ZZVA-PPD (29)    REMINDER DEFINITION (811.9)

PPD given yearly to patients of any age who have a "High risk DX for TB";
such as HIV positive or AIDS, homelessness, or alcohol abuse who do not
have a DX of tuberculosis and no prior positive TB skin test.
 
This reminder is based on guidelines provided by the Ambulatory Care
Expert Panel.

• FINDING ITEM:   PPD TUBERCULIN
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   2
  NOT FOUND TEXT:   

  Last date of PPD not known.
  educate if currently in use.
  

  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   ZZVA-HIGH RISK FOR TB
  NO. OF FOUND TEXT LINES:   2
  NO. NOT FOUND TEXT LINES:   1
  REMINDER FREQUENCY:   1Y
  FOUND TEXT:   

  Patient has high risk for TB diagnosis, PPD due yearly.
  pneumonia.
  

  NOT FOUND TEXT:   

  Patient may be low risk for TB, where PPD may not be indicated.
  

  USE IN PATIENT COHORT LOGIC:   AND
• FINDING ITEM:   VA-TB/POSITIVE PPD
  NO. OF FOUND TEXT LINES:   2
  NO. NOT FOUND TEXT LINES:   1
  REMINDER FREQUENCY:   0Y
  FOUND TEXT:   

  Patient has HX of TB or positive PPD diagnosis.
  ongoing.
  

  NOT FOUND TEXT:   

  No HX of TB or positive PPD diagnosis on file.
  

  USE IN PATIENT COHORT LOGIC:   AND NOT

Check the Taxonomy Findings representing High Risk for TB.  If this
taxonomy needs modification, copy the taxonomy to a new taxonomy for your
site, and make the appropriate modifications.
 
Define health factors which may represent high risk for TB in the Health
Factors file via the PCE Table Maintenance options.
 
Copy the reminder to a new reminder for your local site modifications.

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