National Reminders
National Reminders
• National Reminders are delivered in PXRM patches. The
most current patch is 1009
• Reminder will look at V LAB, V RAD, V MED in order to
turn or resolve the reminders.
• The new reminders are using Best Practice Prompts to
resolve the reminder
• Automatically loads the reminders in the reminder
exchange file
• Each site will need to install the reminders from the
exchange
• Most National reminders are delivered with dialog
National Reminders
• National Reminders CANNOT be edited.
• Sites that wish to change the frequency need
to copy the reminder to a new name and edit
the copy
• Taxonomies and Reminder terms can be
edited
• Reminder terms MUST be edited to add local
tests to resolve the reminder
• Reminders must be added to GUI parameters.
Only add the reminders that the site is using
Reminder Managers Menu
• Main menu is called
PXRM MANAGERS
MENU. It is NOT part of
AKMOCORE
• Add it to a site’s EHR
menu
Reminder Definition Menu
• Options to look at and
display all reminders
• Inquire about one
reminder
• Make a reminder
• Copy a reminder
• Inactivate old reminders
Display a Reminder
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------------------------------------------------------------------------------IHS-ALCOHOL SCREEN
No. 68
-------------------------------------------Print Name:
Alcohol Screen
Class:
NATIONAL
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Sponsor:
Review Date:
Usage:
CPRS, DATA EXTRACT, REPORTS
Related VA-* Reminder:
Reminder Dialog:
IHS-ALCOHOL SCREEN
Priority:
Reminder Description:
Patients are screened annually for alcohol use starting at age 13
Technical Description:
Edit History:
Edit date: May 17, 2005@16:02:25 Edit by: HAGER,MARY G
Edit Comments:
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Edit date: May 12, 2005@08:35:46 Edit by: HAGER,MARY G
Edit Comments:
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Display A Reminder
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Baseline Frequency:
Do In Advance Time Frame: Do if DUE within 3 months
Sex Specific:
Ignore on N/A:
Frequency for Age Range: 1 year for ages 13Y to 110Y
Match Text:
No Match Text: Patient not in age range for alcohol
screening
Findings:
Finding Item: ALCOHOL SCREEN (FI(1)=RT(43))
Finding Type: REMINDER TERM
Use in Resolution Logic: OR
Found Text: Alcohol screen found in the computer within
the past year
Not Found Text: Alcohol screen not found within the past year.
Patients should have yearly alcohol screening
Display a Reminder
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General Patient Cohort Found Text:
General Patient Cohort Not Found Text:
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General Resolution Found Text:
General Resolution Not Found Text:
All people over the age of 13 should have a yearly alcohol screen done
using the CAGE test. The computer was unable to find this data within
the last year
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Default PATIENT COHORT LOGIC to see if the Reminder applies to a patient:
(SEX)&(AGE)
Expanded Patient Cohort Logic:
(SEX)&(AGE)
Default RESOLUTION LOGIC defines findings that resolve the Reminder:
FI(1)
Expanded Resolution Logic:
FI(ALCOHOL SCREEN)
Web Sites:
Alcohol Screen
IHS-ALCOHOL SCREEN
• Alcohol screening is done yearly. Users document
the CAGE test health factors on the wellness tab of
the EHR to indicate the screening was performed.
• Frequency: Yearly
• Cohort: Any person aged 13 and older
• Resolved by:
– A reminder term consisting of the 4 health factors for the
Cage test. Any one of those 4 health factors documented
in the last year will turn the reminder off
– A DX that indicates alcohol screening was done
– Education codes that document alcohol education was
done
Alcohol Taxonomy
REMINDER: IHS-ALCOHOL SCREEN
ICD9 RANGE
ICD0 RANGE
CPT RANGE
LOW
HIGH LOW
HIGH LOW
HIGH
-------------------------------------------------------------------------------V11.3
V11.3
V79.1
V79.1
303.00
303.90
305.00
305.03
357.5
357.5
291.0
291.9
Alcohol Reminder Term
• IHS- Alcohol Education
– Sites need to enter the names of the education topics they use
• IHS – Alcohol Screen
Class:
VISN
Date Created:
Sponsor:
Review Date:
Description:
Findings: CAGE 0/4 (FI(1)=HF(19))
CAGE 1/4 (FI(2)=HF(20))
CAGE 2/4 (FI(3)=HF(21))
CAGE 3/4 (FI(4)=HF(22))
CAGE 4/4 (FI(5)=HF(23))
Asthma Plan
ASTHMA PLAN
• For patients with asthma, an active asthma plan
should be documented in the asthma registry.
