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| == How to record data in OpenEMR v7 == | | == CMS69v10 == |
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| === Preliminary OpenEMR configuration === | | === Intervention Order === |
| * Externally data load the cqm valueset to use for the coding. | | * [[CQM - Intervention Order (MU3)|example record entry for Intervention Order]] |
| * You may also have to install some CPT codes so please follow the licensing requirements for this and the previously mentioned valueset.
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| * You also have to make sure that you have a lab service created in the address book and a Procedure->Provider created for the procedure order to work correctly. Finally, make sure that your encounter codes are added to the Encounter Type list.
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| === Create/Find/Edit Person === | | === Intervention Performed === |
| * For this measure the denominator is looking for aged 18 years and older with a BMI documented during the current encounter or within the previous twelve months AND who had a follow-up plan documented if most recent BMI was outside of normal parameters. | | * [[CQM - Intervention Performed (MU3)|example record entry for Intervention Performed]] |
| * Also check for Race and Ethnicity
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| * Finally set up an insurance company and chose a CQM Source of Payment for that company and add it to the person's chart.
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| === Find/Create encounter === | | === Medication Order === |
| * Use the past encounters or create a new encounter | | * [[CQM - Medication Order (MU3)|example record entry for Medication Order]] |
| ==== Encounter Performed ==== | | |
| * Under Visit Details select the appropriate dropdown from Type that corresponds to the code in the measure.
| | === Physical Exam Performed === |
| === Create/Find Care Plan form ===
| | * [[CQM - Physical Exam Performed (MU3)|example record entry for Physical Exam Performed]] |
| * Create a care plan under Clinical->Care Plan | | |
| ==== Intervention Order ====
| | === Patient Characteristic Race === |
| * Choose Intervention from the Care Plan Type
| | * [[CQM - record prelim config (MU3)|preliminary setup for measures]] |
| * Search for the appropriate code from the Procedure Test find code popup
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| * Select the date
| | === Diagnosis === |
| * If this an exception case click the asterix to choose the Negated reason and enter the appropriate code from the look up.
| | * [[CQM - Diagnosis (MU3)|example record entry for Diagnosis]] |
| * Save the form
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| ==== Medication Order ====
| | === Patient Characteristic Payer === |
| * Choose Planned Medication Act for Type | | * [[CQM - record prelim config (MU3)|preliminary setup for measures]] |
| * Search for the appropriate code from the code popup
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| * Select the date
| | === Back to CQM c1 main page === |
| * If this an exception case click the asterix to choose the Negated reason and enter the appropriate code from the look up.
| | * [[OpenEMR_Certification_Stage_III_Meaningful_Use#Clinical_Quality_Measures_.28170.315.28c.29.29|CQM c1 main page]] |
| * Save the form
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| === Create/Find procedure order === | |
| * Create a procedure order under Admin->Procedure Order | |
| ==== Intervention Performed ====
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| * Choose Intervention from the Default Procedure Type
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| * Search for the appropriate code from the Procedure Test find code popup
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| * Enter the reason for the code for the test by clicking the asterix and use the find code popup to search for the code from the value set and choose pending or completed for the reason status. Otherwise if this an exception case choose negated and enter the appropriate code from the look up.
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| * Save the order
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| === Create/Find Observation form === | |
| * Create an observation form under Clinical->Observation | |
| ==== Physical Exam Performed ==== | |
| * Choose Physical Exam Performed for Type | |
| * Search for the appropriate code from the code popup
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| * Select the date
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| * If this an exception case click the asterix to choose the Negated reason and enter the appropriate code from the look up.
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| * Save the form
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