Difference between revisions of "CQM - record CMS69v10 (MU3)"

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* Save the form
* Save the form


=== Intervention Order/Performed ===
=== Intervention Order ===
 
 
 
=== Intervention Performed ===
==== Create/Find procedure order ====
==== Create/Find procedure order ====
* Create a procedure order under Admin->Procedure Order
===== Intervention Procedure Type =====
* Use the Administrative->Procedure Order Form
* Use the Administrative->Procedure Order Form
* Enter the Time Collected and select Intervention from the Default Procedure Type drop-down
* Enter the Time Collected and select Intervention from the Default Procedure Type drop-down

Revision as of 20:14, 30 May 2022

Encounter Performed

Find/Create encounter

  • Use past encounters or create a new encounter
Encounter Type
  • Under Visit Details select the appropriate option from the Type Drop-down that corresponds to the code in Lists->Encounter Types.

Medication Order

Create/Find Care Plan form

  • Create a care plan under Clinical->Care Plan
Planned Medication
  • In the Care Plan form add an entry with Planned Medication Act for Type
  • Search for the appropriate code from the code popup
  • 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

Intervention Order

Intervention Performed

Create/Find procedure order

  • Use the Administrative->Procedure Order Form
  • Enter the Time Collected and select Intervention from the Default Procedure Type drop-down
  • Search for the appropriate code from the Procedure Test find code popup, usually found in the CQM value set.
  • Enter the attributed reason code for the test if there is one by clicking the asterix and use the find code popup to search for the code from the value set. 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.
  • Save the order

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
  • 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