• Frequency: Plan must be documented in the last 12
months
• Cohort: Patients have a diagnosis using the ICD9
codes found in the reminder taxonomy for asthma
• Resolution: A computed finding searching the
asthma registry to see if a plan has been
documented
Asthma Primary Provider
ASTHMA PRIM PROV
• Patients with asthma need a primary care
provider
• Frequency – one time Cohort: Patients have a
diagnosis using the ICD9 codes found in the
reminder taxonomy for asthma
• Resolution: A computed finding searching to
find a documented primary care provider
Asthma Severity
ASTHMA SEVERITY
• Patients with asthma who are being seen frequently in clinic or and have
respiratory difficulties should have their severity documented in the
asthma registry
• Cohort: Patients who have a diagnosis using the ICD9 codes found in the
reminder taxonomy for asthma
• Resolution: This reminder is used in conjunction with the asthma
management system.
If the severity of asthma has not been documented in PCC and this patient
has had 3 or more asthma visits in the past 6 months or has a
brochodilator/bronchodialtor inflammatory index of >.33 then the
reminder
will be due.
Asthma Steroids
ASTHMA STEROIDS
• Reminder checks for patients with asthma, respiratory difficulties and persistent
severity who are not on steroids. Those patients may benefit from inhaled
steroids.
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Cohort: Patients who have a diagnosis using the ICD9 codes found in the reminder
taxonomy for asthma
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Resolution:
This reminder is used in conjunction with the asthma tracking package
1.If patient is on register and has a mild persistent, moderate persistent,
or severe persistent severity documented and is not on inhaled steroids
2. If patient has had 4 or more fills of asthma medication which includes
at least 1 bronchodilator and the bronchodilator/bronchiodilator
inflammatory index >.33 3. If patient has had 3 or more asthma visits in
the past 6 months
Asthma Taxonomy
ICD9 RANGE
ICD0 RANGE
CPT RANGE
LOW
HIGH LOW
HIGH LOW
HIGH
--------------------------------------------------------------------------------
493.00 493.92
Blood Pressure
• Blood pressure needs to be checked regularly. If a
patient has a BP > 140/90, it needs to be checked on
every visit.
• Frequency:
– Every 2 years from 2 until 21
– Every year over 21
– Every visit if last BP > 140/90
• Cohort: Everyone EXCEPT pts with a diagnosis of
High blood pressure
• Resolution: Blood pressure reading in the time
allowed
Blood Pressure Taxonomy
ICD9 RANGE
ICD0 RANGE
CPT RANGE
NAME LOW
HIGH LOW
HIGH LOW
HIGH
-------------------------------------------------------------------------IHS-HYPERTENSION
401.0 405.99
Blood Pressure Reminder Terms
• IHS- High blood pressure
– It is setup to trigger at systolic BP >140/90
– Sites can make this lower if desired
• IHS – Normal blood pressure
– It is setup to trigger at systolic BP <140/90
– Sites can make this lower if desired
Colon Cancer
• Patients need to be checked for colon cancer after the age of
50.
