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1 Supplementary Materials for Williamson T, Green ME, Birtwhistle R, et al. Validating the 8 CPCSSN case definitions for chronic surveillance in a primary care database of electronic health records. Ann Fam Med. 2014;12(4):
2 CPCSSN Case Definitions Appendix (To be Published on CPCSSN Website) Diabetes Includes: diabetes mellitus type 1 and type 2, controlled or uncontrolled. Excludes: gestational diabetes, chemically induced (secondary) diabetes, neonatal diabetes, polycystic ovarian syndrome, hyperglycemia, pre-diabetes or similar states or s (such as impaired fasting glucose or glucose intolerance). Encounter Diagnosis,, ), unless otherwise specified. Minimum two occurrences of the following ICD9 code within two years: diabetes mellitus Hypertension Any occurrence of the following ICD9 code: diabetes mellitus DrugName ACARBOSE GLIBENCLAMIDE GLICLAZIDE GLIMEPIRIDE INSULIN ASPART INSULIN ASPART INSULIN DETEMIR INSULIN GLARGINE INSULIN LISPRO INSULIN LISPRO METFORMIN METFORMIN AND ROSIGLITAZONE SITAGLIPTIN TOLBUTAMIDE ATC Code A10BF01 A10BB01 A10BB09 A10BB12 A10AB01 A10AC01 A10AD01 A10AE01 A10AB05 A10AD05 A10AE05 A10AE04 A10AB04 A10AD04 A10BA02 A10BD03 A10BH01 A10BB03 INSULIN (PORK) A10AC03 criteria alone is insufficient if one of the following diagnoses exist in the patient s Problem List: polycystic ovarian syndrome gestational diabetes secondary (chemical induced) diabetes hyperglycemia NOS neonatal diabetes mellitus Both criteria must be met: 1. Any HbA1C 7% 2. Two occurrences within one year of fasting glucose >7%
3 Includes: essential, heart,, heart and kidney, secondary. Excludes: myocardial infarction, congestive heart failure, angina, portal, white-coat, gestational or pregnancy-induced (unless there was a pre-existing diagnosis of ), borderline, or similar non-specific comment. This definition requires an explicit diagnosis of (e.g. elevated blood pressure values alone are insufficient). Encounter Diagnosis, ), unless otherwise specified. Minimum two occurrences of the following ICD9 codes within two years: essential heart heart and secondary COPD the following ICD essential heart heart and secondary criteria alone is insufficient ATC Code C07AB04 if one of the following diagnoses C09XA02 exist in the patient s Problem List: C03DB01 Drug Name ACEBUTOLOL ALISKIREN AMILORIDE AMLODIPINE ATENOLOL ATENOLOL & OTHER DIURETICS BENAZEPRIL CAPTOPRIL CARVEDILOL CHLORTALIDONE CILAZAPRIL ENALAPRIL migraines heart failure myocardial infarction myocardial infarction diabetes cardiac arrhythmia tremor esophageal varices esophageal varices angina kidney stones portal ENALAPRIL & DIURETICS EPROSARTAN EPROSARTAN & DIURETICS FELODIPINE FOSINOPRIL HYDROCHLOROTHIAZIDE HYDROCHLOROTHIAZIDE & POTASSIUM- SPARING AGENTS IDNAPAMIDE IRBESARTAN IRBESARTAN & DIURETICS LISINOPRIL LISINOPRIL & DIURETICS LOSARTAN & DIURETICS METHYLDOPA (LEVOROTATORY) & DIURETIC METOLAZONE TELMISARTAN TIMOLOL TRANDOLAPRIL TRIAMTERENE VALSARTAN VERAPAMIL C08CA01 C07AB03 C07CB03 C09AA07 C09AA01 C07AG02 C03BA04 C09AA08 C09AA02 C09BA02 C09CA02 C09DA02 C08CA02 C09AA09 C03AA03 C03EA01 C03BA11 C09CA04 C09DA04 C09AA03 C09BA03 C09DA01 C02LB01 C03BA08 C09CA07 C07AA06 C09AA10 C03DB02 C09CA03 C08DA01 Not applicable. Includes: obstructive chronic bronchitis, emphysema, chronic airway obstruction (ever). Excludes: all types of asthma including chronic obstructive asthma. Only persons 35 years and older are eligible for inclusion. Classification of COPD requires more than a single x-ray or spirometry finding and must include either a specific or similar diagnosis of COPD.
