VA-AAA SCREENING (42)    REMINDER DEFINITION (811.9)

• EDIT DATE:   2015-01-28 10:40:54
  EDIT BY:   USER,SEVENTEEN
  EDIT COMMENTS:   

  Exchange Install
  

Screen once for AAA in men ages 65-75 who are current or prior smokers.
is included for this.  The user has an option in the dialog to indicate 
that the patient smoked <100 total lifetime cigarettes.
 
If the procedure was done on or after the 60th birthday, then it will be 
counted as adequate screening.
 
Many types of imaging procedures could be adequate to evaluate the status 
of the abdominal aorta if the interpreting Radiologist addresses the 
aorta in the reading and the report.  Because it is not always clear from 
the type of procedure, these procedures are marked as "non-specific" 
 
abdominal imaging in this reminder and a health factor is available to 
be entered by a user if it is clear from the report that the procedure 
adequately addressed the status of the abdominal aorta from the renal 
arteries to the bifurcation of the aorta.
 
The following terms are included:
VA-IMAGING FOR AAA (CPT NON-SPECIFIC PROC)
This term is mapped to a taxonomy of procedures that represent radiology 
studies that could be adequate for screening but may not be depending on 
the report.
Developed by the National Clinical Reminder Committee in conjunction with 
 
VA-IMAGING FOR AAA (RAD NON-SPECIFIC PROC)
This term must be mapped locally and should contain radiology procedures
ONLY.  No CPT codes should be added to this term.  If a diagnostic code 
is added by Radiology to one of the procedures in this term to show that
AAA screening was completed, then the reminder will be resolved.
 
VA-IMAGING FOR AAA (RAD SPECIFIC PROC) 
This term must be mapped locally and should contain radiology procedures 
ONLY.  No CPT codes should be added to this term.  Only procedures that 
the VA National Center for Health Promotion and Disease Prevention and 
are always used to screen for AAA should be added to this term.  Do not 
enter any procedures that may be done for purposes other than AAA 
screening. This term will resolve the reminder.
 
A reminder term for orderable items is included.  You will need to map 
your local orderable items for the procedures in the taxonomy to this 
term in order for orders to temporarily resolve the reminder.  If a 
procedure has been ordered in the past 6 months, then this finding will 
temporarily resolve the reminder.  If a different time period is 
preferable at the local VA, then enter a different date range on the 
Dr. Charles Anderson, Director, VHA Radiology Program.
findings in this term and those dates will override the 6 month period.
 
A health factor for outside procedures is included.
 
Patients with a short life expectancy are excluded.  You may want to add 
any local health factors for short life expectancy to the reminder term 
VA-AAA SCREENING NOT APPLICABLE.
 
Patients who are not candidates for repair may not be appropriate for 
screening and may be excluded.
 
 
Patients with known AAA or with prior repair of an AAA are excluded.
 
A term is included for refusals and this term permanently resolves the 
reminder.  If a shorter time frame is desired for refusal, then enter 
that time frame on the health factor in the term.  
The reminder applies to all patients who have a history of smoking 
recorded in their record.  Mapping of all local health factors for 
current or prior smoking history is needed.  The term VA-SMOKING HISTORY 

• FINDING ITEM:   VA-SMOKING HISTORY
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN PATIENT COHORT LOGIC:   AND
• FINDING ITEM:   VA-IMAGING CONFIRMED AS ADEQUATE FOR AAA SCREENING
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-OUTSIDE SCREENING FOR AAA
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-IMAGING FOR AAA (RAD NON-SPECIFIC PROC)
  CONDITION:   I V("SDX","*")="ABDOMINAL AORTIC ANEURYSM NOT PRESENT"!(V("PDX")="ABDOMINAL AORTIC ANEURYSM NOT PRESENT")!(V("SDX","*")="ABDOMINAL AORTIC ANEURYSM PRESENT")!(V("PDX")="ABDOMINAL AORTIC ANEURYSM PRESENT")
  USE STATUS/COND IN SEARCH:   YES

  STATUS LIST:

