VA-HERPES ZOSTER (SHINGLES) IMMUNIZATION (115)    REMINDER DEFINITION (811.9)

Name Value
NAME VA-HERPES ZOSTER (SHINGLES) IMMUNIZATION
PRINT NAME Herpes Zoster (Shingles) Vaccine
DO IN ADVANCE TIME FRAME 3M
CLASS NATIONAL
SPONSOR National Center for Health Promotion and Disease Prevention (NCP)
USAGE CR
EDIT HISTORY
  1. EDIT DATE:   2016-05-23 13:06:02
    EDIT BY:   USER,FIFTYFOUR
    EDIT COMMENTS:   
    Exchange Install
    
DESCRIPTION
HERPES ZOSTER (SHINGLES) IMMUNIZATION:
- Persons with primary or acquired immunodeficiency including, leukemia,
lymphomas, or other malignant neoplasms affecting the bone marrow or
lymphatic system.
- AIDS or other clinical manifestations of HIV.
- Persons on immunosuppressive therapy, including high-dose 
corticosteroids.
- Persons receiving the recombinant human immune mediators and immune 
modulators.
- Persons undergoing hematopoietic stem cell transplantation (HSCT). 
- Pregnant or might be pregnant.
A single dose of shingles vaccine is recommended for adults 60 years of
 
PRECAUTIONS:
- Persons who have severe acute illness should be postponed until 
recovery.
- Zoster should be deferred in patients with active, untreated
tuberculosis.
age and older who do not have contraindications to the vaccine. 
 
Persons with a history of zoster CAN be vaccinated.
 
CONTRAINDICATIONS: 
- History of anaphylactic reaction to any component of the vaccine,
including gelatin and neomycin.
FINDINGS
  1. FINDING ITEM:   VA-ZOSTER CONTRAINDICATIONS
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
  2. FINDING ITEM:   VA-ZOSTER DEFERRALS
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    BEGINNING DATE/TIME:   T-3M
  3. FINDING ITEM:   VA-ZOSTER IMMUNIZATION
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
  4. FINDING ITEM:   VA-ZOSTER ORDERS
    ENDING DATE/TIME:   T+14D
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    BEGINNING DATE/TIME:   T-14D
  5. FINDING ITEM:   VA-LIFE EXPECTANCY < 6 MONTHS
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
  6. FINDING ITEM:   VA-HIGH DOSE STEROIDS
    STATUS LIST:
    1. STATUS:   ACTIVE
    2. STATUS:   DISCONTINUED
    3. STATUS:   DISCONTINUED (EDIT)
    4. STATUS:   DISCONTINUED (RENEWAL)
    5. STATUS:   EXPIRED
    6. STATUS:   SUSPENDED
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    BEGINNING DATE/TIME:   T-90D
  7. FINDING ITEM:   VA-IMMUNOCOMPROMISED
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    BEGINNING DATE/TIME:   T-2Y
  8. FINDING ITEM:   VA-CHEMO/IMMUNOSUPPRESSIVE DRUGS
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    BEGINNING DATE/TIME:   T-60D
TECHNICAL DESCRIPTION
Reminder is applicable to patients aged 60 and older. The Herpes Zoster 
local findings that meet the intent of this term should be mapped.
Findings in this term will resolve the Herpes Zoster immunization reminder
permanently.
 
Term: VA-ZOSTER DEFERRALS
This term is released with the health factors HERPES ZOSTER IMMUN 
PRECAUTION, DECLINES HERPES ZOSTER IMMUNIZATION, and HERPES ZOSTER 
VACCINE UNAVAILABLE. Any local findings that meet the intent of this term
should be mapped. Findings in this term will resolve the Herpes Zoster
immunization reminder for 3 months.
vaccine is one-time dose.
 
Term: VA-ZOSTER IMMUNIZATION
This term is released with the ZOSTER immunization finding. This 
finding is used to document vaccines given during an encounter and as a
historical encounter. It should not be necessary to add additional
findings to this term.
 
Term: VA-ZOSTER ORDERS
This term is released without findings. Map any orderable items linked to 
order for administering the Herpes Zoster vaccine.
 
 
Term: VA-LIFE EXPECTANCY < 6 MONTHS
This term is released with the health factor LIFE EXPECTANCY < 6 MONTHS 
and the VA-TERMINAL CANCER taxonomy. Map local findings meeting this 
intent.
 
Cohort: Age>59 & No contraindications
 
Resolution: Herpes Zoster immunization OR Order for administration OR 
Deferral documentation
Several reminder terms are released within the reminder. Descriptions 
are below:
 
Term: VA-ZOSTER CONTRAINDICATIONS
This term is released with the health factor HERPES ZOSTER IMMUN 
CONTRAINDICATION and documented allergies to Neomycin and gelatin. Any
CUSTOMIZED COHORT LOGIC (SEX)&(AGE)&'(FI(5)!FI(6)!FI(7)!FI(8)!FI(1))
INTERNAL PATIENT COHORT LOGIC (SEX)&(AGE)&'(FI(5)!FI(6)!FI(7)!FI(8)!FI(1))
PATIENT COHORT FINDINGS COUNT 7
PATIENT COHORT FINDINGS LIST SEX;AGE;5;6;7;8;1
CUSTOMIZED RESOLUTION LOGIC FI(2)!FI(3)!FI(4)
INTERNAL RESOLUTION LOGIC FI(2)!FI(3)!FI(4)
RESOLUTION FINDINGS COUNT 3
RESOLUTION FINDINGS LIST 2;3;4
WEB SITES
  1. URL:   http://vaww.prevention.domain.ext/Herpes_Zoster_Shingles_Immunization.asp
    WEB SITE TITLE:   VA Guidance on Herpes Zoster Immunization
  2. URL:   http://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/shingles.html
    WEB SITE TITLE:   ACIP Zoster Vaccine Recommendations
  3. URL:   http://www.cdc.gov/vaccines/hcp/vis/vis-statements/shingles.pdf
    WEB SITE TITLE:   Zoster Vaccine Information Sheet (VIS)
# 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
  1. REMINDER FREQUENCY:   99Y
    MINIMUM AGE:   60
    NO. OF AGE MATCH LINES:   0
    NO. OF AGE NO MATCH LINES:   0
# SUM. COHORT FOUND LINES 0
# SUM. COHORT NOT FOUND LINES 0
# SUM. RES. FOUND LINES 0
# SUM. RES. NOT FOUND LINES 0