4 Classification can occur if the patient is 35 years of age and also meets criteria in any of the sections (, Encounter Diagnosis, ), unless otherwise specified chronic bronchitis emphysema chronic airway obstruction not chronic bronchitis emphysema chronic airway obstruction not Drug Name ATC Code TIOTROPIUM BROMIDE R03BB04 IPRATROPIUM BROMIDE R01AX03 IPRATROPIUM BROMIDE R03BB01 SALBUTAMOL & OTHER DRUGS R03AK04 FOR OBSTRUCTIVE AIRWAY DISEASES criteria alone is insufficient if one of the following diagnoses exist in the patient s Problem List: asthma Depression Includes: episodic mood disorders, depressive disorder not, bipolar, manic affective disorder, manic episodes, mild depression (not just clinical depression ). Excludes: anxiety disorders, alcohol or drug induced mental disorders, schizophrenic disorders, delusional disorders, other non-organic psychoses, pervasive developmental disorders or other intellectual disabilities. This definition identifies lifetime prevalence. Encounter Diagnosis, ), unless otherwise specified. the following ICD episodic mood disorders depressive episodic mood disorders depressive Drug Name AMITRIPTYLINE & PSYCHOLEPTICS CITALOPRAM ESCITALOPRAM FLUOXETINE FLUVOXAMINE MIRTAZAPINE MOCLOBEMIDE SERTRALINE TRANYLCYPROMINE criteria alone N06CA01 is N06AB04 insufficient if one of the following N06AB10 diagnoses exist in the patient s N06AB03 Problem List: N06AB anxiety disorders ATC Code N06AX11 N06AG02 N06AB06 N06AF04 Not applicable.
5 disorder not disorder not Osteoarthritis Includes: osteoarthritis and allied disorders, as well spondylosis and allied disorders such as kissing spine and ankylosing vertebral hyperostosis (anywhere in the chart, regardless of when). Excludes: intervertebral disc disorders, spinal stenosis, ankylosing spondylitis and other inflammatory spondylopathies. Encounter Diagnosis), unless otherwise specified. the following ICD osteoarthritis & allied disorders spondylosis & allied disorders the following ICD osteoarthritis & allied disorders spondylosis & allied disorders Epilepsy Includes: epilepsy, recurrent seizures or general convulsions, petit mal (absence) seizures, grand mal (tonic-clonic) seizures, Dravet s syndrome, Lennox-Gastaut syndrome, Panayiotopoulos syndrome. Excludes: Provoked seizure, alcohol withdrawal seizure, hypoglycemic seizure or possible or suspected variants of the inclusions. Individuals diagnosed with a petit mal, grand mal or convulsions, which are not receiving antiepileptic drugs (AED), will not be included. Also, individuals with AEDs only will not be included. Encounter Diagnosis, ), unless otherwise specified. 345.* - epilepsy & 345.* - epilepsy & criteria alone are insufficient for classification.
6 recurrent seizures Patient is excluded if no AED is present with the following ICD petit mal grand mal recurrent seizures Patient is excluded if no AED is present with the following ICD petit mal grand mal Parkinsonism Includes: Parkinson s, paralysis agitans, parkinsonism. Excludes: tremor, Wolf-Parkinson-White syndrome, and suspected or possible variants of the inclusions. Encounter Diagnosis, ), unless otherwise specified. code: 332.* - Parkinson s Dementia code: 332.* - Parkinson s Drug Name ATC Code RASAGILINE N04BD02 SELEGILINE N04BD01 LEVODOPA N04BA01 LEVODOPA, N04BA03 DECARBOXYLASE INHIBITOR & COMT INHIBITOR criteria alone are insufficient for classification. Includes: Alzheimer s, frontotemporal dementia, Pick s, senile degeneration of the brain, corticobasal degeneration, cerebral degeneration, dementia with Lewy bodies, mild cognitive impairment, senile dementia, presenile dementia, vascular dementia, senility without mention of. s Encounter Diagnosis, ), unless otherwise specified.
7 the following ICD9 290.* - dementias 331.* - other cerebral degenerations dementia in s other persistent mental disorders due to s 797.* - senility without mention of 438.* - late effects of cerebrovascular The following are excluded: other specified unspecified communicating obstructive idiopathic normal pressure Reye s syndrome the following ICD9 290.* - dementias 331.* - other cerebral degenerations dementia in s other persistent mental disorders due to s 797.* - senility without mention of 438.* - late effects of cerebrovascular The following are excluded: other specified unspecified communicating obstructive idiopathic normal pressure Reye s syndrome Drug Name ATC Code MEMANTINE N06DX01 RIVASTIGMINE N06DA03 GALANTAMINE N06DA04 DONEPEZIL N06DA02 criteria is required for the following diagnoses to be : 797.* - senility without mention of 438.* - late effects of cerebrovascular
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