VA-PNEUMOCOCCAL IMMUNIZATION PPSV23 (1598)    REMINDER DEFINITION (811.9)

Updated guidelines Fall 2014 - patients age 65 and older should received 
anatomic asplenia, CSF leaks, or cochlear implants, and who have not
previously received PCV13 or PPSV23, should receive a dose of PCV13 first,
followed by a dose of PPSV23 at least 8 weeks later if <age 65 or 
immunocompromised and at least 1 year later if 65 or older AND not 
immunocompromised.
 
Subsequent doses of PPSV23 should follow current PPSV23 recommendations
for adults at high risk. Specifically, a second PPSV23 dose is recommended
5 years after the first PPSV23 dose for persons aged 19-64 years with
functional or anatomic asplenia and for persons with immunocompromising
one dose of PCV13, if possible, this dose should be given prior to 
conditions. Additionally, those who received PPSV23 before age 65 years
for any indication should receive another dose of the vaccine at age 65
years, or later if at least 5 years have elapsed since their previous
PPSV23 dose. 
 
Previous vaccination with PPSV23. Adults aged >=19 years with 
immunocompromising conditions, functional or anatomic asplenia, CSF 
leaks, or cochlear implants, who previously have received >=1 doses of 
PPSV23 should be given a PCV13 dose >=1 year after the last PPSV23 dose 
was received. For those who require additional doses of PPSV23, the first 
PPSV23. Persons vaccinated with PCV13 prior to age 65 do not need a 
such dose should be given no sooner than 8 weeks after PCV13 for ages 
<65 or if immunocompromised, no sooner than 1 year after PCV13 for ages 65
and older, not immunocompromised and at least 5 years after the most
recent dose of PPSV23.
 
 
Pneumococcal polysaccharide (PPSV) vaccination - Vaccinate all persons
with the following indications:
Medical: Chronic lung disease (including asthma); chronic cardiovascular 
diseases; diabetes mellitus; chronic liver diseases; cirrhosis; chronic 
second dose after age 65 (this applies to PCV13 only and not to PPSV23).
alcoholism; functional or anatomic asplenia (e.g., sickle cell disease or 
splenectomy [if elective splenectomy is planned, vaccinate at least 2 
weeks before surgery]); immunocompromising conditions (including chronic 
renal failure or nephrotic syndrome); and cochlear implants and 
cerebrospinal fluid leaks. Vaccinate as close to HIV diagnosis as 
possible.
 
Other: Residents of nursing homes or long-term care facilities and 
persons who smoke cigarettes. Routine use of PPSV is not recommended for 
American Indians/Alaska Natives or persons aged less than 65 years unless 
 
they have underlying medical conditions that are PPSV indications. 
However, public health authorities may consider recommending PPSV for 
American Indians/Alaska Natives and persons aged 50 through 64 years who 
are living in areas where the risk for invasive pneumococcal disease is 
increased.
 
Revaccination with PPSV23
One-time revaccination after 5 years is recommended for persons aged 19 
through 64 years with chronic renal failure or nephrotic syndrome; 
functional or anatomic asplenia (e.g., sickle cell disease or 
Updated guidelines October 2012
splenectomy); and for persons with immunocompromising conditions. 
 
For persons aged 65 years and older, one-time revaccination is 
recommended with PPSV23 if they were vaccinated 5 or more years previously
and were aged less than 65 years at the time of primary vaccination.
 
Pneumococcal vaccine-nave persons. ACIP recommends that adults aged 19 
years of age and older with immunocompromising conditions, functional or

• FUNCTION FINDING NUMBER:   1
  FOUND TEXT:   

  The patient has received more than one dose of pneumococcal 
  polysaccharide vaccine (PPSV23).
   
  Additional doses of PPSV23 before age 65 are not recommended.
  \\
  

  LOGIC:   ((FN(1)&(FN(2)>1)&(FN(3)>1460))!FN(4))&'FN(5)
  REMINDER FREQUENCY:   99Y
  RANK FREQUENCY:   1
  FUNCTION STRING:   ((FI(5)&(COUNT(5)>1)&(DTIME_DIFF(5,1,"DATE",5,2,"DATE","D","A")>1460))!FI(9))&'FI(7)
  NO. FOUND TEXT LINES:   5
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   COUNT

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   DTIME_DIFF

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   DATE
    • FUNCTION PARAMETER:   DATE
    • FUNCTION PARAMETER:   D
    • FUNCTION PARAMETER:   A

  • FUNCTION NUMBER:   4
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   5
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

• FOUND TEXT:   

  Recorded doses of pneumococcal polysaccharide vaccine (PPSV23) were not
  given a full 5 years apart.  Assess for need for repeat.
  

