| NAME |
VA-WH MAMMOGRAM SCREENING |
| PRINT NAME |
Mammogram Screening |
| DO IN ADVANCE TIME FRAME |
2M |
| IGNORE ON N/A |
S |
| SEX SPECIFIC |
FEMALE |
| CLASS |
NATIONAL |
| SPONSOR |
VHA NATIONAL CENTER FOR HEALTH PROMOTION AND DISEASE PREVENTION (NCP) AND VHA OFFICE OF WOMEN'S HEALTH |
| USAGE |
CR |
| EDIT HISTORY |
-
- EDIT DATE: 2013-07-16 10:23:30
- EDIT BY: USER,SEVENTEEN
- EDIT COMMENTS:
Exchange Install
|
| DESCRIPTION |
The VHA recommends that:
* A change in the age range from 40-69 to 50-74 to match updated
---- -------------- ---------- ------------ ----------
611.5 GALACTOCELE 10/01/1978 X
Range 611.71-611.72 Adjacent Lower-611.6 Adjacent Higher-611.79
Code ICD Diagnosis Activation Inactivation Selectable
---- -------------- ---------- ------------ ----------
611.71 MASTODYNIA 10/01/1978 X
611.72 LUMP OR MASS IN BREAST 10/01/1978 X
clinical guidance
Range 611.9-611.9 Adjacent Lower-611.89 Adjacent Higher-612.0
Code ICD Diagnosis Activation Inactivation Selectable
---- -------------- ---------- ------------ ----------
611.9 BREAST DISORDER NOS 10/01/1978 X
Range 675.10-675.14 Adjacent Lower-675.04 Adjacent Higher-675.20
Code ICD Diagnosis Activation Inactivation Selectable
---- -------------- ---------- ------------ ----------
* Inclusion of women ages 40-49 in the cohort if the woman had
675.10 BREAST ABSCESS PREG-UNSP 10/01/1978 X
675.11 BREAST ABSCESS-DELIVERED 10/01/1978 X
675.12 BREAST ABSCESS-DEL W P/P 10/01/1978 X
675.13 BREAST ABSCESS-ANTEPART 10/01/1978 X
675.14 BREAST ABSCESS-POSTPART 10/01/1978 X
Range 757.6-757.6 Adjacent Lower-757.5 Adjacent Higher-757.8
Code ICD Diagnosis Activation Inactivation Selectable
---- -------------- ---------- ------------ ----------
discussion with her provider about the pros and cons of screening
757.6 CONG BREAST ANOMALY NEC 10/01/1978 X
Range 922.0-922.0 Adjacent Lower-921.9 Adjacent Higher-922.1
Code ICD Diagnosis Activation Inactivation Selectable
---- -------------- ---------- ------------ ----------
922.0 CONTUSION OF BREAST 10/01/1978 X
Range 793.8-793.8 Adjacent Lower-793.7 Adjacent Higher-793.80
and made a decision to start screening before age 50. A new
Code ICD Diagnosis Activation Inactivation Selectable
---- -------------- ---------- ------------ ----------
793.8 ABNORMAL FINDINGS-BREAST 10/01/1978 10/01/2001 X
reminder, VA-WH DISCUSS BREAST CA SCREEN WOMAN 40-49 is distributed
to prompt that discussion.
* Modification of taxonomy VA-BREAST TUMOR
* Addition of health factors that can be used by providers to indicate
that screening is not clinically indicated because the patient is
* Women between the ages of 50 and 74 have a mammogram every two
unlikely to benefit from screening due to an estimated life
expectancy of less than 5 years or sever comorbidities.
* Addition of branching logic to the dialog
US Preventive Services Task Force (USPSTF) also recommends that women age
50-74 have a mammogram every 2 years.
This reminder does not apply to women who have had a bilateral mastectomy.
Evidence of mammography performed will satisfy this reminder for 1 to
years
2 years depending on the screening frequency specified by the clinician.
The clinician can alter the screening frequency for individual patients,
based on prior results, patient and family history, and discussions with
the patient.
Mammograms completed may be documented as one of the following and will
resolve this reminder:
Radiology result
Women's Health procedure result
Health Factor (Historical outside Mammogram result)
* The decision to start regular screening every two years with
PCE CPT procedure code
Completed consult order for outside procedure
Screening will be resolved for 90 days or until results are recorded to
indicate the mammogram has been completed:
Ordering a mammogram
Health factor documenting a mammogram order
Patient declined a mammogram
Clinician deferred a mammogram
mammography for average risk women ages 40-49 should be an
Clinicians may manage follow-up screening to occur every 4 or 6 months or
every 1 year when a prior mammogram was unsatisfactory or abnormal, or if
they feel screening should take place more often than 2 years based on
the patient's history, risk or strong patient preferences.
