| NAME |
ZZVA-MHV MAMMOGRAM SCREENING |
| PRINT NAME |
ZZ Mammogram Screening |
| DO IN ADVANCE TIME FRAME |
2M |
| INACTIVE FLAG |
INACTIVE |
| INACTIVE CHANGE DATE |
2017-12-27 16:27:46 |
| IGNORE ON N/A |
S |
| SEX SPECIFIC |
FEMALE |
| CLASS |
NATIONAL |
| SPONSOR |
VA NATIONAL CENTER FOR HEALTH PROMOTION AND DISEASE PREVENTION (NCP) |
| USAGE |
CPR |
| EDIT HISTORY |
-
- EDIT DATE: 2013-07-16 10:39:44
- EDIT BY: USER,SEVENTEEN
- EDIT COMMENTS:
Exchange Install
|
| DESCRIPTION |
This reminder is a copy of the national reminder for Mammography that has
about specific benefits and harms.
The VA National Center for Health Promotion and Disease Prevention
(NCP) and the US Preventive Services Task Force (USPSTF) recommend
that women age 50-74 have a mammogram every 2 years. Individual women
ages 40-49 may be added to the cohort of this reminder (be entry of
health factor VA-WH BR CA 40-49 WANTS SCREENING) based on shared decision
making between provider and patient.
been simplified for use by patients.
This reminder does not apply to women who have terminal cancer or have
had a bilateral mastectomy.
Evidence of mammography performed will satisfy this reminder for two
years. Clinicians can specify annual mammography for individual
patients, based on patient and family history, and discussions with the
patient. Documented history of breast cancer or high risk will be
provided for clinician decision making.
Mammograms completed may be documented as one of the following:
Radiology result
Women's Health procedure result
Health Factor (Historical outside Mammogram result)
PCE CPT procedure
Completed consult order
The VHA recommends that:
* Women between the ages of 50 and 74 have a mammogram every two
years
* The decision to start regular screening every two years with
mammography for average risk women ages 40-49 should be an individual
decision and take the patient's values into account including values
|
| FINDINGS |
|
| FUNCTION FINDINGS |
-
- FUNCTION FINDING NUMBER: 1
- LOGIC: FN(1)=FN(2)&((FN(2)>0))
- MINIMUM AGE: 40
- MAXIMUM AGE: 74
- REMINDER FREQUENCY: 2Y
- FUNCTION STRING: MRD(3,4,5,7,8)=MRD(3,4,5)&((MRD(3,4,5)>0))
- 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 FINDING NUMBER: 5
- FOUND TEXT:
Your provider recommends that you have a mammogram each year.
- LOGIC: FN(1)=FN(2)&((FN(2)>0))
- MINIMUM AGE: 40
- MAXIMUM AGE: 74
- REMINDER FREQUENCY: 1Y
- FUNCTION STRING: MRD(7,11,12)=MRD(11)&((MRD(11)>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:
Your provider recommends that you have a mammogram every two years.
- LOGIC: FN(1)=FN(2)&((FN(2)>0))
- MINIMUM AGE: 40
- MAXIMUM AGE: 74
- REMINDER FREQUENCY: 2Y
- FUNCTION STRING: MRD(7,11,12)=MRD(12)&((MRD(12)>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
- LOGIC: FN(1)=FN(2)&((FN(2)>0))
- REMINDER FREQUENCY: 0Y
- FUNCTION STRING: MRD(7,11,12)=MRD(7)&((MRD(7)>0))
- 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:
-
|
| TECHNICAL DESCRIPTION |
This reminder is based on the VHA Clinical Prevetive Service Guidance
satisfy this reminder:
VA-WH BREAST CARE ORDER HEALTH FACTOR
Deleted from patient version.
VA-WH MAMMOGRAM SCREEN DEFER
Use the WH MAMMOGRAM DEFERRED or WH MAMMOGRAM DECLINED health
factors distributed with this term or add any local health
factor representing that mammogram screening should be satisfied
for one week.
VA-WH MAMMOGRAM SCREEN FREQ - 4M
* Results, with interpretation, can be entered and verified in the
Deleted from patient version.
VA-WH MAMMOGRAM SCREEN FREQ - 6M
Deleted from patient version.
VA-WH MAMMOGRAM UNSATISFACTORY IN RAD PKG
Mapping is needed. This term represent Mammogram results
documented in the Radiology package. Map local radiology
procedures that represent the following procedures:
MAMMOGRAM BILAT
Radiology package.
