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

• EDIT DATE:   2009-04-22 12:25:47
  EDIT BY:   USER,SEVENTEEN
  EDIT COMMENTS:   

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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 

• 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 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:

• 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

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.\\ 

• REMINDER FREQUENCY:   1Y
  NO. OF AGE MATCH LINES:   0
  NO. OF AGE NO MATCH LINES:   0

Anyone with diabetes should have their feet checked by their provider or
other clinician at least once a year.

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.