VA-MST SCREENING (81)    REMINDER DEFINITION (811.9)

Name Value
NAME VA-MST SCREENING
PRINT NAME MST Screening
IGNORE ON N/A *
CLASS NATIONAL
SPONSOR Mental Health Services and Women Veterans Health Program
USAGE *
EDIT HISTORY
  1. EDIT DATE:   2015-07-10 15:12:08
    EDIT BY:   USER,SEVENTEEN
    EDIT COMMENTS:   
    Exchange Install
    
DESCRIPTION
All veterans should be screened at least once in their lifetime and after 
      threat of force to have sex with you against your will?
 
Documenting YES, NO, or Declined to Answer responses to Screening
Questions:
 
  A YES response should be documented in progress notes, the MST History
  file, and local findings that represent the MST status (e.g.,health 
  factors). A follow-up consult order for counseling should be considered 
  for the veteran.
 
each deployment for Military Sexual Trauma.
  A NO or DECLINES TO ANSWER response should be documented in progress
  notes, the MST History file, and local findings that represent the MST 
  status (e.g., health factors).
 
This national clinical reminder will ensure the VIA has the ability to
meet congressional military sexual trauma treatment and reporting
mandates by providing accurate data collection through the sharing of
MST data between facilities and data collection agencies.
 
This national clinical reminder will ensure the appropriate and timely
 
counseling and treatment of individuals with an incidence of military
sexual trauma.
Sample Screening Questions.
   1. When you were in the military, did you ever receive uninvited
      and unwanted sexual attention (i.e. touching, cornering, pressure
      for sexual favors, verbal remarks)?
 
   2. When you were in the military, did anyone ever use force or the
FINDINGS
  1. FINDING ITEM:   VA-MST POSITIVE REPORT
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    USE IN RESOLUTION LOGIC:   OR
  2. FINDING ITEM:   VA-MST NEGATIVE REPORT
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    USE IN RESOLUTION LOGIC:   OR
  3. FINDING ITEM:   VA-MST DECLINES REPORT
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    USE IN RESOLUTION LOGIC:   OR
    BEGINNING DATE/TIME:   T-1Y
  4. FINDING ITEM:   VA-VETERAN
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    USE IN PATIENT COHORT LOGIC:   AND
  5. FINDING ITEM:   VA-IRAQ/AFGHAN PERIOD OF SERVICE
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
  6. FINDING ITEM:   VA-MST DECLINES MH REFERRAL
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
  7. FINDING ITEM:   VA-MST CURRENTLY ENROLLED IN MH
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
  8. FINDING ITEM:   VA-MST REQUESTS MH REFERRAL
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
FUNCTION FINDINGS
  1. LOGIC:   FN(1)'
    FUNCTION STRING:   MRD(2)'
    NO. FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    FUNCTION LIST:
    1. FUNCTION NUMBER:   1
      FUNCTION:   MRD
      FUNCTION PARAMETER LIST:
    2. FUNCTION NUMBER:   2
      FUNCTION:   MRD
      FUNCTION PARAMETER LIST:
  2. FOUND TEXT:   
    Veterans most recent MST screening was Negative and prior to most recent 
    Service Separation Date.  New Screening needed.
    
    LOGIC:   (FN(1)=FN(2))&(FN(1)
    FUNCTION STRING:   (MRD(1,2,3)=MRD(2))&(MRD(1,2,3)
    NO. FOUND TEXT LINES:   2
    NO. NOT FOUND TEXT LINES:   0
    FUNCTION LIST:
    1. FUNCTION NUMBER:   1
      FUNCTION:   MRD
      FUNCTION PARAMETER LIST:
    2. FUNCTION NUMBER:   2
      FUNCTION:   MRD
      FUNCTION PARAMETER LIST:
    3. FUNCTION NUMBER:   3
      FUNCTION:   MRD
      FUNCTION PARAMETER LIST:
    4. FUNCTION NUMBER:   4
      FUNCTION:   MRD
      FUNCTION PARAMETER LIST:
  3. FOUND TEXT:   
    Veterans most recent MST screening was DECLINED to answer and after the
    most recent Service Separation Date.  New Screening needed.
    
