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

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 

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• 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