| NAME |
ZZVA-MHV CERVICAL CANCER SCREEN |
| PRINT NAME |
ZZ PAP Smear Screening |
| DO IN ADVANCE TIME FRAME |
6M |
| INACTIVE FLAG |
INACTIVE |
| INACTIVE CHANGE DATE |
2017-12-27 16:27:46 |
| SEX SPECIFIC |
FEMALE |
| CLASS |
NATIONAL |
| SPONSOR |
WOMEN VETERANS HEALTH PROGRAM AND NATIONAL CENTER FOR HEALTH PROMOTION AND DISEASE PREVENTION (NCP) |
| USAGE |
CPR |
| EDIT HISTORY |
-
- EDIT DATE: 2013-07-16 10:25:41
- EDIT BY: USER,SEVENTEEN
- EDIT COMMENTS:
Exchange Install
|
| DESCRIPTION |
VHA recommends screening for cervical cancer with cytology (Pap smear)
VHA recommends AGAINST using HPV testing alone or in combination with
cytology for cervical cancer screening in women younger than 30 years.
VHA recommends AGAINST screening for cervical cancer in women older than
65 years of age if they have had adequate prior screening and are not
otherwise at high risk for cervical cancer.
VHA recommends AGAINST screening for cervical cancer in women who have
had a total hysterectomy (cervix removal) for benign disease.
every 3 years for women ages 21-65 that have a cervix OR, for women ages
This reminder does not apply to women who have had a hysterectomy where
the cervix was removed.
Evidence of a PAP smear completed will satisfy the reminder for
up to 5 years, depending on the screening frequency specified by the
clinician and the presence of HPV screening. The clinician can alter the
screening frequency for individual patients based on patient and family
history, and discussions with the patient.
PAP Smears completed will resolve this reminder and may be recorded as one
30-65 who want to lengthen the screening interval, screening with a
of the following:
Laboratory result matching Cytology or Surgical Pathology SNOMED
Women's Health procedure result
Health Factor (Historical outside PAP smear result)
PCE CPT procedure code
Completed consult order for outside procedure
In patients ages 30-65 who have evidence of a recent negative HPV result
and no prior abnormal PAP smear, the PAP smear will resolve the reminder
for 5 years.
combination of cytology and human papilloma virus (HPV) testing every 5
Screening will be resolved by any of the following:
PAP smear obtained at this encounter (9 months)
Health Factor for an order for PAP Smear screening (9 months)
Patient declined PAP smear (4 months)
Clinician deferred PAP smear (4 months)
Clinicians may manage follow-up screening to occur every 4 or 6 months
when PAP smear results are unsatisfactory, or if they feel screening
should take place more often than 1, 2, 3 or 5 years.
years.
Management of an abnormal PAP is included in this screening reminder only
if the clinician indicates what frequency is required for an individual
patient. A code for abnormal PAP changes the frequency to 1 year. This
1 year frequency if subsequently overridden if any other frequency is
chosen by the clinician.
VHA recommends AGAINST screening for cervical cancer in women who are
younger than 21 years.
|
| FINDINGS |
|
| FUNCTION FINDINGS |
-
- FUNCTION FINDING NUMBER: 1
- FOUND TEXT:
PAP smear screening every 5 years specified for this patient.
