VA-TBI SCREENING (793)    REMINDER DEFINITION (811.9)

• EDIT DATE:   2009-11-18 09:57:23
  EDIT BY:   USER,SEVENTEEN
  EDIT COMMENTS:   

  Exchange Install
  

Reminder is applicable once in a lifetime of all patients whose date of 
Sigford and based on a reminder from Minneapolis built by Ronald Patire 
and Dr. Brian Neil.
 
Revisions June 2007:
  1. Refusal can be entered
  2. URLs added for information
  3. Screening done at another VA option added.
  4. Additional choices for head injury added.
 
Revisions October 2008 - PXRM*2*11
separation from the service is 9/11/01 or later and have had service in 
  1. Combat vet patients need screening
  2. Cognitive impairment exclusion added
 
Revisions April 2009 - PXRM*2*12
  1. Change from use of Combat Vet to OEF/OIF from patient file
  2. Add documentation of discussion of positive screen with the patient
  3. remove cognitive impairment per TBI Committee as exclusion
OEF/OIF.  If Service Date of Separation is more recent than last TBI 
Screening, then reminder will be due again for patient.
 
Reminder is resolved by completing the screen.
 
Reminder creation requested by the Office of Patient Care 
Services.  Designed by the TBI Screening Workgroup chaired by Dr. Barbara 

• FINDING ITEM:   VA-IRAQ/AFGHAN PERIOD OF SERVICE
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   2
  NOT FOUND TEXT:   

  The patient's last service separation date is prior to 9/11/01.
  \\
  

  USE IN PATIENT COHORT LOGIC:   AND
  BEGINNING DATE/TIME:   3010911
• FINDING ITEM:   VA-ACTIVE DUTY
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN PATIENT COHORT LOGIC:   OR
• FINDING ITEM:   VA-TBI SCREENING COMPLETED SCREENING RESOLUTIONS
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   AND
• FINDING ITEM:   VA-IRAQ/AFGHAN SERVICE NO
  NO. OF FOUND TEXT LINES:   2
  NO. NOT FOUND TEXT LINES:   0
  FOUND TEXT:   

  The record indicates that the patient did not serve in OEF or OIF.
  \\
  

  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-IRAQ/AFGHAN SERVICE
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-TBI-PREVIOUS TBI DX
  NO. OF FOUND TEXT LINES:   1
  NO. NOT FOUND TEXT LINES:   0
  FOUND TEXT:   

  Patient has documentation of previous TBI diagnosis on chart.
  

  USE IN RESOLUTION LOGIC:   OR
  BEGINNING DATE/TIME:   9/11/01
• FINDING ITEM:   VA-TBI-PT REFUSAL
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
  BEGINNING DATE/TIME:   T-30D
• FINDING ITEM:   VA-SERVICE SEPARATION DATES
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-COMBAT VET
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

• LOGIC:   FN(1)>FN(2)
  FUNCTION STRING:   MRD(4)>MRD(1)
  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:

• LOGIC:   FN(1)>FN(2)
  FUNCTION STRING:   MRD(3,6,7)>MRD(1)
  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:

• FOUND TEXT:   

  The patient's most recent service separation date is more recent than
  their last screening - if the patient was discharged after 
  9/11/01 then rescreening is needed after any new period of service.
  

  LOGIC:   FN(1)>FN(2)
  FUNCTION STRING:   MRD(1)>MRD(3,5,6,7)
  NO. FOUND TEXT LINES:   3
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

• LOGIC:   FN(1)>FN(2)
  FUNCTION STRING:   MRD(5)>MRD(4)
  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:

Reminder is due for all patients with Last Service Separation date of
9/11/01 or later.   Reminder is resolved by any of the health factors
associated with the responses of section 1; OR health factor for Previous
TBI Diagnosis; OR health factor TBI PT Refused.

• URL:   http://vaww1.domain.ext/rehab4veterans/docs/TBI_Screening_Brochure_QandA.pdf
  WEB SITE TITLE:   Patient Handout on TBI
• URL:   http://vaww1.domain.ext/rehab4veterans/page.cfm?pg=26
  WEB SITE TITLE:   VA Physical Med & Rehab Polytrauma
• URL:   http://vaww1.domain.ext/rehab4veterans/page.cfm?pg=20
  WEB SITE TITLE:   VA Physical Med & Rehab TBI
• URL:   http://www.polytrauma.domain.ext/index.asp
  WEB SITE TITLE:   VA Polytrauma System of Care
• URL:   http://www.bt.cdc.gov/masscasualties/blastinjuryfacts.asp?s_cid=ccu082508_blastinjuries_e
  WEB SITE TITLE:   CDC - Blast Injury Information

Patients who served in combat in either Iraq (Operation Iraqi Freedom) or 
in Afghanistan (Operation Enduring Freedom) should be screened for 
Traumatic Brain Injury.

\\
Patients who were discharged from the service prior to 9/11/01 or who did
NOT serve in OEF or OIF do NOT need to be screened for TBI.
\\

• REMINDER FREQUENCY:   99Y
  NO. OF AGE MATCH LINES:   0
  NO. OF AGE NO MATCH LINES:   0