vista_immunizations_skin_test_elaboration_20140618

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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.
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