ZZVA-*BREAST CANCER SCREEN (4)    REMINDER DEFINITION (811.9)

Mammogram should be given every 2 years to female patients, ages 50-69.
 
     Recommendation:   All women ages 50-69 should receive a mammogram
                       every two years.
 
     Goals for FY2000: At least 60% of women ages 50-69 have received a
                       mammogram within the preceding two years.
 
The "VA-*Breast Cancer Screen" reminder is based on the following "Breast
Cancer Detection" guidelines specified in the VHA HANDBOOK 1101.8,
APPENDIX A.
 
     Target Condition: Early detection of breast cancer.
 
     Target Group:     All women ages 50-69.

• FINDING ITEM:   VA-MAMMOGRAM/SCREEN
  MINIMUM AGE:   50
  MAXIMUM AGE:   69
  NO. OF FOUND TEXT LINES:   2
  NO. NOT FOUND TEXT LINES:   1
  REMINDER FREQUENCY:   2Y
  FOUND TEXT:   

  History of mammogram/screen on file.
  with HTN.
  

  NOT FOUND TEXT:   

  Date of last mammogram/screen unknown. 
  

  USE IN RESOLUTION LOGIC:   OR
• 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 screening are based on defining CPT codes
documented to reflect a mammogram/screening done at a current encounter or
a historical encounter within the past two years.
and V-codes from the ICD Diagnosis file that represent mammograms and
mammogram screening in a taxonomy for Mammogram/Screen.  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.  The V-codes are
used to search the Problem List, V POV (problems of visits), and Inpatient
Diagnosis PTF files.
 
The reminder will be "DUE NOW" until a procedure or diagnosis (V-code) is

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

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

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