- LOGIC: (FN(1)=FN(2))&(FN(2)>0)
- MINIMUM AGE: 30
- REMINDER FREQUENCY: 5Y
- FUNCTION STRING: (MRD(9,12,13,14,15,16,23)=MRD(23))&(MRD(23)>0)
- NO. FOUND TEXT LINES: 1
- NO. NOT FOUND TEXT LINES: 0
- FUNCTION LIST:
-
-
- FUNCTION NUMBER: 1
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 2
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 3
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION FINDING NUMBER: 10
- LOGIC: ($P(FN(1),".")'<($P(FN(2),".")))&(FN(1)>0)&((FN(4)&FN(5)>FN(6))!'FN(7)!FN(8))
- MINIMUM AGE: 21
- MAXIMUM AGE: 65
- REMINDER FREQUENCY: 3Y
- FUNCTION STRING: ($P(MRD(4,5,6),".")'<($P(MRD(7,9,10,11),".")))&(MRD(4,5,6)>0)&((FI(21)&MRD(21)>MRD(20))!'FI(20)!FI(22))
- NO. FOUND TEXT LINES: 0
- NO. NOT FOUND TEXT LINES: 0
- FUNCTION LIST:
-
-
- FUNCTION NUMBER: 1
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 2
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 3
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 4
- FUNCTION: FI
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 5
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 6
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 7
- FUNCTION: FI
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 8
- FUNCTION: FI
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION FINDING NUMBER: 11
- LOGIC: ($P(FN(1),".")'<($P(FN(2),".")))&(FN(1)>0)&(FN(4)&(FN(5)>FN(6))&FN(7))
- MINIMUM AGE: 30
- MAXIMUM AGE: 65
- REMINDER FREQUENCY: 5Y
- FUNCTION STRING: ($P(MRD(4,5,6),".")'<($P(MRD(7,9,10,11),".")))&(MRD(4,5,6)>0)&(FI(20)&(MRD(20)>MRD(21))&FI(1))
- NO. FOUND TEXT LINES: 0
- NO. NOT FOUND TEXT LINES: 0
- FUNCTION LIST:
-
-
- FUNCTION NUMBER: 1
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 2
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 3
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 4
- FUNCTION: FI
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 5
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 6
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 7
- FUNCTION: FI
- FUNCTION PARAMETER LIST:
-
-
- FOUND TEXT:
Negative HPV result, patient < age 30. 5year screening interval is NOT
recommended for patients less than age 30.
- LOGIC: FN(1)&FN(2)
- FUNCTION STRING: FI(20)&FI(22)
- NO. FOUND TEXT LINES: 2
- NO. NOT FOUND TEXT LINES: 0
- FUNCTION LIST:
-
-
- FUNCTION NUMBER: 1
- FUNCTION: FI
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 2
- FUNCTION: FI
- FUNCTION PARAMETER LIST:
-
-
- LOGIC: FN(1)&'FN(2)&'FN(3)
- FUNCTION STRING: FI(1)&'FI(20)&'FI(21)
- NO. FOUND TEXT LINES: 0
- NO. NOT FOUND TEXT LINES: 0
- FUNCTION LIST:
-
-
- FUNCTION NUMBER: 1
- FUNCTION: FI
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 2
- FUNCTION: FI
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 3
- FUNCTION: FI
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION FINDING NUMBER: 4
- FOUND TEXT:
Annual PAP smear screening specified for this patient.
- LOGIC: (FN(1)=FN(2))&(FN(2)>0)
- MINIMUM AGE: 18
- REMINDER FREQUENCY: 1Y
- FUNCTION STRING: (MRD(9,12,13,14,15,16,23)=MRD(14))&(MRD(14)>0)
- NO. FOUND TEXT LINES: 1
- NO. NOT FOUND TEXT LINES: 0
- FUNCTION LIST:
-
-
- FUNCTION NUMBER: 1
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 2
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 3
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION FINDING NUMBER: 5
- FOUND TEXT:
PAP smear screening every 2 years specified for this patient.
- LOGIC: (FN(1)=FN(2))&(FN(2)>0)
- MINIMUM AGE: 18
- REMINDER FREQUENCY: 2Y
- FUNCTION STRING: (MRD(9,12,13,14,15,16,23)=MRD(15))&(MRD(15)>0)
- NO. FOUND TEXT LINES: 1
- NO. NOT FOUND TEXT LINES: 0
- FUNCTION LIST:
-
-
- FUNCTION NUMBER: 1
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 2
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 3
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION FINDING NUMBER: 6
- FOUND TEXT:
PAP smear screening every 3 years specified for this patient.
