VA-POS DEPRESSION SCREEN FOLLOWUP (179)    REMINDER DEFINITION (811.9)

• EDIT DATE:   2005-03-11 12:22:07
  EDIT BY:   USER,ONE
  EDIT COMMENTS:   

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The following reminder terms are included in this reminder.  
  DEPRESSION THERAPY
  DEPRESSION TO BE MANAGED IN PC
  PSYCHOTHERAPY
  REFERRAL TO MENTAL HEALTH
  REFUSED DEPRESSION ASSESSMENT
  REFUSED DEPRESSION RX/INTERVENTION
  NO DEPRESSIVE SX NEED INTERVENTION
 
The reminder is applicable if the patient has positive depression screen 
in the past 1 year (DEPRESSION SCREEN POSITIVE).  If a more recent 
  ANTIDEPRESSANT MEDICATIONS
negative depression screen is entered, then the reminder becomes not 
applicable (DEPRESSION SCREEN NEGATIVE).
 
The reminder is resolved by DEPRESSION ASSESS COMPLETED IN MHC, which 
includes the entry of a BDI, CRS or ZUNG depression scale in the mental 
health package or by psychotherapy in the past 3 months.
 
If the patient has a recent diagnosis of depression and is on medication 
for depression, the reminder is resolved.
 
  DEPRESSION DIAGNOSIS
If the patient refuses additional assessment of the positive depression 
screen or refuses recommended therapy for depression, the reminder is 
resolved for 3 months  (REFUSED DEPRESSION ASSESSMENT
 
A refusal after the assessment is completed resolves the reminder for a 
year.  (Entry of REFUSED DEPRESSION RX/INTERVENTION can only be done 
in conjunction with a positive, negative or inconclusive assessment - 
each of which resolves the reminder for one year).
 
If an entry is made to indicate that the patient is already being treated
  DEPRESSION ASSESS COMPLETED IN MHC
for depression, the reminder is resolved.  DEPRESSION THERAPY
 
The reminder is also resolved if it is indicated that the depression will 
be managed in PC.  (DEPRESSION TO BE MANAGED IN PC)
 
The reminder is resolved for 3 months by a referral to Mental Health 
(REFERRAL TO MENTAL HEALTH) or by the presence of a recent code for 
psychotherapy (PSYCHOTHERAPY).    But if the entry of the referral is 
made in conjuction with the negative, positive, or inconclusive 
assessment then the reminder is resolved for one year.
  DEPRESSION ASSESS INCONCLUSIVE (? MDD)
 
Assessment of the patient based on DSM-IV criteria will resolve the 
reminder for one year:
   DEPRESSION ASSESS NEGATIVE (NOT MDD)
   DEPRESSION ASSESS POSITIVE (MDD)
   DEPRESSION ASSESS INCONCLUSIVE
 
The reminder is resolved by entry of NO DEPRESSIVE SX NEED INTERVENTION 
which is entered in conjunction with a negative assessment.
  DEPRESSION ASSESS NEGATIVE (NOT MDD)
  DEPRESSION ASSESS POSITIVE (MDD)
  DEPRESSION SCREEN NEGATIVE
  DEPRESSION SCREEN POSITIVE

• FINDING ITEM:   VA-DEPRESSION SCREEN POSITIVE
  NO. OF FOUND TEXT LINES:   4
  NO. NOT FOUND TEXT LINES:   0
  FOUND TEXT:   

  The patient has a positive depression screen.  Additional assessment for 
  "red flags", risk of suicide, need for treatment or referral to Mental 
  Health should be undertaken.  Assess the patient for the presence of 
  Major Depressive Disorder based on the DSM-IV criteria.
  

  USE IN PATIENT COHORT LOGIC:   AND
  BEGINNING DATE/TIME:   T-1Y
• FINDING ITEM:   VA-DEPRESSION ASSESS NEGATIVE (NOT MDD)
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-DEPRESSION ASSESS POSITIVE (MDD)
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-REFUSED DEPRESSION ASSESSMENT
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
  BEGINNING DATE/TIME:   T-3M
• FINDING ITEM:   VA-REFUSED DEPRESSION RX/INTERVENTION
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
  BEGINNING DATE/TIME:   T-3M
• FINDING ITEM:   VA-DEPRESSION ASSESS COMPLETED IN MHC
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-NO DEPRESSIVE SX NEED INTERVENTION
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-DEPRESSION SCREEN NEGATIVE
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-ANTIDEPRESSANT MEDICATIONS
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  BEGINNING DATE/TIME:   T-30D
• FINDING ITEM:   VA-DEPRESSION DIAGNOSIS
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  BEGINNING DATE/TIME:   T-1Y
• FINDING ITEM:   VA-PSYCHOTHERAPY
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
  BEGINNING DATE/TIME:   T-3M
• FINDING ITEM:   VA-DEPRESSION THERAPY
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
  BEGINNING DATE/TIME:   T-1Y
• FINDING ITEM:   VA-REFERRAL TO MENTAL HEALTH
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-DEPRESSION TO BE MANAGED IN PC
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-DEPRESSION ASSESS INCONCLUSIVE (? MDD)
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR

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

• URL:   http://www.oqp.domain.ext/cpg/MDD/MDD_Base.htm
  WEB SITE TITLE:   VA CPG for Depressive Disorder
• URL:   http://www.oqp.domain.ext/cpg/MDD/G/A_Keyp.pdf
  WEB SITE TITLE:   VA CPG Key Points of Module A (PC)
• URL:   http://www.oqp.domain.ext/cpg/MDD/G/A_Pock.pdf
  WEB SITE TITLE:   VA CPG Pocket Card for Module A (PC)

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