VA-HEPATITIS C TESTING (99)    REMINDER DEFINITION (811.9)

Name Value
NAME VA-HEPATITIS C TESTING
PRINT NAME Hepatitis C Testing
DO IN ADVANCE TIME FRAME 3M
CLASS NATIONAL
SPONSOR National Center for Health Promotion and Disease Prevention (NCP)
USAGE C
EDIT HISTORY
  1. EDIT DATE:   2015-05-21 14:25:30
    EDIT BY:   USER,SEVENTEEN
    EDIT COMMENTS:   
    Exchange Install
    
DESCRIPTION
VA recommends a Hepatitis C virus (HCV) screen for all patient at risk for
   - Blood transfusion before universal blood screening (1992).
 
Patients with continued or a new risk for HCV infection (e.g., injection
drug users) should be screened periodically. There is no evidence about 
how often screening should occur in persons who continue to be at risk 
for new HCV infection.
 
In individuals with a positive serologic screening test for HCV 
infection, the Centers for Disease Control and Prevention recommend 
confirmatory testing with reflex RNA testing to confirm the diagnosis of
infection, including patients born between 1945-1965. Risk assessment 
HCV infection and determine viral status.
occurs at least once.  Periodic reassessment may be considered, the 
optimal interval for reassessment is unknown.
 
Lab testing for Hepatitis C virus (HCV) for patients in the following
groups who are not otherwise at risk need to be screened only once: 
   - Birth cohort (1945-1965)
   - Vietnam-era Veteran status
FINDINGS
  1. FINDING ITEM:   VA-HEPATITIS C SEROPOSITIVE
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    BEGINNING DATE/TIME:   T-2Y
  2. FINDING ITEM:   VA-LIFE EXPECTANCY < 6 MONTHS
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    BEGINNING DATE/TIME:   T-6M
  3. FINDING ITEM:   VA-TERMINAL CANCER PATIENT
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
  4. FINDING ITEM:   VA-HEP C TESTING DEFERRED
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    BEGINNING DATE/TIME:   T-4M
  5. FINDING ITEM:   VA-HEP C RNA
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
  6. FINDING ITEM:   VA-HEP C VIRUS ANTIBODY NEGATIVE
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
  7. FINDING ITEM:   VA-HEP C VIRUS ANTIBODY POSITIVE
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
  8. FINDING ITEM:   VA-DATE OF BIRTH
    CONDITION:   I V>2441231&(V<2660101)
    INTERNAL CONDITION:   I V>2441231&(V<2660101)
    NO. OF FOUND TEXT LINES:   1
    NO. NOT FOUND TEXT LINES:   0
    FOUND TEXT:   
    VA recommends hepatitis C screening for veterans born between 1945-1965.
    
  9. FINDING ITEM:   VA-RISK FACTOR FOR HEPATITIS C
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
  10. FINDING ITEM:   VA-HEP C OUTSIDE RESULTS
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
  11. FINDING ITEM:   VA-DECLINED HEP C TESTING
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    BEGINNING DATE/TIME:   T-6M
  12. FINDING ITEM:   VA-HEP C TESTING NOT INDICATED
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
  13. FINDING ITEM:   VA-HEP C LAB TESTS ORDERED
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    BEGINNING DATE/TIME:   T-6M
FUNCTION FINDINGS
  1. FOUND TEXT:   
    The patient has a positive serologic test for HCV.  HCV RNA testing is 
    required as a follow-up to any positive serology.
     
    If the patient has had HCV RNA testing outside the VA, enter that as an 
    outside result.
     
    \\
    
    LOGIC:   FN(1)&'FN(2)
    FUNCTION STRING:   FI(3)&'FI(14)
    NO. FOUND TEXT LINES:   7
    NO. NOT FOUND TEXT LINES:   0
    FUNCTION LIST:
    1. FUNCTION NUMBER:   1
      FUNCTION:   FI
      FUNCTION PARAMETER LIST:
    2. FUNCTION NUMBER:   2
      FUNCTION:   FI
      FUNCTION PARAMETER LIST:
TECHNICAL DESCRIPTION
This reminder is based on VHA National Center for Health Promotion and 
     This term is released with the health factor RISK FACTOR FOR
     HEPATITIS C.  This term includes national taxonomies for alcohol 
     abuse, drug abuse, and HIV infection. Map any local findings that
     meet the intent of this term in the REMINDER TERM file (811.5).
 
