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Chart Summary, What determines a problem vs a procedure

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Last Post by petemarkey 9 years ago

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petemarkey

(@petemarkey)

Posts: 373

Honorable Member

Topic starter

On the out of the box chart summary report, what determines what is listed under problems and what is under procedures?

I have one chart that has Problem list entry of S/P Removal of Appendix (CPT-44950) that shows up under Problems on the chart summary report.

I have another chart that has Problem list entry of S/P PACEMAKER-PERMANENT (ICD-V45.01)(ICD10-z95.0) that shows up under Procedures on the chart summary

If I add a problem as APPENDECTOMY (ICD-V45.72) (ICD10-Z90.49) it shows under problems on the chart summary.

But if I add it as S/P APPENDECTOMY (ICD-V45.72) (ICD10-Z90.49) it shows up under procedures on the chart summary. so it appears it is looking for the "S/P" text.... but the why then doesn't the chart with S/P Removal of Appendix (CPT-44950) show that as Problem, not a procedure????

Posted : October 4, 2015 10:17 am

tgregorich

(@tgregorich)

Posts: 19

Eminent Member

Pete,

**info below presumes that you're referring to the chart summary printed from Chart > print > Clinical Lists > Chart Summary and not a CVS**

The code from the chartsum.rtf for the "procedures" section does appear to sort out entries with a "problem type" of "S/P" (status post) for that section.

Our practice has moved away from the stock form and during implementation our practice decided to document their "assessments" via an obsterm translated to the chart note instead of with an assessment in the problem list. I wish I knew more about the "problem types", so I could help you with the rationale of when/why to use the "S/P", but i digress.

Here's the code that i believe your chart summary is using:

Procedures
{procs = ""
probsDelim = prob_prior('DELIM')
probsList = prob_prior('LIST')
probsDelimArray = getfield(probsDelim,"|")
probsListArray = getfield(probsList,"\r\n","\r\n")
for i=1, i<=size(probsDelimArray), i=i+1 do
probsComponents = getfield(probsDelimArray[i],"^","")
if probsComponents[1]="S/P" then
procs = procs + probsListArray[i] + "\r\n"
endif
endfor
procs}

We've switched ours to remove the procedures altogether and just list the output of a Prob_After data symbol for the problems list:

{PROB_AFTER()}

Hope that helps,

tim

Posted : October 5, 2015 6:45 am

petemarkey

(@petemarkey)

Posts: 373

Honorable Member

Topic starter

thanks yes that helps.

What I also figured out that if the S/P is indented in the problem list, it will not show up under procedures, but under problems...... which you code confirms.......

Nice coding job, GE 6 Sigma!

Posted : October 5, 2015 11:07 am

petemarkey

(@petemarkey)

Posts: 373

Honorable Member

Topic starter

btw, if I would have realized this is an RTF report I would have checked it myself, but thanks for doing that.
Where are the complete chart report, chart summary, etc defined? I see them on the file system, but can't find them on reports in setup. or anywhere else unless I am just missing them. Are they just hard coded in as part of the application? Never explored these before.

I don't see them under reports, handouts, or letters.

Posted : October 5, 2015 11:56 am

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