Patient list creation (MU2)

MU Requirements

Per ONC

Taken from ONC Final Rule:File:2014 Edition Cert Federal Register.pdf

(14) Patient list creation. Enable a user to electronically and dynamically select, sort, access, and
create patient lists by: date and time; and based on each one and at least one combination of the
following data:
(i) Problems;
(ii) Medications;
(iii) Medication allergies;
(iv) Demographics;
(v) Laboratory tests and values/results; and
(vi) Ambulatory setting only. Patient communication preferences.

Per ONC/NIST Final Test Methods

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

Status

Analyzing - Virginia Lorenzi 04:25, 16 November 2013 (UTC)

• Columbia HIT Certification Class

Proposal

• The Columbia University HIT Certification class analyzed the patient list criteria. The class is divided into three teams. We have posted all three teams' analysis below:

• Columbia Team 1:File:ColumbiaTEAM 1 OpenEMRGapAnalysis.pdf
• Columbia Team 2:File:ColumbiaTeam2PatientListGapAnalysis.pdf
• Columbia Team 3:File:ColumbiaTeam3OpenEMRCertGapAnalysis.pdf

• Feedback on above analyses

• Team 1:

• Very clear questions, gaps, and recommendations for each item on first page.
• Patient list can be searched/created with combinations (for example, was able to do with age and medical problem)
• Can search based on Medical Problem in Problem DX field
• Can search based on Medication, but this is only from the Prescriptions and will need to modify this to also pick up from Medications.
• Can search based on demographics (age, gender, race, ethnicity)

• Team 2:

• Check out how the sql query looks in the report here: http://github.com/openemr/openemr/blob/master/interface/reports/clinical_reports.php#L340
• Within OpenEMR, checkout the report at Reports->Clients->Clinical to see how the report that fulfilled MU1 worked.

• Team 3:

• Clear questions, gaps, and recommendations.
• Nice pickups on the date/time issues and the sorting ambiguities.
• Can search based on Medication, but this is only from the Prescriptions and will need to modify this to also pick up from Medications.

• Brady's proposal(based on above Columbia HIT Class analyses):

• Need to figure out what exactly is meant by the date/time setting.

• Potentially may need to ensure date/time entries are in the required tables (and can be selected separately for pertinent fields in the searching) after clarify what the date/time setting is.

• Need to modify following searches:

• Medication currently just searches from the prescription mysql table. Needs to also search from the medications in the lists sql table.

• Need to add following searches:

• Lab test names (now just a lab result textbox)
• Allergies
• Patient communication preferences (could just place them all there to choose from)

• Also need to test and confirm the sorting is working

Forum Threads

• pt list gap analysis from columbia hit class

Links

• OpenEMR Certification Stage II Meaningful Use Main Project Page
• Patient Lists wiki page for stage I certification