PPC CVD DES
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Coding Guidance for Proactive and Preventative Care Cardiovascular Disease GP Enhanced Service
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[+] Blood Pressure
Last 5 Blood pressure Records Where READ_CODE = "315B" OR READ_CODE = "246"
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< Add Blood Pressure >
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< Add Ambulatory Blood Pressure >
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[+] Smoking
Last 1 Smoking Records
[+] BMI
Last 3 Weight Records
Last 3 Height Records
Last 3 Waist Circumference Records
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< Add Height >
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< Add Weight >
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<Add BMI>
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< Add Waist Circumference >
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[+] Diabetes UK Risk Score
Last 3 Scoring Test Result Records Where READ_CODE = "38Gv"
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[https://riskscore.diabetes.org.uk/start'Calculate Risk Score]
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< Diabetes UK Risk Score >
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[+] Hba1c - Only required if Diabetes UK risk score greater than 16
Last 5 Hb A1C - Diabetic control Records
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< Add Hb. A1C - diabetic control >
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[+] Fasting Blood Glucose - Only where Hba1c not available first line
Last 5 Fasting glucose Records
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< Add Fasting Blood Glucose >
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[+] Lipids
Last 5 Serum cholesterol Records Where READ_CODE = "44P" OR READ_CODE = "44PJ" OR READ_CODE = "44PZ" OR READ_CODE = "44PK"
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< Add Serum Cholesterol >
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[+] ASSIGN CVD Risk Scoring
Last 3 Scoring Test Result Records Where READ_CODE = "38D6"
To access ASSIGN 1.5 calculator in Vision+
Calculators>Cardiovascular>ASSIGN
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[+] Patient Discussion - Cardiovascular Disease Risk Assessment
Last 3 Cardiovascular Disease Risk Records Where READ_CODE = "9OhA"
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< Cardiovascular Disease Risk Assessment Done >
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[+] Patient Discussion - Where HIGH ASSIGN score >= 20
Last 3 Cardiovascular Disease Risk Records Where READ_CODE = "6C2"
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< Primary Prevention of Cardiovascular Disease >
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[+] Patient Discussion - OR where LOW ASSIGN score < 20
Last 3 Advice Given Records Where READ_CODE = "67H..00 "
Last 3 Medical History Records Where READ_CODE = "67H..00 "
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< Lifestyle Counselling >
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