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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 =====
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| * In the Care Plan form add an entry with Planned Medication Act 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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| === Intervention Order/Performed === | | === Physical Exam Performed === |
| ==== Create/Find procedure order ====
| | * [[CQM - Physical Exam Performed (MU3)|example record entry for Physical Exam Performed]] |
| * Create a procedure order under Admin->Procedure Order | |
| ===== Intervention Procedure Type =====
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| * Use the Administrative->Procedure Order Form
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| * Enter the Time Collected and select Intervention from the Default Procedure Type drop-down
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| * Search for the appropriate code from the Procedure Test find code popup, usually found in the CQM value set.
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| * 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.
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| * Save the order
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| === Physical Exam Performed === | | === Patient Characteristic Race === |
| ==== Create/Find Observation form ====
| | * [[CQM - record prelim config (MU3)|preliminary setup for measures]] |
| * Create an observation form under Clinical->Observation | |
| ===== Physical Exam Type =====
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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 for the exam
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| * Enter the appropriate value for the result
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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 === | | === 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 | | * [[CQM - Diagnosis (MU3)|example record entry for Diagnosis]] |
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| | === Patient Characteristic Payer === |
| | * [[CQM - record prelim config (MU3)|preliminary setup for measures]] |
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| | === Back to CQM c1 main page === |
| | * [[OpenEMR_Certification_Stage_III_Meaningful_Use#Clinical_Quality_Measures_.28170.315.28c.29.29|CQM c1 main page]] |
