VA-HERPES ZOSTER (SHINGLES) IMMUNIZATION (115)    REMINDER DEFINITION (811.9)

• EDIT DATE:   2016-05-23 13:06:02
  EDIT BY:   USER,FIFTYFOUR
  EDIT COMMENTS:   

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HERPES ZOSTER (SHINGLES) IMMUNIZATION:
- Persons with primary or acquired immunodeficiency including, leukemia,
lymphomas, or other malignant neoplasms affecting the bone marrow or
lymphatic system.
- AIDS or other clinical manifestations of HIV.
- Persons on immunosuppressive therapy, including high-dose 
corticosteroids.
- Persons receiving the recombinant human immune mediators and immune 
modulators.
- Persons undergoing hematopoietic stem cell transplantation (HSCT). 
- Pregnant or might be pregnant.
A single dose of shingles vaccine is recommended for adults 60 years of
 
PRECAUTIONS:
- Persons who have severe acute illness should be postponed until 
recovery.
- Zoster should be deferred in patients with active, untreated
tuberculosis.
age and older who do not have contraindications to the vaccine. 
 
Persons with a history of zoster CAN be vaccinated.
 
CONTRAINDICATIONS: 
- History of anaphylactic reaction to any component of the vaccine,
including gelatin and neomycin.

• FINDING ITEM:   VA-ZOSTER CONTRAINDICATIONS
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-ZOSTER DEFERRALS
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  BEGINNING DATE/TIME:   T-3M
• FINDING ITEM:   VA-ZOSTER IMMUNIZATION
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-ZOSTER ORDERS
  ENDING DATE/TIME:   T+14D
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  BEGINNING DATE/TIME:   T-14D
• FINDING ITEM:   VA-LIFE EXPECTANCY < 6 MONTHS
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-HIGH DOSE STEROIDS

  STATUS LIST:

  • STATUS:   ACTIVE
  • STATUS:   DISCONTINUED
  • STATUS:   DISCONTINUED (EDIT)
  • STATUS:   DISCONTINUED (RENEWAL)
  • STATUS:   EXPIRED
  • STATUS:   SUSPENDED

  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  BEGINNING DATE/TIME:   T-90D
• FINDING ITEM:   VA-IMMUNOCOMPROMISED
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  BEGINNING DATE/TIME:   T-2Y
• FINDING ITEM:   VA-CHEMO/IMMUNOSUPPRESSIVE DRUGS
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  BEGINNING DATE/TIME:   T-60D

Reminder is applicable to patients aged 60 and older. The Herpes Zoster 
local findings that meet the intent of this term should be mapped.
Findings in this term will resolve the Herpes Zoster immunization reminder
permanently.
 
Term: VA-ZOSTER DEFERRALS
This term is released with the health factors HERPES ZOSTER IMMUN 
PRECAUTION, DECLINES HERPES ZOSTER IMMUNIZATION, and HERPES ZOSTER 
VACCINE UNAVAILABLE. Any local findings that meet the intent of this term
should be mapped. Findings in this term will resolve the Herpes Zoster
immunization reminder for 3 months.
vaccine is one-time dose.
 
Term: VA-ZOSTER IMMUNIZATION
This term is released with the ZOSTER immunization finding. This 
finding is used to document vaccines given during an encounter and as a
historical encounter. It should not be necessary to add additional
findings to this term.
 
Term: VA-ZOSTER ORDERS
This term is released without findings. Map any orderable items linked to 
order for administering the Herpes Zoster vaccine.
 
 
Term: VA-LIFE EXPECTANCY < 6 MONTHS
This term is released with the health factor LIFE EXPECTANCY < 6 MONTHS 
and the VA-TERMINAL CANCER taxonomy. Map local findings meeting this 
intent.
 
Cohort: Age>59 & No contraindications
 
Resolution: Herpes Zoster immunization OR Order for administration OR 
Deferral documentation
Several reminder terms are released within the reminder. Descriptions 
are below:
 
Term: VA-ZOSTER CONTRAINDICATIONS
This term is released with the health factor HERPES ZOSTER IMMUN 
CONTRAINDICATION and documented allergies to Neomycin and gelatin. Any

• URL:   http://vaww.prevention.domain.ext/Herpes_Zoster_Shingles_Immunization.asp
  WEB SITE TITLE:   VA Guidance on Herpes Zoster Immunization
• URL:   http://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/shingles.html
  WEB SITE TITLE:   ACIP Zoster Vaccine Recommendations
• URL:   http://www.cdc.gov/vaccines/hcp/vis/vis-statements/shingles.pdf
  WEB SITE TITLE:   Zoster Vaccine Information Sheet (VIS)

• REMINDER FREQUENCY:   99Y
  MINIMUM AGE:   60
  NO. OF AGE MATCH LINES:   0
  NO. OF AGE NO MATCH LINES:   0