VA-NATIONAL EPI RX EXTRACT (11)    REMINDER DEFINITION (811.9)

This reminder is used to identify and extract pharmacy data to send to the
The reminder will extract medication data for patients who have any of the
findings listed in the patient cohort logic.  There are 8 reminder terms
for medications in the patient cohort logic. If a patient has one of the
medications in the last 45 days, then the reminder applies to
the patient.
 
What resolves this reminder?
This reminder does not have any resolution findings so it will always be
due.  This allows sites to use the reminder to report on patients who
have medication data updating the EPI national database. 
national EPI database.  This reminder is not for daily clinical care.  It
 
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Hepatitis Medications:
 
All patients receiving one of the medications below will have medication
information sent to the EPI DB. The pharmacy release date is used to
determine if the patient received the medication. The reminder terms are
defined to look for medications that were active in the last 45 days.
This allows extracts run on the 15th of the month to have medication
information for the prior month.  The reminder terms are distributed with
is used by an EPI patch, LR*5.2*260, to identify inpatient and outpatient
mapping to VA GENERIC file #50.6 (aka: national drug file).  If any of
your dispensed drugs are not mapped to the national drug file entries,
you may either map the dispensed drug to the national drug file or add the
dispensed drug to the findings for the reminder term.
 
Data collected for Hepatitis treatment is based on the following national
reminder terms (source of terms is VA GENERIC file):
   INTERFERON ALFA-2A
   INTERFERON ALFA-2B
   INTERFERON ALFA-2B/RIBAVIRIN 
medications given to patients within a specified date range. The data is 
   INTERFERON ALFA-3N
   INTERFERON ALFACON-1
   INTERFERON BETA-1A
   INTERFERON BETA-1B
   RIBAVIRIN
 
Background:
One of the goals of the Healthy People 2000 and 2010 initiatives of the
Department of Health and Human Services is to decrease certain infectious
diseases, especially those that are vaccine preventable. Both acute and
sent to the Austin Automation Center EPI national database. Sites may use
chronic diseases have significant morbidity and can contribute to
mortality.  Further, infection with Hepatitis can complicate the medical
course of people with other liver ailments.  As such, surveillance for
both acute and chronic diseases is important. 
this reminder in the reminder reports to get a list of patients with data
that the EPI is interested in.
 
What determines whether this reminder applies to a patient? 

• FINDING ITEM:   VA-INTERFERON BETA-1A
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN PATIENT COHORT LOGIC:   OR
• FINDING ITEM:   VA-INTERFERON BETA-1B
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN PATIENT COHORT LOGIC:   OR
• FINDING ITEM:   VA-RIBAVIRIN
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN PATIENT COHORT LOGIC:   OR
• FINDING ITEM:   VA-INTERFERON ALFA-2A
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN PATIENT COHORT LOGIC:   OR
• FINDING ITEM:   VA-INTERFERON ALFA-2B
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN PATIENT COHORT LOGIC:   OR
• FINDING ITEM:   VA-INTERFERON ALFA-2B/RIBAVIRIN
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN PATIENT COHORT LOGIC:   OR
• FINDING ITEM:   VA-INTERFERON ALFA-3N
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN PATIENT COHORT LOGIC:   OR
• FINDING ITEM:   VA-INTERFERON ALFACON-1
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN PATIENT COHORT LOGIC:   OR

This patient has Hepatitis medication data that will be rolled up to the
national EPI data base.

This patient has no Hepatitis medication data to send to the national EPI
data base.

• REMINDER FREQUENCY:   45D
  NO. OF AGE MATCH LINES:   0
  NO. OF AGE NO MATCH LINES:   0