• Frequency:
– Every 2 years if the result is from a fecal occult blood test
– Every 5 years for a flexible sigmoidoscopy or a contrast barium enema
– Every 10 years for a colonoscopy
• Cohort: People over 50 unless they have a diagnosis of colon
cancer
• Resolution:
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Fecal occult blood test
Sigmoidoscopy
Barium enema
Colonoscopy
Colon Cancer Taxonomies
ICD9 RANGE
ICD0 RANGE
CPT RANGE
NAME LOW
HIGH LOW
HIGH
LOW
HIGH
-------------------------------------------------------------------------IHS-BARIUM ENEMA
74270
G0106
G0120
74280
G0106
G0120
IHS-COLONOSCOPY
45.22 45.22
45.23 45.23
45.25 45.25
76.51 76.51
45355
45355
45378
G0105
G0121
44388
44397
44394
45387
G0105
G0121
44394
44397
44394
Colon Cancer Taxonomies
ICD9 RANGE
ICD0 RANGE
CPT RANGE
NAME LOW
HIGH LOW
HIGH LOW HIGH
-------------------------------------------------------------------------IHS-COLORECTAL CANCER
153.0 153.9
154.0 154.1
197.5 197.5
V10.05 V10.05
IHS-FECAL OCCULT LAB TEST
82270 82270
82274 82274
G0107 G0107
89205 89205
IHS-SIGMOIDOSCOPY
45.24
45.42
45.24
45.42
45330
G0104
45345
G0104
Colon Cancer Reminder Term
• IHS – Fecal occult blood
• IF this test is a lab test at the site and NOT a
microbiology test, enter the lab test name in
this reminder term
• Fecal occult blood tests should be multi-test
kits
Depression Screening
• This reminder is yearly for anyone over the age of 40,
those with diabetes or those with heart disease.
• Frequency: Yearly
• Cohort:
– Patients over 40
– Diagnosis of diabetes
– Diagnosis of heart disease
• Resolution:
– ICD9 code for depression screen
– Depression education codes
Depression Screen Taxonomies
ICD9 RANGE
ICD0 RANGE
CPT RANGE
NAME LOW
HIGH LOW
HIGH LOW HIGH
-------------------------------------------------------------------------HIS- Depression Screen
V79.0 V79.0
IHS-DIABETES DX
250.00 250.90
IHS-ISCHEMIC HEART DISEASE
410.0 412.
414.0 414.9
428.0 428.9
429.2 429.2
Depression Screen Reminder Term
• Reminder Term
– IHS Depression Education
– Enter the names of the education topics used at
the site
Diabetics – ACE/ARB
DIAB ACE/ARB
• Patients with diabetes should be on an ACE or
an ARB to help prevent heart disease
• Frequency – Yearly
• Cohort: Pts with DX of diabetes in the last 2
years
• Resolution: Active prescription for an ACE or
an ARB
Diabetics - Aspirin
DIAB ASPIRIN
• Patients with diabetes should be on aspirin to
help prevent heart disease
• Cohort: Pts with DX of diabetes in the last 2
years
• Resolution: Active prescription for aspirin
Aspirin Reminder Term
• IHS – Aspirin
• Each site needs to enter the aspirin
medications from the drug file that would be
used to satisfy this reminder
Diabetics – Dental Exam
• Patients with diabetes need a yearly dental
exam
• Frequency – yearly
• Cohort: Pts with Dx of diabetes in the last 2
years.
