Name	Value
NAME	ZZVA-MHV DIABETES FOOT EXAM
PRINT NAME	ZZ Foot Exam for Diabetes
DO IN ADVANCE TIME FRAME	2M
INACTIVE FLAG	INACTIVE
INACTIVE CHANGE DATE	2017-12-27 16:27:46
CLASS	NATIONAL
SPONSOR	NATIONAL CLINICAL PRACTICE GUIDELINE COUNCIL
USAGE	CPR
EDIT HISTORY	EDIT DATE: 2009-04-22 12:25:47 EDIT BY: USER,SEVENTEEN EDIT COMMENTS: Exchange Install
DESCRIPTION	Patient reminder for complete foot exam yearly in diabetics. amputee. A reminder term for a complete diabetic foot exam resolves this reminder. There are also indivudal reminder terms for each part of a complete diabetic foot exam (monofilament, pulses, inspection) and if all 3 portions have been done, the reminder is also resolved. Map local findings accordingly. The reminder is not applicable for patients with an entry of bilateral
FINDINGS	FINDING ITEM: VA-MHV DIABETES OCCURRENCE COUNT: 2 NO. OF FOUND TEXT LINES: 20 NO. NOT FOUND TEXT LINES: 0 FOUND TEXT: People with diabetes have a higher risk to develop foot ulcers and Infections of the skin or bone\\ Gangrene.\\ Here are some ways you can help prevent foot problems:\\ Keep your blood sugar in good control\\ Keep your blood pressure level normal\\ Do not use tobacco\\ Check your feet every day for blisters or ulcers\\ Wear comfortable, protective footwear\\ Do not go barefoot\\ infections than people without diabetes. Have your feet checked at least yearly by your provider.\\ Foot problems caused by diabetes can be treated if caught early. Foot problems that can develop with diabetes are:\\ Loss of sensation\\ Decrease in blood flow\\ Burning or tingling in the toes or the feet\\ Blisters or ulcers due to decrease in ability to feel\\ USE IN PATIENT COHORT LOGIC: AND BEGINNING DATE/TIME: T-24M FINDING ITEM: VA-MHV DIABETIC FOOT EXAM MONOFILAMENT NO. OF FOUND TEXT LINES: 0 NO. NOT FOUND TEXT LINES: 0 FINDING ITEM: VA-MHV DIABETIC FOOT EXAM PULSES NO. OF FOUND TEXT LINES: 0 NO. NOT FOUND TEXT LINES: 0 FINDING ITEM: VA-MHV HBA1C ALL RESULTS CONDITION: I V>7.9 INTERNAL CONDITION: I V>7.9 NO. OF FOUND TEXT LINES: 3 NO. NOT FOUND TEXT LINES: 0 FOUND TEXT: Your last HbA1c was greater than 8. This means that your diabetes is not under ideal control and you could be at risk of developing complications of diabetes in your feet. FINDING ITEM: VA-MHV DIABETIC FOOT EXAM COMPLETE NO. OF FOUND TEXT LINES: 0 NO. NOT FOUND TEXT LINES: 0 USE IN RESOLUTION LOGIC: OR FINDING ITEM: VA-MHV BILATERAL AMPUTEE NO. OF FOUND TEXT LINES: 0 NO. NOT FOUND TEXT LINES: 0 USE IN PATIENT COHORT LOGIC: AND NOT FINDING ITEM: VA-MHV DIABETIC FOOT EXAM INSPECTION NO. OF FOUND TEXT LINES: 0 NO. NOT FOUND TEXT LINES: 0
FUNCTION FINDINGS	FUNCTION FINDING NUMBER: 1 LOGIC: FN(1)>1 USE IN PATIENT COHORT LOGIC: AND FUNCTION STRING: COUNT(1)>1 NO. FOUND TEXT LINES: 0 NO. NOT FOUND TEXT LINES: 0 FUNCTION LIST: FUNCTION NUMBER: 1 FUNCTION: COUNT FUNCTION PARAMETER LIST:
INTERNAL PATIENT COHORT LOGIC	(SEX)&(AGE)&FI(1)&'FI(8)&FF(1)
PATIENT COHORT FINDINGS COUNT	5
PATIENT COHORT FINDINGS LIST	SEX;AGE;1;8;FF1
CUSTOMIZED RESOLUTION LOGIC	FI(7)!(FI(11)&FI(9)&FI(10))
INTERNAL RESOLUTION LOGIC	FI(7)!(FI(11)&FI(9)&FI(10))
RESOLUTION FINDINGS COUNT	4
RESOLUTION FINDINGS LIST	7;11;9;10
INFORMATION FINDINGS COUNT	1
INFORMATION FINDINGS LIST	6
WEB SITES	URL: http://www.diabetes.org/type-2-diabetes/foot-complications.jsp WEB SITE TITLE: American Diabetes Association Foot Complications URL: http://www.healthwise.net/myhealthevet/Content/StdDocument.aspx?DOCHWID=tf4413&SECHWID=tf4416 WEB SITE TITLE: Diabetic Neuropathy URL: http://www.healthwise.net/myhealthevet/Content/StdDocument.aspx?DOCHWID=uq2525abc&SECHWID=uq2525abc-sec WEB SITE TITLE: Diabetes and Foot Problems
GENERAL COHORT FOUND TEXT	Anyone with diabetes should have their feet checked by their provider or other clinician at least once a year. This is needed to find out if there are signs of nerve damage and poor blood flow to the feet. Problems can be detected by a physical examination of the feet, checking the pulses in the feet, and testing the ability of the feet to feel with a special tool. A foot problem can worsen and cause serious problems in people with diabetes. If you have not had a complete exam of your feet in the past 12 months, please talk to your provider or clinician about it.\\
# OF GEN. COHORT FOUND LINES	8
# GEN. COHORT NOT FOUND LINES	0
# GEN. RES. FOUND LINES	0
# GEN. RES. NOT FOUND LINES	0
RESCISSION DATE	2017-12-27 00:00:00
BASELINE AGE FINDINGS	REMINDER FREQUENCY: 1Y NO. OF AGE MATCH LINES: 0 NO. OF AGE NO MATCH LINES: 0
SUMMARY COHORT FOUND TEXT	Anyone with diabetes should have their feet checked by their provider or other clinician at least once a year.
# SUM. COHORT FOUND LINES	2
# SUM. COHORT NOT FOUND LINES	0
SUMMARY RES. NOT FOUND TEXT	It is time for a complete exam of your feet. Signs of problems can be detected by a physical examination, pulse check, and a test with a special tool used to check sensation.
# SUM. RES. FOUND LINES	0
# SUM. RES. NOT FOUND LINES	3

ZZVA-MHV DIABETES FOOT EXAM (449) REMINDER DEFINITION (811.9)