VistA Immunizations Skin Test Requirements ** indicates new requirement with proposed requirement # strike through text indicates removal JIC-0325: The system shall provide the ability to document post-administration reading data for skin tests -Size (mm induration) -Interpretation (positive/negative) JIC-0325-01**: The system shall provide the ability to document placement of a skin test JIC-0325-02**: The system shall provide the ability to document the reading of a skin test JIC-0325-03**: The system shall provide the ability to determine whether the reading of a skin test is within a valid time period after the placement (e.g. within a 48 to 96 hour time period) JIC-0325-04**: The system shall provide the ability to capture the induration for the skin test reading measured in millimeters JIC-0325-05**: The system shall provide the ability to capture the clinician’s interpretation of the skin test reading JIC-0351: The system shall provide the ability to capture skin test results JIC-0708**: The system shall provide the ability to capture objective readings following inoculations that require a reading (e.g. smallpox) JIC-0352: The system shall provide the ability to annotate skin test results with interpretations JIC-0709**: The system shall provide the ability to capture a clinician’s subjective interpretation of inoculations that require reading (e.g. smallpox) JIC-0668: Add a class code of code field for the following data elements in Patient Care Encounter (PCE): EDUCATION TOPIC (9999999.09) IMMUNIZATION (9999999.14) EXAM (9999999.15) TREATMENT (9999999.17) SKIN TEST (9999999.28) HEALTH FACTORS (9999999.64) JIC-0668-01**: The system shall provide the ability to categorize a skin test by class (e.g. CLASS: LOCAL//? Enter the CLASS. Choose from: N NATIONAL V VISN L LOCAL) JIC-0671: The system shall associate the following Patient Care Encounter data elements to standard coding systems using the Lexicon: EDUCATION TOPIC (9999999.09) IMMUNIZATION (9999999.14) EXAM (9999999.15) TREATMENT (9999999.17) SKIN TEST (9999999.28) HEALTH FACTORS (9999999.64) JIC-0671-01**: The system shall provide the ability to associate standard coding system entries, using a multi-purpose field for a given skin test (e.g. NAME: CANDIDA CODING SYSTEM CODING SYSTEM: CPT CODE: 86485 CODING SYSTEM: ICD CODE: V72.7 NAME: TB INTRADERMAL TEST CODING SYSTEM CODING SYSTEM: CPT CODE: 86580 CODING SYSTEM: ICD CODE: V74.1) JIC-0674: Provide the ability to input the ‘print name’ and a separate capability to input the ‘name’ for the following file types: EDUCATION TOPIC (9999999.09) IMMUNIZATION (9999999.14) EXAM (9999999.15) TREATMENT (9999999.17) SKIN TEST (9999999.28) HEALTH FACTORS (9999999.64) Reminder Terms, Reminder Taxonomies, and Reminder Location Lists so that the users can display a user friendly ‘print name’, while having the additional option of a ‘name’ that has a prefix of “VA-". JIC-0674-01**: The system shall provide the ability to define a display name (i.e., print name) for a skin test JIC-0358: The system shall provide the ability to capture dispositions from post-administration tests on the patient record JIC-0358-01**: The system shall provide the ability to identify immunizations that require post-administration review JIC-0358-02**: The system shall provide the ability to capture post-administration immunization results JIC-0358-03**: The system shall provide the ability to identify the timing of a post-administration immunization result JIC-0676: Provide the ability to input a description for the following file types: EDUCATION TOPIC (9999999.09) IMMUNIZATION (9999999.14) EXAM (9999999.15) TREATMENT (9999999.17) SKIN TEST (9999999.28) HEALTH FACTORS (9999999.64) So that the users can define for the field the exact use and definition of a data element JIC-0677: Provide the ability to input a ‘sponsor’ for the following file types: EDUCATION TOPIC (9999999.09) IMMUNIZATION (9999999.14) EXAM (9999999.15) TREATMENT (9999999.17) SKIN TEST (9999999.28) HEALTH FACTORS (9999999.64) JIC-0356: The system shall provide the ability to capture exemptions based on skin test, blood test, or inoculation results.