ZZVA-MHV DIABETES FOOT EXAM (449)    REMINDER DEFINITION (811.9)

Name Value
NAME ZZVA-MHV DIABETES FOOT EXAM
PRINT NAME ZZ Foot Exam for Diabetes
DO IN ADVANCE TIME FRAME 2M
INACTIVE FLAG INACTIVE
INACTIVE CHANGE DATE 2017-12-27 16:27:46
CLASS NATIONAL
SPONSOR National Clinical Practice Guideline Council
USAGE CPR
EDIT HISTORY
  1. EDIT DATE:   2009-04-22 12:25:47
    EDIT BY:   USER,SEVENTEEN
    EDIT COMMENTS:   
    Exchange Install
    
DESCRIPTION
Patient reminder for complete foot exam yearly in diabetics.
amputee.
 
A reminder term for a complete diabetic foot exam resolves this 
reminder.   There are also indivudal reminder terms for each part of a 
complete diabetic foot exam (monofilament, pulses, inspection) and if all 
3 portions have been done, the reminder is also resolved.  Map local 
findings accordingly.
 
The reminder is not applicable for patients with an entry of bilateral 
FINDINGS
  1. FINDING ITEM:   VA-MHV DIABETES
    OCCURRENCE COUNT:   2
    NO. OF FOUND TEXT LINES:   20
    NO. NOT FOUND TEXT LINES:   0
    FOUND TEXT:   
    People with diabetes have a higher risk to develop foot ulcers and 
         Infections of the skin or bone\\
         Gangrene.\\
     
    Here are some ways you can help prevent foot problems:\\
         Keep your blood sugar in good control\\
         Keep your blood pressure level normal\\
         Do not use tobacco\\
         Check your feet every day for blisters or ulcers\\
         Wear comfortable, protective footwear\\
         Do not go barefoot\\
    infections than people without diabetes.  
         Have your feet checked at least yearly by your provider.\\
     
    Foot problems caused by diabetes can be treated if caught early. Foot
    problems that can develop with diabetes are:\\
         Loss of sensation\\
         Decrease in blood flow\\
         Burning or tingling in the toes or the feet\\
         Blisters or ulcers due to decrease in ability to feel\\
    
    USE IN PATIENT COHORT LOGIC:   AND
    BEGINNING DATE/TIME:   T-24M
  2. FINDING ITEM:   VA-MHV DIABETIC FOOT EXAM MONOFILAMENT
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
  3. FINDING ITEM:   VA-MHV DIABETIC FOOT EXAM PULSES
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
  4. FINDING ITEM:   VA-MHV HBA1C ALL RESULTS
    CONDITION:   I V>7.9
    INTERNAL CONDITION:   I V>7.9
    NO. OF FOUND TEXT LINES:   3
    NO. NOT FOUND TEXT LINES:   0
    FOUND TEXT:   
    Your last HbA1c was greater than 8.  This means that your diabetes 
    is not under ideal control and you could be at risk of developing 
    complications of diabetes in your feet.
    
  5. FINDING ITEM:   VA-MHV DIABETIC FOOT EXAM COMPLETE
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    USE IN RESOLUTION LOGIC:   OR
  6. FINDING ITEM:   VA-MHV BILATERAL AMPUTEE
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    USE IN PATIENT COHORT LOGIC:   AND NOT
  7. FINDING ITEM:   VA-MHV DIABETIC FOOT EXAM INSPECTION
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
FUNCTION FINDINGS
  1. FUNCTION FINDING NUMBER:   1
    LOGIC:   FN(1)>1
    USE IN PATIENT COHORT LOGIC:   AND
    FUNCTION STRING:   COUNT(1)>1
    NO. FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    FUNCTION LIST:
    1. FUNCTION NUMBER:   1
      FUNCTION:   COUNT
      FUNCTION PARAMETER LIST:
INTERNAL PATIENT COHORT LOGIC (SEX)&(AGE)&FI(1)&'FI(8)&FF(1)
PATIENT COHORT FINDINGS COUNT 5
PATIENT COHORT FINDINGS LIST SEX;AGE;1;8;FF1
CUSTOMIZED RESOLUTION LOGIC FI(7)!(FI(11)&FI(9)&FI(10))
INTERNAL RESOLUTION LOGIC FI(7)!(FI(11)&FI(9)&FI(10))
RESOLUTION FINDINGS COUNT 4
RESOLUTION FINDINGS LIST 7;11;9;10
INFORMATION FINDINGS COUNT 1
INFORMATION FINDINGS LIST 6
WEB SITES
  1. URL:   http://www.diabetes.org/type-2-diabetes/foot-complications.jsp
    WEB SITE TITLE:   American Diabetes Association Foot Complications
  2. URL:   http://www.healthwise.net/myhealthevet/Content/StdDocument.aspx?DOCHWID=tf4413&SECHWID=tf4416
    WEB SITE TITLE:   Diabetic Neuropathy
  3. URL:   http://www.healthwise.net/myhealthevet/Content/StdDocument.aspx?DOCHWID=uq2525abc&SECHWID=uq2525abc-sec
    WEB SITE TITLE:   Diabetes and Foot Problems
GENERAL COHORT FOUND TEXT
Anyone with diabetes should have their feet checked by their provider or
other clinician at least once a year. This is needed to find out if there
are signs of nerve damage and poor blood flow to the feet.  Problems can
be detected by a physical examination of the feet, checking the pulses in
the feet, and testing the ability of the feet to feel with a special
tool.  A foot problem can worsen and cause serious problems in people with
diabetes.  If you have not had a complete exam of your feet in the past 12
months, please talk to your provider or clinician about it.\\ 
# OF GEN. COHORT FOUND LINES 8
# GEN. COHORT NOT FOUND LINES 0
# GEN. RES. FOUND LINES 0
# GEN. RES. NOT FOUND LINES 0
RESCISSION DATE 2017-12-27 00:00:00
BASELINE AGE FINDINGS
  1. REMINDER FREQUENCY:   1Y
    NO. OF AGE MATCH LINES:   0
    NO. OF AGE NO MATCH LINES:   0
SUMMARY COHORT FOUND TEXT
Anyone with diabetes should have their feet checked by their provider or
other clinician at least once a year.
# SUM. COHORT FOUND LINES 2
# SUM. COHORT NOT FOUND LINES 0
SUMMARY RES. NOT FOUND TEXT
It is time for a complete exam of your feet. Signs of problems can be
detected by a physical examination, pulse check, and a test with a
special tool used to check sensation.
# SUM. RES. FOUND LINES 0
# SUM. RES. NOT FOUND LINES 3