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The NHS Wales Payor has a revised tick box on Payor File: “Auto chart NHS Risk Service on COT creation”. It is on by default and will automatically add “NHS Risk Assessment” service to planned UDA COTs if a patient has not been assessed by the same provider in the previous 12 months.
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NHS Risk Assessment service (as before) will be automatically added to NHS UDA COT for patient who have not been assessed by the same provider in the previous 12 months:
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NHS Risk Assessment will NOT be automatically added to a NHS UOA (ortho) COT:
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Double clicking the service icon or ticking the NHS Risk Assessment Service will launch ACORN questionnaire with four tabs - Example:
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Ticking' Urgent Care' will alter the form questions to represent the urgent assessment as requested by the NHS. Equally, ticking ‘Patient is endentulous’ or ‘Patient is under 12’ will alter the questions that need to be answered on the form dynamically. See full details of tab/question changes at the end of this document.
Relevant History
The three ‘Yes, No or Unset' buttons will send ‘Amber’ or ‘Green’ status in the claim XML.
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Behaviours and Protective Factors
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EXACT will default the high sugar and tobacco questions if these have been previously answered by the patient in their medical history. See full details in the Medical History section of this document below.
Clinical Findings
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If all the questions leading up to an overall score have been answered, EXACT will attempt to default the overall score if it can. This will only happen the first time the form is filled in for the patient, and can be overriden at any stage.
Perio Health
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The patient’s most recent BPE will be pre-populated on the form, so please ensure a BPE is completed before completing the assessment. These scores can be altered if necessary.
Warnings
Warnings will be displayed to user if there is missing data required to be sent with the FP17W claim when trying to tick NHS Risk Assessment complete.
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On an NHS course of treatment, mark the NHS Risk Assessment service as complete. NOTE: Behaviours and Protective Factors tab pre populates Yes answer (Amber) for “Consumes… fizzy drinks etc…” question e.g. below (user can change the answer to No if desired):
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Next, go to the Clinical Findings tab. When you tick ‘Green’ under the Tooth Decay (for dentate only) section, the Overall Tooth Decay Score will tick itself Amber (because Behaviours tab has an Amber) User can change the answer to No if desired.e.g.
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Workflow for Patients Under 12yrs old.
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Behaviors and Protective Factors - under 12
TBehaviours Behaviours and Protective Factors - under 12’s
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Read only answers ticked (or text entered) will be visible for completed (or TCd) claims when choosing 'View Risk Assessment” from Tooth History or Edit Chart Item. Chosen Yes, No or Unset answer buttons will have a coloured edge. See examples below.
Relevant History
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Behaviours and Protective Factors
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Clinical Findings
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Perio Health
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