• Resolution: Dental Exam recorded from the
exam file
Diabetics – Eye Exam
• DIAB EYE EXAM
• Patients with diabetes need a yearly dilated
pupil eye exam every year to prevent
retinopathy
• Frequency: Yearly
• Cohort: Pts with Dx of diabetes in the last 2
years
• Resolution:
– Eye exam from the exam file
– CPT code for a fundoscopic eye exam
Eye Exam Codes Taxonomy
ICD9 RANGE
ICD0 RANGE
CPT RANGE
NAME LOW
HIGH LOW
HIGH LOW
HIGH
-------------------------------------------------------------------------IHS-FUNDOSCOPIC EYE CODES
92012 92012
92014 92015
92002 92002
92004 92004
92250 92250
Diabetics – Foot Exam
• DIAB FOOT EXAM
• Patients with diabetes need to have their feet
checked every year to prevent neuropathy
• Frequency – yearly
• Cohort: Pts with DX of diabetes in the last 2 years
• Resolution:
– Diabetic foot exam from the exam file or Exam code of
– diabetic foot Exam
Diabetics – HgbA1c
• Patients with diabetes need a yearly lab
HGBA1c to help keep their diabetes under
control and prevent long term complications
• Frequency – yearly
• Cohort: Pts with DX of diabetes in the last 2
years
• Resolution: Lab result for HgbA1c
Hgba1c Reminder Term
• IHS – HgbA1c
• Sites must enter the name so the A1c test(s)
that are used at their facility
Diabetics - Microalbumin
• Patients with diabetes need a urine
microalbumin yearly to help prevent
nephropathy
• Frequency – yearly
• Cohort: Pts with DX of diabetes in the last 2
years
• Resolution: Lab test for microalbumin
Microalbumin Reminder Term
• IHS-MICROALBUMIN
• Sites need to enter the name of the
microalbumin test used at their site
• It may be a urine protein
• If the site does not do the test, do not activate
this reminder
Diabetes Taxonomy
ICD9 RANGE
ICD0 RANGE
CPT RANGE
NAME LOW
HIGH LOW
HIGH LOW
HIGH
-------------------------------------------------------------------------IHS-DIABETES DX
250.00 250.90
Domestic Violence
• DOMESTIC VIOLENCE
• If a site wishes to turn this on, be aware that it
will show up for most women
• Frequency: Yearly
• Cohort: All women 15 to 40
• Resolution:
– Documentation of domestic violence exam
– Domestic violence education codes
Domestic Violence Reminder Term
• IHS-DOMESTIC VIOLENCE EDUCATION
Findings: DV-DISEASE PROCESS (FI(1)=ED(191))
DV-FOLLOW-UP (FI(2)=ED(192))
DV-PATIENT LITERATURE (FI(3)=ED(193))
DV-PREVENTION (FI(4)=ED(194))
DV-PSYCHOTHERAPY (FI(5)=ED(542))
DV-SAFETY & INJURY PREVENTION
(FI(6)=ED(195))
DV-TREATMENT (FI(7)=ED(196))
• Enter the names of any other education topics that are used
at the site
HCT/HGB
• HCT/HGB
• Hematocrits and hemoglobins are checks at
ages 1 and 4
• Frequency – Every 3 years for ages 12mos to 5
years
• Cohort: all children
• Resolution: Lab results for HCT or HGB
HCT/HGB Reminder Term
• IHS-HCT/HGB
• Sites need to enter the names of the HGB/HCT
tests used at their facility
Head Circumference
• HEAD CIRCUMFERENCE
• Head circumference is checked with decreasing
frequency in infants and children for growth and for
diagnosis of hydrocephaly
• Frequency –
– 2 months for ages 1D to 6M
– 6 months for ages 6M to 27M
• Cohort: everyone in age group
• Resolution: Vital measurement of head
circumference documented
Hearing Test
• HEARING TEST
• All children need a hearing test at age 4 before
going to school
• Frequency – One time at age 4 to 5
• Cohort – all children between 4 and 5
• Resolution - Measurement result for hearing
test documented in computer
Height
• Height is checked in decreasing frequency on infants
and children to determine growth patterns.
• Frequency
– 2 months for ages 7D to 6M
– 6 months for ages 6M to 18M
– 1 year for ages 2Y to 18Y
• Cohort: Everyone in age range
• Resolution: Measurement result for height
documented in computer
Hep A Adult
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HEP A ADULT
Immunization for adults
Cohort: all adults 18 to 100
Determined by computed finding to check
immunization forecaster
• Resolution: Determined by a Hep A
immunization in the immunization file
• Can add other immunizations
Hep A Adult Reminder Term
• IHS-HEPADULT IMMUNIZATION
Class:
VISN
Date Created:
Sponsor:
Review Date:
Description:
Findings: HEP A, ADULT (FI(1)=IM(168))
• Sites can add other immunizations if needed
Hep B Adult
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HEP B ADULT
Immunization for adults
Cohort: all adults 18 to 100
Determined by computed finding to check
immunization forecaster
• Resolution: Documentation of a Hep B
immunization in the immunization file
Hep B Adult Reminder Term
• IHS-HEP B ADULT
Class:
VISN
Date Created:
Sponsor:
Review Date:
Description:
Findings: HEP B,ADULT (FI(1)=IM(144))
• Can add other Immunizations
Influenza
• INFLUENZA IMMUNIZATION
• Yearly immunization for adults over 50 and all patients with
high risk conditions
• Frequency – yearly
• Cohort:
– Adult over 50
– Anyone with high risk condition determined by taxonomy of ICD9
codes
Determined by computed finding to check immunization
forecaster
• Resolution: Documentation of an immunization in the
immunization file
Influenza Taxonomy
IHS-HIGH RISK FOR FLU/PNEUMONIA
490. 496.
