How to access the Lipids, FH and PCSK9i searches via EMIS
1. Download the EMIS .zip File
In order to access the searches via EMIS, you must first download the .zip file below:
2. Additional searches:
In response to user feedback, the CDRC Precision team have developed some additional searches to support clinicians by providing a more focused patient lists to optimize lipid control. The new searches are are named and placed in Alphabetical order:
- Lipid Control – Eligible for primary prevention, not on lipid lowering
- Lipid Control – Eligible for secondary prevention, not on lipid lowering
- Lipid Control – Patients prescribed statin but possible poor compliance
- Lipid Control – Patients requiring high intensity statin, prescribed low/mod
! To access the new resources, you must first download the .zip file below:
The guide will help you to answer the following questions:
- How do I upload this search to EMIS?
- Which searches are available to support me in assessing and managing the lipid health of my patient cohort?
- How can these resources help me to find patients who are likely to have undiagnosed FH?
- How can I find patients who may benefit from PCSK9 inhibitors?
- Open the zip file at the top of this page and save the files to a suitable location on your computer.
- Using import, upload the searches.
- Once imported into EMIS, right click over each in turn and choose properties.
- Click on the schedule tab and set the automatic run schedule.
There are a suite of searches that can be downloaded from the CDRC website and imported into you EMIS system. They can give an overview of lipid management/performance.
The following searches are complex and identify patients who:
- Might have undiagnosed FH
- Have a genetic or clinical diagnosis of FH
- Have had the Dutch Lipid Clinic Network Score (DLCNS) calculated (proxy for ‘have been fully assessed’), or those referred to lipid clinic.
The searches were created by working with lipid specialists to develop resources to compare all the FH detection tools: NICE, Simon Broome, DLCNS, and Famcat. The searches were then refined to improve accuracy e.g. adding LDL and non-HDL criteria to the NICE criteria, adjusting for high triglycerides. Specialist Lipid Nurses then reviewed the patients identified and decided who needed further assessment and/or genetic testing. This information was used to develop search strategies which can adjust sensitivity and specificity.
The chosen search strategy for the National FH Programme is:
- Estimated DCLNS of 5 or more (adjusted for high triglyceride levels) OR
- Patients with NICE Plus criteria for FH (adjusted for high triglyceride levels) NICE PLUS includes LDL-C and NON-HDL-C as well as TC.
Details of the FH search criteria can be seen below:
The following searches can help identify patients who meet referral criteria for PCSK9i:
Details of the PCSK9i search criteria can be seen below:
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