ConXus Profile v3.1
Available: October 17, 2012
ConXus Profile v3.1 includes the following enhancements:
- Changes in the handling of biometric data.
- Changes in the processing of self-directed HRAs.
- Addition of configurable data entry validation for text and numeric fields.
- A change to the algorithm used to assess current depression.
A more detailed explanation of these changes is provided below.
ConXus Profile v3.1 includes changes to the following product components:
- Questionnaire (English and Spanish)
- Member report (English and Spanish)
- Provider report
- Data export file
- Biometric results listing
Upgrade Timeline and Process
ConXus Profile v3.1 (English and Spanish) is available for deployment on October 17, 2012. Please refer to the updated Knowledge Library documentation for additional information regarding this release. Clients may contact PDHI Client Services to schedule your upgrade.
Description of the Enhancements
Biometric Data Handling
A1C and Nonfasting Blood Sugar
A1C and nonfasting blood sugar are often used for diabetes screening. In HRA v3.0 and prior versions, A1C is stored and assessed within the HRA only for participants who report a diagnosis of diabetes; no support is provided for nonfasting blood sugar.
This enhancement adds questions and assessment algorithms for A1C and nonfasting blood sugar for all users. The assessment results are used to populate a new Diabetes Screening assessment, using the highest risk if more than one result is available. Diabetes Screening is used instead of Fasting Blood Sugar in assessing Diabetes Future Risk and the Wellness Score. Any results available are included in the Member Report and Provider Report.
Total Cholesterol/HDL Cholesterol Ratio
The total cholesterol/HDL cholesterol ratio is calculated and added to the Biometrics Results Listing.
TPSA results may be loaded into the Personal Health Record (PHR) for men of all ages. In HRA v3.0 and prior versions, however, the results are assessed and stored within the HRA only for men aged 50 years or greater. This enhancement removes all age restrictions on the entry and assessment of PSA results within the HRA.
Biometric Values in Member Report Summary
In HRA v3.0 and prior versions, the member report includes actual values, if available, in the risk summary table for laboratory results and blood pressure. Other biometrics (weight/BMI, waist, waist-to-hip ratio, and body fat) show risk level only. This enhancement adds actual values, if available, to the biometrics summary table for these parameters.
Processing Self-Directed HRAs
Self-directed HRAs are now defined and processed as follows:
In a managed program, the first HRA submitted is the program HRA; all additional HRAs (if permitted) are treated as self-directed. These self-directed HRAs do not trigger submitted/locked events or the award of any incentive points. The member report shows the current and two most recent program HRAs. Self-directed HRAs are not included in the report.
All HRAs in an unmanaged program are treated as self-directed. Additional self-directed HRAs can be created even if the first one is not complete. Unmanaged programs do not support HRA locked/submitted events or the award of incentive points. The member report shows the current and two most recent HRAs, irrespective of status.
Data Entry Validation
Configurable data entry validation has been added for all text and numeric fields within the questionnaire to reduce keying errors. Default validation is defined in the ConXus Profile Adult HRA Specification V31.
Current Depression Assessment
In HRA v3.0 and prior versions, a current depression assessment was calculated for all users who reported Overall Mood <=5. If neither of the first two indicators ("I have felt downhearted, low, or sad” or "I haven’t enjoyed the things I used to") were checked, the user was assessed as mild. To provide greater compliance with DSM-IV guidelines, the current depression assessment is now calculated only if one of the first two indicators is checked. All other aspects of the assessment and risk categories remain the same. A detailed description can be found in the ConXus Profile Adult HRA Specification V31.