Truro - Report Riders and Codes

If moderate or severe aortic valve calcification is present add the below text. There are no strict rules on how to grade this, but the linked document gives some representative pictures.

Moderate/Severe aortic valve calcification is noted. This may indicate the presence of aortic valve stenosis. Consider echocardiography if clinically appropriate.

recommendations_for_coronary_and_aortic_valve_calc.docx

If any degree of coronary calcification is present add the below text, which can be done with the “get coronary calcification command”. There are no strict rules on how to grade this, but the linked document gives some representative pictures.

(Mild / moderate / severe) coronary artery calcification is noted. If clinically appropriate we would advise reviewing addressable cardio-vascular risk factors with the patient in primary care. Further testing or assessment for those without symptoms may not be necessary or recommended (see guidance on the RMS website). Please only refer for assessment those with suspected cardiac chest pain following the RACPC guidance / pathway which can be found on eRS and RCHT website.

recommendations_for_coronary_and_aortic_valve_calc.docx

For acute stroke head and angiograms, in addition to a normal report Truro would like you to use the “Get stroke” CRIS VR command, which pops-up a dialogue box with some questions and auto fills some text dependant on that.

If a definite fragility fracture is present (e.g. vertebral body, surgical neck of humerus in low trauma ect.) the “get fragility fracture” command should be used, which inputs the below text:

Appearances suggest a high risk of fragility fracture - in patients between the age of 50 and 75 referral for Bone Densitometry scanning is suggested. NICE guidelines recommend presumptive treatment in patients over 75 following a fragility fracture.

In all fractures in patients over 60, the below code should be added to the report:

fls