    LOGIC:   (FN(1)'0)
    FUNCTION STRING:   (MRD(3)'0)
    NO. FOUND TEXT LINES:   2
    NO. NOT FOUND TEXT LINES:   0
    FUNCTION LIST:
    1. FUNCTION NUMBER:   1
      FUNCTION:   MRD
      FUNCTION PARAMETER LIST:
    2. FUNCTION NUMBER:   2
      FUNCTION:   MRD
      FUNCTION PARAMETER LIST:
    3. FUNCTION NUMBER:   3
      FUNCTION:   MRD
      FUNCTION PARAMETER LIST:
  4. LOGIC:   FN(1)'
    FUNCTION STRING:   MRD(1)'
    NO. FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    FUNCTION LIST:
    1. FUNCTION NUMBER:   1
      FUNCTION:   MRD
      FUNCTION PARAMETER LIST:
    2. FUNCTION NUMBER:   2
      FUNCTION:   MRD
      FUNCTION PARAMETER LIST:
TECHNICAL DESCRIPTION
Changes made with MST update:
    b.  Added FF(4) to check if MST YES REPORTS health factor or 
positive CF VA-MST status with Y value is more recent than latest service
separation date
    c.  Changed Resolution Logic from FI(1)!FI(2)!FI(3) to  
(FI(1)&FF(4))!(FI(2)&FF(1))!(FI(3)&FF(3))
    d.  Changed Cohort Logic from (SEX)&(AGE)&FI(4) to 
(FI(4))!(FI(4)&FF(2))
 
      
 
1.  Reminder definition changes
2.  Reminder Dialog changes
    a.  Created new dialog group VA-TEXT MST STATUS QUESTIONS >1 SSD.  
This is used on the replacement dialog if the branching term evaluates 
TRUE.
    b.  Created new element VA-HF MST NO, PREVIOUS YES
    C.  Created new group VA-HF MST RECENT NO WITH PRIOR EVER YES.  This 
group is used in the replacement dialog if the branching term evaluates 
TRUE.
    d.  Created new group VA-HF MST YES RECENT YES PRIOR.  This group is 
used in the replacement dialog if the branching term evaluates TRUE.
    a.  Created new reminder definition to be used in branching logic 
    e.  Set MST SCREENING dialog PATIENT SPECIFIC field entry to TRUE.  
This controls whether or not the branching logic works correctly.
term evaluation.  The name of the definition is VA-BL MULTIPLE SSD AND 
MST YES.  Reminder term VA-BL MULTIPLE SSD AND MST YES was also created.  
This term has a mapped item of CF.VA-REMINDER DEFINITION.  The CF 
parameter entry is reminder definition VA-BL MULTIPLE SSD AND MST YES.  
The condition is set to I V="DUE NOW".  If this term evaluates as true, 
the replacement dialog group will be used.
CUSTOMIZED COHORT LOGIC (FI(4))!(FI(4)&FF(2))
INTERNAL PATIENT COHORT LOGIC (FI(4))!(FI(4)&FF(2))
PATIENT COHORT FINDINGS COUNT 3
PATIENT COHORT FINDINGS LIST 4;4;FF2
CUSTOMIZED RESOLUTION LOGIC (FI(1)&FF(4))!(FI(2)&FF(1))!(FI(3)&FF(3))
INTERNAL RESOLUTION LOGIC (FI(1)&FF(4))!(FI(2)&FF(1))!(FI(3)&FF(3))
RESOLUTION FINDINGS COUNT 6
RESOLUTION FINDINGS LIST 1;FF4;2;FF1;3;FF3
INFORMATION FINDINGS COUNT 4
INFORMATION FINDINGS LIST 5;6;7;8
# OF GEN. COHORT FOUND LINES 0
# GEN. COHORT NOT FOUND LINES 0
GENERAL RES. NOT FOUND TEXT
All veterans should be screened at least once in their lifetime for
    threat of force to have sex with you against your will?\\
 
Document YES, NO, or DECLINED TO ANSWER responses to Screening.
Military Sexual Trauma.

Sample Screening Questions:\\
 1. When you were in the military, did you ever receive uninvited\\
    and unwanted sexual attention (i.e. touching, cornering, pressure\\
    for sexual favors, verbal remarks)?\\
 
 2. When you were in the military, did anyone ever use force or the\\
# GEN. RES. FOUND LINES 0
# GEN. RES. NOT FOUND LINES 12
BASELINE AGE FINDINGS
  1. REMINDER FREQUENCY:   99Y
    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