PI 19 - Kidney function test result

Proportion of First Nations regular clients with a selected chronic disease who have had a kidney function test result (eGFR and ACR) within a specified category.

Description

Proportion of regular clients who are Indigenous aged 18 years and over, who are recorded as having one of the following:

Type 2 diabetes
Cardiovascular disease (CVD)
Type 2 diabetes and/or CVD

whose estimated glomerular filtration rate (eGFR) AND albumin/creatinine ratio (ACR) recorded within the previous 12 months were categorised as:

Normal risk
Low risk
Moderate risk
High risk

Table 1. eGFR & ACR risk categories
Risk level	Description
Normal risk	eGFR ≥60 mL/min/1.73m² AND ACR <3.0 mg/mmol
Low risk	Either: eGFR ≥45 mL/min/1.73m² and <60 mL/min/1.73m² AND ACR <3.0 mg/mmol, OR eGFR ≥60 mL/min/1.73m² AND ACR ≥3.0 mg/mmol and ≤30 mg/mmol
Moderate risk	Either: eGFR ≥45 mL/min/1.73m² and <60 mL/min/1.73m² AND ACR ≥3.0 mg/mmol and ≤30 mg/mmol, OR eGFR ≥30 mL/min/1.73m² and <45 mL/min/1.73m2 AND ACR ≤30 mg/mmol
High risk	Either: eGFR ≥30 mL/min/1.73m² AND ACR >30ml/mmol, OR eGFR <30 mL/min/1.73m² AND any ACR result

Notes

User may select between AIHW's definition of Regular Client (attended the OATSIH-funded primary health care service at least 3 times in 2 years), or Communicare's Current Patient status.
Patients must be recorded as Aboriginal or Torres Strait Islander or both.

Table 2. NKPI PI 19
Element	Description
Communicare reports	Report > National KPI > PI19 Kidney Function Results Patients Report > National KPI > PI19 Kidney Function Results
Numerator	The number of [Disaggregation: Sex] First Nations regular clients with [Disaggregation: Chronic disease] aged [Disaggregation: Age] whose most recent eGFR and ACR results, recorded within the previous 12 months, were [Disaggregation: Risk category] Note: This is equivalent to calculation A to L on METEOR
Denominator	Total number of [Disaggregation: Sex] First Nations regular clients with [Disaggregation: Chronic disease] aged [Disaggregation: Age] who had both eGFR and ACR results recorded within the previous 12 months
Disaggregation	Age 18 to less than 25 years 25 to less than 35 years 35 to less than 45 years 45 to less than 55 years 55 to less than 65 years 65 years and older Sex Male Female Chronic disease Type 2 diabetes Cardiovascular disease Either or both of the above Risk, see Table 1.
Counting rules	Inclusion Criteria Have type 2 diabetes and/or CVD A valid eGFR AND a valid ACR test recorded within the previous 12 months Exclusion Criteria Type 1 diabetes, secondary diabetes, gestational diabetes mellitus (GDM),previous GDM, impaired fasting glucose, and impaired glucose tolerance Invalid test results (i.e. negative, non-numerical and null values)
Additional data recording considerations	Count is of people, not tests Count only the most recent eGFR and ACR tests 'ACR' definition: albumin/creatinine ratio Valid test result recorded: a numeric value that can be used to classify test results into the risk categories specified in ‘Chronic Kidney Disease (CKD) Management in Primary Care’ guidelines Chronic disease patient counts: Type 2 diabetes: have type 2 diabetes irrespective of CVD status CVD: have CVD irrespective of type 2 diabetes status Type 2 diabetes and/or CVD: have diabetes only OR have CVD only OR have type 2 diabetes AND CVD

This information relates to V19.0 of the Specifications for National Key Performance Indicators and Online Services Reporting (Solving Health, Specifications for National Key Performance Indicators and Online Services Reporting V19.0. Sydney: Solving Health, August 2025). For more information, see https://www.solvinghealth.au/specifications.