The CDRC Cardiology Results reports and template have been created to make identifying and viewing cardiology investigations straightforward.
Accessing CDRC resources on SystmOne
To access the below resources you will need to be a member of the DCS group on SystmOne. To do this, please follow the instructions on the CDRC SystmOne Access webpage.
Reports
The CDRC provides Casefinding reports to identify patients that may have Atrial Fibrillation, Coronary Heart Disease, Heart Failure and Hypertension.
Atrial Fibrillation
| Report Name | Location | Returns | Notes |
| ? AF 2.1 Casefinding – Medication that might be for AF but no AF code | CDRC Quality > Cardiovascular | Patients with chronotropic medication without any obvious reason* | Also likely to lead to detection of uncoded CHD, heart failure, hypertension, Raynauds, SVT, VT |
| ? AF 2.2 Casefinding – AF potential indicator but no AF code | CDRC Quality > Cardiovascular | Patients with codes which might indicate AF such as ‘AF annual review’ or ‘CHADS score’ | Check for uncoded AF and/or consider removing any erroneous historic codes. |
| ? AF 2.3 Casefinding – Irregular pulse but no subsequent ECG | CDRC Quality > Cardiovascular | Patients with a record of an irregular pulse without a subsequent ECG to check for AF | Consider offering repeat pulse check and/or ECG |
| ? AF 2.4 Casefinding – AF marked as resolved | CDRC Quality > Cardiovascular | Patients who have been removed from the AF register by virtue of AF resolved | Recent information suggests that patients with AF should not be removed from AF registers prematurely as they remain at higher risk of stroke. |
*reports for individual drugs can be found in the same folder called ? Drug to diagnosis 00x – xxxxx without obvious indication
Coronary Heart Disease
| Report Name | Location | Returns | Notes |
| ? CHD 2.1 Casefinding – Potential CHD Indicator but no QoF code | CDRC Quality > Cardiovascular | Patients with codes which might indicate CHD such as ‘CHD annual review’ or ‘angina control’ | Check for uncoded CHD and/or consider removing any erroneous historic codes. |
| ? CHD 2.2 Casefinding – Potential MI Indicator but no QoF code | CDRC Quality > Cardiovascular | Patients with codes which might indicate CHD such as ‘H/o myocardial infarction’ | Check for uncoded CHD and/or consider removing any erroneous historic codes. |
| ? CHD 2.3 Casefinding – Medication that might be for CHD but no CHD code # | CDRC Quality > Cardiovascular | Patients taking medication indicated for CHD without any obvious reason* | Also likely to detect AF, heart failure, hypertension, PAD, Raynauds, stroke/TIA, SVT, VT |
*reports for individual drugs can be found in the same folder called ? Drug to diagnosis 00x – xxxxx without obvious indication
The following report may also identify patients with CHD as well as other atherosclerotic disease:
CDRC Quality > Cardiovascular>? Drug to Diagnosis 003 – Antiplatelets without obvious indication
Heart Failure
| Report Name | Location | Returns | Notes |
| ? Heart Failure 2.1 – Case Finding – Significantly raised BNP w/o HF | CDRC Quality > Cardiovascular | Patients with a significantly raised BNP without diagnosis of heart failure | Review record |
| ? Heart Failure 2.2 – Case Finding – LVSD/LVDD or moderately raised BNP – on loop diuretic | CDRC Quality > Cardiovascular | Patients taking loop diuretics with LV systolic or diastolic dysfunction or a raised BNP | Review record |
| ? Heart Failure 2.3 – Case Finding – Heart failure medication but no heart failure diagnosis | CDRC Quality > Cardiovascular | Patients taking spironolactone/eplerenone/sacubitril without obvious reason. (will detect some patients being given spironolactone for resistant hypertension) |
*reports for individual drugs can be found in the same folder called ? Drug to diagnosis 00x – xxxxx without obvious indication
Additional patients might be found in the drug to diagnosis audits for beta-blockers and renin-angiotensin drugs
Hypertension
| Report Name | Location | Returns | Notes |
| ? Hypertension 2.1 Casefinding – Potential Hypertension indicator but no HT code | CDRC Quality > Cardiovascular | Patients with codes which might indicate hypertension such as ‘hypertension annual review’ | Check for uncoded hypertension and/or consider removing any erroneous historic codes. |
| ? Hypertension 2.2 Casefinding – Medication that might be for HT but no HT | CDRC Quality > Cardiovascular | Patients taking medication indicated for hypertension without any obvious reason* | Also likely to detect AF, CHD, heart failure, PAD, Raynauds, SVT, VT |
| ? Hypertension 2.3 Casefinding – ABPM>135/85 and not appropriately coded | CDRC Quality > Cardiovascular | Patients with a home BP <=135/85 without a diagnosis of hypertension. | Review record and add hypertension code or correct home BP if this was incorrect. |
*reports for individual drugs can be found in the same folder called ? Drug to diagnosis 00x – xxxxx without obvious indication
Template
Cardiology Results Template
How to Access
In the lower left hand corner use the search bar, type in ‘Cardiology Results’ and select the following template:
Alternatively, press F12 and search for ‘Cardiology Results’, this will open the aforementioned template.
Cardiology Results Template
The Cardiology Results templates contains pages for ECG, echocardiogram and coronary intervention.
If the investigation has been recorded in Communications and Letters you can right click on it to view the it.
