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What forms are your practices using for Well Child Care visits, pediatric check-ups and physical exams since moving to CCC9.1 Basic 1.2?
Posted : October 8, 2015 2:23 am
We are still using the Bright Futures [age-range-here] forms for wellness exams. as well as Newborn CCC, Pediatric-ACV-CCC (for acute visits). These are all pulled in from the HPI-CCC list as needed by the providers.
Standard forms for every pediatric visit are:
- Custom Vitals Form
- HPI-CCC
- Custom Vision and Hearing Screen
- Custom Intake Form
- PMH-PSH-CCC
- FH-SH-CCC
- Pediatric PE-Age Specific-CCC
- Care Management Plan (Alliance of Chicago)
- Problems-CCC
- CPOE-A&P-CCC
- Custom Wellness Exam Recalls
- Patient Instructions-CCC
- MU-Core Checklist
As you can see, we have quite a melting pot of different forms to make our visits work. I'd be interested as to what others are using.
Posted : October 8, 2015 7:50 am
Topic starter
Thanks for the reply. I will be sharing this with our providers.
What sort of customization did you make to the VS, wellness, and vision / hearing?
Are you able to share the VFE files?
Thanks again
-Richard
Posted : October 9, 2015 6:17 am
The vitals signs we actually only changed some visibility fields to make things like Temperature turn red if it was high and needed to be addressed by the provider, and some code to make the BMI ICD10-code auto calculate and go to the patient's problem list. I cannot share the form since it is a modified Alliance of Chicago form, but I would be happy to share the custom code if someone is interested in implementing it for their own vitals.
The Hearing/Vision Screening and Wellness exam recalls are all custom made, so I can and will share those here. The Hearing/Vision screening form is pretty standard, but we made our audiometry screening work the same way as our paper forms were setup (other forms did not get detailed enough for us)
The wellness exam recall is a simple date field to calculate the patient's next wellness exam based on age and gender, and then calculate it. The provider can also choose a date if they want to recall earlier or later. the form calculates early wellness visit such as 2 week newborn, 1 month newborm, 6 month, etc... Adults and older children default to a year.
Please feel free to use and modify the forms below! Hope you can get some use, or at least ideas out of them.
-Daniel
Posted : October 12, 2015 1:42 pm
Topic starter
Daniel,
Thanks so much for sharing these 2 forms! If you wouldn't mind posting the custom code for the vitals form. I wouldn't mind taking a look at it.
Thanks again!!
-Richard
Posted : October 13, 2015 2:39 am
Sure thing. The function below takes the BMI that is calculated when the patient has height and weight put in by the MA, and then runs through a conditional statement to find the correct ICD10 code for todays BMI.
It also has some code before the long conditional statement to remove the previous ICD code, since we do not want to have multiple ICD codes for BMI on the chart.
//A function to remove the last BMI from the problem list and update it to the current BMI using ICD-10 codes.
fn setBMICode(newBMI){
pArray = getfield(gproblistvs,"|","")
// a for loop to go through the problem codes and remove the BMI code that is being replaced.
for c = 1, c <= size(pArray), c = c+1 do
if match(pArray[c],"ICD10-Z68") >0 then
pArray[c] = getfield(pArray[c],"^","")
MEL_REMOVE_PROBLEM(pArray[c][9],str(._TODAYSDATE),"FALSE","Resolved")
endif
endfor
//Get the BMI down from a large Decimal point, and then calculate which ICD code is correct to add.
