Name	Value
NAME	ZZVA-MHV LIPID MEASUREMENT
PRINT NAME	ZZ Lipid Measurement (Cholesterol)
DO IN ADVANCE TIME FRAME	3M
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: 2005-05-25 15:50:12 EDIT BY: USER,ONE EDIT COMMENTS: Exchange Install
DESCRIPTION	This reminder is set to prompt for a lipid panel every 2 years for sites. patients ages 51 to 75 and every 5 years between the ages of 35 and 50 for men and 45 and 50 for women. Patients with diabetes (2 entries of an ICD code) will have the reminder due every 2 years and patients with IHD or atherosclerosis will have it due every one year. The reminder is resolved by a local LDL in the lab package or by an outside LDL entered as a health factor. The reminder term - VA-LDL - was exported with the IHD reminders and should already be mapped at all
FINDINGS	FINDING ITEM: VA-SEX MINIMUM AGE: 35 CONDITION: I V="M" MAXIMUM AGE: 50 INTERNAL CONDITION: I V="M" NO. OF FOUND TEXT LINES: 0 NO. NOT FOUND TEXT LINES: 0 REMINDER FREQUENCY: 5Y USE IN PATIENT COHORT LOGIC: OR FINDING ITEM: VA-MHV DIABETES OCCURRENCE COUNT: 2 STATUS LIST: STATUS: ACTIVE NO. OF FOUND TEXT LINES: 5 NO. NOT FOUND TEXT LINES: 0 FOUND TEXT: Patients who have the diagnosis of diabetes are at an increased risk for heart disease, heart attack, or stroke because of their effect on blood vessels. Maintaining control of your lipid and cholesterol levels decreases these risks. Please talk to your primary care team about your blood lipid and cholesterol levels and what your goals should be. USE IN PATIENT COHORT LOGIC: OR BEGINNING DATE/TIME: T-2Y FINDING ITEM: VA-MHV IHD AND ATHEROSCLEROSIS STATUS LIST: STATUS: ACTIVE NO. OF FOUND TEXT LINES: 6 NO. NOT FOUND TEXT LINES: 0 REMINDER FREQUENCY: 1Y FOUND TEXT: Patients who have the diagnosis of hardening of the arteries (arterial disease) are at an increased risk for heart disease, heart attack, or stroke because of their effect on blood vessels. Maintaining control of your lipid and cholesterol levels decreases these risks. Please talk to your primary care team about your blood lipid and cholesterol levels and what your goals should be. USE IN PATIENT COHORT LOGIC: OR BEGINNING DATE/TIME: T-2Y FINDING ITEM: VA-LDL OCCURRENCE COUNT: 3 NO. OF FOUND TEXT LINES: 0 NO. NOT FOUND TEXT LINES: 0 USE IN RESOLUTION LOGIC: OR FINDING ITEM: VA-MHV OUTSIDE LDL NO. OF FOUND TEXT LINES: 0 NO. NOT FOUND TEXT LINES: 0 USE IN RESOLUTION LOGIC: OR FINDING ITEM: VA-MHV LIPID PANEL ORDERABLE ITEMS ENDING DATE/TIME: T+1Y NO. OF FOUND TEXT LINES: 3 NO. NOT FOUND TEXT LINES: 0 FOUND TEXT: You have an order in your VA medical record to get a cholesterol check. Please check with your provider if you do not know when this is supposed to be done. BEGINNING DATE/TIME: T-1Y
FUNCTION FINDINGS	FUNCTION FINDING NUMBER: 1 LOGIC: FN(1)>1 REMINDER FREQUENCY: 1Y FUNCTION STRING: COUNT(2)>1 NO. FOUND TEXT LINES: 0 NO. NOT FOUND TEXT LINES: 0 FUNCTION LIST: FUNCTION NUMBER: 1 FUNCTION: COUNT FUNCTION PARAMETER LIST:
CUSTOMIZED COHORT LOGIC	(SEX)&(AGE)!(FI(2)&FF(1))!FI(3)
INTERNAL PATIENT COHORT LOGIC	(SEX)&(AGE)!(FI(2)&FF(1))!FI(3)
PATIENT COHORT FINDINGS COUNT	5
PATIENT COHORT FINDINGS LIST	SEX;AGE;2;FF1;3
INTERNAL RESOLUTION LOGIC	(0)!FI(4)!FI(5)
RESOLUTION FINDINGS COUNT	2
RESOLUTION FINDINGS LIST	4;5
AGE FINDINGS COUNT	3
AGE FINDINGS LIST	1;3;FF1
INFORMATION FINDINGS COUNT	1
INFORMATION FINDINGS LIST	6
WEB SITES	URL: http://nhlbisupport.com/chd1/chdexp.htm WEB SITE TITLE: Preventing Heart Disease URL: http://www.nhlbi.nih.gov/health/dci/Diseases/Hbc/HBC_WhatIs.html WEB SITE TITLE: What is High Blood Cholesterol? URL: http://www.nhlbi.nih.gov/health/dci/Diseases/Cad/CAD_WhoIsAtRisk.html WEB SITE TITLE: What Makes Coronary Artery Disease More Likely? URL: http://www.nhlbi.nih.gov/health/dci/Diseases/Hf/HF_Prevention.html WEB SITE TITLE: Preventing Heart Failure
