ZZVA-*WEIGHT AND NUTRITION SCREEN (9)    REMINDER DEFINITION (811.9)

This VA-*WEIGHT AND NUTRITION SCREEN reminder is based on the following
    with periodic counseling or referral for counseling regarding dietary
    intake of calories, fat (especially saturated fat), cholesterol, and
    fiber.  A nutrition counseling service should be available at each VHA
    facility.
 
    Goals for FY 2000: Reduce dietary fat intake to an average of 30 of
    calories and saturated fats to less than 10%. Increase complex
    carbohydrate and fiber-containing foods in the diet to 5 or more daily
    servings for vegetables and fruits and 6 or more daily servings for
    grain products. Reduce overweight to a prevalence of no more than 20%
"Weight Control and Nutrition Counseling" guidelines defined in the
    among people age 20 and older.  Women should be encouraged to consume
    1000 mg/day of calcium until menopause and 1500 mg/day thereafter.
    100% of VHA facilities should have formal nutrition counseling
    available for outpatients.
VHA HANDBOOK 1101.8, APPENDIX A.
 
    Target condition: Obesity and associated conditions.
 
    Target Group: General outpatient population.
 
    Recommendation: Primary care clinicians should provide their patients

• FINDING ITEM:   VA-NUTRITION/WEIGHT SCREENING
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  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   ZZVA-WEIGHT AND NUTRITION SCREEN
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  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   INACTIVATE WEIGHT/NUTRITION SCREEN
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  REMINDER FREQUENCY:   0Y
  USE IN PATIENT COHORT LOGIC:   AND NOT
• FINDING ITEM:   ACTIVATE WEIGHT/NUTRITION SCREEN
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If this reminder is not going to be used at your facility, the INACTIVE
represented in the "VA-NUTRITION/OBESITY EDUCATION" reminder.  This
reminder includes a check for nutrition education, in addition to
the screening.  It also includes target conditions for patients who have
nutrition or obesity related diagnoses or health factors on file.
 
Please review both of these reminder definitions, choose one of them to
use.  If local modifications need to be made, copy the preferred reminder
to a new reminder and make your reminder modifications.
FLAG should be set to inactive.
 
This reminder represents the minimum criteria for checking if the patient
has received a weight and nutrition screen. The "VA-NUTRITION/WEIGHT
SCREENING" education topic is the result finding that will satisfy this
reminder.
 
The Ambulatory Care EP recommends a variation on this reminder

• REMINDER FREQUENCY:   1Y
  AGE MATCH TEXT:   

  Weight and Nutrition screen due yearly for all patients.
  

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