VA-OEF/OIF MONITOR REPORTING (1060)    REMINDER DEFINITION (811.9)

• EDIT DATE:   2009-11-18 10:03:49
  EDIT BY:   USER,SEVENTEEN
  EDIT COMMENTS:   

  Exchange Install
  

COHORT: veterans with separation date after 9/11/01, who served in 
SERVICE) then
 
all the other items are required to resolve the reminder
and must be completed after the date of the most recent service
separation or within 120 days of the most recent service separation date:
  a) screen for PTSD,
  b) screen for depression,
  c) screen for alcohol use,
  d) all 3 screening questions related to infectious diseases.
 
OEF/OIF  or whose service is not known and who have had 2 visits to a
Refusals are valid for one year for alcohol, PTSD and depression.  Since 
these are yearly screens, these should be addressed at least on a yearly 
basis using the individual reminders for these screens.  Refusals entered 
prior to service separation are ignored by this reminder.
NEXUS clinic after the most recent service separation date and at least 
one visit in the past 1 year.
 
Patients with an entry of NO IRAQ/AFGHAN SERVICE are excluded from the 
cohort.
 
RESOLUTION: If the veteran served in Iraq or Afghanistan (IRAQ/AFGHAN

• FINDING ITEM:   VA-IRAQ/AFGHAN SERVICE NO
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-GI SYMPTOMS (IRAQ/AFGHANISTAN)
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   3
  NOT FOUND TEXT:   

  Screen for diarrhea or other GI complaints that might suggest giardia, 
  amoebiasis or other GI infection.
  \\
  

• FINDING ITEM:   VA-PERSISTENT RASH (IRAQ/AFGHANISTAN)
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   3
  NOT FOUND TEXT:   

  Screen for persistent rash that might represent infection with
  leishmaniasis.
  \\
  

• FINDING ITEM:   VA-PTSD AVOIDANCE ALL
  WITHIN CATEGORY RANK:   0
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-PTSD DETACHMENT ALL
  WITHIN CATEGORY RANK:   0
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-PTSD NIGHTMARES ALL
  WITHIN CATEGORY RANK:   0
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-PTSD ON GUARD ALL
  WITHIN CATEGORY RANK:   0
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-REFUSED PTSD SCREEN
  NO. OF FOUND TEXT LINES:   1
  NO. NOT FOUND TEXT LINES:   0
  FOUND TEXT:   

  Refused PTSD Screen
  

• FINDING ITEM:   VA-REFUSED ALCOHOL SCREENING
  NO. OF FOUND TEXT LINES:   1
  NO. NOT FOUND TEXT LINES:   0
  FOUND TEXT:   

  Refused Alcohol Screening
  

  BEGINNING DATE/TIME:   T-365
• FINDING ITEM:   VA-REFUSED DEPRESSION SCREENING
  NO. OF FOUND TEXT LINES:   1
  NO. NOT FOUND TEXT LINES:   0
  FOUND TEXT:   

  Refused Depression Screening
  

• FINDING ITEM:   VA-IRAQ/AFGHAN PERIOD OF SERVICE
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN PATIENT COHORT LOGIC:   AND
  BEGINNING DATE/TIME:   SEP 11, 2001
• FINDING ITEM:   VA-REFUSED ID & OTHER SX SCREEN
  WITHIN CATEGORY RANK:   0
  NO. OF FOUND TEXT LINES:   3
  NO. NOT FOUND TEXT LINES:   0
  FOUND TEXT:   

  The patient declined to answer some or all of the infectious disease and 
  other symptom questions.  Please ask these screening questions again if 
  they remain unaddressed.
  

• FINDING ITEM:   VA-COGNITIVE IMPAIRMENT
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-OEF/OIF SCREEN DONE ELSEWHERE
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-NEXUS CLINICS WITH OEF/OIF EXCLUSIONS
  OCCURRENCE COUNT:   3
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-IRAQ/AFGHAN SERVICE MONITOR
  WITHIN CATEGORY RANK:   0
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-DEPRESSION SCREEN OEF/OIF
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-NEXUS CLINICS WITH OEF/OIF EXCLUSIONS
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  BEGINNING DATE/TIME:   T-365D
• FINDING ITEM:   VA-ALCOHOL USE SCREEN
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   5
  NOT FOUND TEXT:   

  Screening for at risk alcohol use using the AUDIT-C screening tool should
  be performed yearly for any patient who has consumed alcohol in the past
  year. No record of prior screening for alcohol use was found in this 
  patient's record.
  \\
  

• FINDING ITEM:   VA-PTSD SCREEN
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-UNEXPLAINED FEVER (IRAQ/AFGHANISTAN)
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   3
  NOT FOUND TEXT:   

  Screen for unexplained fevers that might represent occult malaria or 
  infection with leishmaniasis.
  \\
  

• LOGIC:   FN(1)>FN(2)!(FN(3)<120)
  NOT FOUND TEXT:   

  The patient's most recent service separation date is more recent than 
  their last screening - rescreening is needed after any new period of 
  service.
  

