ZZVA-MAMMOGRAM (19)    REMINDER DEFINITION (811.9)

Mammogram should be given every 2 years to female patients, ages 50-69
This reminder also supports the "Breast Cancer Detection" reminder defined
in the "Guidelines for Health Promotion and Disease Prevention", M-2, Part
IV, Chapter 9.
with no DX of breast cancer, and yearly for women with a history of breast
cancer or breast tumors, ages 35 - 69.
 
This reminder is based on guidelines provided by the Ambulatory Care
Expert Panel.  The expert panel recommends a study for patients with "high
risk for breast cancer" to occur every 1 to 2 years. A conservative 1 year
is defined in this reminder definition.
 

• FINDING ITEM:   VA-MAMMOGRAM/SCREEN
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-BREAST TUMOR
  MINIMUM AGE:   35
  MAXIMUM AGE:   69
  NO. OF FOUND TEXT LINES:   2
  NO. NOT FOUND TEXT LINES:   0
  REMINDER FREQUENCY:   1Y
  FOUND TEXT:   

  History of breast cancer or breast tumor on file. Due yearly for patients
  ages 35-69.
  

• FINDING ITEM:   INACTIVATE BREAST CANCER SCREEN
  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 BREAST CANCER SCREEN
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

The findings for mammogram are based on defining the CPT codes
defined reminder item and make the appropriate modifications.
representing mammograms in a taxonomy for Mammograms.  The CPT codes are
used to search the Radiology procedures in the Radiology package, as well
as checks for existence of a CPT code in the  V CPT file.
 
Check the taxonomy findings definition for breast cancer and breast tumor.
Copy the taxonomies and make modifications if needed.
 
If any changes were needed in the findings, copy this reminder to a site

• REMINDER FREQUENCY:   2Y
  MINIMUM AGE:   50
  MAXIMUM AGE:   69
  AGE MATCH TEXT:   

  Women ages 50-69 should receive a mammogram every two years.
  

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