ZZVA-MHV PNEUMOVAX (457)    REMINDER DEFINITION (811.9)

• FINDING ITEM:   VA-PNEUMOC PPSV23 IMMUNIZATION
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  NO. NOT FOUND TEXT LINES:   7
  FOUND TEXT:   

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  You received Pneumovax (pneumonia vaccine) in the past.  If you received
  the vaccine before age 65, you may need a second dose if it has been 5 or
  more years since your first dose.  Ask your primary care team (PACT) if
  you need a second dose of this vaccine.
  \\
  

  NOT FOUND TEXT:   

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  There is no report in your medical record that you received the Pneumovax 
  vaccine.
  If you already received this important vaccine, please tell your health
  care team at your next visit.  If you have not received this vaccine,
  please be sure to check with your primary care team (PACT) about getting
  it.\\
  

• FINDING ITEM:   VA-PNEUMOC PCV13 IMMUNIZATION
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  You received the Prevnar 13 vaccine in the past.  You should also receive 
  Pneumovax at least once and possibly more than once.  Ask your primary
  care team (PACT) about this.
  \\
  

• FINDING ITEM:   VA-PNEUMOC DZ RISK - HIGH
  MINIMUM AGE:   18
  OCCURRENCE COUNT:   2
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  REMINDER FREQUENCY:   99Y
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  Your medical record suggests that you have at least one health problem
  that puts you at higher risk of pneumonia. You should receive the
  Pneumovax vaccine.
  \\ 
  

  USE IN PATIENT COHORT LOGIC:   OR
  BEGINNING DATE/TIME:   T-4Y
• FINDING ITEM:   VA-PNEUMOC DZ RISK - IMMUNOCOMPROMISED
  MINIMUM AGE:   18
  NO. OF FOUND TEXT LINES:   5
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  REMINDER FREQUENCY:   99Y
  FOUND TEXT:   

  \\
  Your medical record also suggests that you have at least one health
  problem that means should receive BOTH the Pneumovax and the Prevnar 13
  pneumonia vaccines.  Talk with your Primary Care (PACT) team about this.
  \\
  

  USE IN PATIENT COHORT LOGIC:   OR
  BEGINNING DATE/TIME:   T-4Y
• FINDING ITEM:   VA-MHV PREVNAR 13 NOT DUE
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-MHV PNEUMOVAX NOT DUE
  NO. OF FOUND TEXT LINES:   0
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• FINDING ITEM:   VA-PNEUMOC DZ RISK - CHEMO/IMMUNOSUPP DRUGS
  MINIMUM AGE:   18
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  REMINDER FREQUENCY:   99Y
  USE IN PATIENT COHORT LOGIC:   OR
  BEGINNING DATE/TIME:   T-1Y
• FINDING ITEM:   VA-PNEUMOC DZ RISK - HIGHEST/NOT IMMUNO COMP
  MINIMUM AGE:   18
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  REMINDER FREQUENCY:   99Y
  USE IN PATIENT COHORT LOGIC:   OR
• FINDING ITEM:   VA-PNEUMOC DZ RISK - LONG TERM STEROIDS
  MINIMUM AGE:   18
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  REMINDER FREQUENCY:   99Y
  USE IN PATIENT COHORT LOGIC:   OR

  Reminder due for patients ages 19-64 with certain chronic medical 
VA-PNEUMOCOCCAL IMMUNIZATION PCV13 
VA-PNEUMOCOCCAL IMMUNIZATION PPSV23
conditions or high risk diagnosis  and all patients age 65 and older.  
 
  The reminder is resolved if neither of the 2 national reminder for 
pneumococcal vaccination are due.  Since this MHV reminder is dependent 
on those 2 reminders for evaluation, the 2 national reminders listed below
SHOULD NOT BE INACTIVATED.
 
 

• URL:   http://www.cdc.gov/vaccines/hcp/vis/vis-statements/pcv13.html
  WEB SITE TITLE:   CDC Website on Pneumococcal CONJUGATE Vaccine (Prevnar 13)
• URL:   http://www.cdc.gov/vaccines/hcp/vis/vis-statements/ppv.html
  WEB SITE TITLE:   CDC Website- Pneumococcal POLYSACCHARIDE Vaccine (Pneumovax)