VA-MST SCREENING (81)    REMINDER DEFINITION (811.9)

• EDIT DATE:   2015-07-10 15:12:08
  EDIT BY:   USER,SEVENTEEN
  EDIT COMMENTS:   

  Exchange Install
  

All veterans should be screened at least once in their lifetime and after 
      threat of force to have sex with you against your will?
 
Documenting YES, NO, or Declined to Answer responses to Screening
Questions:
 
  A YES response should be documented in progress notes, the MST History
  file, and local findings that represent the MST status (e.g.,health 
  factors). A follow-up consult order for counseling should be considered 
  for the veteran.
 
each deployment for Military Sexual Trauma.
  A NO or DECLINES TO ANSWER response should be documented in progress
  notes, the MST History file, and local findings that represent the MST 
  status (e.g., health factors).
 
This national clinical reminder will ensure the VIA has the ability to
meet congressional military sexual trauma treatment and reporting
mandates by providing accurate data collection through the sharing of
MST data between facilities and data collection agencies.
 
This national clinical reminder will ensure the appropriate and timely
 
counseling and treatment of individuals with an incidence of military
sexual trauma.
Sample Screening Questions.
   1. When you were in the military, did you ever receive uninvited
      and unwanted sexual attention (i.e. touching, cornering, pressure
      for sexual favors, verbal remarks)?
 
   2. When you were in the military, did anyone ever use force or the

• FINDING ITEM:   VA-MST POSITIVE REPORT
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  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-MST NEGATIVE REPORT
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  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   VA-MST DECLINES REPORT
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  USE IN RESOLUTION LOGIC:   OR
  BEGINNING DATE/TIME:   T-1Y
• FINDING ITEM:   VA-VETERAN
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  USE IN PATIENT COHORT LOGIC:   AND
• FINDING ITEM:   VA-IRAQ/AFGHAN PERIOD OF SERVICE
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• FINDING ITEM:   VA-MST DECLINES MH REFERRAL
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• FINDING ITEM:   VA-MST CURRENTLY ENROLLED IN MH
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• FINDING ITEM:   VA-MST REQUESTS MH REFERRAL
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• LOGIC:   FN(1)'
  FUNCTION STRING:   MRD(2)'
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    FUNCTION:   MRD

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    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

• FOUND TEXT:   

  Veterans most recent MST screening was Negative and prior to most recent 
  Service Separation Date.  New Screening needed.
  

  LOGIC:   (FN(1)=FN(2))&(FN(1)
  FUNCTION STRING:   (MRD(1,2,3)=MRD(2))&(MRD(1,2,3)
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    FUNCTION:   MRD

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    FUNCTION:   MRD

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    FUNCTION:   MRD

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  • FUNCTION NUMBER:   4
    FUNCTION:   MRD

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• FOUND TEXT:   

  Veterans most recent MST screening was DECLINED to answer and after the
  most recent Service Separation Date.  New Screening needed.
  

  LOGIC:   (FN(1)'0)
  FUNCTION STRING:   (MRD(3)'0)
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    FUNCTION:   MRD

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    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   3
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

• LOGIC:   FN(1)'
  FUNCTION STRING:   MRD(1)'
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    FUNCTION:   MRD

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    FUNCTION:   MRD

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Changes made with MST update:
    b.  Added FF(4) to check if MST YES REPORTS health factor or 
positive CF VA-MST status with Y value is more recent than latest service
separation date
    c.  Changed Resolution Logic from FI(1)!FI(2)!FI(3) to  
(FI(1)&FF(4))!(FI(2)&FF(1))!(FI(3)&FF(3))
    d.  Changed Cohort Logic from (SEX)&(AGE)&FI(4) to 
(FI(4))!(FI(4)&FF(2))
 
      
 
1.  Reminder definition changes
2.  Reminder Dialog changes
    a.  Created new dialog group VA-TEXT MST STATUS QUESTIONS >1 SSD.  
This is used on the replacement dialog if the branching term evaluates 
TRUE.
    b.  Created new element VA-HF MST NO, PREVIOUS YES
    C.  Created new group VA-HF MST RECENT NO WITH PRIOR EVER YES.  This 
group is used in the replacement dialog if the branching term evaluates 
TRUE.
    d.  Created new group VA-HF MST YES RECENT YES PRIOR.  This group is 
used in the replacement dialog if the branching term evaluates TRUE.
    a.  Created new reminder definition to be used in branching logic 
    e.  Set MST SCREENING dialog PATIENT SPECIFIC field entry to TRUE.  
This controls whether or not the branching logic works correctly.
term evaluation.  The name of the definition is VA-BL MULTIPLE SSD AND 
MST YES.  Reminder term VA-BL MULTIPLE SSD AND MST YES was also created.  
This term has a mapped item of CF.VA-REMINDER DEFINITION.  The CF 
parameter entry is reminder definition VA-BL MULTIPLE SSD AND MST YES.  
The condition is set to I V="DUE NOW".  If this term evaluates as true, 
the replacement dialog group will be used.

All veterans should be screened at least once in their lifetime for
    threat of force to have sex with you against your will?\\
 
Document YES, NO, or DECLINED TO ANSWER responses to Screening.
Military Sexual Trauma.

Sample Screening Questions:\\
 1. When you were in the military, did you ever receive uninvited\\
    and unwanted sexual attention (i.e. touching, cornering, pressure\\
    for sexual favors, verbal remarks)?\\
 
 2. When you were in the military, did anyone ever use force or the\\

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