A code for breast cancer or prior abnormal mammogram (VA-WH HX BREAST
CANCER/ABNORMAL MAM) changes the frequency to q1 year for 5 years as a
safety features so that patients with these diagnoses are not lost to
follow-up.
Note: The term VA-WH HX BREAST CANCER/ABNORMAL MAM comes
individual decision and take the patient's values into account
mapped with the previously distributed VA-BREAST TUMOR and
VA-MASTECTOMY taxonomies mapped to this term. This term uses
computed finding VA-WH MAMMOGRAM ABNORMAL IN WH PKG to search
for the existence of any abnormal results in the WH Package.
This 1 year frequency is subsequently overridden if any other
frequency is chosen by the clinician.
In the 2013 update, the taxonomy VA-BREAST TUMOR was edited to exclude
codes that do not represent
breast cancer. The following codes were deleted:
including values about specific benefits and harms
This taxonomy was updated in 2013 to include only those codes that
represent cervical cancer or CIN.
The following codes/ranges were deleted:
Range 217.-217. Adjacent Lower-216.9 Adjacent Higher-218.0
Code ICD Diagnosis Activation Inactivation Selectable
---- -------------- ---------- ------------ ----------
217. BENIGN NEOPLASM BREAST 10/01/1978 X
Range 610.0-610.9 Adjacent Lower-608.9 Adjacent Higher-611.0
Code ICD Diagnosis Activation Inactivation Selectable
---- -------------- ---------- ------------ ----------
610.0 SOLITARY CYST OF BREAST 10/01/1978 X
610.1 DIFFUS CYSTIC MASTOPATHY 10/01/1978 X
610.2 FIBROADENOSIS OF BREAST 10/01/1978 X
610.3 FIBROSCLEROSIS OF BREAST 10/01/1978 X
610.4 MAMMARY DUCT ECTASIA 10/01/1978 X
610.8 BENIGN MAMM DYSPLAS NEC 10/01/1978 X
610.9 BENIGN MAMM DYSPLAS NOS 10/01/1978 X
The main changes with the 2013 update of this reminder include:
Range 611.0-611.0 Adjacent Lower-610.9 Adjacent Higher-611.1
Code ICD Diagnosis Activation Inactivation Selectable
---- -------------- ---------- ------------ ----------
611.0 INFLAM DISEASE OF BREAST 10/01/1978 X
Range 611.5-611.5 Adjacent Lower-611.4 Adjacent Higher-611.6
Code ICD Diagnosis Activation Inactivation Selectable
|
| FINDINGS |
|
| FUNCTION FINDINGS |
-
- FUNCTION FINDING NUMBER: 1
- FOUND TEXT:
Mammogram result is the most recent finding.
- LOGIC: ($P(FN(1),".")'<($P(FN(2),".")))&(FN(1)>0)
- MINIMUM AGE: 50
- MAXIMUM AGE: 74
- REMINDER FREQUENCY: 2Y
- FUNCTION STRING: ($P(MRD(4,5,6),".")'<($P(MRD(7,8,9,10),".")))&(MRD(4,5,6)>0)
- 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:
-
-
- FUNCTION NUMBER: 3
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION FINDING NUMBER: 2
- FOUND TEXT:
Mammogram screening every 4 months specified for this patient.
- LOGIC: (FN(1)=FN(2))&(FN(2)>0)
- REMINDER FREQUENCY: 4M
- FUNCTION STRING: (MRD(8,11,12,13,14)=MRD(11))&(MRD(11)>0)
- 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:
-
-
- FUNCTION NUMBER: 3
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION FINDING NUMBER: 3
- FOUND TEXT:
Mammogram screening every 6 months specified for this patient.
- LOGIC: (FN(1)=FN(2))&(FN(2)>0)
- REMINDER FREQUENCY: 6M
- FUNCTION STRING: (MRD(8,11,12,13,14)=MRD(12))&(MRD(12)>0)
- 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:
-
-
- FUNCTION NUMBER: 3
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION FINDING NUMBER: 4
- FOUND TEXT:
Annual mammogram screening specified for this patient.