  LOGIC:   ((FN(1)&(FN(2)<1460)))&(FN(3)>1)
  FUNCTION STRING:   ((FI(5)&(DTIME_DIFF(5,1,"DATE",5,2,"DATE","D","A")<1460)))&(COUNT(5)>1)
  NO. FOUND TEXT LINES:   2
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   DTIME_DIFF

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   DATE
    • FUNCTION PARAMETER:   DATE
    • FUNCTION PARAMETER:   D
    • FUNCTION PARAMETER:   A

  • FUNCTION NUMBER:   3
    FUNCTION:   COUNT

    FUNCTION PARAMETER LIST:

• LOGIC:   FN(1)>FN(2)
  FUNCTION STRING:   MRD(3)>MRD(12)
  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:

• LOGIC:   FN(1)>FN(2)
  FUNCTION STRING:   MRD(2)>MRD(13)
  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:

• LOGIC:   (FN(1)>0)!(FN(2)>0)!(FN(3)>0)!(FN(4)>0)
  FUNCTION STRING:   (NUMERIC(16,1,"CODE")>0)!(NUMERIC(16,2,"CODE")>0)!(NUMERIC(16,3,"CODE")>0)!(NUMERIC(16,4,"CODE")>0)
  NO. FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   NUMERIC

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   CODE

  • FUNCTION NUMBER:   2
    FUNCTION:   NUMERIC

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   CODE

  • FUNCTION NUMBER:   3
    FUNCTION:   NUMERIC

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   CODE

  • FUNCTION NUMBER:   4
    FUNCTION:   NUMERIC

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   CODE

• LOGIC:   ((FN(1)>0))&'(((FN(2)="INTRAVITREAL")!(FN(3)="INTRAVITREAL")!(FN(2)="TOPICALLY")!(FN(3)="TOPICALLY")))
  FUNCTION STRING:   ((VALUE(16,1,"START DATE")>0))&'(((VALUE(16,1,"MR")="INTRAVITREAL")!(VALUE(16,1,"MEDICATION ROUTE")="INTRAVITREAL")!(VALUE(16,1,"MR")="TOPICALLY")!(VALUE(16,1,"MEDICATION ROUTE")="TOPICALLY")))
  NO. FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   START DATE

  • FUNCTION NUMBER:   2
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   MR

  • FUNCTION NUMBER:   3
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   MEDICATION ROUTE

  • FUNCTION NUMBER:   4
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   MR

  • FUNCTION NUMBER:   5
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   MEDICATION ROUTE

• LOGIC:   ((FN(1)>0))&'(((FN(2)="INTRAVITREAL")!(FN(3)="INTRAVITREAL")!(FN(2)="TOPICALLY")!(FN(3)="TOPICALLY")))
  FUNCTION STRING:   ((VALUE(16,2,"START DATE")>0))&'(((VALUE(16,2,"MR")="INTRAVITREAL")!(VALUE(16,2,"MEDICATION ROUTE")="INTRAVITREAL")!(VALUE(16,2,"MR")="TOPICALLY")!(VALUE(16,2,"MEDICATION ROUTE")="TOPICALLY")))
  NO. FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   START DATE

  • FUNCTION NUMBER:   2
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   MR

  • FUNCTION NUMBER:   3
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   MEDICATION ROUTE

  • FUNCTION NUMBER:   4
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   MR

  • FUNCTION NUMBER:   5
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   MEDICATION ROUTE

• LOGIC:   ((FN(1)>0))&'(((FN(2)="INTRAVITREAL")!(FN(3)="INTRAVITREAL")!(FN(2)="TOPICALLY")!(FN(3)="TOPICALLY")))
  FUNCTION STRING:   ((VALUE(16,3,"START DATE")>0))&'(((VALUE(16,3,"MR")="INTRAVITREAL")!(VALUE(16,3,"MEDICATION ROUTE")="INTRAVITREAL")!(VALUE(16,3,"MR")="TOPICALLY")!(VALUE(16,3,"MEDICATION ROUTE")="TOPICALLY")))
  NO. FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   START DATE

  • FUNCTION NUMBER:   2
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   MR

  • FUNCTION NUMBER:   3
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   MEDICATION ROUTE

  • FUNCTION NUMBER:   4
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   MR

  • FUNCTION NUMBER:   5
    FUNCTION:   VALUE

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   MEDICATION ROUTE

• FUNCTION FINDING NUMBER:   2
  FOUND TEXT:   

  The patient has received a pneumococcal polysaccharide vaccination 
  (PPSV23) after age 65.
  

