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Does anyone know if there is a way of auto-populating an order based on a patient's BMI. In order to meet CMS 69 a Snomed order or problem must be entered. We would like to do the order so it does not put on a patients Problem's List overweight when they may only be 1-2 pounds over.
Thanks,
Rachel
Posted : February 22, 2016 7:09 am
If the patient's BMI is over 30, we use the follow MEL code in our vitals form to:
1. Enter a Snomed code in the patient's chart
2. Add verbiage to the CVS
Code:
{If val(OBSNOW("BMI"))>= "30"
then OBSNOW("WGTMGMTCOUNS", "Your BMI calculation may be out of range for your height and age. Please contact your PCP for a weight management referral. Weight management is recommended for better health.")
OBSNOW("DIET COUNSEL","yes") else "" endif}
{If val(OBSNOW("BP systolic"))> "140"
then OBSNOW("HTNCOMMENTS", "Your BP Systolic number(the top number of a blood pressure reading) was elevated at today's visit. Please contact your family physician if this number continues to be 140 or higher.")
else "" endif}
{If val(OBSNOW("BP diastolic"))> "90"
then OBSNOW("RECHK DPB", "Your BP Diastolic number(the bottom number of a blood pressure reading) was elevated at today's visit. Please contact your family physician if this number continues to be 90 or higher.")
else "" endif}
{IF OBSNOW("HTNCOMMENTS") <> "" and match(ORDERS_AFTER("delim","S"),"SCT-183516009")=="" then MEL_ADD_ORDER("S", "CQM", "BP - Referral to General Medical Service(BP)", "", "", "", "", "", "", "", "") else "" endif}
{IF OBSNOW("RECHK DPB") <> "" and match(ORDERS_AFTER("delim","S"),"SCT-183516009")=="" then MEL_ADD_ORDER("S", "CQM", "BP - Referral to General Medical Service(BP)", "", "", "", "", "", "", "", "") else "" endif}
There might be a better way to do this, but this works for us.
Hope it helps,
Amanda Koenig
Oregon Orthopedic
Posted : February 22, 2016 8:13 am