- LOGIC: (FN(1)=FN(2))&(FN(2)>0)
- MINIMUM AGE: 18
- REMINDER FREQUENCY: 1Y
- FUNCTION STRING: (MRD(8,11,12,13,14)=MRD(13))&(MRD(13)>0)
- 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:
-
-
- FUNCTION NUMBER: 3
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION FINDING NUMBER: 5
- FOUND TEXT:
Mammogram screening every 2 years specified for this patient.
- LOGIC: (FN(1)=FN(2))&(FN(2)>0)
- MINIMUM AGE: 50
- MAXIMUM AGE: 74
- REMINDER FREQUENCY: 2Y
- FUNCTION STRING: (MRD(8,11,12,13,14)=MRD(14))&(MRD(14)>0)
- 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:
-
-
- FUNCTION NUMBER: 3
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION FINDING NUMBER: 6
- FOUND TEXT:
Mammogram screening not clinically indicated for this patient.
- LOGIC: (FN(1)=FN(2))&(FN(2)>0)
- REMINDER FREQUENCY: 0Y
- FUNCTION STRING: (MRD(8,11,12,13,14)=MRD(8))&(MRD(8)>0)
- 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:
-
-
- FUNCTION NUMBER: 3
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION FINDING NUMBER: 7
- FOUND TEXT:
The most recent mammogram result in the Radiology or Women's Health
package was unsatisfactory. The mammogram needs to be repeated.
- LOGIC: ($P(FN(1),".")=($P(FN(2),".")))&(FN(2)>0)
- REMINDER FREQUENCY: 1D
- FUNCTION STRING: ($P(MRD(4,5,6,7,8,9,10),".")=($P(MRD(10),".")))&(MRD(10)>0)
- NO. FOUND TEXT LINES: 2
- 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 NUMBER: 3
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
|
| TECHNICAL DESCRIPTION |
Technical Description:
* If Function Findings determine that an information finding
exists that alters the baseline frequency to 4M, 6M, 1Y or 2Y,
the baseline frequency will be overridden.
VA-WH MAMMOGRAM SCREEN IN WH PKG
No mapping necessary. This term represents mammogram results
documented in the Women's Health (WH) Package. The term is
mapped to the VA-WH MAMMOGRAM IN WH PKG computed finding which
only uses WH findings that are normal or abnormal.
This reminder is recommended for use by clinicians at Primary Care
VA-WH MAMMOGRAM SCREEN IN RAD PKG
Mapping will be necessary. This term represent Mammogram
results documented in the Radiology package. Map local
radiology procedures that represent the following procedures:
MAMMOGRAM BILAT
MAMMOGRAM UNILAT
MAMMOGRAM SCREEN
Each finding should have a condition added to exclude
unsatisfactory results.
Clinics (PACT/Primary Care, Medicine, GIMC, Geriatric, Women's) and
VA-WH MAMMOGRAM SCREEN DONE
Some mapping may be appropriate. This reminder term will use
the previously distributed VA-MAMMOGRAM/SCREEN taxonomy to
find ICD DIAGNOSIS or CPT coded results.
Use the new WH MAMMOGRAM OUTSIDE health factor to document
Mammogram results completed outside the VA when the Mammogram
results are not documented in Radiology, Women's Health or
Consult packages.
any other specialty clinics where primary care is given to female
Map local findings, such as consult orders related to
Mammogram Screening. Use appropriate condition logic to
indicate Mammogram screening has been completed.
VA-WH BREAST CARE ORDER HEALTH FACTOR
Use the health factors distributed with the reminder term if
they are appropriate for your facility to track breast care
orders.
This reminder term represents the action taken from the dialog
patients.
to indicate the clinician intends to place an order related to
mammogram screening. The health factor date will be used to
calculate the resolution frequency, instead of the Start date
related to the order actually placed.
The following are health factors distributed with this term:
WH ORDER MAMMOGRAM SCREEN HF (Use this if an order menu is
referenced as the quick order, or use for a quick order
for mammogram screening to radiology or consults)
VA-WH MAMMOGRAM SCREEN NOT INDICATED
Use the findings distributed with this reminder term or map
any local findings that indicate a Mammogram screen is not
indicated for this patient.
This term is distributed with mapping to the following
health factors:
INACTIVATE BREAST CANCER SCREEN (distributed with the
first version of the Clinical Reminder package in 1996
If the mammogram is done in the private sector or at another VAMC
to inactivate the BREAST CANCER reminder).