  • STATUS:   COMPLETE

  INTERNAL CONDITION:   I $G(V("SDX","*"))="ABDOMINAL AORTIC ANEURYSM NOT PRESENT"!($G(V("PDX"))="ABDOMINAL AORTIC ANEURYSM NOT PRESENT")!($G(V("SDX","*"))="ABDOMINAL AORTIC ANEURYSM PRESENT")!($G(V("PDX"))="ABDOMINAL AORTIC ANEURYSM PRESENT")
  V SUBSCRIPT LIST:   "SDX","*";"PDX";
  NO. OF FOUND TEXT LINES:   2
  NO. NOT FOUND TEXT LINES:   0
  FOUND TEXT:   

  The above procedure was recorded by Radiology as being adequate for AAA
  screening. \\
  

  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-IMAGING FOR AAA ORDERABLE ITEMS
  ENDING DATE/TIME:   T+6M
  USE STATUS/COND IN SEARCH:   YES

  STATUS LIST:

  • STATUS:   ACTIVE
  • STATUS:   PENDING
  • STATUS:   SCHEDULED

  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-DATE OF BIRTH
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-REFUSED IMAGING FOR AAA SCREEN
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-SMOKING HX <100 LIFETIME CIGARETTES
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN PATIENT COHORT LOGIC:   AND NOT
• FINDING ITEM:   VA-AAA DX/AAA REPAIR CPT
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN PATIENT COHORT LOGIC:   AND NOT
• FINDING ITEM:   VA-AAA SCREENING NOT APPLICABLE
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN PATIENT COHORT LOGIC:   AND NOT
• FINDING ITEM:   VA-IMAGING FOR AAA (RAD SPECIFIC PROC)

  STATUS LIST:

  • STATUS:   COMPLETE

  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-IMAGING FOR AAA (CPT NON-SPECIFIC PROC)
  OCCURRENCE COUNT:   6
  NO. OF FOUND TEXT LINES:   4
  NO. NOT FOUND TEXT LINES:   0
  FOUND TEXT:   

  The above procedure(s) may or may not be adequate to fully evaluate the
  aorta for the presence of an aneurysm.  Please review the report and if
  this study is adequate, then enter the information that a prior procedure
  has been done that is adequate screening for AAA. \\
  

• LOGIC:   FN(1)>21914
  FUNCTION STRING:   DIFF_DATE(11,14)>21914
  NO. FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

• LOGIC:   FN(1)>21914
  FUNCTION STRING:   DIFF_DATE(12,14)>21914
  NO. FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

• LOGIC:   FN(1)>21914
  FUNCTION STRING:   DIFF_DATE(8,14)>21914
  NO. FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

• LOGIC:   FN(1)>21914&(FN(2)>21914)
  FUNCTION STRING:   DIFF_DATE(9,14)>21914&(DIFF_DATE(10,14)>21914)
  NO. FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   DIFF_DATE

    FUNCTION PARAMETER LIST:

These 2 health factors were included in a prior local version of a AAA 
If you use the old version, you may rename your local health factors to 
the new names to prevent duplication.
screening reminder and have been renamed for this national release:
   ULTRASOUND FOR AAA N/A CURRENTLY
   ULTRASOUND FOR AAA N/A PERMANENTLY
 
The new names are:
   IMAGING FOR AAA N/A CURRENTLY
   IMAGING FOR AAA N/A PERMANENTLY 
 

• URL:   http://www.uspreventiveservicestaskforce.org/uspstf/uspsaneu.htm
  WEB SITE TITLE:   USPSTF Recommendations on Screening for AAA

• REMINDER FREQUENCY:   99Y
  MINIMUM AGE:   65
  MAXIMUM AGE:   75
  NO. OF AGE MATCH LINES:   0
  NO. OF AGE NO MATCH LINES:   0
• REMINDER FREQUENCY:   0Y
  MINIMUM AGE:   0
  MAXIMUM AGE:   64
  NO. OF AGE MATCH LINES:   0
  NO. OF AGE NO MATCH LINES:   0
• REMINDER FREQUENCY:   0Y
  MINIMUM AGE:   76
  NO. OF AGE MATCH LINES:   0
  NO. OF AGE NO MATCH LINES:   0