VA-HEPATITIS C RISK SCREEN (40)    REMINDER DEFINITION (811.9)

• EDIT DATE:   2016-05-23 13:02:47
  EDIT BY:   USER,FIFTYFOUR
  EDIT COMMENTS:   

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All patients should be screened for hepatitis C risk factors.
  enrolled in hospice, or cancer of esophagus, liver or pancreas.\\
 
VA recommends hepatitis C screening for all patients with a risk factor or
who request testing. A documented risk factor will trigger the HEPATITIS 
C TESTING reminder for a provider to complete.
 
Patients who meet one of the following criteria do not require further
risk screening:\\
- A previous laboratory test for hepatitis C,\\ 
- A previous diagnosis of hepatitis C,\\ 
- Born between 1945 and 1965,\\
- Diagnosis of alcoholic hepatitis or alcohol abuse or dependence,\\
- With terminal illness (life expectancy less than 6 months-1 year),\\ 

• FINDING ITEM:   VA-DATE OF BIRTH
  CONDITION:   I V>2441231&(V<2660101)
  INTERNAL CONDITION:   I V>2441231&(V<2660101)
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-LIFE EXPECTANCY < 6 MONTHS
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  BEGINNING DATE/TIME:   T-6M
• FINDING ITEM:   VA-TERMINAL CANCER PATIENT
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-HEP C RNA
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-RISK FACTOR FOR HEPATITIS C
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-NO RISK FACTORS FOR HEP C
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-DECLINED HEP C RISK SCREEN
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
  BEGINNING DATE/TIME:   T-1Y
• FINDING ITEM:   VA-HEP C VIRUS ANTIBODY POSITIVE
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-HEP C VIRUS ANTIBODY NEGATIVE
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-HEPATITIS C SEROPOSITIVE
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
  BEGINNING DATE/TIME:   T-2Y
• FINDING ITEM:   VA-HEP C OUTSIDE RESULTS
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-HEP C LAB TESTS ORDERED
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  BEGINNING DATE/TIME:   T-3M

This reminder is based on VHA National Center for Health Promotion and 
     This term is released with the health factor RISK FACTOR FOR
     HEPATITIS C.  This term includes national taxonomies for alcohol 
     abuse, drug abuse, and HIV infection. Map any local findings that
     meet the intent of this term in the REMINDER TERM file (811.5).
 
   VA-NO RISK FACTORS FOR HEP C
     This term is released with the health factor NO RISK FACTORS FOR HEP
     C.  Map any local findings that meet the intent of this term in the
     REMINDER TERM file (811.5).
 
Disease Prevention (NCP) Clinical Guidance Statement posted January 22, 
   VA-DECLINED HEP C RISK SCREENING
     This term is released with the health factor DECLINED HEP C RISK 
     SCREENING.  Map any local findings that meet the intent of this 
     term in The REMINDER TERM file (811.5).
 
   VA-HEP C OUTSIDE RESULTS
     This term is released with the health factors PREV POSITIVE TEST FOR
     HEP C and PREV NEGATIVE TEST FOR HEP C. Map any local findings that 
     identify the patient as previously assessed for Hepatitis C risk 
     factors in the REMINDER TERM file(811.5).
2014. 
     This term was originally distributed as PREV POSITIVE TEST
     FOR HEP C, but was changed to provide sites with a way to identify a
     patient as previously assessed for Hepatitis C risk factors.
 
     This term will also be used to document historical positive
     tests completed outside the facility.
 
   VA-HEP C VIRUS ANTIBODY POSITIVE
     Map local HCVAb lab tests with a condition in the REMINDER TERM file.
     An example of the condition field might be: I V="positive"
 
     or I (V["P")!(V["p"). The text used in the condition definition
     (I V="text") should be based on the local LABORATORY TEST file (60)
     print codes when defined, rather than the result in the LAB DATA file
     (63).
 
   VA-HEP C VIRUS ANTIBODY NEGATIVE
     Map local HCVAb lab tests with a condition in the REMINDER TERM file.
     An example of the condition field might be: I V="negative"
     or I (V["N")!(V["n"). The text used in the condition definition 
     (I V="text") should be based on the local LABORATORY TEST file (60)
BEFORE USING THIS REMINDER, sites need to use the Reminder Term
     print codes when defined, rather than the result in the LAB DATA file
     (63).
 
   VA-HEPATITIS C SEROPOSITIVE
     This term is released with the reminder taxonomy VA-HEPATITIS C
     SEROPOSITIVE.  
 
   VA-HEP C LAB TESTS ORDERED
     Map local HCVAb orderable items in the REMINDER TERM file. The 
     orderable items should have the following status; ACTIVE, PENDING.
Management option to define the local findings that are used to
 
   VA-LIFE EXPECTANCY <6 MONTHS
     This term is released with the health factor. Map any local
     findings that identify patients with a terminal illness.
 
  VA-HEP C RNA
     Map local HCV RNA lab tests. If the local site cancels lab tests and 
     enters a "cancel" comment as the result, then a condition will need
     to be added in the REMINDER TERM preventing the cancelled test from
     resolving the reminder.  Include any RNA tests - HCV Qual, HCV 
represent the national reminder terms:
     Quant, HCV Genotype, etc.
 
   VA-RISK FACTOR FOR HEPATITIS C

• URL:   http://www.hepatitis.domain.ext/
  WEB SITE TITLE:   VA Viral Hepatitis
• URL:   http://www.cdc.gov/hepatitis/HCV/index.htm
  WEB SITE TITLE:   CDC Hepatitis C Info for Health Professionals

• REMINDER FREQUENCY:   99Y
  MINIMUM AGE:   18
  NO. OF AGE MATCH LINES:   0
  NO. OF AGE NO MATCH LINES:   0