ZZVA-MHV INFLUENZA VACCINE (453)    REMINDER DEFINITION (811.9)

Name Value
NAME ZZVA-MHV INFLUENZA VACCINE
PRINT NAME ZZ Influenza Vaccine
INACTIVE FLAG INACTIVE
INACTIVE CHANGE DATE 2017-12-27 16:27:46
CLASS NATIONAL
SPONSOR National Clinical Practice Guideline Council
REVIEW DATE 2009-08-31 00:00:00
USAGE CPR
EDIT HISTORY
  1. EDIT DATE:   2012-03-23 12:56:13
    EDIT BY:   USER,SEVENTEEN
    EDIT COMMENTS:   
    Exchange Install
    
FINDINGS
  1. FINDING ITEM:   VA-MHV INFLUENZA IMMUNIZATION
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    USE IN RESOLUTION LOGIC:   OR
  2. FINDING ITEM:   VA-MHV HIGH RISK FOR FLU
    NO. OF FOUND TEXT LINES:   2
    NO. NOT FOUND TEXT LINES:   0
    REMINDER FREQUENCY:   1Y
    FOUND TEXT:   
    Your record suggests that you have at least one health problem that puts 
    you at higher risk of serious complications if you get the seasonal flu.
    
    USE IN PATIENT COHORT LOGIC:   OR
    BEGINNING DATE/TIME:   T-2Y
  3. FINDING ITEM:   VA-MHV CONTRAINDICATION TO INFLUENZA VACCINE
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    USE IN PATIENT COHORT LOGIC:   AND NOT
  4. FINDING ITEM:   VA-MHV INFLUENZA IMMUNIZATION
    OCCURRENCE COUNT:   2
    NO. OF FOUND TEXT LINES:   2
    NO. NOT FOUND TEXT LINES:   0
    FOUND TEXT:   
    You have received your flu shot in the past. Please continue to have it
    every year.
    
TECHNICAL DESCRIPTION
The reminder is due for all patients.  
any entries made for Sept to resolve the reminder (entries made for
immunizations for just the month and year are recorded as MO/00/YR). The
reminder is resolved by the reminder term for flu vaccine or by the 
reminder term for contraindications.
The reminder term for flu vaccination will need to be updated yearly to
reset the start date of the flu vaccine so that it is due each fall for
patients in the cohort no matter when they received their last
immunization.
A few weeks prior to beginning flu vaccinations each fall, change the 
start date for each finding in the vaccination term to a recent date.  For
example, if flu vaccines in the community are to begin around September
20, then change the start date to August 31 in order to be sure to allow
INTERNAL PATIENT COHORT LOGIC (SEX)&(AGE)!FI(2)&'FI(3)
PATIENT COHORT FINDINGS COUNT 4
PATIENT COHORT FINDINGS LIST SEX;AGE;2;3
INTERNAL RESOLUTION LOGIC (0)!FI(1)
RESOLUTION FINDINGS COUNT 1
RESOLUTION FINDINGS LIST 1
AGE FINDINGS COUNT 1
AGE FINDINGS LIST 2
INFORMATION FINDINGS COUNT 1
INFORMATION FINDINGS LIST 4
WEB SITES
  1. URL:   http://www.cdc.gov/flu/
    WEB SITE TITLE:   CDC Website on Influenza
  2. URL:   http://www.healthwise.net/myhealthevet/Content/StdDocument.aspx?DOCHWID=hw122012&SECHWID=hw122014
    WEB SITE TITLE:   Influenza
GENERAL COHORT FOUND TEXT
All persons should get the seasonal flu shot every year.  This vaccine 
will protect you from getting the seasonal flu in most cases. The vaccine
will also help prevent the spread of the flu to your family members.\\
 
Influenza or "flu" is a serious disease that spreads easily. It causes 
fever, chills, cough, fatigue, aches, or loss of appetite. It can lead to 
bronchitis, pneumonia or death.  Flu causes thousands of deaths each year 
in the US.  Flu shots could prevent many of these deaths.\\
# OF GEN. COHORT FOUND LINES 8
# GEN. COHORT NOT FOUND LINES 0
GENERAL RES. FOUND TEXT
Your medical record shows that you received the seasonal flu shot 
recently.  That's great!  You should continue to get this shot every year.
GENERAL RES. NOT FOUND TEXT
Our records show that you have not received your seasonal flu shot for 
*     Anyone who has a weak immune system from HIV/AIDS, steroid
treatment, or cancer treatment.\\
*     Residents of nursing homes or other long-term care facilities.\\
*     Pregnant women.\\ 
 
Some flu vaccines are not recommended for people who are allergic to eggs
or who had a severe reaction to flu shot in the past.  Tell your primary
care team if you have any of these problems.  There may be a different
vaccine that you can take.  Also, tell your provider if you have a history
of Guillain-Barre Syndrome (GBS) or if you feel sick or have a high fever
this year. Please get your seasonal flu shot soon or tell your primary 
on the day of your flu shot. \\
 
The flu shot or vaccine protects most people from the flu. Some may still
catch the flu after having the shot but are likely to have a milder case.
 
The flu shot does NOT cause the flu. It protects one from the flu. The
vaccine is safe and it works. Most people will not have side effects. A
few may feel sore at the site where the shot was given. Fewer may have
fever, chills, headaches, or muscle aches. The best time to get a flu shot
is in October or November. However, getting the flu shot later in December
care team if you already got one.
thru March will still give very good protection. VA Clinics offer flu
shots usually from September thru March.
 
Everyone should get a seasonal flu shot.  Some people are at higher 
risk of serious complications from the seasonal flu:\\
*     People who are age 50 and older\\
*     Anyone with long-term health problems of the lungs, heart, or
kidney, asthma, or diabetes.\\
# GEN. RES. FOUND LINES 2
# GEN. RES. NOT FOUND LINES 31
RESCISSION DATE 2017-12-27 00:00:00
BASELINE AGE FINDINGS
  1. REMINDER FREQUENCY:   1Y
    AGE MATCH TEXT:   
    All patients should receive influenza vaccination unless they are allergic
    to eggs or flu vaccine.
    
    NO. OF AGE MATCH LINES:   2
    NO. OF AGE NO MATCH LINES:   0
SUMMARY COHORT FOUND TEXT
You should receive a seasonal flu shot every year.
# SUM. COHORT FOUND LINES 1
# SUM. COHORT NOT FOUND LINES 0
SUMMARY RES. NOT FOUND TEXT
It is time for your yearly "seasonal flu shot" to protect you from 
catching the seasonal flu.  Please call your VA Clinic to find out how you
can get your seasonal flu shot. If you already had your seasonal flu shot
this year, please tell your primary care team  at your next visit.
# SUM. RES. FOUND LINES 0
# SUM. RES. NOT FOUND LINES 4