N | Ref | Category/Sub-Category/descriptive decision code | Explanatory notes | Example codes |
---|---|---|---|---|
71 | F | Followed up | ||
20 | F.1 | Adverse Outcomes | ||
1 | F.1.1 | Died | “Pt has died” | |
14 | F.1.2 | Hospital Admission | Different dispensing system, no data | “Recent hospital admission discharged 12/3. case manager confirmed current compliance” |
5 | F.1.3 | Incarcerated | Different dispensing system, no data | “Given antipsychotic and oral meds in June. (so likely a delay in PBS data) This client is now in remand. Prison health service has been made aware of his medications. No longer residing in our catchment area.” |
46 | F.2 | Confirmed adherence | ||
6 | F.2.1 | Ambiguous source of confirmation | Ie., source was not named in the notes | “Compliant with medication (Data incorrect collects scripts every month)” |
5 | F.2.2 | Client Confirmed | “25/5/20 contact with client. confirmed compliance. no problems” | |
14 | F.2.3 | Clinician or Case Manager Confirmed | “Case manager: According to CPMS all medication has been dispensed for every month” | |
5 | F.2.4 | Clozapine | Monitored elsewhere in service | “R/v client file. P/c and 1:1 with Hyde and partners GP. Client presented for GP appt and collected script for clozapine on 10/08/2020. Nil concerns raised” |
2 | F.2.5 | Depot records showing compliance | “Accumulating data from all sources client received depot as prescribed on the below dates” | |
4 | F.2.6 | Family confirmed | “His mother pick-ups the medication and deliver at his place” | |
13 | F.3 | Confirmed non-adherence | ||
1 | F.3.1 | Appointment booked to discuss compliance | “Awaiting appointment for follow up with information regarding compliance of medication” | |
2 | F.3.2 | Client lost to follow-up, case manager pursuing | Client disappeared, or disengaged | “Client whereabouts unknown. Case manager aware of non-compliance” |
2 | F.3.3 | Client refused further intervention | “P/C to client, declined services. Fax sent to GP.” | |
7 | F.3.4 | Discontinuation confirmed on follow-up | “Ceased September 2020 was doing well then come unstuck and thought he needs to go back to the GP and re-commence taking it” | |
3 | F.3.4.1 | Ambiguous | Unclear who initiated/supported | “Intentional cessation” |
1 | F.3.4.2 | Initiated with Medical professional support | “Spoke to client, stopped antipsychotic as recommended by [clinician]” | |
3 | F.3.4.3 | Patient initiated, unsupported | “Stopped taking medication as he had been on it for a long time (2 months) and it did not help.” | |
260 | N | Not followed-up | ||
140 | N.1 | Likely to be Clinician Supported | ||
11 | N.1.1 | Changed Medication | “Paliperidone injection monthly changed to 3-monthly (TRINZA)” | |
1 | N.1.1.1 | Changed to depot | “Change to depot” | |
13 | N.1.2 | In residential care | Monitored by facility in Aus. context | “Lives in boarding house where medication is supervised” |
79 | N.1.3 | Likely PRN | PRN = taken as needed | “PRN medication such as diazepam and oxacepan should not set triggers” |
22 | N.1.4 | Script likely a short-term solution | “Was a once off script, regular GP visits” | |
15 | N.1.5 | Seen their GP, while | “Seen GP since, assuming it was intended as CPZ was commenced since” | |
13 | N.1.5.1 | Compliant with other medications | “Regular in everything else, likely per Gp” | |
2 | N.1.5.2 | Started a new medication | “GP seemingly trying different antidepressants” | |
133 | N.2 | Unclear without further investigation | ||
14 | N.2.1 | Assumed to be a trial | “As only once dispensed I assume that it was poorly tolerated” | |
68 | N.2.2 | GP visit regularity only source of data for assumption | “Several GP appts since- assuming intentioned” | |
42 | N.2.3 | Irregular prescription pickup pattern | Ie., assumed normal behaviour for pt | “Likely timing issue, he picked up the last repeat too early, long term very reliable” |
9 | N.2.4 | Patient known to be non-compliant, not followed up | “Patient has a history of noncompliance with limited benefit of medication, as such likely real alert but no action taken before next scheduled review” | |
2 | N.2.4.1 | Patient has case manager | Unclear if C.M. was followed up | “Case managed, known non-compliance” |