Indigenous primary health care: PI20b-Proportion of regular clients who have had the necessary risk factors assessed to enable cardiovascular disease (CVD) assessment, 2018-2019

Identifying and definitional attributes
Metadata item type:	Indicator
Indicator type:	Indicator
Short name:	PI20b-Proportion of regular clients who have had the necessary risk factors assessed to enable cardiovascular disease (CVD) assessment, 2018-2019
METEOR identifier:	688007
Registration status:	Health, Superseded 16/01/2020 Indigenous, Superseded 14/07/2021
Description:	Proportion of Indigenous regular clients with no known cardiovascular disease (CVD), aged 35 to 74, with information available to calculate their absolute CVD risk.
Rationale:	Assessment of absolute CVD risk based on multiple risk factors is more accurate than that based on individual risk factors due to the cumulative nature of risk effects. In view of this additive predictive power, basing management decisions using this approach should improve CVD outcomes.
Indicator set:	Indigenous primary health care key performance indicators 2018-2019 Health, Superseded 16/01/2020 Indigenous, Superseded 14/07/2021

Collection and usage attributes
Population group age from:	35 years
Population group age to:	74 years
Computation description:	Proportion of Indigenous regular clients without known CVD, aged 35 to 74, who have had all of the following information recorded within the previous 24 months: tobacco smoking diabetes status systolic blood pressure total cholesterol and HDL cholesterol levels age sex. ‘Regular client’ refers to a client of an Australian Government Department of Health-funded primary health-care service (that is required to report against the Indigenous primary health care key performance indicators) who has an active medical record; that is, a client who has attended the Department of Health-funded primary health-care service at least 3 times in 2 years. Operationalisation of tobacco smoking status, sex and age: Where an Indigenous regular client’s tobacco smoking status and/or sex does not have an assessment date assigned within the Patient Information Record System (PIRS), tobacco smoking status and/or sex as recorded in the PIRS should be treated as current (i.e. as having been updated within the previous 24 months). Age is to be derived from date of birth.
Computation:	(Numerator ÷ Denominator) x 100
Numerator:	Number of Indigenous regular clients without known CVD, aged 35 to 74, who have had all of the following information recorded within the previous 24 months: tobacco smoking diabetes status systolic blood pressure total cholesterol and HDL cholesterol levels age sex.
Numerator data elements:	Data Element / Data Set Person—diabetes mellitus status, code NN Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care NBEDS 2018–19 Data Element / Data Set Person—regular client indicator, yes/no code N Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care NBEDS 2018–19 Data Element / Data Set Person—tobacco smoking status, code N Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care NBEDS 2018–19 Data Element / Data Set Person—age, total years N[NN] Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care NBEDS 2018–19 Data Element / Data Set Person—cardiovascular disease recorded indicator, yes/no code N Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care NBEDS 2018–19 Guide for use Only include 'no' responses, i.e. those persons who do not have a cardiovascular disease recorded on their clinical record. Data Element / Data Set Person—systolic blood pressure measurement result recorded indicator, yes/no code N Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care NBEDS 2018–19 Data Element / Data Set Person—total cholesterol measurement result recorded indicator, yes/no code N Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care NBEDS 2018–19 Data Element / Data Set Person—HDL cholesterol measurement result recorded indicator, yes/no code N Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care NBEDS 2018–19 Data Element / Data Set Person—Indigenous status, code N Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care NBEDS 2018–19 Data Element / Data Set Person—sex, code X Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care NBEDS 2018–19
Denominator:	Total number of Indigenous regular clients without known CVD, aged 35 to 74, recorded within the previous 24 months.
Denominator data elements:	Data Element / Data Set Person—age, total years N[NN] Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care NBEDS 2018–19 Data Element / Data Set Person—cardiovascular disease recorded indicator, yes/no code N Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care NBEDS 2018–19 Guide for use Only include 'no' responses, i.e. those persons who do not have a cardiovascular disease recorded on their clinical record. Data Element / Data Set Person—Indigenous status, code N Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care NBEDS 2018–19 Data Element / Data Set Person—sex, code X Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care NBEDS 2018–19 Data Element / Data Set Person—regular client indicator, yes/no code N Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care NBEDS 2018–19
Disaggregation:	1. Sex a) Male b) Female 2. Age group: a) 35–44 years b) 45–54 years c) 55–64 years d) 65–74 years
Disaggregation data elements:	Data Element / Data Set Person—age, total years N[NN] Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care NBEDS 2018–19 Data Element / Data Set Person—sex, code X Data Source Indigenous primary health care data collection NMDS / DSS Indigenous primary health care NBEDS 2018–19
Representational attributes
Representation class:	Percentage
Data type:	Real
Unit of measure:	Person
Format:	N[N].N
Indicator conceptual framework
Framework and dimensions:	Effective/Appropriate/Efficient
Data source attributes
Data sources:	Data Source Indigenous primary health care data collection Frequency 6 monthly Data custodian Australian Institute of Health and Welfare.
Source and reference attributes
Submitting organisation:	Australian Institute of Health and Welfare Australian Government Department of Health
Relational attributes
Related metadata references:	See also Indigenous primary health care: PI20a-Number of regular clients who have had the necessary risk factors assessed to enable cardiovascular disease (CVD) assessment, 2018-2019 Health, Superseded 16/01/2020 Indigenous, Superseded 14/07/2021 Has been superseded by Indigenous primary health care: PI20b-Proportion of regular clients who have had the necessary risk factors assessed to enable cardiovascular disease (CVD) assessment, June 2020 Health, Retired 13/10/2021 Indigenous, Superseded 14/07/2021 Supersedes Indigenous primary health care: PI20b-Proportion of regular clients who have had the necessary risk factors assessed to enable CVD assessment, 2015-2017 Health, Superseded 17/10/2018 Indigenous, Superseded 17/10/2018

Indigenous primary health care: PI20b-Proportion of regular clients who have had the necessary risk factors assessed to enable cardiovascular disease (CVD) assessment, 2018-2019

Identifying and definitional attributes

Collection and usage attributes

Representational attributes

Indicator conceptual framework

Data source attributes

Source and reference attributes

Relational attributes

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