MAMMOGRAM UNILAT
MAMMOGRAM SCREEN
Each finding should have a condition that checks for
unsatisfactory results.
INFORMATION FINDINGS:
---------------------
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
* Results, with interpretation, can be manually entered into the WH
the next Mammogram screen will be based on these reminder terms.
VA-WH MAMMOGRAM SCREEN FREQ - 1Y
Use the WH MAMMOGRAM SCREEN FREQ - 1Y health factor distributed
with this term or add any local health factor that represents a
mammogram screening should occur every year.
VA-WH MAMMOGRAM SCREEN FREQ - 2Y
Use the WH MAMMOGRAM SCREEN FREQ - 2Y health factor distributed
with this term or add any local health factor that represents
package.
mammogram screening should take place every two 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.
VA-WH HIGH RISK FOR BREAST CANCER
Deleted from patient version.
VA-WH HX BREAST CANCER/ABNORMAL MAM
* Summarized results can be entered as a historical entry (health
Deleted from patient version.
VA-WH MAMMOGRAM ORDER
Map local orderable items that represent mammogram related
orders (e.g., Consult order to Women's Health Clinic).
Use the conditions that indicate the order is not completed,
discontinued, or cancelled. This reminder term represents orders
pending completion.
FUNCTION FINDINGS:
factor or CPT code) in the patient record. Historical entries
------------------
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) resolution findings.
FF1
Determines whether a mammogram result is the most recent finding
and defaults to the baseline frequency of two years. FF5 logic
will change the frequency to one year if the VA-WH MAMMOGRAM SCREEN
FREQ - 1Y term is found.
should be based on reviewed results, not on patient comments.
FF2
Deleted from patient version.
FF3
Deleted from patient version.
FF4
Deleted from patient version.
FF5
Determines whether a finding exists for VA-WH MAMMOGRAM SCREEN
FREQ - 1Y which changes the frequency to annually if the most
recent finding is found in FF1, and FF6 or FF7 do not have more
recent findings.
FF6
Determines whether a finding exists for VA-WH MAMMOGRAM SCREEN
FREQ - 2Y which changes the frequency to 2Y if the most
recent finding is found in FF1, and FF5 or FF7 do not have more
recent findings.
FF7
Determines whether a finding exists for VA-WH MAMMOGRAM SCREEN
NOT INDICATED which changes the frequency to 0D, which will
stop the reminder from being due until new activity occurs.
PATIENT COHORT FINDINGS:
Statement, Performance measures and US Preventive Services Task Force
------------------------
The following reminder terms determine whether the reminder applies
to the patient.
VA-TERMINAL CANCER PATIENT
No mapping necessary. Use the VA-TERMINAL CANCER PATIENTS
reminder taxonomy that has been previously distributed.
VA-WH BILATERAL MASTECTOMY
This term will use the VA-WH BILATERAL MASTECTOMY taxonomy to
recommendations for breast cancer screening.
find coded bilateral mastectomies. The health factor WH
BILATERAL MASTECTOMY distributed with this term may be used or
add any local health factor that represents the patient had a
bilateral mastectomy and no longer needs mammogram screening.
RESOLUTION FINDINGS:
--------------------
The following are reminder terms that resolve the reminder. These
resolution terms are defined with a "Use in Resolution Logic",
but no Frequency. Frequency for this reminder will be determined using
Function Findings (FF) logic, which uses these terms to determine
frequency. See the Function Finding header below.
VA-WH MAMMOGRAM SCREEN IN WH PKG
No mapping necessary. This term represents mammogram results
documented in the Women's Health (WH) Package. The term is
mapped to the VA-WH MAMMOGRAM IN WH PKG computed finding which
only uses WH findings that are normal or abnormal.
VA-WH MAMMOGRAM SCREEN IN RAD PKG
Please see the description of the national mammogram reminder (VA-WH
Mapping is needed. This term represent Mammogram results
documented in the Radiology package. Map local radiology
procedures that represent the following procedures:
MAMMOGRAM BILAT
MAMMOGRAM UNILAT
MAMMOGRAM SCREEN
Each finding should have a condition added to exclude
unsatisfactory results.
VA-WH MAMMOGRAM SCREEN DONE
MAMMOGRAM SCREENING)
Some mapping may be appropriate. This reminder term will use the
previously distributed VA-MAMMOGRAM/SCREEN taxonomy to find
ICD DIAGNOSIS or CPT coded results.