truncBMI = truncate(val(newBMI),0)
if(PATIENT_AGE()>=18) then
cond
case truncBMI <= 19 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 19 or less, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 19 or less, adult","ICD10-Z68.1",str(._TODAYSDATE),"","","","")
case truncBMI >= 20 AND truncBMI <=29
cond
case truncBMI == 20 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 20.0-20.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 20.0-20.9, adult","ICD10-Z68.20",str(._TODAYSDATE),"","","","")
case truncBMI == 21 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 21.0-21.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 21.0-21.9, adult","ICD10-Z68.21",str(._TODAYSDATE),"","","","")
case truncBMI == 22 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 22.0-22.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 22.0-22.9, adult","ICD10-Z68.22",str(._TODAYSDATE),"","","","")
case truncBMI == 23AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 23.0-23.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 23.0-23.9, adult","ICD10-Z68.23",str(._TODAYSDATE),"","","","")
case truncBMI == 24AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 24.0-24.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 24.0-24.9, adult","ICD10-Z68.24",str(._TODAYSDATE),"","","","")
case truncBMI == 25AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 25.0-25.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 25.0-25.9, adult","ICD10-Z68.25",str(._TODAYSDATE),"","","","")
case truncBMI == 26AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 26.0-26.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 26.0-26.9, adult","ICD10-Z68.26",str(._TODAYSDATE),"","","","")
case truncBMI == 27AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 27.0-27.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 27.0-27.9, adult","ICD10-Z68.27",str(._TODAYSDATE),"","","","")
case truncBMI == 28AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 28.0-28.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 28.0-28.9, adult","ICD10-Z68.28",str(._TODAYSDATE),"","","","")
case truncBMI == 29AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 29.0-29.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 29.0-29.9, adult","ICD10-Z68.29",str(._TODAYSDATE),"","","","")
endcond
case truncBMI >= 30 AND truncBMI <=39
cond
case truncBMI == 30 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 30.0-30.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 30.0-30.9, adult","ICD10-Z68.30",str(._TODAYSDATE),"","","","")
case truncBMI == 31 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 31.0-31.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 31.0-31.9, adult","ICD10-Z68.31",str(._TODAYSDATE),"","","","")
case truncBMI == 32 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 32.0-32.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 32.0-32.9, adult","ICD10-Z68.32",str(._TODAYSDATE),"","","","")
case truncBMI == 33 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 33.0-33.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 33.0-33.9, adult","ICD10-Z68.33",str(._TODAYSDATE),"","","","")
case truncBMI == 34 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 34.0-34.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 34.0-34.9, adult","ICD10-Z68.34",str(._TODAYSDATE),"","","","")
case truncBMI == 35 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 35.0-35.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 35.0-35.9, adult","ICD10-Z68.35",str(._TODAYSDATE),"","","","")
case truncBMI == 36 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 36.0-36.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 36.0-36.9, adult","ICD10-Z68.36",str(._TODAYSDATE),"","","","")
case truncBMI == 37 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 37.0-37.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 37.0-37.9, adult","ICD10-Z68.37",str(._TODAYSDATE),"","","","")
case truncBMI == 38 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 38.0-38.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 38.0-38.9, adult","ICD10-Z68.38",str(._TODAYSDATE),"","","","")
case truncBMI == 39 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 39.0-39.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 39.0-39.9, adult","ICD10-Z68.39",str(._TODAYSDATE),"","","","")
endcond
case truncBMI >= 40
cond
case truncBMI >=40 AND truncBMI <= 44.9 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 40.0-44.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 40.0-44.9, adult","ICD10-Z68.41",str(._TODAYSDATE),"","","","")
case truncBMI >= 45 AND truncBMI <= 49.9 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 45.0-49.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 45.0-49.9, adult","ICD10-Z68.42",str(._TODAYSDATE),"","","","")
case truncBMI >= 50 AND truncBMI <= 59.9 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 50.0-59.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 50.0-59.9, adult","ICD10-Z68.43",str(._TODAYSDATE),"","","","")
case truncBMI >= 60 AND truncBMI <= 69.9 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 60.0-69.9, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 60.0-69.9, adult","ICD10-Z68.44",str(._TODAYSDATE),"","","","")
case truncBMI >= 70 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) 70 or greater, adult")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) 70 or greater, adult","ICD10-Z68.45",str(._TODAYSDATE),"","","","")
endcond
endcond
else if (PATIENT_AGE()<18 AND PATIENT_AGE()>=2) then
cond
case OBSNOW("BMI%ILE") < 5 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) pediatric, less than 5th percentile for age")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) pediatric, less than 5th percentile for age","ICD10-Z68.51",str(._TODAYSDATE),"","","","")
case OBSNOW("BMI%ILE") >= 5 AND OBSNOW("BMI%ILE") < 85 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) pediatric, 5th percentile to less than 85th percentile for age")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) pediatric, 5th percentile to less than 85th percentile for age","ICD10-Z68.51",str(._TODAYSDATE),"","","","")
case OBSNOW("BMI%ILE") >= 85 AND OBSNOW("BMI%ILE") < 95 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) pediatric, 85th percentile to less than 95th percentile for age")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) pediatric, 85th percentile to less than 95th percentile for age","ICD10-Z68.51",str(._TODAYSDATE),"","","","")
case OBSNOW("BMI%ILE") >= 95 AND match(PROB_NEW("comma"),"Body Mass Index (BMI) pediatric, 95th percentile or greater for age")== 0
MEL_ADD_PROBLEM("DX OF","Body Mass Index (BMI) pediatric, 95th percentile or greater for age","ICD10-Z68.51",str(._TODAYSDATE),"","","","")
endcond
endif endif
}
Please let me know if you have any questions on using this, or how our form is working.
Thank you, and good luck! 🙂
-Daniel Carpenter
Posted : October 15, 2015 8:18 am
