Email UpdatesThe intent of the “Radiculopathy (Lumbar Thoracic) Order Set” is to support users caring for adult patients who may require a Neurosurgery referral for surgery for lumbar/thoracic radiculopathy. The intent is to ensure a minimum workup is initiated prior to a Neurosurgery Consultation.
Artifact Creation and Usage
Please contact Mr. Apurva Desai Apurva.desai@va.gov for additional information.
Copyright © 2018 Veterans Health Administration, Department of Veterans Affairs. All rights reserved. Contributions from external parties are property of respective copyright holders.
Structured code that is interpretable by a computer (includes data elements, value sets, logic)
- Patient Age Group
- Adult
- Clinical Venue
- Outpatient
- Clinical Focus
- Adult outpatient being referred to Neurosurgery for Radiculopathy (Lumbar/Thoracic).
- Target User
- Provider in Primary Care, Emergency Medicine, Anesthesiology, Pain Clinic, Physical Therapy
- Workflow Task
- Referral to Neurosurgery for Radiculopathy (Lumbar/Thoracic).
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.
- Derived From
- Neurosurgery: Radiculopathy (Lumbar /Thoracic) Clinical Content White Paper
- Associated Resource
- Neurosurgery: Radiculopathy (Lumbar Thoracic) Order Set Conceptual Structure Document
- Associated Resource
- Neurosurgery: Radiculopathy (Lumbar Thoracic) Order Set KNART Validation Report
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" Journal of Neurosurgery Spine 21 (1): 133–39. doi:10.3171/2014.4.SPINE14326.
- https://doi.org/10.3171/2014.4.SPINE14326
- Chou, Roger, Amir Qaseem, Vincenza Snow, Donald Casey, J. Thomas Cross, Paul Shekelle, Douglas K Owens, et al. "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, and North American Spine Society. 2013. “An evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal stenosis (update)” The Spine Jhe Spournal : 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. 2015. "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 tablet, 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.
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