GENERAL COHORT FOUND TEXT	Everyone should have a blood test for elevated cholesterol or blood fats also come from food. Abnormal lipid levels increase the risk for heart disease, heart attack, or stroke because of their effect on blood vessels. Patients with diabetes should aim to keep their lipid levels within the recommended ranges. How often the blood test for lipids needs to be done depends on what the levels have been. What your lipid levels should be depends on your risk for heart disease. Talk with your primary care team about your blood lipid levels. The four kinds of lipids are: \\ Low Density Lipoprotein or LDL, also known as "bad" cholesterol. The at some time. This test measures the level of four types of lipids: total level should be less than 120 mg/dl in patients with heart disease or diabetes. LDL at high levels can narrow, harden, or close off the walls of blood vessels that supply vital parts of the body such as the heart causing a heart attack or the brain causing a stroke. \\ High Density Lipoprotein or HDL, also known as "good" cholesterol. The higher the number the better. HDL prevents the build-up of lipids on the walls of blood vessels. \\ Triglycerides. High levels increase the risk of heart disease and stroke.\\ Total cholesterol. High levels increase the risk of heart disease and stroke.\\ \\ \\ cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides. \\ There are things you can do to keep or bring lipid levels to a desired range.\\ Work with your provider to make a plan that will work for you.\\ Work with your provider and dietitian to develop a healthy\\ eating plan.\\ Eat less food high in saturated fat or cholesterol, such as\\ fatty portions of meat, butter, eggs, lard, shortening,\\ foods with coconut oil or palm oil, liver, organ meats,\\ whole milk, and ice cream. \\ Choose lean meats, fish, and low or fat-free dairy products.\\ To prepare for this test, you should not eat or drink anything for at Use olive, canola, corn, or sunflower oil.\\ Eat foods high in fiber such as fruits, vegetables, and\\ oat bran.\\ Keep your weight at desired levels or lose weight if you\\ need to.\\ Engage in a physical activity for at least 30 minutes\\ on most days. Check with your provider for an activity\\ level good for you.\\ Do not smoke cigarettes or tobacco. \\ Keep your blood sugar controlled.\\ least 9 hours before blood is drawn to get a correct reading. You may Consult your provider about drinking alcohol. \\ Talk to your provider about lipid-lowering medications that\\ may be appropriate for you. \\ take your pills and drink water prior to the blood test but you should not have any coffee, other drinks or any food.\\ Lipids are needed by the body to promote healthy cells, make certain hormones, and absorb Vitamin D. They are naturally made by the body and
# OF GEN. COHORT FOUND LINES	52
# GEN. COHORT NOT FOUND LINES	0
GENERAL RES. NOT FOUND TEXT	Everyone should have a blood test for elevated cholesterol or blood fats (lipids) at some time. Please talk with your primary care team about your blood lipid levels and what your personal goal should be.
# GEN. RES. FOUND LINES	0
# GEN. RES. NOT FOUND LINES	3
RESCISSION DATE	2017-12-27 00:00:00
BASELINE AGE FINDINGS	REMINDER FREQUENCY: 0Y MINIMUM AGE: 18 MAXIMUM AGE: 44 NO. OF AGE MATCH LINES: 0 NO. OF AGE NO MATCH LINES: 0 REMINDER FREQUENCY: 2Y MINIMUM AGE: 51 MAXIMUM AGE: 75 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 REMINDER FREQUENCY: 5Y MINIMUM AGE: 45 MAXIMUM AGE: 50 NO. OF AGE MATCH LINES: 0 NO. OF AGE NO MATCH LINES: 0
SUMMARY COHORT FOUND TEXT	Everyone should have a blood test for elevated cholesterol or blood fats lipids needs to be done depends on what the levels have been before. Your goal for control of your lipid levels depends on your risk for heart disease. Talk with your primary care team about your blood lipid levels and what your goals should be. at regular intervals. This test measures the level of four types of lipids: total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides. \\ To prepare for this test, you should not eat or drink anything for at least 9 hours before blood is drawn to get a correct reading. You may take your pills and drink water prior to the blood test but you should not have any coffee, other drinks or any food.\\ Abnormal lipid levels increase the risk for heart disease, heart attack, or stroke because of their effect on blood vessels. How often the blood test for
# SUM. COHORT FOUND LINES	13
# SUM. COHORT NOT FOUND LINES	0
SUMMARY RES. NOT FOUND TEXT	Everyone should have a blood test for elevated cholesterol or blood fats (lipids) at some time. Please talk with your primary care team about your blood lipid levels and what your personal goal should be.
# SUM. RES. FOUND LINES	0
# SUM. RES. NOT FOUND LINES	3

ZZVA-MHV LIPID MEASUREMENT (455) REMINDER DEFINITION (811.9)