| Name | Value |
|---|---|
| NAME | VA-HEPATITIS C TESTING |
| PRINT NAME | Hepatitis C Testing |
| DO IN ADVANCE TIME FRAME | 3M |
| CLASS | NATIONAL |
| SPONSOR | NATIONAL CENTER FOR HEALTH PROMOTION AND DISEASE PREVENTION (NCP) |
| USAGE | C |
| EDIT HISTORY |
|
| DESCRIPTION | VA recommends a Hepatitis C virus (HCV) screen for all patient at risk for - Blood transfusion before universal blood screening (1992). Patients with continued or a new risk for HCV infection (e.g., injection drug users) should be screened periodically. There is no evidence about how often screening should occur in persons who continue to be at risk for new HCV infection. In individuals with a positive serologic screening test for HCV infection, the Centers for Disease Control and Prevention recommend confirmatory testing with reflex RNA testing to confirm the diagnosis of infection, including patients born between 1945-1965. Risk assessment HCV infection and determine viral status. occurs at least once. Periodic reassessment may be considered, the optimal interval for reassessment is unknown. Lab testing for Hepatitis C virus (HCV) for patients in the following groups who are not otherwise at risk need to be screened only once: - Birth cohort (1945-1965) - Vietnam-era Veteran status |
| FINDINGS |
|
| FUNCTION FINDINGS |
|
| TECHNICAL DESCRIPTION | This reminder is based on VHA National Center for Health Promotion and
This term is released with the health factor RISK FACTOR FOR
HEPATITIS C. This term includes national taxonomies for alcohol
abuse, drug abuse, and HIV infection. Map any local findings that
meet the intent of this term in the REMINDER TERM file (811.5).
VA-DECLINED HEP C SCREEN
This term is released with the health factor DECLINED HEP C SCREEN.
Map any local findings that meet the intent of this term in The
REMINDER TERM file (811.5).
Disease Prevention (NCP) Clinical Guidance Statement posted January 22,
VA-HEP C OUTSIDE RESULTS
This term is released with the health factors PREV POSITIVE TEST FOR
HEP C and PREV NEGATIVE TEST FOR HEP C. Map any local findings that
identify the patient as previously assessed for Hepatitis C risk
factors in the REMINDER TERM file(811.5).
This term was originally distributed as PREV POSITIVE TEST
FOR HEP C, but was changed to provide sites with a way to identify a
patient as previously assessed for Hepatitis C risk factors.
This term will also be used to document historical positive
2014.
tests completed outside the facility.
VA-HEP C VIRUS ANTIBODY POSITIVE
Map local HCVAb lab tests with a condition in the REMINDER TERM file.
An example of the condition field might be: I V="positive"
or I (V["P")!(V["p"). The text used in the condition definition
(I V="text") should be based on the local LABORATORY TEST file (60)
print codes when defined, rather than the result in the LAB DATA file
(63).
VA-HEP C VIRUS ANTIBODY NEGATIVE
Map local HCVAb lab tests with a condition in the REMINDER TERM file.
An example of the condition field might be: I V="negative"
or I (V["N")!(V["n"). The text used in the condition definition
(I V="text") should be based on the local LABORATORY TEST file (60)
print codes when defined, rather than the result in the LAB DATA file
(63).
VA-HEP C LAB TESTS ORDERED
Map local HCVAb orderable items in the REMINDER TERM file. The
BEFORE USING THIS REMINDER, sites need to use the Reminder Term
orderable items should have the following status; ACTIVE, PENDING.
VA-LIFE EXPECTANCY <6 MONTHS
This term is released with the health factor. Map any local
findings that identify patients with a terminal illness.
VA-HEP C RNA
Map local HCV RNA lab tests. If the local site cancels lab tests and
enters a "cancel" comment as the result, then a condition will need
to be added in the REMINDER TERM preventing the cancelled test from
Management option to define the local findings that are used to
resolving the reminder. Include any HCV RNA tests such as HCV Qual,
HCV Quant, HCV Genotype, etc.
VA-HEPATITIS C SEROPOSITIVE
This term includes the national taxonomy VA-HEPATITIS C
SEROPOSITIVE. Codes for HCV infection and HCV seropositive
represent the national reminder terms:
VA-RISK FACTOR FOR HEPATITIS C
|
| CUSTOMIZED COHORT LOGIC | (FI(4)!FI(5)!FF(1))&'(FI(10)!FI(1)!FI(12)) |
| INTERNAL PATIENT COHORT LOGIC | (FI(4)!FI(5)!FF(1))&'(FI(10)!FI(1)!FI(12)) |
| PATIENT COHORT FINDINGS COUNT | 6 |
| PATIENT COHORT FINDINGS LIST | 4;5;FF1;10;1;12 |
| CUSTOMIZED RESOLUTION LOGIC | FI(2)!FI(6)!FI(7)!FI(8)!FI(9)!FI(13)!FI(14) |
| INTERNAL RESOLUTION LOGIC | FI(2)!FI(6)!FI(7)!FI(8)!FI(9)!FI(13)!FI(14) |
| RESOLUTION FINDINGS COUNT | 7 |
| RESOLUTION FINDINGS LIST | 2;6;7;8;9;13;14 |
| INFORMATION FINDINGS COUNT | 1 |
| INFORMATION FINDINGS LIST | 3 |
| WEB SITES |
|
| # OF GEN. COHORT FOUND LINES | 0 |
| # GEN. COHORT NOT FOUND LINES | 0 |
| # GEN. RES. FOUND LINES | 0 |
| # GEN. RES. NOT FOUND LINES | 0 |
| BASELINE AGE FINDINGS |
|
| # SUM. COHORT FOUND LINES | 0 |
| # SUM. COHORT NOT FOUND LINES | 0 |
| # SUM. RES. FOUND LINES | 0 |
| # SUM. RES. NOT FOUND LINES | 0 |