Difference between revisions of "Vital signs, body mass index, and growth charts (MU2)"

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==Status==
==Status==
:Analyzed - [[User:Bradymiller|Bradymiller]] 11:37, 16 December 2012 (UTC)
:Analyzed - [[User:Bradymiller|Bradymiller]] 11:37, 16 December 2012 (UTC)
:Code to complete this developed by Jan Jajalla and committed into the codebase on 2/8/2014


==Proposal==
==Proposal==
:Current OpenEMR features fulfill this criteria (including the optional growth charts).
:Code to complete this developed by Jan Jajalla and committed into the codebase on 2/8/2014


==Testing Report==
==Testing Report==


:Following Inconsistencies found in Vitals. <br>
<u>Resolved Inconsistencies </u><br>
 
*Blood pressure systolic and diastolic accepting non-numerical characters.
*Blood pressure systolic and diastolic accepting non-numerical characters.
** If entered 120s, 80d in corresponding fields, it should save only 120 and 80 respectively. However, 120s/80d is getting stored and retrieved.
** If entered 120s, 80d in corresponding fields, it should save only 120 and 80 respectively. However, 120s/80d is getting stored and retrieved.
<pre>
From Health IT Test procedures


Height/length, weight, and blood pressure must be recorded in numerical values only.
i.e., alphabetic characters such as “lbs,” “kg,” or “cm” would not be permitted to include
as part of the value recorded.
</pre>
* Term "Length" should be added as alternate for Height like Height/Length in Vital screen
* Term "Length" should be added as alternate for Height like Height/Length in Vital screen
<pre>
From Health IT Test procedures


We also proposed to add the alternative term “length” to go with “height”
As per Brady's statement, since Growth charts are optional, it won't be concentrated as of now.
as it is the clinically appropriate term for newborns and assisted in
* [Optional] Growth charts - Remove the age limit.  
clarifying the intent of the “vital signs” capability.”
</pre>
* Growth charts - Remove the age limit.  
<pre>
<pre>
From Health IT Test procedures
From Health IT Test procedures
Line 51: Line 42:
</pre>
</pre>


Here is the test report. [[File:Vitals.pdf]]
Here is the test report Version 1. [[File:Vitals.pdf]]
 
<u>Inconsistencies found[2/10/2014]</u>
 
* BMI calculation vary from the expected result by 0.1.<br> -- Agreed to the point the Brady discussed in forum thread. BMI calculation in test data is not appropriate.
:*This is a calculation error in the testing script, so this is a PASS. The correct BSI of 168 centimeters and 62 kilograms is 22.0, not 21.9. See this link for more details:
::*http://sourceforge.net/p/openemr/discussion/202506/thread/df035540/#6361
<br>
Here is the updated test report Version 2. [[File:Vitals_v2.pdf]]
 
:‎[[File:ViSolve_Logo_Small.png|link=http://www.visolve.com/solutions-services/healthcare_services/meaningful-use-consulting-process.php|OpenEMR and EHR Support]] – Meaningful Use Stage 2 Testing of OpenEMR


==Owner==
==Owner==
:[[User:Bradymiller|Bradymiller]] 01:07, 23 December 2012 (UTC)
 
==Forum Threads==
:*[http://sourceforge.net/p/openemr/discussion/202506/thread/02fa2198/ Sourceforge discussion on this item]


==Links==
==Links==

Latest revision as of 17:59, 15 February 2014

Overview

MU Requirements

Per ONC

Taken from ONC Final Rule:File:2014 Edition Cert Federal Register.pdf
(4) Vital signs, body mass index, and growth charts. (i) Vital signs. Enable a user to
electronically record, change, and access, at a minimum, a patient’s height/length, weight, and
blood pressure. Height/length, weight, and blood pressure must be recorded in numerical values
only.
(ii) Calculate body mass index. Automatically calculate and electronically display body mass
index based on a patient’s height and weight.
(iii) Optional—Plot and display growth charts. Plot and electronically display, upon request,
growth charts for patients.

Per ONC/NIST Final Test Methods

See here: http://www.healthit.gov/policy-researchers-implementers/2014-edition-final-test-method

Status

Analyzed - Bradymiller 11:37, 16 December 2012 (UTC)
Code to complete this developed by Jan Jajalla and committed into the codebase on 2/8/2014

Proposal

Code to complete this developed by Jan Jajalla and committed into the codebase on 2/8/2014

Testing Report

Resolved Inconsistencies

  • Blood pressure systolic and diastolic accepting non-numerical characters.
    • If entered 120s, 80d in corresponding fields, it should save only 120 and 80 respectively. However, 120s/80d is getting stored and retrieved.
  • Term "Length" should be added as alternate for Height like Height/Length in Vital screen

As per Brady's statement, since Growth charts are optional, it won't be concentrated as of now.

  • [Optional] Growth charts - Remove the age limit.
From Health IT Test procedures

we proposed to remove the age range reference (2-20 years old) from this capability

Here is the test report Version 1. File:Vitals.pdf

Inconsistencies found[2/10/2014]

  • BMI calculation vary from the expected result by 0.1.
    -- Agreed to the point the Brady discussed in forum thread. BMI calculation in test data is not appropriate.
  • This is a calculation error in the testing script, so this is a PASS. The correct BSI of 168 centimeters and 62 kilograms is 22.0, not 21.9. See this link for more details:


Here is the updated test report Version 2. File:Vitals v2.pdf

‎OpenEMR and EHR Support – Meaningful Use Stage 2 Testing of OpenEMR

Owner

Forum Threads

Links

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