  FUNCTION STRING:   MRD(1)>MRD(2)!(DIFF_DATE(1,2)<120)
  NO. FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   3

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

• FOUND TEXT:   

  Completed at another site.
  

  LOGIC:   FN(1)>FN(2)
  FUNCTION STRING:   MRD(22)>MRD(2)
  NO. FOUND TEXT LINES:   1
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

• FOUND TEXT:   

  1. PTSD Screening completed since service discharge
  

  LOGIC:   FN(1)>FN(2)!(FN(3)<120)!(FN(4)<120)
  NOT FOUND TEXT:   

  1. PTSD Screen NEEDED
  

  FUNCTION STRING:   MRD(7,12,13,14,15,16)>MRD(2)!(DIFF_DATE(7,2)<120)!(DIFF_DATE(12,2)<120)
  NO. FOUND TEXT LINES:   1
  NO. NOT FOUND TEXT LINES:   1

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   4
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

• FUNCTION FINDING NUMBER:   23
  LOGIC:   FN(1)
  USE IN PATIENT COHORT LOGIC:   AND
  FUNCTION STRING:   MRD(2)
  NO. FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

• FUNCTION FINDING NUMBER:   24
  LOGIC:   FN(1)>FN(2)&(FN(1)
  USE IN PATIENT COHORT LOGIC:   AND
  FUNCTION STRING:   VALUE(23,2,"DATE")>MRD(2)&(VALUE(23,2,"DATE")
  NO. FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   DATE

  • FUNCTION NUMBER:   2
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   DATE

  • FUNCTION NUMBER:   4
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   DATE

• LOGIC:   FN(1)>FN(2)&(FN(1)
  FUNCTION STRING:   VALUE(23,3,"DATE")>MRD(2)&(VALUE(23,3,"DATE")
  NO. FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   DATE

  • FUNCTION NUMBER:   2
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   DATE

  • FUNCTION NUMBER:   4
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   DATE

• FOUND TEXT:   

  2. Depression Screening completed since service discharge
  

  LOGIC:   FN(1)>FN(2)!(FN(3)<120)
  NOT FOUND TEXT:   

  2. Depression Screening NEEDED
  

  FUNCTION STRING:   MRD(4,18)>MRD(2)!(DIFF_DATE(4,2)<120)
  NO. FOUND TEXT LINES:   1
  NO. NOT FOUND TEXT LINES:   1

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

• FOUND TEXT:   

  3. Alcohol Screening completed since service discharge
  

  LOGIC:   FN(1)>FN(2)!(FN(3)<120)
  NOT FOUND TEXT:   

  3. Alcohol Screening NEEDED
  

  FUNCTION STRING:   MRD(6,17)>MRD(2)!(DIFF_DATE(6,2)<120)
  NO. FOUND TEXT LINES:   1
  NO. NOT FOUND TEXT LINES:   1

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

• FOUND TEXT:   

  4A. Screen for GI symptoms completed since service discharge
  

  LOGIC:   FN(1)>FN(2)!(FN(3)<120)!(FN(4)<120)
  NOT FOUND TEXT:   

  4A. Screen for GI symptoms NEEDED
  

  FUNCTION STRING:   MRD(10,20)>MRD(2)!(DIFF_DATE(10,2)<120)!(DIFF_DATE(20,2)<120)
  NO. FOUND TEXT LINES:   1
  NO. NOT FOUND TEXT LINES:   1

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   4
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

• FOUND TEXT:   

  4B. Screen for Fevers completed since service discharge
  

  LOGIC:   FN(1)>FN(2)!(FN(3)<120)!(FN(4)<120)
  NOT FOUND TEXT:   

  4B. Screen for Fevers NEEDED
  

  FUNCTION STRING:   MRD(8,20)>MRD(2)!(DIFF_DATE(8,2)<120)!(DIFF_DATE(20,2)<120)
  NO. FOUND TEXT LINES:   1
  NO. NOT FOUND TEXT LINES:   1

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   4
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

• FOUND TEXT:   

  4C. Screen for Skin Rash completed since service discharge
  

  LOGIC:   FN(1)>FN(2)!(FN(3)<120)!(FN(4)<120)
  NOT FOUND TEXT:   

  4C. Screen for Skin Rash NEEDED
  

  FUNCTION STRING:   MRD(11,20)>MRD(2)!(DIFF_DATE(11,2)<120)!(DIFF_DATE(20,2)<120)
  NO. FOUND TEXT LINES:   1
  NO. NOT FOUND TEXT LINES:   1

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   4
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

• FOUND TEXT:   

  The patient's most recent service separation date is more recent than
  their last screening - rescreening is needed after any new period of
  service.
  

  LOGIC:   FN(1)>FN(2)
  FUNCTION STRING:   MRD(2)>MRD(1,3,8,10,11)
  NO. FOUND TEXT LINES:   3
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

• REMINDER FREQUENCY:   99Y
  NO. OF AGE MATCH LINES:   0
  NO. OF AGE NO MATCH LINES:   0