  LOGIC:   FN(1)&(FN(2)>23740)
  MINIMUM AGE:   65
  REMINDER FREQUENCY:   99Y
  RANK FREQUENCY:   1
  FUNCTION STRING:   FI(5)&(DIFF_DATE(1,5)>23740)
  NO. FOUND TEXT LINES:   2
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

• FOUND TEXT:   

  Immunocompromised and no prior dose of PCV13.  PCV13 should be 
  administered before PPSV23 if possible.
  

  LOGIC:   FN(1)&'(FN(2)!FN(3))
  FUNCTION STRING:   FI(17)&'(FI(19)!FI(15))
  NO. FOUND TEXT LINES:   2
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

• FOUND TEXT:   

  Age 65 or older and no prior dose of PCV13. PCV13 should be given prior 
  to PPSV23 if possible.
  

  LOGIC:   FN(1)&'(FN(2)!FN(3))
  FUNCTION STRING:   FI(7)&'(FI(19)!FI(15))
  NO. FOUND TEXT LINES:   2
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

• LOGIC:   (((FN(1)>55)&(FN(2)!(FN(3)<23742)))!(FN(1)>364)&FN(5))!(FN(6)&'FN(5))
  FUNCTION STRING:   (((DTIME_DIFF(7,1,"DATE",19,1,"DATE","D","A")>55)&(FI(17)!(DIFF_DATE(19,1)<23742)))!(DTIME_DIFF(7,1,"DATE",19,1,"DATE","D","A")>364)&FI(19))!(FI(15)&'FI(19))
  NO. FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   DTIME_DIFF

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   DATE
    • FUNCTION PARAMETER:   DATE
    • FUNCTION PARAMETER:   D
    • FUNCTION PARAMETER:   A

  • FUNCTION NUMBER:   2
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   4
    FUNCTION:   DTIME_DIFF

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   DATE
    • FUNCTION PARAMETER:   DATE
    • FUNCTION PARAMETER:   D
    • FUNCTION PARAMETER:   A

  • FUNCTION NUMBER:   5
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   6
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   7
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

• FUNCTION FINDING NUMBER:   23
  LOGIC:   ((FN(1)>55)&FN(2))!'FN(2)
  MINIMUM AGE:   19
  MAXIMUM AGE:   64
  FUNCTION STRING:   ((DTIME_DIFF(7,1,"DATE",19,1,"DATE","D","A")>55)&FI(19))!'FI(19)
  NO. FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   DTIME_DIFF

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   DATE
    • FUNCTION PARAMETER:   DATE
    • FUNCTION PARAMETER:   D
    • FUNCTION PARAMETER:   A

  • FUNCTION NUMBER:   2
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

• FUNCTION FINDING NUMBER:   3
  FOUND TEXT:   

  Very high risk for pneumococcal disease, 2nd dose of PPSV23 (Pneumovax)
  should be given after 5 years.\\
  

  LOGIC:   (FN(1)'>23740)&FN(2)&'((FN(3)&(FN(4)>1)&(FN(5)>1460))!FN(6))
  REMINDER FREQUENCY:   5Y
  RANK FREQUENCY:   2
  FUNCTION STRING:   (DIFF_DATE(1,5)'>23740)&FI(17)&'((FI(5)&(COUNT(5)>1)&(DTIME_DIFF(5,1,"DATE",5,2,"DATE","D","A")>1460))!FI(9))
  NO. FOUND TEXT LINES:   2
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   4
    FUNCTION:   COUNT

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   5
    FUNCTION:   DTIME_DIFF

    FUNCTION PARAMETER LIST:

    • FUNCTION PARAMETER:   DATE
    • FUNCTION PARAMETER:   DATE
    • FUNCTION PARAMETER:   D
    • FUNCTION PARAMETER:   A

  • FUNCTION NUMBER:   6
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

• FUNCTION FINDING NUMBER:   4
  FOUND TEXT:   

  Pneumococcal polysaccharide vaccine (PPSV23) given before age 65.  The
  patient is now over age 65 and should have an additional dose of PPSV23 at
  least 5 years after the prior dose and after age 65.
  