- LOGIC: (FN(1)=FN(2))&(FN(2)>0)
- MINIMUM AGE: 18
- REMINDER FREQUENCY: 3Y
- FUNCTION STRING: (MRD(9,12,13,14,15,16,23)=MRD(16))&(MRD(16)>0)
- NO. FOUND TEXT LINES: 1
- NO. NOT FOUND TEXT LINES: 0
- FUNCTION LIST:
-
-
- FUNCTION NUMBER: 1
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 2
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 3
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION FINDING NUMBER: 7
- FOUND TEXT:
PAP smear screening not clinically indicated for this patient.
- LOGIC: (FN(1)=FN(2))&(FN(2)>0)
- REMINDER FREQUENCY: 0Y
- FUNCTION STRING: (MRD(9,12,13,14,15,16,23)=MRD(9))&(MRD(9)>0)
- NO. FOUND TEXT LINES: 1
- NO. NOT FOUND TEXT LINES: 0
- FUNCTION LIST:
-
-
- FUNCTION NUMBER: 1
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 2
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 3
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION FINDING NUMBER: 8
- FOUND TEXT:
The most recent PAP smear result in the Lab or Women's Health package was
unsatisfactory. The PAP smear needs to be repeated.
- LOGIC: ($P(FN(1),".")=($P(FN(2),".")))&(FN(2)>0)
- REMINDER FREQUENCY: 1D
- FUNCTION STRING: ($P(MRD(4,5,6,7,9,10,11),".")=($P(MRD(11),".")))&(MRD(11)>0)
- NO. FOUND TEXT LINES: 2
- NO. NOT FOUND TEXT LINES: 0
- FUNCTION LIST:
-
-
- FUNCTION NUMBER: 1
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 2
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 3
- FUNCTION: MRD
- FUNCTION PARAMETER LIST:
-
-
- FOUND TEXT:
Prior negative HPV results and no record of any positive HPV results.
- LOGIC: FN(1)&'FN(2)
- FUNCTION STRING: FI(20)&'FI(21)
- NO. FOUND TEXT LINES: 1
- NO. NOT FOUND TEXT LINES: 0
- FUNCTION LIST:
-
-
- FUNCTION NUMBER: 1
- FUNCTION: FI
- FUNCTION PARAMETER LIST:
-
-
- FUNCTION NUMBER: 2
- FUNCTION: FI
- FUNCTION PARAMETER LIST:
-
|
| TECHNICAL DESCRIPTION |
Technical Description:
facility, results can be recorded three ways to satisfy this
recorded and the status is not Unsatisfactory.
VA-WH PAP SMEAR SCREEN IN LAB PKG
No mapping necessary. This term represents PAP Smear results
documented in the Laboratory package. Use the new VA-WH PAP
SMEAR IN LAB PKG computed finding distributed with this
reminder term.
This computed finding looks for PAP smear results in the
Laboratory package where the Result Status that is not
"Unsatisfactory"
reminder:
This computed finding will only work if the Women's Health WV
PROCEDURE TYPE file entry for PAP SMEAR has SNOMED codes
defined that are used by your local Lab Service to document
PAP Smear results in the Lab Package. The SNOMED codes need
to be defined regardless of whether the Women's Health
Package is being used.
VA-WH PAP SMEAR DONE
No mapping necessary. Use the new VA-WH PAP SMEAR SCREEN
CODES taxonomy distributed with this reminder term. This
taxonomy is similar to the VA-CERVICAL CANCER SCREEN taxonomy
distributed to the field with the first reminder package
distribution. The new taxonomy should be used, instead of the
VA-CERVICAL CANCER SCREEN taxonomy, because it does not
include codes such as Q0091 which represent PAP smears
obtained by the clinician.
Use the new WH PAP SMEAR OUTSIDE health factor to document PAP
Smear results completed outside the VA when the PAP Smear
* Results, with interpretation, can be entered and verified
results are not documented in Lab, Women's Health or Consult
packages.
VA-WH PAP SMEAR OBTAINED
Use the new taxonomy VA-WH PAP SMEAR OBTAINED which contains
coded values that represent the clinician's actions taken to
obtain the PAP smear.
