VA-WH PATIENT DOCUMENTATION (20)    REMINDER COMPUTED FINDINGS (811.4)

Name Value
NAME VA-WH PATIENT DOCUMENTATION
ROUTINE PXRMCWH1
ENTRY POINT DOCSTAT
PRINT NAME Women's Health Patient Documentation
DESCRIPTION
This computed finding returns up to N number (within a specific date 
 
 
The value assigned to the PREGNANCY LIKELIHOOD subscript is the 
likelihood of the patient becoming pregnant while using the 
contraceptives returned in the CONTRACEPTIVE METHOD USED subscript. This 
subscript has a value of HIGH, LOW or UNKNOWN.
 
The value assigned to the LAST MENSTRUAL PERIOD DATE subscript is the 
start date of the patient's last menstrual period.
 
The value assigned to the TWENTY-EIGHT WEEKS' GESTATION subscript is a 
The second caret piece of the COMPUTED FINDING PARAMETER value is used to 
date that is 12 weeks before the date in the EDD subscript.
 
The value assigned to the EDD subscript is the expected due date.
 
The value assigned to the EDD-GRACE subscript is the end date of the EDD 
grace period. When a patient's EDD is in the past and there is no updated 
documentation on file, there is a grace period after which the system 
will no longer consider the patient pregnant even though the 
documentation is not updated.
 
identify this finding's return data for use in the VA-WH UPDATE PREGNANCY 
The value assigned to the OVERRIDE CALCULATED EDD REASON subscript is the 
text entered by the provider in the VA-WH UDPATE PREGNANCY STATUS 
reminder dialog for why the expected due date was changed from the 
calculated value.
 
The value assigned to the PREGNANCY END DATE subscript is the date the 
patient's pregnancy ended.
 
The value assigned to the REASON PREGNANCY ENDED subscript is the text 
entered by the provider in the VA-WH UPDATE PREGNANCY STATUS reminder 
STATUS and VA-WH UPDATE LACTATION STATUS reminder dialogs. Setting this 
dialog for why the pregnancy ended.
 
The value assigned to the END DATE subscript is the date the patient 
stopped lactating.
 
The value assigned to the PREGNANCY DAS and the LACTATION DAS subscripts 
is the Internal Entry Number String (IENS) value identifying the record 
in the Women's Health software package from which this status data came.
 
The value assigned to the PREGNANCY DATA SOURCE and the LACTATION DATA 
piece to DATA will identify it.
SOURCE subscripts is the entry in the PACKAGE file of the software 
package that collected the status data from the end user.
 
The value assigned to the DATE/TIME subscript is the date and time the 
status was entered. Note that the DATE subscript does not contain the 
time.
 
The value assigned to the DOCUMENTATION STATUS subscript is the 
completeness of the documentation. This subscript has a value of 
COMPLETE, INCOMPLETE or NO DOCUMENTATION.
 
 
The value assigned to the VISIT subscript is the Text Integration 
Utilities (TIU) visit string value representing the entry in the VISIT 
file associated with this status.
 
The value assigned to the DIALOG subscript is 1 and is part of the 
identifier used to differentiate a specific instance of this finding for 
use by the VA-WH UDPATE PREGNANCY STAUTS and VA-WH UPDATE LACTATION 
STATUS reminder dialogs.
 
The third caret piece of the COMPUTED FINDING PARAMETER value is used to 
The value assigned to the PACKAGE subscript is the name of the software 
package from which the finding's data comes from; this value is WOMEN'S 
HEALTH.
 
The value assigned to the PACKAGE PREFIX subscript is the prefix for the 
software package from which the finding's data comes from; this value is 
WV.
calculate the grace period during which a patient is considered pregnant. 
The grace period begins on the expected delivery date and ends on the 
date calculated from this piece. The format of this piece is NX where N 
range) of pregnancy or lactation statuses found in the Women's Health 
is a whole number greater than zero and X is a letter representing an 
interval of time (Y for year, M for month, W for week, D for day and H 
for hour). If this piece is blank, four weeks ("4W") will be used to 
calculate the grace period. This piece is only applicable when the first 
caret piece is set to PREGNANCIES.
 