  LOGIC:   FN(1)'>23740&(FN(2)&'FN(3)&FN(4))
  REMINDER FREQUENCY:   5Y
  RANK FREQUENCY:   2
  FUNCTION STRING:   DIFF_DATE(1,5)'>23740&(FI(5)&'FI(17)&FI(7))
  NO. FOUND TEXT LINES:   3
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   4
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

• FOUND TEXT:   

  The patient received the most recent pneumococcal polysaccharide
  immunization (PPSV23) prior to age 65.  An additional dose of PPSV23 is
  recommended after age 65.
  

  LOGIC:   FN(1)&(FN(2)<23741)&'(FN(3))
  FUNCTION STRING:   FI(5)&(DIFF_DATE(1,5)<23741)&'(FI(17))
  NO. FOUND TEXT LINES:   3
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

• FUNCTION FINDING NUMBER:   6
  LOGIC:   (FN(1)&(FN(2)>FN(3)))!FN(4)&'FN(5)&'FN(6)
  MAXIMUM AGE:   64
  REMINDER FREQUENCY:   99Y
  RANK FREQUENCY:   3
  FUNCTION STRING:   (FI(2)&(MRD(2)>MRD(13)))!FI(4)&'FI(7)&'FI(17)
  NO. FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   4
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   5
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   6
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

• FOUND TEXT:   

  \\
  \\
  The patient received the most recent pneumococcal 
  polysaccharide immunization (PPSV23) prior to age 65.  The patient is
  immunocompromised and has received the pneumococcal conjugate vaccine
  (PCV13).
    
  An additional dose of pneumococcal polysaccharide vaccine 
  (PPSV23-Pneumovax) is recommended after age 65 and at least 5 years 
  after the most recent dose no matter how many prior doses have been given.
  

  LOGIC:   FN(1)&(FN(2)<23741)&(FN(3))&(FN(4))
  FUNCTION STRING:   FI(5)&(DIFF_DATE(1,5)<23741)&(FI(17))&(FI(19))
  NO. FOUND TEXT LINES:   10
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   4
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

• FUNCTION FINDING NUMBER:   8
  FOUND TEXT:   

  The patient is at high risk for pneumococcal disease, has had PCV13 but 
  is now over age 65 and has not received a dose of PPSV23 after age 65.  
  The patient should be should be given a final dose of PPSV23 5 or more
  years after the most recent dose.
  

  LOGIC:   FN(1)&FN(2)&FN(3)&(FN(4)'>23740)
  MINIMUM AGE:   65
  REMINDER FREQUENCY:   5Y
  RANK FREQUENCY:   2
  FUNCTION STRING:   FI(17)&FI(19)&FI(7)&(DIFF_DATE(1,5)'>23740)
  NO. FOUND TEXT LINES:   4
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   FI

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   4
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

• URL:   http://www.cdc.gov/mmwr/preview/mmwrhtml/00047135.htm
  WEB SITE TITLE:   CDC Site on Pneumococcal Immunization
• URL:   http://odphp.osophs.dhhs.gov/pubs/guidecps/text/CH66.txt
  WEB SITE TITLE:   Dept HHS Information on Pneumococcal Vaccination
• URL:   http://www.cdc.gov/vaccines/hcp/vis/vis-statements/ppv.html
  WEB SITE TITLE:   Patient Handout (VIS) for Pneumococcal Vaccine
• URL:   http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6140a4.htm
  WEB SITE TITLE:   CDC Recommendations on use of PPSV23 for Adults (Oct 2012)
• URL:   http://vaww.prevention.domain.ext/Pneumococcal_Immunization.asp
  WEB SITE TITLE:   VHA Pneumococcal Immunization Guidance Statement
• URL:   http://vaww.prevention.domain.ext/docs/PneumococcalImmunizationsAlgorithm.pdf
  WEB SITE TITLE:   Pneumococcal Immunization Algorithm for PPSV23 and PCV13