VA-WH PAP SMEAR ORDER HEALTH FACTOR
Removed from patient reminder.
in the Lab package.
VA-WH PAP SMEAR SCREEN NOT INDICATED
Use the findings distributed with this reminder term or map
any local findings that indicate a PAP smear screen is not
indicated for this patient.
This term is distributed with mapping to the following
health factors:
INACTIVATE CERVIX CANCER SCREEN (distributed with the
first version of the Clinical Reminder package in 1996
* Results, with interpretation, can be manually entered into the
to inactivate the CERVICAL CANCER reminder).
WH PAP SMEAR SCREEN NOT INDICATED
VA LIMITED LIFE EXPECTANCY
and the following taxonomy:
VA-TERMINAL CANCER PATIENTS
Use in National VA-WH PAP SMEAR SCREENING reminder:
This term is used in WH reminders to inactivate PAP Smear
screening until a clinician overrides the inactivation by
selecting a health factor that is used by function findings
WH package.
with frequencies of 1Y, 2Y, 3Y or 5Y. Begin date of T-6M has
been added to HF.VA LIMITED LIFE EXPECTANCY and
TX.VA-TERMINAL CANCER PATIENTS so screening will come due
again if the patient lives longer than expected or if the
patient has been misdiagnosed.
Updated September 2012 to include 2 new health factors:
CERVICAL CA SCRN N/A PERMANENTLY (no begin date)
CERVICAL CA SCRN N/A 5 YRS (begin date T-5Y)
* Summarized results can be entered as a historical entry (health
Sites may prefer to use local LIMITED LIFE EXPECTANCY health
factors and add their health factors to other reminder
terms which cause the PAP Smear Screening reminder to be
due without requiring a clinician to select a finding to
reactivate the reminder. (e.g., Add the local life expectancy
health factor for "LOCAL LIFE EXPECTANCY 6M" to the VA-WH PAP
SMEAR SCREEN NOT INDICATED term).
VA-WH PAP SMEAR SCREEN DEFER
Use the WH PAP SMEAR DECLINED and/or WH PAP SMEAR DEFERRED
factor or CPT code) in the patient record. Historical entries
health factors distributed with this term, or add any local
health factors representing that PAP smear screening should be
deferred.
VA-WH PAP SMEAR UNSATISFACTORY IN LAB/WH PKG
No mapping necessary. This term represents unsatisfactory
PAP Smear results documented in the Laboratory and WH
packages. Use the new VA-WH PAP SMEAR IN LAB PKG computed
finding distributed with this reminder term. This computed
finding looks for PAP smear results in the Laboratory
should be based on reviewed results, not on patient comments.
package where the Result Status is "Unsatisfactory"
Use the VA-WH PAP SMEAR IN WH PKG computed finding and the
value "UNSATISFACTORY" to find unsatisfactory PAP smear
results documented in the WH package.
This computed finding will only work if the Women's Health WV
PROCEDURE TYPE file entry for PAP SMEAR has SNOMED codes
defined that are used by your local Lab Service to document
PAP Smear results in the Lab Package. The SNOMED codes need
Patient reminder based on copy of the national PAP smear screening
to be defined regardless of whether the Women's Health Package
is being used.
INFORMATION FINDINGS:
---------------------
Function Findings (FF) will be used to determine the frequency of
this reminder. The following are information reminder terms that are
used in Function Findings to alter the baseline Age/Frequency. If the
most recent resolution finding is a documented result, the frequency
for the next PAP Smear will be based on these reminder terms.
Setup of Women's Health package before using this reminder:
If multiple findings exist for the same date/time, the finding that
makes the reminder due most often will prevail. See the FUNCTION
FINDINGS section below for frequency logic.
VA-WH PAP SMEAR SCREEN FREQ - 4M
VA-WH PAP SMEAR SCREEN FREQ - 6M
Removed from patient reminder.
