1. National Reminders

2. 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 site’s 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@16:02:25 Edit by: HAGER,MARY G Edit Comments: Edit date: May 12, 2005@08:35:46 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 V79.1V79.1 303.00 303.90 305.00 305.03 357.5 357.5 291.0 291.9

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 >.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 >.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 > 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

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 >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

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 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 V58.1 011.00 011.96 038.2 038.2 042.0 044.9 093.0 093.9 112.81 112.81 130.3 130.3 140.0 208.91 235.0 235.9 280.0 289.9 303.00 303.93 305.00 305.03 331.7 331.7 391.0 391.0 393. 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.

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 women’s 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 it’s a lab result – Computed finding to check women’s 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 V58.1 011.00 011.96 038.2 038.2 042.0 044.9 093.0 093.9 112.81 112.81 130.3 130.3 140.0 208.91 235.0 235.9 280.0 289.9 303.00 303.93 305.00 305.03 331.7 331.7 391.0 391.0 393. 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.

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: > 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. 398.99 401.0 405.91 410.0 414.9 415.0 417.9 420.0 438.9 440.1 440.1 500. 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.

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