allows for accurate assessment, coding and management of patients to help meet best practice, QoF and PCN DES IIF indicators.

Click on the following links for more information:

  • Accessing the CDRC Resource Launcher
Accessing the Population Reporting Searches:

To access the CDRC Lipids Population Reporting Searches on EMIS, you will need to download and import the following .zip file:

CDRC Quality Lipids (3rd January 2023)Download

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:

File Download/ Import GuideDownload

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.

Lipid Screening

Search NameSearch Description
?Lipids 1.0 Screening – Target CVD Risk Assessment (estimated risk is >10%)This is a list of patients who have an estimated QRisk2 calculated (uncoded) who may be eligible for a targeted CVD Risk assessment.
?Lipids 1.1 Screening – Target CVD Risk Assessment – eligible for NHS HealthcheckThis is a subdivision of the parent search that highlights those that you could recall for an NHS Healthcheck.
?Lipids 1.2 Screening – Target CVD Risk Assessment – has LTCThis is a subdivision of the parent search that highlights those that will be recalled for an LTC review (excluding respiratory reviews).
?Lipids 1.3 Screening – Target CVD Risk Assessment – not NHS Healthcheck or LTCThis is a subdivision of the parent search that excludes those that could be in invited for an NHS Healthcheck or an LTC.  These patients could potentially be missed from any routine recall but existing coding in the record suggests they would have a QRisk2>10%.

Familial Hypercholesterolaemia Case Finding

Search NameSearch Description
?Lipids 2.0 Case Finding – Consider screening for familial hypercholesterolaemiaThis search identifies patients based on the DLCN criteria, Simon Broome and NICE Plus citeria to identify patients who may have familial hypercholesterolaemia
?Lipids 2.01 Case Finding – Consider screening fro FH (also eligible for IIF FH)This is a subdivision of the parent search that identifies patients who also meet the PCN DES IIF FH indicator for referral for FH screening but excludes those in whom a referral has been made and coded.
?Lipids 2.02 Case Finding – Consider screening for FH – highest risk patientsThis subdivision of the parent search identifies those with the highest risk scores that are most likely to have FH.
?Lipids 2.1 Case Finding – Eligible for IIF but FH less likelyThis search identifies those patients currently identified by the PCN DES IIF FH indictors who are less likely to have FH and more likely to have secondary hyperlipidaemia.
?Lipids 2.2 Case Finding – Code for FH but no genetic code – consider gene testThis search identifies patients have a possible/probable/FH code who do not have a  genetic FH code diagnosis.  These patients should be reviewed and genetic code added, or referral made, or removal of FH code if incorrect (e.g. Patient has secondary hyperlipidaemia).
?Lipids 2.21 Case Finding – code for FH, no genetic test, eligible for IIFThis is a subdivision of the parent search identifying those patients in the PCN DES IIF denominator searches.  These patients should be reviewed and genetic code added, or referral made, or removal of FH code if incorrect (e.g. Patient has secondary hyperlipidaemia).

Lipid Management

Search NameSearch Description
?Lipids 3.1 Management – Consider lipid lowering for Secondary PreventionThis search identifies patients with manifest atherosclerosis who are not taking lipid lowering medication with no clear indication why.
?Lipids 3.2 Management – Consider lipid lowering for Primary PreventionThis search identifies patients with coded reasons to be already on lipid lowering medication who are not.  There are further subdivisions as shown above highlighting the indication for primary prevention.
?Lipids 3.3 Management – Possible poor lipid lowering therapy concordanceThis search identifies patient who are prescribed lipid lowering medication, but they have not has them issued in the last 3 months.
?Lipids 4.1 Management – On lipid lowering – without a lipid targetThis search identifies patients who are prescribed lipid lowering medication, but do not have a Non-HDL cholesterol target
?Lipids 4.2 Management – On lipid lowering – has lipid target but not achievedThis search identifies patients who have not achieved their Non-HDL cholesterol target (if one is recorded)
?Lipids 4.3 Management – On low/mod lipid lowering – consider intensificationThis search identifies patient who are prescribed a low/moderate potency statin who should be prescribed a high intensity statin.
?Lipids 4.3.1 Management – On low/mod lipid lowering (excl. target achieved)This subdivision of the parent search excludes those patients on a low or moderate potency steroid who have achieved their target non-HDL cholesterol level.

Lipid Management – Specialist Lipid input

Search NameSearch Description
?Lipids 5.1 Management – Consider lipid lowering – may more detailed inputPatients who appear to need lipid lowering but have had ADR to at least one statin AND ezetimibe – may need specialist input 
?Lipids 5.2 Management – Referral criteria for PCSK9i but poor concordance with current treatmentFulfil referral criteria for PCSK9i therapy but may not be taking current lipid lowering therapy
?Lipids 5.3 Management – Referral Criteria for PCSK9i – Consider primary care intensificationFulfil referral criteria for PCSK9i therapy but there may be scope for intensification of lipid lowering therapy in primary care 
?Lipids 5.4 Management – Referral Criteria for PCSK9i – Consider referralLikely to be eligible for PCSK9i referral 
?Lipids 5.5 Management – Referral criteria for Inclisiran but poor concordance with current treatmentFulfil referral criteria for Inclisiran therapy but may not be taking current lipid lowering therapy
?Lipids 5.6 Management – Referral Criteria for Inclisiran – Consider primary care intensificationFulfil referral criteria for Inclisiran therapy but there may be scope for intensification of lipid lowering therapy in primary care 
?Lipids 5.7 Management – Referral Criteria for Inclisiran – Consider referralLikely to be eligible for Inclisiran referral 

Get in touch:

If you have any questions regarding access, or the use of the CDRC Precision tools, please get in touch: contact-CDRC@ahsn-nenc.org.uk

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