Difference between revisions of "CQM - record CMS69v10 (MU3)"
From OpenEMR Project Wiki
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=== Intervention Performed === | === Intervention Performed === | ||
* [[CQM - Intervention Performed (MU3)|example record entry for Intervention Performed]] | |||
* | |||
=== Physical Exam Performed === | === Physical Exam Performed === |
Revision as of 21:17, 30 May 2022
Encounter Performed
Medication Order
Intervention Order
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