WH MAMMOGRAM SCREEN NOT INDICATED
VA LIMITED LIFE EXPECTANCY
and the taxonomy:
VA-TERMINAL CANCER PATIENTS
Updated March, 2013 to include 2 new health factor which
both inactivate the reminder for 5 years:
WH BR CA SCREEN N/A 5 YRS-LE<5YRS
WH BR CA SCREEN N/A 5 YRS-COMORBIDITIES
facility, there are three ways the results can be documented to
Use in National VA-WH MAMMOGRAM SCREENING reminder:
This term is used in WH reminders to inactivate Mammogram
screening until a clinician overrides the inactivation by
selecting a health factor that is used by function findings
with frequencies of 4M, 6M, 1Y or 2Y. Begin date of T-6M has
been added to HF.VA LIMITED LIFE EXPECTANCY and
TX.VA-TERMINAL CANCER PATIENTS so screening will come due
again if the patient lives longer than expected or if the
patient has been misdiagnosed.
satisfy this reminder:
Sites may prefer to use local LIMITED LIFE EXPECTANCY health
factors and add their health factors to other reminder
terms which cause the Mammogram Screening reminder to be
due without requiring a clinician to select a finding to
reactivate the reminder. (e.g., Add the local life expectancy
health factor for "LOCAL LIFE EXPECTANCY 6M" to the VA-WH
MAMMOGRAM SCREEN NOT INDICATED term).
VA-WH MAMMOGRAM SCREEN DEFER
Use the WH MAMMOGRAM DEFERRED or WH MAMMOGRAM DECLINED health
* Results, with interpretation, can be entered and verified in
factors distributed with this term or add any local health
factor representing that mammogram screening should be
satisfied for one week.
VA-WH MAMMOGRAM UNSATISFACTORY IN RAD/WH PKG
Mapping will be necessary for Radiology. This term represent
Mammogram results documented in the Radiology and WH packages.
Map local radiology procedures that represent the following
procedures:
MAMMOGRAM BILAT
This reminder is based on VHA Clinical Guidance, Performance measures
the Radiology package.
MAMMOGRAM UNILAT
MAMMOGRAM SCREEN
Each finding should have a condition that checks for
unsatisfactory results.
No mapping is necessary for WH. Use the VA-WH MAMMOGRAM IN
WH PKG computed finding and the value "UNSATISFACTORY" to
find unsatisfactory results documented in the WH package.
* Results, with interpretation, can be manually entered into the
INFORMATION FINDINGS:
---------------------
The following are informational reminder terms that are used in
Function Findings to alter the baseline Age/Frequency. If the most
recent resolution finding is a documented result, the frequency for
the next Mammogram screen will be based on these reminder terms. If
more than one of these findings are recorded at the same date/time,
the finding that makes the reminder due most often will prevail. See
the Function Findings section below for frequency logic.
WH package.
VA-WH MAMMOGRAM SCREEN FREQ - 4M
Use the WH MAMMOGRAM SCREEN FREQ - 4M health factor
distributed with this reminder term, or add any local findings
that indicate mammogram screen should occur every 4 months.
VA-WH MAMMOGRAM SCREEN FREQ - 6M
Use the WH MAMMOGRAM SCREEN FREQ - 6M health factor
distributed with this reminder term, or add any local findings
that indicate mammogram screening should occur every 6 months.
* Summarized results can be entered as a historical entry (health
VA-WH MAMMOGRAM SCREEN FREQ - 1Y
Use the WH MAMMOGRAM SCREEN FREQ - 1Y health factor
distributed with this term or add any local health factor that
indicates mammogram screening should occur every year.
VA-WH MAMMOGRAM SCREEN FREQ - 2Y
Use the WH MAMMOGRAM SCREEN FREQ - 2Y health factor
distributed with this term or add any local health factor that
indicates mammogram screening should occur every two years.
factor or CPT code) in the patient record.
The following reminder terms are "information only" terms that are
not used to alter the frequency of the reminder, but provide
information that may be helpful to the clinician.
VA-WH MAMMOGRAM ORDER
Map local orderable items that represent mammogram related
orders (e.g., Consult order to Women's Health Clinic).
Use the conditions that indicate the order is not completed,
discontinued, or cancelled. This reminder term represents
orders pending completion.
FUNCTION FINDINGS:
------------------
Function Findings (FF) will be used to determine the frequency of
this reminder. FF logic has been set up to differentiate between
completed results and findings that represent different frequencies
(4M, 6M, 1Y, 2Y).
