ZZVA-MHV LIPID MEASUREMENT (455)    REMINDER DEFINITION (811.9)

Name Value
NAME ZZVA-MHV LIPID MEASUREMENT
PRINT NAME ZZ Lipid Measurement (Cholesterol)
DO IN ADVANCE TIME FRAME 3M
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:   2005-05-25 15:50:12
    EDIT BY:   USER,ONE
    EDIT COMMENTS:   
    Exchange Install
    
DESCRIPTION
This reminder is set to prompt for a lipid panel every 2 years for 
sites.  
patients ages 51 to 75 and every 5 years between the ages of 35 and 50 
for men and 45 and 50 for women.  Patients with diabetes (2 entries of an 
ICD code) will have the reminder due every 2 years and patients with IHD 
or atherosclerosis will have it due every one year.
 
The reminder is resolved by a local LDL in the lab package or by an 
outside LDL entered as a health factor.  The reminder term - VA-LDL - was 
exported with the IHD reminders and should already be mapped at all 
FINDINGS
  1. FINDING ITEM:   VA-SEX
    MINIMUM AGE:   35
    CONDITION:   I V="M"
    MAXIMUM AGE:   50
    INTERNAL CONDITION:   I V="M"
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    REMINDER FREQUENCY:   5Y
    USE IN PATIENT COHORT LOGIC:   OR
  2. FINDING ITEM:   VA-MHV DIABETES
    OCCURRENCE COUNT:   2
    STATUS LIST:
    1. STATUS:   ACTIVE
    NO. OF FOUND TEXT LINES:   5
    NO. NOT FOUND TEXT LINES:   0
    FOUND TEXT:   
    Patients who have the diagnosis of diabetes are at an increased risk for
    heart disease, heart attack, or stroke because of their effect on blood
    vessels. Maintaining control of your lipid and cholesterol levels
    decreases these risks. Please talk to your primary care team about your
    blood lipid and cholesterol levels and what your goals should be.
    
    USE IN PATIENT COHORT LOGIC:   OR
    BEGINNING DATE/TIME:   T-2Y
  3. FINDING ITEM:   VA-MHV IHD AND ATHEROSCLEROSIS
    STATUS LIST:
    1. STATUS:   ACTIVE
    NO. OF FOUND TEXT LINES:   6
    NO. NOT FOUND TEXT LINES:   0
    REMINDER FREQUENCY:   1Y
    FOUND TEXT:   
    Patients who have the diagnosis of hardening of the arteries (arterial
    disease) are at an increased risk for heart disease, heart attack, or
    stroke because of their effect on blood vessels. Maintaining control of
    your lipid and cholesterol levels decreases these risks. Please talk to
    your primary care team about your blood lipid and cholesterol levels and
    what your goals should be. 
    
    USE IN PATIENT COHORT LOGIC:   OR
    BEGINNING DATE/TIME:   T-2Y
  4. FINDING ITEM:   VA-LDL
    OCCURRENCE COUNT:   3
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    USE IN RESOLUTION LOGIC:   OR
  5. FINDING ITEM:   VA-MHV OUTSIDE LDL
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    USE IN RESOLUTION LOGIC:   OR
  6. FINDING ITEM:   VA-MHV LIPID PANEL ORDERABLE ITEMS
    ENDING DATE/TIME:   T+1Y
    NO. OF FOUND TEXT LINES:   3
    NO. NOT FOUND TEXT LINES:   0
    FOUND TEXT:   
    You have an order in your VA medical record to get a cholesterol check.  
    Please check with your provider if you do not know when this is supposed 
    to be done.
    
    BEGINNING DATE/TIME:   T-1Y
FUNCTION FINDINGS
  1. FUNCTION FINDING NUMBER:   1
    LOGIC:   FN(1)>1
    REMINDER FREQUENCY:   1Y
    FUNCTION STRING:   COUNT(2)>1
    NO. FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    FUNCTION LIST:
    1. FUNCTION NUMBER:   1
      FUNCTION:   COUNT
      FUNCTION PARAMETER LIST:
CUSTOMIZED COHORT LOGIC (SEX)&(AGE)!(FI(2)&FF(1))!FI(3)
INTERNAL PATIENT COHORT LOGIC (SEX)&(AGE)!(FI(2)&FF(1))!FI(3)
PATIENT COHORT FINDINGS COUNT 5
PATIENT COHORT FINDINGS LIST SEX;AGE;2;FF1;3
INTERNAL RESOLUTION LOGIC (0)!FI(4)!FI(5)
RESOLUTION FINDINGS COUNT 2
RESOLUTION FINDINGS LIST 4;5
AGE FINDINGS COUNT 3
AGE FINDINGS LIST 1;3;FF1
INFORMATION FINDINGS COUNT 1
INFORMATION FINDINGS LIST 6
WEB SITES
  1. URL:   http://nhlbisupport.com/chd1/chdexp.htm
    WEB SITE TITLE:   Preventing Heart Disease
  2. URL:   http://www.nhlbi.nih.gov/health/dci/Diseases/Hbc/HBC_WhatIs.html
    WEB SITE TITLE:   What is High Blood Cholesterol?
  3. URL:   http://www.nhlbi.nih.gov/health/dci/Diseases/Cad/CAD_WhoIsAtRisk.html
    WEB SITE TITLE:   What Makes Coronary Artery Disease More Likely?
  4. URL:   http://www.nhlbi.nih.gov/health/dci/Diseases/Hf/HF_Prevention.html
    WEB SITE TITLE:   Preventing Heart Failure
GENERAL COHORT FOUND TEXT
Everyone should have a blood test for elevated cholesterol or blood fats 
also come from food.  Abnormal lipid levels increase the risk for heart 
disease, heart attack, or stroke because of their effect on blood 
vessels.  Patients with diabetes should aim to keep their lipid levels 
within the recommended ranges. How often the blood test for lipids needs 
to be done depends on what the levels have been. What your lipid levels 
should be depends on your risk for heart disease. Talk with your primary 
care team about your blood lipid levels. 
 
