ZZVA-PAP SMEAR (20)    REMINDER DEFINITION (811.9)

Pap smear/pelvic exam every three years for female patients, age 65 and
Health Promotion and Disease Prevention", M-2, Part IV, Chapter 9.
under, with no DX of cervical cancer or abnormal pap smear and no previous
abnormal pap smear lab test.
 
If patient has had hysterectomy for benign disease, no pap smear is
indicated.
 
This reminder is based on the Ambulatory Care EP and supports the
"Cervical Cancer Screen" guidelines specified in the "Guidelines for

• FINDING ITEM:   VA-HYSTERECTOMY
  NO. OF FOUND TEXT LINES:   2
  NO. NOT FOUND TEXT LINES:   1
  REMINDER FREQUENCY:   0Y
  FOUND TEXT:   

  Pap not indicated in women with HX hysterectomy for benign disease.
  with HTN.
  

  NOT FOUND TEXT:   

  No HX of hysterectomy - presumed no such HX.
  

  USE IN PATIENT COHORT LOGIC:   AND NOT
• FINDING ITEM:   VA-CERVICAL CA/ABNORMAL PAP
  NO. OF FOUND TEXT LINES:   2
  NO. NOT FOUND TEXT LINES:   1
  REMINDER FREQUENCY:   0Y
  FOUND TEXT:   

  Patient has HX of cervical cancer. Please verify appropriate TX & F/U is
  ongoing.
  

  NOT FOUND TEXT:   

  No HX of cervical cancer on file - no HX cervical cancer presumed.
  

  USE IN PATIENT COHORT LOGIC:   AND NOT
• FINDING ITEM:   ZZVA-CERVICAL CANCER SCREEN
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   1
  NOT FOUND TEXT:   

  Date of last cervical cancer screen taxonomy unknown.
  

  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   INACTIVATE CERVIX 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 CERVIX CANCER SCREEN
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

Check the Taxonomy Findings representing history of hysterectomy for
benign disease, and history of cervical cancer or abnormal PAP.
If these taxonomies need modifications, copy each to a new taxonomy for
your local site, and make the appropriate modifications.
 
Define Health Factors that may represent Sexual Activity.  To add new
Health Factors use the PCE Table Maintenance option.  
 
Copy the reminder to a new reminder for your local site modifications.

• REMINDER FREQUENCY:   3Y
  MAXIMUM AGE:   65
  AGE MATCH TEXT:   

  Pap smear/pelvic exam due every 3 years for women ages 65 and younger.
  

  AGE NO MATCH TEXT:   

  Pap smear screen not indicated for women over 65.
  

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