   VA-DECLINED HEP C SCREEN
     This term is released with the health factor DECLINED HEP C SCREEN.  
     Map any local findings that meet the intent of this term in The
     REMINDER TERM file (811.5).
 
Disease Prevention (NCP) Clinical Guidance Statement posted January 22, 
   VA-HEP C OUTSIDE RESULTS
     This term is released with the health factors PREV POSITIVE TEST FOR
     HEP C and PREV NEGATIVE TEST FOR HEP C. Map any local findings that 
     identify the patient as previously assessed for Hepatitis C risk 
     factors in the REMINDER TERM file(811.5).
     This term was originally distributed as PREV POSITIVE TEST
     FOR HEP C, but was changed to provide sites with a way to identify a
     patient as previously assessed for Hepatitis C risk factors.
 
     This term will also be used to document historical positive
2014. 
     tests completed outside the facility.
 
   VA-HEP C VIRUS ANTIBODY POSITIVE
     Map local HCVAb lab tests with a condition in the REMINDER TERM file.
     An example of the condition field might be: I V="positive"
     or I (V["P")!(V["p"). The text used in the condition definition
     (I V="text") should be based on the local LABORATORY TEST file (60)
     print codes when defined, rather than the result in the LAB DATA file
     (63).
 
 
   VA-HEP C VIRUS ANTIBODY NEGATIVE
     Map local HCVAb lab tests with a condition in the REMINDER TERM file.
     An example of the condition field might be: I V="negative"
     or I (V["N")!(V["n"). The text used in the condition definition 
     (I V="text") should be based on the local LABORATORY TEST file (60)
     print codes when defined, rather than the result in the LAB DATA file
     (63).
 
   VA-HEP C LAB TESTS ORDERED
     Map local HCVAb orderable items in the REMINDER TERM file. The 
BEFORE USING THIS REMINDER, sites need to use the Reminder Term
     orderable items should have the following status; ACTIVE, PENDING.
 
   VA-LIFE EXPECTANCY <6 MONTHS
     This term is released with the health factor. Map any local
     findings that identify patients with a terminal illness.
 
  VA-HEP C RNA
     Map local HCV RNA lab tests. If the local site cancels lab tests and
     enters a "cancel" comment as the result, then a condition will need
     to be added in the REMINDER TERM preventing the cancelled test from
Management option to define the local findings that are used to
     resolving the reminder.  Include any HCV RNA tests such as HCV Qual, 
     HCV Quant, HCV Genotype, etc.
 
  VA-HEPATITIS C SEROPOSITIVE
     This term includes the national taxonomy VA-HEPATITIS C 
     SEROPOSITIVE. Codes for HCV infection and HCV seropositive
represent the national reminder terms:
 
   VA-RISK FACTOR FOR HEPATITIS C
CUSTOMIZED COHORT LOGIC (FI(4)!FI(5)!FF(1))&'(FI(10)!FI(1)!FI(12))
INTERNAL PATIENT COHORT LOGIC (FI(4)!FI(5)!FF(1))&'(FI(10)!FI(1)!FI(12))
PATIENT COHORT FINDINGS COUNT 6
PATIENT COHORT FINDINGS LIST 4;5;FF1;10;1;12
CUSTOMIZED RESOLUTION LOGIC FI(2)!FI(6)!FI(7)!FI(8)!FI(9)!FI(13)!FI(14)
INTERNAL RESOLUTION LOGIC FI(2)!FI(6)!FI(7)!FI(8)!FI(9)!FI(13)!FI(14)
RESOLUTION FINDINGS COUNT 7
RESOLUTION FINDINGS LIST 2;6;7;8;9;13;14
INFORMATION FINDINGS COUNT 1
INFORMATION FINDINGS LIST 3
WEB SITES
  1. URL:   http://www.cdc.gov/hepatitis/HCV/index.htm
    WEB SITE TITLE:   CDC Hepatitis C Info for Health Professionals
  2. URL:   http://www.hepatitis.domain.ext/
    WEB SITE TITLE:   VA Viral Hepatitis
# OF GEN. COHORT FOUND LINES 0
# GEN. COHORT NOT FOUND LINES 0
# GEN. RES. FOUND LINES 0
# GEN. RES. NOT FOUND LINES 0
BASELINE AGE FINDINGS
  1. REMINDER FREQUENCY:   99Y
    MINIMUM AGE:   18
    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