ZZVA-FECAL OCCULT BLOOD TEST (24)    REMINDER DEFINITION (811.9)

Fecal occult blood test due every year for patients ages 50 and older with
no DX of colorectal cancer.  This reminder conservatively recommends that
if a sigmoidoscopy was received, the next fecal occult blood test would be
due a year later.
  
This reminder is based on guidelines provided by the Ambulatory Care
Expert Panel.  It also satisfies the "Colorectal Cancer Screen - FOBT"
guidelines specified in the "Guidelines for Health Promotion and Disease
Prevention", M-2, Part IV, Chapter 9.

• FINDING ITEM:   FOBT(CLINIC)
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   ZZVA-COLORECTAL CA
  NO. OF FOUND TEXT LINES:   2
  NO. NOT FOUND TEXT LINES:   1
  REMINDER FREQUENCY:   0Y
  FOUND TEXT:   

  Patient known to have HX of colorectal cancer.  Please verify appropriate
  TX & F/U is ongoing.
  

  NOT FOUND TEXT:   

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

  USE IN PATIENT COHORT LOGIC:   AND NOT
• FINDING ITEM:   ZZVA-FOBT
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   ZZVA-FLEXISIGMOIDOSCOPY
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   INACTIVATE FOBT 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 FOBT CANCER SCREEN
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

This reminder depends on Exam findings where an FOBT is completed in the
Operation/Procedure file.  If this taxonomy needs modification, copy the
taxonomy to a new taxonomy for your site, and make the appropriate
modifications.
 
Copy the reminder to a new reminder for your local site's modifications.
 
NOTE:  The Laboratory data is not available use in the reminder.  When the
lab package begins passing CPT codes for fecal occult blood tests to PCE,
this reminder is ready to make use of the information.
clinic, or on Taxonomy Findings representing FOBT.
 
Check the Taxonomy Findings entries representing HX of Colorectal Cancer.
If this taxonomy needs modification, copy the taxonomy to a new taxonomy
for your site, and make the appropriate modifications.
 
Check the Taxonomy Findings entries representing Fecal Occult Blood Test.
This represents coded standard entries in the CPT file and ICD

• REMINDER FREQUENCY:   1Y
  MINIMUM AGE:   50
  NO. OF AGE MATCH LINES:   0
  NO. OF AGE NO MATCH LINES:   0