VA-WH PAP SMEAR SCREEN FREQ - 1Y
Use the WH PAP SMEAR SCREEN FREQ - 1Y health factor
===========================================================
distributed with this reminder term, or add any local findings
that indicate PAP smear screening should occur every year.
The taxonomy for abnormal PAP is included in this term.
VA-WH PAP SMEAR SCREEN FREQ - 2Y
Use the WH PAP SMEAR SCREEN FREQ - 2Y health factor
distributed with this reminder term, or add any local
findings that indicate the PAP smear screening should occur
every 2 years.
This reminder has been developed to interface with the Women's Health
VA-WH PAP SMEAR SCREEN FREQ - 3Y
Use the WH PAP SMEAR SCREEN FREQ - 3Y health factor
distributed with this reminder term, or add any local
findings that indicate PAP smear screening should occur every
3 years.
The following reminder terms are "information only" terms that are
not used to alter the frequency, but provide information that may
be helpful to the clinician.
(WH) package. The associated reminder dialog will update the WH
VA-WH HYSTERECTOMY
This reminder term represents hysterectomy related procedures.
It is pre-mapped to use the VA-HYSTERECTOMY taxonomy which was
distributed to the field in 1996. It is not used to alter the
patient cohort because it contains hysterectomy codes that
indicate the patients cervix may or may not have been
removed.
VA-WH HX CERVICAL CANCER/ABNORMAL PAP
This reminder term is mapped to the taxonomy VA-CERVICAL
package at the same time clinical care is recorded in CPRS GUI, thus
CA/ABNORMAL PAP findings. This term represents ICD9, ICD0,
and CPT codes that indicate the patient has a history of
cervical cancer or a diagnosis for abnormal PAP. Sites may
choose to only use documented diagnosis and procedure codes
removing mapping to Women's Health.
This reminder term is also mapped to the computed finding
VA-WH PAP SMEAR SCREEN IN WH PKG with a condition check for
"Abnormal" used for the search. If PAP smear results are
documented in the Women's Health package, the computed finding
eliminating the need for dual data entry.
VA-WH PAP SMEAR SCREEN IN WH PKG will find the most recent PAP
Smear entry that has an "Abnormal" result. Sites can remove
this mapped item if they are not using the Women's Health
package to store PAP results.
The reminder term may also be mapped to the computed finding
VA-WH PAP SMEAR SCREEN IN LAB PKG with a condition check for
"Abnormal" Result Type. The Result Type is based on Procedure
definitions in the Women's Health Package.
VA-WH PAP SMEAR ORDER
Removed from patient reminder
VA-WH HPV TESTING NEGATIVE
Any lab tests that represent negative HPV results on cervical
specimens should be included in this term. A sample condition
is included in the term definition and in the lab test that is
exported with the term. A health factor for outside results
or for use for results that are not in Chemistry/Hematology is
included in the term.
In order for this reminder to interface with the Women's Health (WH)
VA-WH HPV TESTING POSITIVE
Any lab tests that represent positive HPV results for high
or intermediate risk HPV on cervical specimens should be
included in this term. A sample condition is included in the
term definition. If your lab reports separate lab tests for
high/intermediate risk and low risk genotypes, DO NOT include
the low risk genotype test in this term.
A health factor for outside results or for use for results that
package, the WH package must be installed and maintained. Please
are not in Chemistry/Hematology is included in the term.
FUNCTION FINDINGS:
------------------
Frequency for this reminder will be determined using Function
Findings (FF) logic, which differentiates between completed results,
short-term (7D, 4M, 6M) and long term (1Y, 2Y, 3Y, 5Y) resolution
findings.
reminder.
refer to the CPRS Integration: Women Veterans Health (WVH) Install &
FF1
Was part of the original national reminder and is replaced
by FF(10) and FF(11)
FF2
Determines whether the most recent finding is VA-WH PAP SMEAR
SCREEN FREQ - 4M and changes the screening frequency to every
four months (4M).
FF3
Determines whether the most recent finding is VA-WH PAP SMEAR
SCREEN FREQ - 6M and changes the screening frequency to every
Setup Guide for detailed instructions.
six months (6M).
