FRAX RESULT

Date: [Date]
Patient: [Name or ID, age, sex]
Reason: [Screening, after a bone density scan, glucocorticoid review, or after a fracture]
Country model: [Country and population model used on the official calculator]

RISK FACTORS ENTERED
Age and sex: [Age in years; female or male]
Weight and height: [Weight, height, and BMI]
Prior fragility fracture: [Yes or no; site and year]
Parent fractured hip: [Yes or no; which parent]
Current smoking: [Yes or no; amount]
Glucocorticoids: [Yes or no; drug, daily dose, and how long]
Rheumatoid arthritis: [Yes or no; how it was confirmed]
Secondary osteoporosis: [Yes or no; the condition]
Alcohol 3 or more units a day: [Yes or no; usual intake]
Femoral neck BMD: [T-score, or g/cm2 and scanner make; scan date; or not done]

RESULTS
Without BMD: [Major osteoporotic fracture %; hip fracture %]
With BMD: [Major osteoporotic fracture %; hip fracture %]
Adjustments: [Glucocorticoid dose, recent fracture, lumbar spine BMD, or none; adjusted values]
Risk category: [Low, moderate, or high, and the thresholds the practice uses]

CLINICAL PICTURE
Other findings: [Lumbar spine T-score, vertebral imaging, falls in the past year, labs]
Impression: [Fracture risk in a sentence, and what drives it]

PLAN
Treatment: [Start, continue, or no drug treatment; agent and dose]
Bone health: [Calcium, vitamin D, exercise, smoking and alcohol, fall prevention]
Follow-up: [When to repeat bone density and FRAX]

Clinician: [Name, credentials]