Files > REMINDER TAXONOMY

name
REMINDER TAXONOMY
number
811.2
location
^PXD(811.2,
description
This file stores the Clinical Reminders taxonomies. Taxonomies are used as Clinical Reminders findings and provide a way to define a set of codes as a single finding. Taxonomies are structured so that any of the coding systems defined in Lexicon's Coding System (file #757.03) can be used. However, in order for a coding system to be used in Clinical Reminders, there must be a source in VistA where the coded patient data is stored. Examples are V POV (file #9000010.07) which stores ICD diagnosis codes and PTF (file #45) which stores ICD diagnosis and procedure codes. The coding systems that meet this criteria are listed for selection in the taxonomy editor. This file contains a combination of nationally distributed and local entries. Nationally distributed entries have their names prefixed with VA- and their Class is National. Local entry names cannot start with VA- or have a National Class.
Fields
#NameLocationTypeDetailsIndexDescription
.01name(+)0;1FREE TEXTThis is the name of the taxonomy. It must be unique.
.02brief description0;2FREE TEXTThis is a brief description of what the taxonomy represents. It may be used to further define the intended use of this taxonomy. The Brief Description will be displayed as part of a taxonomy inquiry.
.03dialog header text0;3FREE TEXTThis text will be displayed as a checkbox in the reminder dialog for this taxonomy.
1.6inactive flag0;6SET OF CODES1:INACTIVE
Enter "1" to inactivate the taxonomy. This flag is set to ACTIVE in the distribution. As part of the installation, each site should review the taxonomy definitions and inactivate those that do not meet the site's needs. If desired, a site can copy a distributed taxonomy, using the taxonomy copy option, to a local version and edit it to meet the site's needs.
2description1;0WORD-PROCESSINGThe DESCRIPTION is used to describe the purpose and usage of the taxonomy.
4patient data source0;4FREE TEXTPATIENT DATA SOURCE refines the taxonomy search by specifying which patient data sources are searched for matching codes.
10use inactive problems0;9BOOLEAN1:YES
USE INACTIVE PROBLEMS applies only to searches in Problem List. Normally, inactive problems are not used. However, when this field is set to YES, then both active and inactive problems are used. This field works just like the field with the same name that can be specified for a reminder definition finding or a reminder term finding. The order of precedence is taxonomy > term > definition.
15priority list15;1FREE TEXTThis field applies only to Problem List searches. It can be used to limit the problems that are included to those with the listed priorities. The possible values are: A - acute C - chronic U - undefined Any combination of these letters can be used. For example, 'A' would limit the search to acute problems. 'CU' would include chronic problems and those whose priority is undefined. If this field is left blank then all priorities will be included.
20selected codes20;0MULTIPLE811.23The SELECTED CODES multiple stores the codes selected by the user to be in the taxonomy. The storage hierarchy is: Term/Code Coding system Code Term/Code and coding system are passed to Lexicon, which returns a list of matching codes. The user selects the codes to be included in the taxonomy from the list.
30use in dialog codes30;0MULTIPLE811.24This multiple stores all the codes in the SELECTED CODES multiple that have been marked as Use In Dialog. Its purpose is to provide a multiple for the ScreenMan form PXRM DIALOG TAXONOMY EDIT. It is automatically synchronized with the SELECTED CODES MULTIPLE
100class(+)100;1SET OF CODESN:NATIONAL
V:VISN
L:LOCAL
This is the CLASS of the taxonomy. Possible classes are "N" for national, "V" for VISN, and "L" for local. National taxonomies cannot be edited by sites.
101sponsor100;2POINTER811.6This is the organization or group that sponsors this taxonomy.
102review date100;3DATE-TIMEREVIEW DATE is used to determine when the taxonomy should be reviewed to verify that it is current with the latest standards and guidelines. You can find all taxonomies whose review date has passed using the Clinical Reminders Review Date Report.
110change log110;0MULTIPLE811.21This multiple is used to record a log of changes made to the taxonomy.
