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

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=== Find/Create encounter ===
== CMS69v10 ==
* Use the past encounters or create a new encounter
==== Encounter Performed ====
* Under Visit Details select the appropriate dropdown from Type that corresponds to the code in the measure.
=== Create/Find Care Plan form ===
* Create a care plan under Clinical->Care Plan
==== Intervention Order ====
* Choose Intervention from the Care Plan Type
* Search for the appropriate code from the Procedure Test find 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
==== Medication Order ====
* 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


=== Create/Find procedure order ===
=== Intervention Order ===
* Create a procedure order under Admin->Procedure Order
* [[CQM - Intervention Order (MU3)|example record entry for Intervention Order]]
==== Intervention Performed ====
* Use the Administrative->Procedure Order Form
* Choose Intervention from the Default Procedure Type
* Search for the appropriate code from the Procedure Test find code popup
* 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.
* Save the order


=== Create/Find Observation form ===
=== Intervention Performed ===
* Create an observation form under Clinical->Observation
* [[CQM - Intervention Performed (MU3)|example record entry for Intervention Performed]]
==== Physical Exam Performed ====
 
* In an Observation form choose Physical Exam Performed for Type
=== Medication Order ===
* Search for the appropriate code from the code popup
* [[CQM - Medication Order (MU3)|example record entry for Medication Order]]
* 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.
=== Physical Exam Performed ===
* Save the form
* [[CQM - Physical Exam Performed (MU3)|example record entry for Physical Exam Performed]]
==== 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
=== Patient Characteristic Race ===
* [[CQM - record prelim config (MU3)|preliminary setup for measures]]
 
=== Diagnosis ===
* [[CQM - Diagnosis (MU3)|example record entry for Diagnosis]]
 
=== Patient Characteristic Payer ===
* [[CQM - record prelim config (MU3)|preliminary setup for measures]]
 
=== Back to CQM c1 main page ===
* [[OpenEMR_Certification_Stage_III_Meaningful_Use#Clinical_Quality_Measures_.28170.315.28c.29.29|CQM c1 main page]]

Latest revision as of 22:05, 30 May 2022