CDS Connect: Neurosurgery: Radiculopathy (Lumbar Thoracic) Documentation Template

Neurosurgery: Radiculopathy (Lumbar Thoracic) Documentation Template

Description

The intent of the “Radiculopathy (Lumbar Thoracic) Documentation Template” is to support users caring for adult patients who may require a Neurosurgery referral for surgery for lumbar/thoracic radiculopathy. This is a template used to document the information provided by the referring provider to the consulting specialist.

Artifact Type
Creation Date
Version
0.1
Unique Identifier
b6bede46-4000-506c-a616-256f35bd0cf2
Status
Experimental
True

Artifact Creation and Usage

Contributors

David (Cory) Adamson, MD, Physician, Atlanta, GA

Jacob Rachlin, MD, Chief of Neurosurgery, VA Boston Health Care System, Boston, MA

Joseph King, MD, Physician, Surgical Service, VA New England Healthcare System, West Haven, CT

 

Please contact Mr. Apurva Desai Apurva.desai@va.gov for additional information.

License
IP Attestation The author asserts that this artifact has been developed in compliance with the intellectual property rights attributed to the source material.
Copyrights

Copyright © 2018 Veterans Health Administration, Department of Veterans Affairs. All rights reserved. Contributions from external parties are property of respective copyright holders.

Implementation Details
Technical Files
Repository Information
Approval Date
Publication Date
Last Review Date
Knowledge Level

Structured code that is interpretable by a computer (includes data elements, value sets, logic)

Purpose and Usage
Usage

 

Patient Age Group
Population 18 years old or older
Clinical Venue
Primary Care
Clinical Focus
Referral to Neurosurgery for Radiculopathy (Lumbar/Thoracic).
Target User
Primary Care Provider
Target User
Emergency Medicine Provider
Target User
Anesthesiology Provider
Target User
Pain Clinic Provider
Target User
Physical Therapy Provider
Workflow Task
Referral to Neurosurgery for Radiculopathy (Lumbar/Thoracic).

 

Cautions

THE CLINICAL CONTENT IN THIS DOCUMENT IS NOT DIRECTLY SUITABLE FOR CLINICAL USE AS PRESENTED SINCE IT HAS NOT BEEN TESTED IN A CLINICAL ENVIRONMENT. IT HAS NEVER BEEN PILOTED, NEVER 100% REPRESENTS THE INTENT OF THE CLINICAL SUBJECT MATTER EXPERTS, AND MAY CAUSE HARM IF APPLIED AS-IS. THIS WORK IS MADE AVAILABLE WITHOUT ANY WARRANTY WHATSOEVER, AND WITHOUT CLAIMS, EXPRESSED OR IMPLIED, OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.

Supporting Evidence
Source Description

 

Derived From
Neurosurgery: Radiculopathy (Lumbar Thoracic) Documentation Template Clinical Content White Paper
Associated Resource
Neurosurgery: Radiculopathy (Lumbar Thoracic) Documentation Template Conceptual Structure Document
Associated Resource
Neurosurgery: Radiculopathy (Lumbar Thoracic) Documentation Template KNART Validation Report

 

References

 

See attached resource files for additional details. Department of Veterans Affairs, Veterans Health Administration, Office of Informatics and Information Governance, Clinical Decision Support (CDS) Content and Health Level 7 (HL7)-Compliant Knowledge Artifacts (KNARTs) Eye Care Clinical Content White Paper, VA118-16-D-1008, Task Order VA-118-16-F-1008-0007, June, 2018.

Kaiser, Michael G, Jason C Eck, Michael W Groff, Zoher Ghogawala, William C Watters, Andrew T Dailey, Daniel K Resnick, et al. 2014. “Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine.
https://doi.org/10.3171/2014.4.SPINE14326
Chou, Roger, Amir Qaseem, Vincenza Snow, Donald Casey, J. Thomas Cross, Paul Shekelle, Douglas K Owens, Clinical Efficacy Assessment Subcommittee of the American College of Physicians, American College of Physicians, and American Pain Society Low Back Pain Guidelines Panel. 2007. “Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society” Annals of Internal Medicine 147 (7): 478–91. doi:10.7326/0003-4819-147-7-200710020-00006
https://doi.org/10.7326/0003-4819-147-7-200710020-00006
Kreiner, D. Scott, Steven W Hwang, John E Easa, Daniel K Resnick, Jamie L Baisden, Shay Bess, Charles H Cho, et al. 2014. “An Evidence-Based Clinical Guideline for the Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy.” The Spine Journal: Official Journal of the North American Spine Society 14 (1): 180–91. doi:10.1016/j.spinee.2013.08.003
http://www.spine.org/Pages/PracticePolicy/ClinicalCare/ClinicalGuidlines/Default.aspx
Kreiner, D. Scott, William O. Shaffer, Jamie L. Baisden, Thomas J. Gilbert, Jeffrey T. Summers, John F. Toton, Steven W. Hwang, Richard C. Mendel, Charles A. Reitman, et al. 2013. "An evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal stenosis (update)". The Spine Journal: Official Journal of the North American Spine Society 13 (7): 734–43. doi:10.1016/j.spinee.2012.11.059
https://doi.org/10.1016/j.spinee.2012.11.059
Matz, Paul G, Paul A Anderson, Michael G Kaiser, Langston T Holly, Michael W Groff, Robert F Heary, Praveen V Mummaneni, et al. 2009. “Introduction and Methodology: Guidelines for the Surgical Management of Cervical Degenerative Disease.” Journal of Neurosurgery. Spine 11 (2): 101–3. doi:10.3171/2009.1.SPINE08712
https://doi.org/10.1016/j.spinee.2015.11.055
Patel, ND, Broderick, DF, Burns, J, et al. "Expert Panel on Neurologic Imaging. ACR Appropriateness Criteria: Low Back Pain. American College of Radiology." https://acsearch.acr.org/docs/69483/Narrative/. Revised 2015.
https://acsearch.acr.org/docs/69483/Narrative/
MEDROL- methylprednisolone tablet [Internet].: U.S. National Library of Medicine. 2016. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=39d5270b-d957-4821-93d6-501b7b9f02d4
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=39d5270b-d957-4821-93d6-501b7b9f02d4
NAPROSYN-naproxen tablet; EC-NAPROSYN-naproxen tabet delayed release; NAPROSYN-naproxen suspension; ANAPROX-naproxen sodium tablet; ANAPROX DS-naproxen sodium tablet. [Internet].: National Library of Medicine; 2016. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=68848217-03c9-4377-9be6-6f567e629129.
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=68848217-03c9-4377-9be6-6f567e629129.
Tylenol Regular Strength-acetaminophen tablet [Internet].: National Library of Medicine; 2016. Available from: https://dailymed.nlm.nih.gov/https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1622f694-4d63-4c56-8737-fae31f0ecfb7.
https://dailymed.nlm.nih.gov/https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1622f694-4d63-4c56-8737-fae31f0ecfb7.

 

Artifact Representation
Testing Experience
Pilot Experience

None