ZZVA-*BREAST CANCER SCREEN (4)    REMINDER DEFINITION (811.9)

Name Value
NAME ZZVA-*BREAST CANCER SCREEN
PRINT NAME ZZ Breast Cancer Screen
DO IN ADVANCE TIME FRAME 1M
RELATED REMINDER GUIDELINE ZZVA-*BREAST CANCER SCREEN
INACTIVE FLAG INACTIVE
INACTIVE CHANGE DATE 2005-03-11 12:42:50
IGNORE ON N/A S
SEX SPECIFIC FEMALE
CLASS NATIONAL
USAGE C
DESCRIPTION
Mammogram should be given every 2 years to female patients, ages 50-69.
 
     Recommendation:   All women ages 50-69 should receive a mammogram
                       every two years.
 
     Goals for FY2000: At least 60% of women ages 50-69 have received a
                       mammogram within the preceding two years.
 
The "VA-*Breast Cancer Screen" reminder is based on the following "Breast
Cancer Detection" guidelines specified in the VHA HANDBOOK 1101.8,
APPENDIX A.
 
     Target Condition: Early detection of breast cancer.
 
     Target Group:     All women ages 50-69.
FINDINGS
  1. FINDING ITEM:   VA-MAMMOGRAM/SCREEN
    MINIMUM AGE:   50
    MAXIMUM AGE:   69
    NO. OF FOUND TEXT LINES:   2
    NO. NOT FOUND TEXT LINES:   1
    REMINDER FREQUENCY:   2Y
    FOUND TEXT:   
    History of mammogram/screen on file.
    with HTN.
    
    NOT FOUND TEXT:   
    Date of last mammogram/screen unknown. 
    
    USE IN RESOLUTION LOGIC:   OR
  2. FINDING ITEM:   INACTIVATE BREAST CANCER SCREEN
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    REMINDER FREQUENCY:   0Y
    USE IN PATIENT COHORT LOGIC:   AND NOT
  3. FINDING ITEM:   ACTIVATE BREAST CANCER SCREEN
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
TECHNICAL DESCRIPTION
The findings for mammogram screening are based on defining CPT codes
documented to reflect a mammogram/screening done at a current encounter or
a historical encounter within the past two years.
and V-codes from the ICD Diagnosis file that represent mammograms and
mammogram screening in a taxonomy for Mammogram/Screen.  The CPT codes are
used to search the Radiology procedures in the Radiology package, as well
as checks for existence of a CPT code in the V CPT file.  The V-codes are
used to search the Problem List, V POV (problems of visits), and Inpatient
Diagnosis PTF files.
 
The reminder will be "DUE NOW" until a procedure or diagnosis (V-code) is
INTERNAL PATIENT COHORT LOGIC (SEX)&(AGE)&'FI(2)
PATIENT COHORT FINDINGS COUNT 3
PATIENT COHORT FINDINGS LIST SEX;AGE;2
INTERNAL RESOLUTION LOGIC (0)!FI(1)
RESOLUTION FINDINGS COUNT 1
RESOLUTION FINDINGS LIST 1
AGE FINDINGS COUNT 2
AGE FINDINGS LIST 1;2
INFORMATION FINDINGS COUNT 1
INFORMATION FINDINGS LIST 3
# OF GEN. COHORT FOUND LINES 0
# GEN. COHORT NOT FOUND LINES 0
# GEN. RES. FOUND LINES 0
# GEN. RES. NOT FOUND LINES 0
RESCISSION DATE 2005-02-04 00:00:00
BASELINE AGE FINDINGS
  1. REMINDER FREQUENCY:   2Y
    MINIMUM AGE:   50
    MAXIMUM AGE:   69
    AGE MATCH TEXT:   
    All women ages 50-69 should receive a mammogram every two years. 
    
    NO. OF AGE MATCH LINES:   1
    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