If more than one of the frequency findings are recorded at the same
date/time, the finding that makes the reminder due most often will
Setup of Women's Health package before using this reminder:
prevail. The frequency can be changed by entering a new frequency
with a more recent date.
FF1
Determines whether a mammogram result is the most recent
finding and defaults to the baseline frequency of two years.
FF2
Determines whether a finding exists for VA-WH MAMMOGRAM SCREEN
FREQ - 4M and changes the screening frequency to every four
===========================================================
months (4M).
FF3
Determines whether a finding exists for VA-WH MAMMOGRAM SCREEN
FREQ - 6M and changes the screening frequency to every six
months (6M).
FF4
Determines whether a finding exists for VA-WH MAMMOGRAM SCREEN
FREQ - 1Y and changes the screening frequency to every 1 year
Although this reminder has been developed to include an interface with
(1Y).
FF5
Determines whether a finding exists for VA-WH MAMMOGRAM SCREEN
FREQ - 2Y and changes the screening frequency to every two
years (2Y).
FF6
Determines whether the most recent finding is VA-WH MAMMOGRAM
SCREEN NOT INDICATED and changes the frequency to 0Y, which
the Women's Health (WH) package and to use/update Mammogram results
will stop the reminder from being due until new activity
occurs.
FF7
Determines whether the most recent finding is VA-MAMMOGRAM
UNSATISFACTORY IN RAD/WH PKG and changes the frequency to 1D,
which will make the reminder due immediately until new activity
occurs.
Branching logic is used in the reminder dialog so that the
and US Preventive Services Task Force recommendations for breast cancer
stored in WH for managing breast care and the next breast treatment
clinician is prompted to reassess frequency periodically if a
prior clinician selected frequency rather than the baseline
frequency is controlling the reminder. The branching logic also
prompts clinician to reassess the need for continued screening
for patients who are older than 74 years. Continued screening
may be indicated in some cases based on prior abnormal results.
The reminder VA-BL WH MAMMO REVIEW FREQ and a new HS
object:|MAMMOGRAM FREQUENCY| are also distributed with this
patch for this purpose.
need, clinical use of the Women's health package is not required in
2. Use the Reminder Dialog edit option to define the national
reminder dialog finding items which should be updated during CPRS
GUI reminder processing.
Review dialog elements in the national reminder dialog and change
any national health factors to local health factors, if
necessary. It is not unusual for local findings to be used
in your national dialogs.
Any local findings used in the national dialogs should be mapped
to the appropriate national reminder term.
order to use this reminder. However, use of the Women's Health
3. Alternately, use the Reminder Dialog options to copy the national
dialog, dialog elements, and dialog groups to make local
changes.
Add local dialog elements with local Order Dialogs for additional
ordering options for the clinicians. Many sites have clinicians
order a consult to a service that provides mammograms. If your
site does this, copy the reminder dialog to a local reminder
dialog, then add the local dialog element for the consult order
package is required in order to use the associated mammogram Review
to the reminder dialog so this practice can continue.
4. If your site chooses not to send letters via the WH package
(sending letters is part of the Review Results reminder, not this
reminder, copy the appropriate national dialog components to local
components and remove the findings related to WH notifications.
results reminder- This screening reminder and the associated and
review results reminder dialogs will update the WH package at the same
time clinical care is recorded in CPRS GUI, thus eliminating the need
for dual data entry.
In order for this reminder to interface with the Women's Health (WH)
screening. In its first release in 2005, this reminder replaces the
package, the Women's Health package must be installed and
maintained. Please refer to the CPRS Integration: Women Veterans
Health (WVH) Install & Setup Guide for detailed instructions.
The following is a subset of some of the specific features of WH that
must be in place in order for this reminder to work in conjunction
with the Women's Health package as it was orginally designed:
* Female veterans should be entered into the WH package.
* WH parameters should be set up to automatically import mammogram
Radiology reports into the WH package when they are verified in
following national reminders relating to mammograms and breast cancer
the VistA Radiology package.
* The WV NOTIFICATION PURPOSE letters should be customized to
reflect site information and the correct letter content for each
type of letter.
* The WV NOTIFICATION PURPOSE treatment need and treatment need
date offset should be defined if appropriate. These new fields
will be used to update Women's Health data when purpose of
notifications are selected by clinicians from reminder dialogs.