250.00 250.90
V42.0 V42.9
V58.1 V58.1
011.00 011.96
038.2 038.2
042.0 044.9
093.0 093.9
112.81 112.81
130.3 130.3
140.0 208.91
235.0 235.9
280.0 289.9
303.00 303.93
305.00 305.03
331.7 331.7
391.0 391.0
393. 398.99
401.0 405.91
410.0 414.9
415.0 417.9
420.0 438.9
440.1 440.1
500. 508.9
510.0 519.0
570. 572.8
580.0 589.9
590.00 599.9
710.0 710.9
714.0 714.9
720.0 721.41
759.0 785.3
865.00 865.19
996.80 996.89
V08. V08.
Influenza Reminder Term
• IHS-INFLUENZA IMMUNIZATION
Class:
VISN
Date Created:
Sponsor:
Review Date:
Description:
Findings: INFLUENZA, NOS (FI(1)=IM(108))
• Sites can add other Influenza immunizations
Lipids - Female
• Frequency –
– Every 5 years
– Every year if pt is diabetic
• Cohort:
– Females 45 to 64
– Females with diabetes
• Resolution: Lab test for lipid profile, LDL or
HDL
Lipids - Male
• Frequency –
– Every 5 years
– Every year if diabetic
• Cohort:
– Males 35 to 64
– Males with diabetes
• Resolution: Lab test for lipid profile, LDL or
HDL
Lipids Reminder Term
• IHS-LIPID LAB TESTS
• Sites need to add the lipid tests used at their
site
• Cholesterol is usually not included, it should
be LDL or HDL
• Most sites have multiple tests
Mammograms
• Mammograms done yearly on women to screen for
breast cancer
• Frequency - Yearly
• Cohort:
– Women ages 52 to 64
– Unless they have had a bi-lateral mastectomy
• Resolution:
– Radiology test results for mammogram
– CPT codes for mammogram studies
– Computed finding checking women’s health package for
results
Mammogram Taxonomies
ICD9 RANGE
ICD0 RANGE
CPT RANGE
NAME LOW
HIGH LOW
HIGH LOW
HIGH
-------------------------------------------------------------------------IHS-BILATERAL MASTECTOMY
85.42 85.42
19180 19180
85.44 85.44
19200 19200
85.46 85.46
19220 19220
85.48 85.48
19240 19240
IHS-MAMMOGRAM
V76.11 V76.12
87.37
87.36
87.37
76090 76092
87.36
G0204 G0204
G0206 G0206
G0202 G0202
Mammogram Reminder Term
• IHS-MAMMOGRAM TERMS
• Enter the names of the radiology exams that
are mammograms
Pap Smear
• Pap smears done every 3 years on women to screen
for cervical cancer
• Frequency – Every 3 years
• Cohort:
– Women 21 to 64
– Unless hysterectomy is documented
• Resolution:
– CPT codes for pap smear
– Pap smear if it’s a lab result
– Computed finding to check women’s health for pap smear
Pap Smear Taxonomies
ICD9 RANGE
ICD0 RANGE
CPT RANGE
NAME LOW
HIGH LOW
HIGH LOW
HIGH