2102icd9 range of codes80;0MULTIPLE811.22102This multiple is used to define the set of ranges of ICD9 codes to be included in the taxonomy. A range is defined by a low code and high code. All codes that lie in this range will be automatically included.
2103icd0 range of codes80.1;0MULTIPLE811.22103This multiple is used to define the set of ranges of ICD0 codes to be included in the taxonomy. A range is defined by a low code and high code. All codes that lie in this range will be automatically included.
2104cpt range of codes81;0MULTIPLE811.22104This multiple is used to define the set of ranges of CPT codes to be included in the taxonomy. A range is defined by a low code and a high code. All codes that lie in this range will be automatically included.
3102selectable diagnosisSDX;0MULTIPLE811.23102These are the diagnosis codes that may be selected when processing a taxonomy dialog within CPRS. The list of codes is built from the code ranges within the taxonomy when the Clinical Reminders package is installed and includes only active codes.
3104selectable procedureSPR;0MULTIPLE811.23104These are the procedure codes that may be selected when processing a taxonomy dialog within CPRS. The list of codes is built from the code ranges within the taxonomy when the Clinical Reminders package is installed and includes only active codes.
3106generate dialog dx parameterSDZ;1SET OF CODES1:INDIVIDUAL DIALOG FOR EACH DIAGNOSIS CODE
This parameter works in conjunction with the autogeneration of dialogs. If it is set, then each active code in the selectable diagnosis list will be presented as a separate question in CPRS with text generated from the finding parameter file, #801.45. If it is not set, then there will be a checkbox for current diagnoses and a checkbox for historical entries. Fields #3107 and #3108 can be used to customize the checkbox headers. When one of the checkboxes is checked, then the selectable diagnoses list will be displayed as a drop-down list. This is the default option.
3107current visit dx dialog hdrSDZ;2FREE TEXTThis is the diagnosis dialog sub-header text that will be selectable for CPRS users to document a diagnosis from the taxonomy as treated at the current visit. The header text will display with a checkbox, which CPRS users can select to see the selectable diagnoses list. If this field is not present, the taxonomy name will be used.
3108historical visit dx dialog hdrSDZ;3FREE TEXTThis is the diagnosis dialog sub-header text that will be selectable for CPRS users to document a diagnosis from the taxonomy as a historical diagnosis. The header text will display with a checkbox, which CPRS users can select to see the selectable diagnoses list. Historical diagnoses selected will require the CPRS user to enter a visit date. If this field is not present, the taxonomy name followed by "(HISTORICAL)" will be used.
3110generate dialog pr parameterSPZ;1SET OF CODES1:INDIVIDUAL DIALOG FOR EACH PROCEDURE
This parameter works in conjunction with the autogeneration of dialogs. If it is set then each active code in the selectable procedure list will be presented as a separate question in CPRS with text generated from the finding parameter file, #801.45. If it is not set then there will be a checkbox for current procedures and a checkbox for historical entries. Fields #3110 and #3112 can be used to customize the checkbox headers. When one of the checkboxes is checked then the selectable diagnoses list will be displayed as a drop-down list. This is the default option.
3111current visit pr dialog hdrSPZ;2FREE TEXTThis is the procedure dialog sub-header text that will be selectable for CPRS users to document a procedure from the taxonomy as done at the current visit. The header text will display with a checkbox, which CPRS users can select to see the selectable procedure list. If this field is not present, the taxonomy name will be used.
3112historical visit pr dialog hdrSPZ;3FREE TEXTThis is the procedure dialog sub-header text that will be selectable for CPRS users to document a procedure from the taxonomy as a historical procedure. The header text will display with a checkbox, which CPRS users can select to see the selectable procedure list. Historical procedures selected will require the CPRS user to enter a visit date. If this field is not present, the taxonomy name followed by "(HISTORICAL)" will be used.

Referenced by 2 types

  1. REMINDER DIALOG (801.41) -- finding item
  2. EXPANDED TAXONOMIES (811.3) -- expanded taxonomy