Healthy for Life Reporting

Communicare provides reports to cover the essential indicators required for Healthy for Life. The current reports satisfy the Version 3.1 (January, 2008) Healthy for Life software requirements.

The reports depend on all regular Aboriginal clients having a status of Current Patient and having their Aboriginality recorded as Aboriginal, Torres Strait Islander or Aboriginal & T.I.

Maternal/Antenatal

The five reports in this section require that users use the pregnancy clinical items and qualifiers provided by ICPC-2 PLUS as part of the ICPC2 dataset and the pregnancy items provided by Communicare as part of the Communicare Value Added dataset. Your administrator can check the system parameters to see if these datasets have been imported into your system.

These reports need to find data relating to the start and end of pregnancies, pregnancy number, gestation, Aboriginality of the father, baby's birth weight, and the smoking, alcohol and illicit drug use of the mother at various stages of the pregnancy. It is extremely unlikely that these reports will yield any meaningful retrospective data without a careful survey of how this information has been collected in the past. Communicare can advise you on this process.

Childhood Health

These reports depend on the site claiming item 715 electronically for completed child health checks and the completion of immunisation and immunisation review recalls for children. Sites that do not use immunisation recalls or immunisation review recalls will find that 100% of their children are fully immunised.

Sites that use alternative child health checks and do not claim Medicare items must code their child health check with the system code CHC.

Adult Health

This report depends on the site claiming the Medicare Aboriginal health check items electronically for completed adult health checks. The report reports on item 715 and breaks into adult (the old item 710) and aged (the old 704 and 706) based on age (15-54 and over 55s).

Sites that use alternative adult health checks and do not claim Medicare items must code their adult health check with the system code AHC (for 15-54 year olds) or OHC (for 55 year olds and older).

Chronic Disease

These reports depend on the site claiming items 721 and 723 electronically for completed care plans and on all current patients with diabetes or coronary heart disease having the condition recorded in Communicare using a clinical item with an appropriate ICPC-2 PLUS code. APCC sites should already have these conditions recorded appropriately.

Sites that use alternative care plans and do not claim Medicare items must select the clinical item that they use to record a completed care plan.

Diabetes

These reports depend on all current patients with diabetes having the condition recorded in Communicare using a clinical item with an appropriate ICPC-2 PLUS code. APCC sites should already have these conditions recorded appropriately. HbA1c results must be recorded in a qualifier (this is done automatically for sites receiving pathology results electronically in HL7 format) and blood pressure must also be recorded in the appropriate qualifiers.

The report shows HbA1c results received electronically from a pathology lab and also those recorded regardless of the source. This allows clinics that measure their own HbA1c to report appropriate figures.

Diabetes definitions: at the time of writing the report looks for any condition with the ICPC code T90:
  • Diabetes;Type 2
  • Diabetes mellitus
  • Diabetes;adult onset
  • Diabetes;non insulin depend
  • Diabetes;Type 2;insulin treate

Coronary Heart Disease

These reports depend on all current patients with coronary heart disease having the condition recorded in Communicare using a clinical item with an appropriate ICPC-2 PLUS code. APCC sites should already have these conditions recorded appropriately. Blood pressures must also be recorded in the appropriate qualifiers.

CHD definitions: at the time of writing the reports look for any condition or procedure defined by APCC as a coronary heart disease or relating to a coronary heart disease:
  • Aneurysm;artery;coronary
  • Angina pectoris
  • Angina;unstable
  • Angioplasty;artery;coronary
  • Cardiac vasospasm
  • Coronary artery disease
  • Coronary heart disease
  • Disease;atherosclerotic;heart
  • Disease;ischaem heart;chronic
  • Disease;ischaem heart;subacut
  • Disease;ischaemic heart
  • Graft;coronary artery bypass
  • IHD with angina
  • IHD without angina
  • Infarction;myocardial
  • Infarction;myocardial;acute
  • Infarction;myocardial;healed
  • Infarction;myocardial;old
  • Insufficiency;coronary
  • Ischaemia;myocardial;chronic
  • Occlusion;coronary
  • Pain;angina
  • Postmyocardial infarct syndrom
  • Rupture;artery;coronary
  • Spasm;artery;coronary
  • Stent(s);coronary