-------------------------------------------------------------------------IHS-HYSTERECTOMY
68.4 68.8
51925
56308
58150
58152
58200
58550
58953
59135
59525
IHS-PAP
V76.47 V76.47
91.46 91.46
88141
V76.49 V76.49
Q0091
V72.3 V72.3
88174
V76.2 V76.2
51925
56308
58150
58152
58294
58554
58954
59135
59525
88167
Q0091
88175
Pap Smear Reminder Terms
• IHS-PAP SMEAR
• Used only if a site has Pap Smear defined as a
lab test
DTAP
• Childhood immunization
• Cohort: Determined by computed finding to
check immunization forecaster
• Ages 6 wks to 7 years
• Resolution: Documentation of immunization
in the immunization file
DTAP Reminder Term
• IHS-DTAP IMMUNIZATION
Class:
VISN
Date Created:
Sponsor:
Review Date:
Description: DTAP immunization from the
immunization file
Findings: DTAP (FI(1)=IM(133))
Sites can add other immunizations
Hep A Immunization
• Childhood immunization
• Cohort: Determined by computed finding to
check immunization forecaster
• Ages 24m to 18 years
• Resolution: Documentation of immunization
in the immunization file
Hep A Ped Reminder Term
• IHS-HEPA IMMUNIZATION
Class:
VISN
Date Created:
Sponsor:
Review Date:
Description:
Findings: HEP A, PED/ADOL, 2 DOSE (FI(1)=IM(196))
HEP A, PEDIATRIC, NOS (FI(2)=IM(157))
• Sites can add other immunizations
Hep B Immunization
• Childhood immunization
• Cohort: Determined by computed finding to
check immunization forecaster
• Ages: Birth to 18years
• Resolution: Documentation of immunization
in the immunization file
Hep B Ped Reminder Term
• IHS-HEPB IMMUNIZATION
Class:
VISN
Date Created:
Sponsor:
Review Date:
Description: Hep B vaccine from immunization file
Findings: HEP B, ADOLESCENT OR PEDIATRIC
(FI(1)=IM(138))
Sites can add other immunizations
Pediatric Flu
• Childhood immunization
• Cohort: Determined by computed finding to
check immunization forecaster includes ages
and high risk diseases
• Ages: 6 months to 23 months
• Resolution: Documentation of immunization
in the immunization file
Influenza Taxonomy
IHS-HIGH RISK FOR FLU/PNEUMONIA
490. 496.
250.00 250.90
V42.0 V42.9
V58.1 V58.1
011.00 011.96
038.2 038.2
042.0 044.9
093.0 093.9
112.81 112.81
130.3 130.3
140.0 208.91
235.0 235.9
280.0 289.9
303.00 303.93
305.00 305.03
331.7 331.7
391.0 391.0
393. 398.99
401.0 405.91
410.0 414.9
415.0 417.9
420.0 438.9
440.1 440.1
500. 508.9
510.0 519.0
570. 572.8
580.0 589.9
590.00 599.9
710.0 710.9
714.0 714.9
720.0 721.41
759.0 785.3
865.00 865.19
996.80 996.89
V08. V08.
