ZZVA-MHV DIABETES HBA1C (450)    REMINDER DEFINITION (811.9)

• EDIT DATE:   2005-05-25 15:49:42
  EDIT BY:   USER,ONE
  EDIT COMMENTS:   

  Exchange Install
  

Reminder due yearly for patients with diabetes - the reminder requires 2 
instances of a CPT code for diabetes in the past 2 years in order to be 
applicable to the patient.

• FINDING ITEM:   VA-MHV DIABETES
  OCCURRENCE COUNT:   2
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN PATIENT COHORT LOGIC:   AND
  BEGINNING DATE/TIME:   T-24M
• FINDING ITEM:   VA-MHV HBA1C ALL RESULTS
  OCCURRENCE COUNT:   4
  NO. OF FOUND TEXT LINES:   3
  NO. NOT FOUND TEXT LINES:   0
  FOUND TEXT:   

  The goal for the hemoglobin A1c is to maintain the level as low as 
  possible.   A hemoblogin A1c (HbA1c) level of 7 or lower demonstrates
  excellent control of diabetes.  A level of 9 or higher shows poor control.
  

  USE IN RESOLUTION LOGIC:   OR

• 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.labtestsonline.org/understanding/analytes/a1c/glance.html
  WEB SITE TITLE:   Lab Tests Online - A1c
• URL:   http://www.diabetes.org/type-2-diabetes/a1c-test.jsp
  WEB SITE TITLE:   Healthgate A1c Test

Your provider may order a blood test called glycated hemoglobin, or
hemoglobin A1c.  This test can be taken any time of day, even right after
a meal.  It measures your average blood glucose (sugar) for the past 2 to
3 months.  The goal is to have your A1c below 9.  If your level is below
7, it shows good diabetes control.  By carefully controlling your blood
glucose levels and practicing other healthy habits, you will feel better
and may prevent or delay diabetes complications such as nerve, eye,
kidney, and blood vessel damage.

No recent hemoglobin A1c was found in your VA record.  If you have had a 
HbA1c done outside the VA, please bring the results with you to your next 
VA appointment.  Otherwise, please check with your primary care team about
getting this test done.

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

Patients with diabetes should have a blood test for Hemoglobin A1c 
checked on a regular basis. The level of A1c measures your average blood
glucose (sugar) for the past few months.  It is a good way to know how
well your diabetes is controlled.

No recent hemoglobin A1c was found in your VA record.  If you have had a
HbA1c done outside the VA, please bring the results with you to your next
VA appointment.  Otherwise, please check with your primary care team about
getting this test done.