FF4
Determines whether a finding exists for VA-WH PAP SMEAR SCREEN
FREQ 1Y and changes the screening frequency to every year
(1Y).
FF6
Determines whether a finding exists for VA-WH PAP SMEAR SCREEN
FREQ 3Y and changes the screening frequency to every three
years (3Y).
FF7
Determines whether a finding exists for VA-WH PAP SMEAR SCREEN
NOT INDICATED and changes the frequency to 0D, which will
stop the reminder from being due until some new activity
occurs.
FF8
Determines whether the most recent finding is a VA-WH PAP SMEAR
UNSATISTACTORY IN LAB PKG, which will make the reminder due
again in one day (1D).
FF9
The following is a subset of some of the specific features of WH that
New in this update; allows text to display for prior negative
HPV results and no record of any positive HPV results
FF10
New in this update and along with FF11, replaces the old FF1
Most recent finding is a PAP smear result AND
1) patient <30, or
2) HPV done and most recent result positive, or
3) no recent negative result of HPV testing
Frequency set to 3Y
must be in place in order for this reminder to work as it was
FF11
New in this update and along with FF10, replaces the old FF1
Most recent finding is a PAP smear result AND
pt is 30-65, and most recent HPV was done in the past
5Y and was negative
Frequency set to 5Y
designed:
* Female veterans should be entered into the WH package.
* SNOMED codes are setup for the PAP SMEAR procedure in the WV
PROCEDURE TYPE file.
* WH parameters should be set up to automatically import PAP
smear
lab reports into the WH package when they are verified in the
VistA Lab package.
* The WV NOTIFICATION PURPOSE letters should be customized to
reflect site information and the correct letter content for
each type of letter.
* The Notification Purpose treatment need and treatment need
date offset should be defined if appropriate. These new fields
will be used to update Women's Health data when purpose of
notifications are selected by clinicians from reminder
This reminder is based on VHA Performance measures and US
dialogs.
* The reminder dialog definitions should reference the
appropriate WV NOTIFICATION PURPOSE.
Setup of reminder terms and reminder dialogs before using this
reminder:
==============================================================
1. Use the Reminder Term options to map local representations of
findings:
Preventative Services Task Force recommendations for cervical cancer
PATIENT COHORT FINDINGS:
------------------------
The following reminder terms determine whether the reminder applies
to the patient.
VA-WH HYSTERECTOMY W/CERVIX REMOVED
No mapping necessary. Use the VA-WH HYSTERECTOMY W/CERVIX
REMOVED reminder taxonomy distributed with this term. Note
the VA-CERVICAL CA/ABNORMAL PAP reminder taxonomy is now
used for information only and should not be mapped to this
screening.
reminder term since it contains codes where the cervix may
not have been removed.
This reminder term is also mapped to the new health factor
WH HYSTERECTOMY W/CERVIX REMOVED.
RESOLUTION FINDINGS:
--------------------
The following reminder terms resolve the reminder. These resolution
terms are defined with a "Use in Resolution Logic", but no Frequency.
Frequency for this reminder will be determined by Function Findings
(FF) logic, which examines the most recent findings:
* If Function Findings determine that the most recent finding
is a result, the baseline age and frequency will be used.
* If Function Findings determine that an information finding
exists that alters the baseline frequency to 1Y, 2Y,
3Y, or 5Y the baseline frequency will be overridden.
