National Reminders

1
National Reminders
2
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

3
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

4
Reminder Managers Menu

• Main menu is called PXRM MANAGERS MENU. It is
  NOT part of AKMOCORE
• Add it to a sites EHR menu

5
Reminder Definition Menu

• Options to look at and display all reminders
• Inquire about one reminder
• Make a reminder
• Copy a reminder
• Inactivate old reminders

6
Display a Reminder

• -------------------------------------------------
  ------------------------------
• IHS-ALCOHOL SCREEN No. 68
• --------------------------------------------
• Print Name Alcohol Screen
• Class NATIONAL
• 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_at_160225 Edit by
  HAGER,MARY G
• Edit Comments

7
Display A Reminder

• 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

8
Display a Reminder

• General Patient Cohort Found Text
• General Patient Cohort Not Found Text
• 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
• 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

9
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

10
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

11
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))

12
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

13
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

14
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 gt.33 then the reminder
• will be due.

15
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.
• 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 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 gt.33 3. If patient
  has had 3 or more asthma visits in
• the past 6 months

16
Asthma Taxonomy

• ICD9 RANGE ICD0 RANGE CPT
  RANGE
• LOW HIGH LOW HIGH LOW
  HIGH
• --------------------------------------------------
  ------------------------------
• 493.00 493.92

17
Blood Pressure

• Blood pressure needs to be checked regularly. If
  a patient has a BP gt 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 gt 140/90
• Cohort Everyone EXCEPT pts with a diagnosis of
  High blood pressure
• Resolution Blood pressure reading in the time
  allowed

18
Blood Pressure Taxonomy

• ICD9 RANGE ICD0 RANGE CPT
  RANGE
• NAME LOW HIGH LOW HIGH
  LOW HIGH
• --------------------------------------------------
  ------------------------
• IHS-HYPERTENSION
• 401.0 405.99

19
Blood Pressure Reminder Terms

• IHS- High blood pressure
• It is setup to trigger at systolic BP gt140/90
• Sites can make this lower if desired
• IHS Normal blood pressure
• It is setup to trigger at systolic BP lt140/90
• Sites can make this lower if desired

20
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
• Fecal occult blood test
• Sigmoidoscopy
• Barium enema
• Colonoscopy

21
Colon Cancer Taxonomies

• ICD9 RANGE ICD0 RANGE
  CPT RANGE
• NAME LOW HIGH LOW HIGH
  LOW HIGH
• --------------------------------------------------
  ------------------------
• IHS-BARIUM ENEMA
• 
  74270 74280
• 
  G0106 G0106
• 
  G0120 G0120
• IHS-COLONOSCOPY
• 45.22 45.22
  45355 45355
• 45.23 45.23
  45378 45387
• 45.25 45.25
  G0105 G0105
• 76.51
  76.51 G0121 G0121
• 
  44388 44394
• 
  44397 44397
• 
  44394 44394

22
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 45.24
  45330 45345
• 45.42 45.42
  G0104 G0104

23
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

24
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

25
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

26
Depression Screen Reminder Term

• Reminder Term
• IHS Depression Education
• Enter the names of the education topics used at
  the site

27
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

28
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

29
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

30
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

31
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

32
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

33
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

34
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

35
Hgba1c Reminder Term

• IHS HgbA1c
• Sites must enter the name so the A1c test(s) that
  are used at their facility

36
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

37
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

38
Diabetes Taxonomy

• ICD9 RANGE ICD0 RANGE CPT
  RANGE
• NAME LOW HIGH LOW HIGH
  LOW HIGH
• --------------------------------------------------
  ------------------------
• IHS-DIABETES DX
• 250.00 250.90

39
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

40
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

41
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

42
HCT/HGB Reminder Term

• IHS-HCT/HGB
• Sites need to enter the names of the HGB/HCT
  tests used at their facility

43
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

44
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

45
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

46
Hep A Adult

• 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

47
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

48
Hep B Adult

• 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

49
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

50
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

51
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

52
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

53
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

54
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

55
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

56
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 womens health package
  for results

57
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 87.37
  76090 76092
• 87.36 87.36
  G0204 G0204
• 
  G0206 G0206
• 
  G0202 G0202

58
Mammogram Reminder Term

• IHS-MAMMOGRAM TERMS
• Enter the names of the radiology exams that are
  mammograms

59
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 its a lab result
• Computed finding to check womens health for pap
  smear

60
Pap Smear Taxonomies

• ICD9 RANGE ICD0 RANGE CPT
  RANGE
• NAME LOW HIGH LOW HIGH
  LOW HIGH
• --------------------------------------------------
  ------------------------
• IHS-HYSTERECTOMY
• 68.4 68.8
  51925 51925
• 
  56308 56308
• 
  58150 58150
• 
  58152 58152
• 
  58200 58294
• 
  58550 58554
• 
  58953 58954
• 
  59135 59135
• 
  59525 59525
• IHS-PAP
• V76.47 V76.47 91.46 91.46 88141
  88167
• V76.49 V76.49
  Q0091 Q0091
• V72.3 V72.3
  88174 88175
• V76.2 V76.2

61
Pap Smear Reminder Terms

• IHS-PAP SMEAR
• Used only if a site has Pap Smear defined as a
  lab test

62
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

63
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

64
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

65
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

66
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

67
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

68
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

69
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

70
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

71
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

72
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

73
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

74
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

75
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

76
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

77
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

78
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

79
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

80
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

81
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

82
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

83
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

84
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

85
Adult Pneumovax

• Immunization for the elderly
• Cohort Determined by computed finding to check
  immunization forecaster
• Ages gt 65
• High-risk condition
• Resolution Documentation of immunization in the
  immunization file

86
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

87
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

88
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

89
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

90
Senior Height

• Seniors checked for height deceases due to
  osteoporosis
• Frequency yearly
• Cohort People 65 and older
• Resolution Documentation of measurement in the
  computer

91
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

92
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

93
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

94
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

95
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

96
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))

97
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

98
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

99
Special Immunization Forecaster

• Call to run the forecaster
• Must be the first reminder listed in the GUI
  setup
• Has no resolution