The four kinds of lipids are: \\
   Low Density Lipoprotein or LDL, also known as "bad" cholesterol. The 
at some time. This test measures the level of four types of lipids: total 
level should be less than 120 mg/dl in patients with heart disease or 
diabetes.  LDL at high levels can narrow, harden, or close off the walls 
of blood vessels that supply vital parts of the body such as the heart 
causing a heart attack or the brain causing a stroke. \\   High Density 
Lipoprotein or HDL, also known as "good" cholesterol. The higher the 
number the better. HDL prevents the build-up of lipids on the walls of 
blood vessels. \\   Triglycerides. High levels increase the risk of heart 
disease and stroke.\\   Total cholesterol. High levels increase the risk 
of heart disease and stroke.\\   \\
\\
cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides.  \\
There are things you can do to keep or bring lipid levels to a desired
range.\\
   Work with your provider to make a plan that will work for you.\\
   Work with your provider and dietitian to develop a healthy\\
        eating plan.\\
   Eat less food high in saturated fat or cholesterol, such as\\
        fatty portions of meat, butter, eggs, lard, shortening,\\
        foods with coconut oil or palm oil, liver, organ meats,\\
        whole milk, and ice cream. \\
   Choose lean meats, fish, and low or fat-free dairy products.\\
To prepare for this test, you should not eat or drink anything for at 
   Use olive, canola, corn, or sunflower oil.\\
   Eat foods high in fiber such as fruits, vegetables, and\\
        oat bran.\\   
   Keep your weight at desired levels or lose weight if you\\
        need to.\\
   Engage in a physical activity for at least 30 minutes\\
        on most days.  Check with your provider for an activity\\
        level good for you.\\
   Do not smoke cigarettes or tobacco. \\
   Keep your blood sugar controlled.\\
least 9 hours before blood is drawn to get a correct reading.  You may 
   Consult your provider about drinking alcohol. \\
   Talk to your provider about lipid-lowering medications that\\
        may be appropriate for you. \\
take your pills and drink water prior to the blood test but you should 
not have any coffee, other drinks or any food.\\
Lipids are needed by the body to promote healthy cells, make certain 
hormones, and absorb Vitamin D.  They are naturally made by the body and 
# OF GEN. COHORT FOUND LINES 52
# GEN. COHORT NOT FOUND LINES 0
GENERAL RES. NOT FOUND TEXT
Everyone should have a blood test for elevated cholesterol or blood fats 
(lipids) at some time.  Please talk with your primary care team about 
your blood lipid levels and what your personal goal should be.
# GEN. RES. FOUND LINES 0
# GEN. RES. NOT FOUND LINES 3
RESCISSION DATE 2017-12-27 00:00:00
BASELINE AGE FINDINGS
  1. REMINDER FREQUENCY:   0Y
    MINIMUM AGE:   18
    MAXIMUM AGE:   44
    NO. OF AGE MATCH LINES:   0
    NO. OF AGE NO MATCH LINES:   0
  2. REMINDER FREQUENCY:   2Y
    MINIMUM AGE:   51
    MAXIMUM AGE:   75
    NO. OF AGE MATCH LINES:   0
    NO. OF AGE NO MATCH LINES:   0
  3. REMINDER FREQUENCY:   0Y
    MINIMUM AGE:   76
    NO. OF AGE MATCH LINES:   0
    NO. OF AGE NO MATCH LINES:   0
  4. REMINDER FREQUENCY:   5Y
    MINIMUM AGE:   45
    MAXIMUM AGE:   50
    NO. OF AGE MATCH LINES:   0
    NO. OF AGE NO MATCH LINES:   0
SUMMARY COHORT FOUND TEXT
Everyone should have a blood test for elevated cholesterol or blood fats 
lipids needs to be done depends on what the levels have been before.  Your
goal for control of your lipid levels depends on your risk for heart
disease. Talk with your primary care team about your blood lipid levels
and what your goals should be.
at regular intervals.  This test measures the level of four types of
lipids: total cholesterol, LDL cholesterol, HDL cholesterol, and
triglycerides.  \\ To prepare for this test, you should not eat or drink
anything for at least 9 hours before blood is drawn to get a correct
reading.  You may take your pills and drink water prior to the blood test
but you should not have any coffee, other drinks or any food.\\ Abnormal
lipid levels increase the risk for heart disease, heart attack, or stroke
because of their effect on blood vessels.  How often the blood test for
# SUM. COHORT FOUND LINES 13
# SUM. COHORT NOT FOUND LINES 0
SUMMARY RES. NOT FOUND TEXT
Everyone should have a blood test for elevated cholesterol or blood fats 
(lipids) at some time.  Please talk with your primary care team about 
your blood lipid levels and what your personal goal should be.
# SUM. RES. FOUND LINES 0
# SUM. RES. NOT FOUND LINES 3