VA-DEPRESSION SCREENING (135)    REMINDER DEFINITION (811.9)

• EDIT DATE:   2012-03-23 12:53:26
  EDIT BY:   USER,SEVENTEEN
  EDIT COMMENTS:   

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Screening for Depression using a standard tool should be done on a yearly 
 
Health factors for refusal, acute illness and for chronic cognitive 
impairment are included in this reminder.
 
Entry of chronic cognitive impairment makes this reminder NA.
 
Reminder terms for health factors that represent prior depression 
screening using the PHQ-2 and PHQ-9 are included.  The PHQ-2 has been the 
only accepted depression screening tool since 12/1/06.  Map any local 
health factors for the PHQ-2 to these terms.  Do not include any health 
basis.   
factors for other depression screening tools.
 
The reminder term VA-CHRONIC COGNITIVE IMPAIRMENT contains a health 
factor and also the BOMC from the MH package.  Use this health factor 
with caution since it turns this reminder off permanently.
 
Update April 2009
1. update URLs for changes on the OQP web page
 
A PHQ-2 or a PHQ-9 is required on all patients unless there is a recent 
diagnosis of depression entered for an outpatient visit.  Patients with a 
diagnosis of depression need additional f/u and treatment.
 
This reminder requires entry of the PHQ2 into the Mental Health package 
after 1/1/08.  

• FINDING ITEM:   VA-DEPRESSION DIAGNOSIS
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN PATIENT COHORT LOGIC:   AND NOT
  BEGINNING DATE/TIME:   T-1Y
• FINDING ITEM:   VA-COGNITIVE IMPAIRMENT
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  USE IN PATIENT COHORT LOGIC:   AND NOT
• FINDING ITEM:   VA-DEP PHQ2 NEGATIVE
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  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-DEP PHQ2 POSITIVE
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  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-REFUSED DEPRESSION SCREENING
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  USE IN RESOLUTION LOGIC:   OR
  BEGINNING DATE/TIME:   T-30D
• FINDING ITEM:   VA-DEP PHQ9 NEGATIVE
  NO. OF FOUND TEXT LINES:   0
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  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-DEP PHQ9 POSITIVE
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-MH ACUTE ILLNESS
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
  BEGINNING DATE/TIME:   T-30D

• URL:   http://vaww.oqp.domain.ext/programs/cp/cpgMDD.aspx
  WEB SITE TITLE:   VA CPG for Depressive Disorder

• REMINDER FREQUENCY:   1Y
  NO. OF AGE MATCH LINES:   0
  NO. OF AGE NO MATCH LINES:   0