For example, 
  COMPUTED FINDING PARAMETER: PREGNANCIES^DATA^3W
 
This finding will always return true, even when no documentation is on 
software package.
file. Refer to the DOCUMENTATION STATUS CSUB subscript to determine 
whether documentation is on file.
 
The CONDITION field may make use of the following CSUB subscripts when 
the first caret piece of the COMPUTED FINDING PARAMETER is set to 
PREGNANCIES: 
  V(N,"MEDICALLY UNABLE TO CONCEIVE")=
  V(N,"MEDICAL REASON")=
  V(N,"TRYING TO BECOME PREGNANT")=
  V(N,"PREGNANCY STATE")=
 
  V(N,"PREGNANCY DAS")=
  V(N,"PREGNANCY DATA SOURCE")=
  V(N,"CONTRACEPTIVE METHOD USED",X)=
  V(N,"PREGNANCY LIKELIHOOD")=
  V(N,"LAST MENSTRUAL PERIOD DATE")=
  V(N,"EDD")=
  V(N,"EDD-GRACE")=
  V(N,"PREGNANCY END DATE")=
  V(N,"REASON PREGNANCY ENDED")=
  V(N,"OVERRIDE CALCULATED EDD REASON")=
To retrieve pregnancy statuses, set the first caret piece of the COMPUTED 
  V(N,"TWENTY-EIGHT WEEKS' GESTATION")=
 
The CONDITION field may make use of the following CSUB subscripts when 
the first caret piece of the COMPUTED FINDING PARAMETER is set to 
LACTATIONS:
  V(N,"LACTATION STATE")=
  V(N,"LACTATION DAS")=
  V(N,"LACTATION DATA SOURCE")=
  V(N,"END DATE")=
 
FINDING PARAMETER value to PREGNANCIES.
The CONDITION field may make use of the following CSUB subscripts when 
the first caret piece of the COMPUTED FINDING PARAMETER is set to 
PREGNANCIES or LACTATIONS:
  V(N,"DATE/TIME")=
  V(N,"DOCUMENTATION STATUS")=
  V(N,"VISIT")=
 
The CONDITION field may make use of the following CSUB subscripts when 
the second caret piece of the COMPUTED FINDING PARAMETER is set to DATA 
and the first caret piece is set to PREGNANCIES or LACTATIONS:
 
  V(N,"DIALOG")=
  V(N,"PACKAGE")=
  V(N,"PACKAGE PREFIX")=
 
When retrieving pregnancy statuses, the value assigned to the PREGNANCY 
STATE subscript is used to determine if the patient is pregnant and is 
one of PREGNANT, NOT PREGNANT or DO NOT KNOW. When retrieving lactation 
statuses, the value assigned to the LACTATION STATE subscript is used to 
determine if the patient is lactating and is one of LACTATING or NOT 
LACTATING.
To retrieve lactation statuses, set the first caret piece of the COMPUTED 
 
The value assigned to the MEDICALLY UNABLE TO CONCEIVE subscript is used 
to determine if a patient is medically able to conceive and is one of YES 
or NO. Keep in mind that the values of this subscript are opposite of 
what you may think: a value of NO means the patient is medically able to 
conceive.
 
The value assigned to the MEDICAL REASON subscript is the text entered by 
the provider for why the patient is medically unable to conceive.
 
FINDING PARAMETER value to LACTATIONS.
The value assigned to the TRYING TO BECOME PREGNANT field is used to 
determine if a patient is consciously trying to become pregnant and is 
one of YES or NO.
 
The data assigned to the CONTRACEPTIVE METHOD USED subscript is the 
method(s) the patient is using to avoid pregnancy. This subscript 
contains a numbered list that starts at one and increments by one. For 
example:
  V(N,"CONTRACEPTIVE METHOD USED",1)="MALE CONDOM"
  V(N,"CONTRACEPTIVE METHOD USED",2)="PILL, VAGINAL RING OR PATCH"
CLASS NATIONAL
SPONSOR WOMEN VETERANS HEALTH PROGRAM
TYPE MULTIPLE