CQM - record CMS69v10 (MU3)

Encounter Performed

• example record entry for Encounter Performed

Medication Order

• example record entry for Medication Order

Intervention Order

• example record entry for Intervention Order

Intervention Performed

• example record entry for Intervention Performed

Physical Exam Performed

Create/Find Observation form

• Create an observation form under Clinical->Observation

Physical Exam Type

• In an Observation form choose Physical Exam Performed for Type
• Search for the appropriate code from the code popup for the exam
• Enter the appropriate value for the result, like for BMI a value of 30
• Select the date
• If this an exception case click the asterix to choose the Negated reason and enter the appropriate code from the look up.
• Save the form

Diagnosis

• Add a medical problem with the appropriate code and set the begin date and end date if valid and select Diagnosis as the Classification Type