* The reminder dialog definitions should reference the appropriate
WV NOTIFICATION PURPOSE.
screening:
Setup of reminder/dialog before using this reminder:
====================================================
1. Use the Reminder Term options to map local representations of
findings:
PATIENT COHORT FINDINGS:
------------------------
The following reminder terms determine whether the reminder applies
to the patient.
WH BR CA 40-49 WANTS SCREENING
This is a new term distributed with the 2013 update of this
reminder which includes women ages 40-49 in the cohort of this
reminder. The health factor WH BR CA 40-49 WANTS SCREENING is
pre-mapped and is health factor is generated in the dialog of
the new reminder: VA-WH DISCUSS BREAST CA SCREEN WOMAN 40-49.No
other health factors need to be mapped to this term.
VA-WH BILATERAL MASTECTOMY
VA-*BREAST CANCER SCREEN
This term will use the VA-WH BILATERAL MASTECTOMY taxonomy to
find coded bilateral mastectomies. The health factor WH
BILATERAL MASTECTOMY distributed with this term may be used or
add any local health factor that represents the patient had a
bilateral mastectomy and no longer needs mammogram screening.
VA-TERMINAL CANCER PATIENT
No mapping necessary. Use the VA-TERMINAL CANCER PATIENTS
reminder taxonomy distributed with this term.
VA-MAMMOGRAM
RESOLUTION FINDINGS:
--------------------
The following reminder terms resolve the reminder. These resolution
terms are defined with a "Use in Resolution Logic", but no Frequency.
Frequency for this reminder will be determined by Function Findings
(FF) logic, which examines the most recent findings:
* If Function Findings determine that the most recent finding
is a result, the baseline age and frequency will be used.
|
| INTERNAL PATIENT COHORT LOGIC |
(SEX)&(AGE)!FI(1)&'FI(2)&'FI(3) |
| PATIENT COHORT FINDINGS COUNT |
5 |
| PATIENT COHORT FINDINGS LIST |
SEX;AGE;1;2;3 |
| INTERNAL RESOLUTION LOGIC |
(0)!FI(4)!FI(5)!FI(6)!FI(7)!FI(8)!FI(9)!FI(10)!FI(16) |
| RESOLUTION FINDINGS COUNT |
8 |
| RESOLUTION FINDINGS LIST |
4;5;6;7;8;9;10;16 |
| AGE FINDINGS COUNT |
9 |
| AGE FINDINGS LIST |
1;9;FF1;FF2;FF3;FF4;FF5;FF6;FF7 |
| INFORMATION FINDINGS COUNT |
5 |
| INFORMATION FINDINGS LIST |
11;12;13;14;15 |
| WEB SITES |
-
- URL: http://www.uspreventiveservicestaskforce.org/uspstf09/breastcancer/brcanrs.htm
- WEB SITE TITLE: US Preventive Services - Breast Cancer Screening
- WEB SITE DESCRIPTION:
Web Site Title: US Preventive Services Task Force Screening for Breast
Cancer web site.
-
- URL: http://vaww.prevention.domain.ext/Screening_for_Breast_Cancer.asp
- WEB SITE TITLE: VHA Breast Cancer Screening Guidance
-
- URL: http://www.prevention.domain.ext/docs/VANCP_BreastCancerFact.pdf
- WEB SITE TITLE: Clinician Guide Fact Sheet
|
| # OF GEN. COHORT FOUND LINES |
0 |
| # GEN. COHORT NOT FOUND LINES |
0 |
| # GEN. RES. FOUND LINES |
0 |
| # GEN. RES. NOT FOUND LINES |
0 |
| BASELINE AGE FINDINGS |
-
- REMINDER FREQUENCY: 2Y
- MINIMUM AGE: 50
- MAXIMUM AGE: 74
- NO. OF AGE MATCH LINES: 0
- NO. OF AGE NO MATCH LINES: 0
-
- REMINDER FREQUENCY: 0Y
- MAXIMUM AGE: 49
- NO. OF AGE MATCH LINES: 0
- NO. OF AGE NO MATCH LINES: 0
-
- REMINDER FREQUENCY: 0Y
- MINIMUM AGE: 75
- NO. OF AGE MATCH LINES: 0
- NO. OF AGE NO MATCH LINES: 0
|
| # SUM. COHORT FOUND LINES |
0 |
| # SUM. COHORT NOT FOUND LINES |
0 |
| # SUM. RES. FOUND LINES |
0 |
| # SUM. RES. NOT FOUND LINES |
0 |