Influenza Reminder Term
• IHS-INFLUENZA IMMUNIZATION
Class:
VISN
Date Created:
Sponsor:
Review Date:
Description:
Findings: INFLUENZA, NOS (FI(1)=IM(108))
• Sites can add other Influenza immunizations
Hibtiter Immunization
• Childhood immunization
• Cohort: Determined by computed finding to
check immunization forecaster
• Ages: 6 wks to 59 months
• Resolution: Documentation of immunization
in the immunization file
Hibtiter Reminder Term
• IHS-HIBTITER IMMUNIZATION
Class:
VISN
Date Created:
Sponsor:
Review Date:
Description: Hibtiter from the vaccination file
Findings: HIB (HBOC) (FI(1)=IM(126))
HIB, NOS (FI(2)=IM(124))
• Sites can add other immunizations if needed
MMR Immunization
• Childhood immunization
• Cohort: Determined by computed finding to
check immunization forecaster
• Ages 12 mos to 18 years
• Resolution: Documentation of immunization
in the immunization file
MMR Reminder Term
• IHS-MMR IMMUNIZATION
Class:
VISN
Date Created:
Sponsor:
Review Date:
Description: MMR vaccinations from the
immunization file
Findings: MMR (FI(1)=IM(117))
• Sites can add other immunizations if needed
PedVaxHib Immunization
• Childhood immunization
• Cohort: Determined by computed finding to
check immunization forecaster
• Ages: 6 wks to 59 months
• Resolution Documentation of immunization in
the immunization file
PedVaxHib Reminder Term
• IHS-PEDVAXHIB IMMUNIZATION
Class:
VISN
Date Created:
Sponsor:
Review Date:
Description:
Findings: HIB (PRP-OMP) (FI(1)=IM(127))
HIB, NOS (FI(2)=IM(124))
• Sites can add other immunizations if needed
Pediatric Pneumovax Immunization
• Childhood immunization
• Cohort: Determined by computed finding to
check immunization forecaster 2 mos to 60
months
• Resolution: Documentation of immunization
in the immunization file
Ped Pneumovax Reminder Term
• IHS-PED PNEUMOVAX IMMUNIZATION
Class:
LOCAL
Date Created:
Sponsor:
Review Date:
Description:
Findings: PNEUMOCOCCAL CONJUGATE
(FI(1)=IM(142))
• Sites can add other Immunizations if needed
Polio IVP Immunization
• Childhood immunization for IVP
• Cohort: Determined by computed finding to
check immunization forecaster
• Ages: 6 weeks to 10 years
• Resolution: Documentation of immunization
in the immunization file
IPV Reminder Term
• IHS-POLIO IMMUNIZATION
Class:
LOCAL
Date Created:
Sponsor:
Review Date:
Description:
Findings: IPV (FI(1)=IM(107))
• Sites can add other immunizations if they wish
Pediatric TD Vaccination
• Childhood immunization
• Cohort: Determined by computed finding to
check immunization forecaster
• Ages: 6 months to 7 years
• Resolution: Documentation of immunization
in the immunization file
Ped TD Reminder Term
• IHS-PED TD IMMUNIZATION
Class:
LOCAL
Date Created:
Sponsor:
Review Date:
Description:
Findings: DT (PEDIATRIC) (FI(1)=IM(123))
• Sites can add other immunizations if they want
Varicella Immunization
• Childhood immunization
• Cohort: Determined by computed finding to
check immunization forecaster
• Ages: 12 months to 18 years
• Resolution: Documentation of immunization
in the immunization file
Varicella Reminder Term
• IHS-VARICELLA IMMUNIZATION
Class:
VISN
Date Created: OCT 6,2004
Sponsor:
Review Date:
Description: Varicella immunization terms from the
immunization file
Findings: VARICELLA (FI(1)=IM(132))
• Sites can add other immunizations if desired
Adult Pneumovax
• Immunization for the elderly
• Cohort: Determined by computed finding to
check immunization forecaster
– Ages: > 65
– High-risk condition
• Resolution: Documentation of immunization
in the immunization file
Pneumovax Taxonomy
IHS-HIGH RISK FOR FLU/PNEUMONIA
490. 496
250.00 250.90
V42.0 V42.9
V58.1 V58.1
011.00 011.96
038.2 038.2
042.0 044.9
093.0 093.9
112.81 112.81
130.3 130.3
140.0 208.91
235.0 235.9
280.0 289.9
303.00 303.93
305.00 305.03
331.7 331.7
391.0 391.0
393. 398.99
401.0 405.91
410.0 414.9
415.0 417.9
420.0 438.9
440.1 440.1
500. 508.9
510.0 519.0
570. 572.8
580.0 589.9
590.00 599.9
710.0 710.9
714.0 714.9
720.0 721.41
759.0 785.3
865.00 865.19
996.80 996.89
V08. V08.
