Includes Diabetic Calculator Website update Oct 25

Coding Guidance for Proactive and Preventative Care Cardiovascular Disease GP Enhanced Service

[+] Blood Pressure

Last 5 Blood pressure Records Where READ_CODE = "315B" OR READ_CODE = "246"
< Add Blood Pressure > < Add Ambulatory Blood Pressure >

[+] Smoking

Last 1 Smoking Records
< Add Smoking >

[+] BMI

Last 3 Weight Records Last 3 Height Records Last 3 Waist Circumference Records
< Add Height > < Add Weight and BMI > < Add Waist Circumference >

[+] Diabetes UK Risk Score

Last 3 Scoring Test Result Records Where READ_CODE = "38Gv"
[https://www.preventdiabetes.co.uk/diabetes-risk-calculator/'Calculate Risk Score] < Diabetes UK Risk Score >

[+] Hba1c - Only required if Diabetes UK risk score greater than 16

Last 5 Hb A1C - Diabetic control Records
< Add Hb. A1C - diabetic control >

[+] Fasting Blood Glucose - Only where Hba1c not available first line

Last 5 Fasting glucose Records
< Add Fasting Blood Glucose >

[+] Lipids

Last 5 Serum cholesterol Records Where READ_CODE = "44P" OR READ_CODE = "44PJ" OR READ_CODE = "44PZ" OR READ_CODE = "44PK"
< Add Serum Cholesterol >

[+] ASSIGN V2.0 CVD Risk Scoring

Last 3 Scoring Test Result Records Where READ_CODE = "38D6" Last 3 Scoring Test Result Records Where READ_CODE = "38D61"
[https://rightdecisions.scot.nhs.uk/assign-v20/assign-cardiovascular-risk-score-calculator/'ASSIGN V2.0 Calculator]
< Add ASSIGN v2.0 >

[+] A - Patient Discussion - Cardiovascular Disease Risk Assessment - Must record A plus EITHER B or C for payment

Last 3 Cardiovascular Disease Risk Records Where READ_CODE = "9OhA"
< Cardiovascular Disease Risk Assessment Done >

[+] B - Patient Discussion - Where HIGH ASSIGN V2.0 score >= 10

Last 3 Cardiovascular Disease Risk Records Where READ_CODE = "6C2"
< Primary Prevention of Cardiovascular Disease >

[+] C - Patient Discussion - OR where LOW ASSIGN V2.0 score < 10

Last 3 Advice Given Records Where READ_CODE = "67H..00 " Last 3 Medical History Records Where READ_CODE = "67H..00 "
< Lifestyle Counselling >