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| === Encounter Performed === | | == CMS69v10 == |
| ==== Find/Create encounter ==== | | |
| * Use past encounters or create a new encounter | | === Intervention Order === |
| ===== Encounter Type ===== | | * [[CQM - Intervention Order (MU3)|example record entry for Intervention Order]] |
| * Under Visit Details select the appropriate option from the Type Drop-down that corresponds to the code in Lists->Encounter Types. | | |
| | === Intervention Performed === |
| | * [[CQM - Intervention Performed (MU3)|example record entry for Intervention Performed]] |
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| === Medication Order === | | === Medication Order === |
| ==== Create/Find Care Plan form ==== | | * [[CQM - Medication Order (MU3)|example record entry for Medication Order]] |
| * Create a care plan under Clinical->Care Plan | | |
| ===== Planned Medication ===== | | === Physical Exam Performed === |
| * In the Care Plan form add an entry with Planned Medication Act for Type | | * [[CQM - Physical Exam Performed (MU3)|example record entry for Physical Exam Performed]] |
| * Search for the appropriate code from the code popup
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| * Select the date
| | === Patient Characteristic Race === |
| * If this an exception case click the asterix to choose the Negated reason and enter the appropriate code from the look up.
| | * [[CQM - record prelim config (MU3)|preliminary setup for measures]] |
| * Save the form
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| | === Diagnosis === |
| | * [[CQM - Diagnosis (MU3)|example record entry for Diagnosis]] |
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| === Create/Find procedure order === | | === Patient Characteristic Payer === |
| * Create a procedure order under Admin->Procedure Order | | * [[CQM - record prelim config (MU3)|preliminary setup for measures]] |
| ==== Intervention Order/Performed ====
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| * Use the Administrative->Procedure Order Form
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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 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 === | | === Back to CQM c1 main page === |
| * Create an observation form under Clinical->Observation | | * [[OpenEMR_Certification_Stage_III_Meaningful_Use#Clinical_Quality_Measures_.28170.315.28c.29.29|CQM c1 main page]] |
| ==== Physical Exam Performed ====
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| * In an Observation form choose Physical Exam Performed for Type
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| * 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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| ==== Diagnosis ====
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| * 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
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