Pneumovax Reminder Term
• IHS-PNEUMOVAX IMMUNIZATION
Class:
VISN
Date Created:
Sponsor:
Review Date:
Description:
Findings: PNEUMOCOCCAL (FI(1)=IM(119))
• Sites can add other immunizations if they wish
PPD
• Tuberculosis test
• Frequency: 7 years for ages 4 years to 12 years
• Cohort:
– All children in that age range
– Unless they have had a positive result or TB
• Resolution: Documentation of a skin test in
the computer
PPD Taxonomy
ICD9 RANGE
ICD0 RANGE
CPT RANGE
NAME LOW
HIGH LOW
HIGH LOW
HIGH
-------------------------------------------------------------------------IHS-TB/POS PPD
010.00 018.90
795.5 795.5
Senior Height
• Seniors checked for height deceases due to
osteoporosis
• Frequency: yearly
• Cohort: People 65 and older
• Resolution: Documentation of measurement
in the computer
TD Immunization
• Adult immunization
• Frequency: Every 10 years
• Cohort: Determined by computed finding to
check immunization forecaster
• Ages 10 to 100
• Resolution: Documentation of immunization
in the immunization file
TD Reminder Term
• IHS-TD IMMUNIZATION
Class:
VISN
Date Created:
Sponsor:
Review Date:
Description:
Findings: TD (ADULT) (FI(1)=IM(102))
• Sites may add other immunizations if they wish
Tobacco Screen
•
•
•
•
Yearly screening test for tobacco use
Frequency: yearly
Cohort: Those people 13 and older
Resolution:
– Documentation of health factors to determine
smoking status
– Documentation of education topics relating to
tobacco use
– Diagnosis relating to tobacco use
Tobacco Taxonomy
ICD9 RANGE
ICD0 RANGE
CPT RANGE
NAME LOW
HIGH LOW
HIGH LOW
HIGH
-------------------------------------------------------------------------IHS-TOBACCO USE
305.1 305.1
V15.82 V15.82
Tobacco Reminder Term
•
IHS-TOBACCO SCREEN EDUCATION TOPICS
Class:
LOCAL
Date Created:
Sponsor:
Review Date:
Description: Tobacco screening education topics
Findings: TO-COMPLICATIONS (FI(1)=ED(94))
TO-DISEASE PROCESS (FI(2)=ED(95))
TO-EXERCISE (FI(3)=ED(96))
TO-FOLLOW-UP (FI(4)=ED(314))
TO-LIFESTYLE ADAPTATIONS (FI(5)=ED(97))
TO-MEDICATIONS (FI(6)=ED(98))
TO-PATIENT LITERATURE (FI(7)=ED(315))
TO-QUIT (FI(8)=ED(99))
• Other Education Topics May be added
Tobacco Reminder Term
•
IHS-TOBACCO SCREEN HEALTH FACTORS
Class:
LOCAL
Date Created:
Sponsor:
Review Date:
Description: All health factors and education topics that encompass a
tobacco screen
Findings: CURRENT SMOKELESS (FI(1)=HF(3))
CURRENT SMOKER (FI(2)=HF(2))
CURRENT SMOKER & SMOKELESS (FI(3)=HF(14))
PREVIOUS SMOKELESS (FI(4)=HF(5))
PREVIOUS SMOKER (FI(5)=HF(4))
SMOKER IN HOME (FI(6)=HF(12))
SMOKE FREE HOME (FI(7)=HF(13))
EXPOSURE TO ENVIRONMENTAL TOBACCO SMOKE (FI(8)=HF(39))
CESSATION-SMOKELESS (FI(9)=HF(16))
CESSATION-SMOKER (FI(10)=HF(17))
NON-TOBACCO USER (FI(11)=HF(1))
Vision Exam
•
•
•
•
Childhood vision exam at age 7
Frequency – once
Cohort: Children ages 7 to 9
Resolution: Documentation of a visual screen
measurements in the computer
Weight
• Weight is checked with deceasing frequency in
children and adults.
• In children, it is a measure for growth and
development
• Frequency:
–
–
–
–
–
1 year for those 16 and older
6 months for ages 6Y to 16Y
3 months for ages 1Y to 6Y
2 months for ages 6M to 12M
7 days for ages 1D to 6M
• Cohort: Everyone
• Resolution: Documentation of weight in the
computer
Special Immunization Forecaster
• Call to run the forecaster
• Must be the first reminder listed in the GUI
setup
• Has no resolution