Use the new WH MAMMOGRAM OUTSIDE health factor to document
Mammogram results completed outside the VA when the Mammogram
results are not documented in Radiology, Women's Health or
Consult packages.
Map local findings, such as consult orders related to
Mammogram Screening. Use appropriate condition logic to
indicate Mammogram screening has been completed.
VA-WH MAMMOGRAM SCREEN NOT INDICATED
Use the findings distributed with this reminder term or map any
local findings that indicate a Mammogram screen is not indicated
for this patient.
This term is distributed with mapping to the following
health factors:
If the mammogram is done in the private sector or at another VAMC
INACTIVATE BREAST CANCER SCREEN (distributed with the
first version of the Clinical Reminder package in 1996
to inactivate the BREAST CANCER reminder).
WH MAMMOGRAM SCREEN NOT INDICATED
VA LIMITED LIFE EXPECTANCY
Use in National VA-WH MAMMOGRAM SCREENING reminder:
This term is used in WH reminders to inactivate Mammogram
screening until a clinician overrides the inactivation by
selecting a health factor that is used by function findings
facility, there are three ways the results can be documented to
with frequencies of 1Y or 2Y.
Sites may prefer to use local LIMITED LIFE EXPECTANCY health
factors and add their health factors to other reminder
terms which cause the Mammogram 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 1Y" to the VA-WH
MAMMOGRAM SCREEN FREQ 1Y term.
|
| CUSTOMIZED COHORT LOGIC |
(SEX)&(AGE)&'(FI(1)!FI(2)) |
| INTERNAL PATIENT COHORT LOGIC |
(SEX)&(AGE)&'(FI(1)!FI(2)) |
| PATIENT COHORT FINDINGS COUNT |
4 |
| PATIENT COHORT FINDINGS LIST |
SEX;AGE;1;2 |
| INTERNAL RESOLUTION LOGIC |
(0)!FI(3)!FI(4)!FI(5)!FI(7)!FI(8)!FI(16) |
| RESOLUTION FINDINGS COUNT |
6 |
| RESOLUTION FINDINGS LIST |
3;4;5;7;8;16 |
| AGE FINDINGS COUNT |
4 |
| AGE FINDINGS LIST |
FF1;FF5;FF6;FF7 |
| INFORMATION FINDINGS COUNT |
3 |
| INFORMATION FINDINGS LIST |
11;12;15 |
| WEB SITES |
-
- URL: http://www.healthfinder.gov/prevention/ViewTopic.aspx?topicId=9
- WEB SITE TITLE: Healthfinder.gov: Get tested for Breast Cancer
-
- URL: http://healthfinder.gov/scripts/SearchContext.asp?topic=126
- WEB SITE TITLE: Government sites about Breast Cancer
|
| GENERAL COHORT FOUND TEXT |
Mammograms are special x-rays of the breasts. These x-rays can find
Mammograms are not perfect at detecting breast cancer. They may miss small
breast cancers. Also, if there are areas on your mammogram that do not
look normal, you may need to get additional tests or pictures taken of
your breasts. These tests often find that the changes are not breast
cancer. If you have questions about the risks and benefits of getting a
mammogram, talk with your provider.
changes in the breasts that may not be seen or felt. Screening with
mammograms has been shown to reduce deaths in women due to breast cancer.
Most women 50-74 years should get a mammogram every 2 years. If you are
between 40-49, breast cancer screening is a choice that you should be
involved in making, not an automatic recommendation. Please talk with
your provider about the possible benefits and harms of screening as well
as your preferences.
|
| # OF GEN. COHORT FOUND LINES |
15 |
| # GEN. COHORT NOT FOUND LINES |
0 |
| GENERAL RES. NOT FOUND TEXT |
There is no recent report of a mammogram in your record. Please contact
your primary care team (PACT) to discuss getting this test. If you had a
recent mammogram, please tell your primary care team (PACT) 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: 2Y
- MINIMUM AGE: 40
- MAXIMUM AGE: 74
- NO. OF AGE MATCH LINES: 0
- NO. OF AGE NO MATCH LINES: 0
-
- REMINDER FREQUENCY: 0Y
- MINIMUM AGE: 75
- NO. OF AGE MATCH LINES: 0
- NO. OF AGE NO MATCH LINES: 0
-
- REMINDER FREQUENCY: 0Y
- MAXIMUM AGE: 39
- 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 |