If the PAP smear is done in the private sector or at another VAMC
* FF for 4 month and 6 months screening are removed from the
patient version of the reminder
VA-WH PAP SMEAR SCREEN IN WH PKG
No mapping necessary. This term represents PAP Smear results
documented in the Women's Health (WH) Package. Use the new
VA-WH PAP SMEAR IN WH PKG computed finding distributed with
this reminder term. This computed finding looks for PAP smear
results in the Women's Health Package where results have been
|
| CUSTOMIZED COHORT LOGIC |
(SEX)&(AGE)&'(FI(2)) |
| INTERNAL PATIENT COHORT LOGIC |
(SEX)&(AGE)&'(FI(2)) |
| PATIENT COHORT FINDINGS COUNT |
3 |
| PATIENT COHORT FINDINGS LIST |
SEX;AGE;2 |
| INTERNAL RESOLUTION LOGIC |
(0)!FI(4)!FI(5)!FI(6)!FI(7)!FI(9)!FI(10)!FI(11) |
| RESOLUTION FINDINGS COUNT |
7 |
| RESOLUTION FINDINGS LIST |
4;5;6;7;9;10;11 |
| AGE FINDINGS COUNT |
8 |
| AGE FINDINGS LIST |
FF1;FF4;FF5;FF6;FF7;FF8;FF10;FF11 |
| INFORMATION FINDINGS COUNT |
16 |
| INFORMATION FINDINGS LIST |
1;3;12;13;14;15;16;17;18;20;21;22;23;FF12;FF13;FF9 |
| WEB SITES |
-
- URL: http://www.healthfinder.gov/prevention/ViewTopic.aspx?topicID=13
- WEB SITE TITLE: Get tested for Cervical Cancer
-
- URL: http://healthfinder.gov/scripts/SearchContext.asp?topic=149
- WEB SITE TITLE: Cervical Cancer
|
| GENERAL COHORT FOUND TEXT |
Cervical cancer is a cancer of the lower part of the uterus, or womb. It
* Women ages 30-65 can either:\\
- be screened for cervical cancer every 3 years with a Pap test; or\\
- for those who want to lengthen the time between screenings, be\\
screened every 5 years with a combination of a Pap test and a\\
test for Human Papillomavirus (HPV).
Risk factors increase your chance of getting a disease. The major risk
factors for cervical cancer are:\\
* Infection with the Human Papillomavirus (HPV)\\
* Having many sexual partners\\
is a slow-growing cancer that can take many years to develop. In its
* Having first sexual intercourse at an early age\\
* Infection with Human Immunodeficiency Virus (HIV)\\
* Smoking\\
If you have any of these risk factors, discuss them with your health
care provider.\\
Cervical cancer screening tests (i.e. Pap tests) and HPV tests are
not perfect at finding cervical cancer. Many changes found on Pap tests
turn out to not be cancer, but you may need more tests to determine if
early stages it usually does not cause any changes that you can see or
cancer is present. Pap tests may also miss changes that are cancer, but
this does not happen often.\\
Also, it is very important to continue to be screened for cervical cancer
even if you got the HPV Immunization shot because the shot does not
protect you from all types of HPV. Talk with your primary care team
(PACT) or other women's health care provider if you have questions. \\
feel. Pap tests can find abnormalities in the cervix that can be
successfully treated before they turn into cancer. Also, when cancer is
diagnosed early it is more likely to be cured.
Most women ages 21-65 should be screened:\\
* Women ages 21-29 should have a Pap test every 3 years.\\
|
| # OF GEN. COHORT FOUND LINES |
36 |
| # GEN. COHORT NOT FOUND LINES |
0 |
| GENERAL RES. NOT FOUND TEXT |
There is no recent report of cervical cancer screening in your medical
record. Please contact your primary care team (PACT) to discuss being
screened. If you had a recent Pap test and/or HPV test please let your
primary care team (PACT) know this at your next visit. \\
|
| # GEN. RES. FOUND LINES |
0 |
| # GEN. RES. NOT FOUND LINES |
4 |
| RESCISSION DATE |
2017-12-27 00:00:00 |
| BASELINE AGE FINDINGS |
-
- REMINDER FREQUENCY: 3Y
- MINIMUM AGE: 21
- MAXIMUM AGE: 65
- NO. OF AGE MATCH LINES: 0
- NO. OF AGE NO MATCH LINES: 0
|
| # SUM. COHORT FOUND LINES |
0 |
| # SUM. COHORT NOT FOUND LINES |
0 |
| # SUM. RES. FOUND LINES |
0 |
| # SUM. RES. NOT FOUND LINES |
0 |
