ZZVA-*TETANUS DIPHTHERIA IMMUNIZATION (18)    REMINDER DEFINITION (811.9)

TD booster given to all adult patients every ten years.
Recommendation: A tetanus and diphtheria (TD) toxoid booster should be
administered every ten years throughout adult life.  This is commonly
offered at each half decade (e.g. ages 45,55,65).
 
Goal for FY 2000: 50% of individuals have received a tetanus immunization
booster in the past ten years.
 
This reminder is based on "Tetanus and Diphtheria Immunization"
guidelines specified in VHA HANDBOOK 1101.8, APPENDIX A.
 
Target Condition: Infection with tetanus and diphtheria.
 
Target Group: General outpatient population.
 

• FINDING ITEM:   TD(ADULT) UNSPECIFIED FORMULATION
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   TETANUS TOXOID, UNSPECIFIED FORMULATION
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   ZZVA-TETANUS DIPHTHERIA
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   INACTIVATE TD IMMUNIZATION
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  REMINDER FREQUENCY:   0Y
  USE IN PATIENT COHORT LOGIC:   AND NOT
• FINDING ITEM:   ACTIVATE TD IMMUNIZATION
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

If this reminder is not going to be used at your facility, the INACTIVE
 
If any modifications to the reminder definition are needed, copy the
reminder to a new reminder for your site's use, and make the appropriate
modifications.
FLAG should be set to inactive.
 
This reminder represents the minimum criteria for checking if the patient
has been screened for tetanus diphtheria immunization. The "TETANUS
DIPHTHERIA (TD-ADULT)" and "TETANUS TOXOID" immunizations or their CPT
equivalent are the result finding that will satisfy this reminder.
 
The Ambulatory Care EP endorses this reminder as it is defined.

• REMINDER FREQUENCY:   10Y
  MINIMUM AGE:   18
  AGE MATCH TEXT:   

  TD booster due every ten years throughout adult life.
  

  NO. OF AGE MATCH LINES:   1
  NO. OF AGE NO MATCH LINES:   0