CQM - record CMS69v10 (MU3)

Find/Create encounter

• Use the past encounters or create a new encounter

Encounter Performed

• Under Visit Details select the appropriate dropdown from Type that corresponds to the code in the measure.

Create/Find Care Plan form

• Create a care plan under Clinical->Care Plan

Intervention Order

• Choose Intervention from the Care Plan Type
• Search for the appropriate code from the Procedure Test find code popup
• Select the date
• If this an exception case click the asterix to choose the Negated reason and enter the appropriate code from the look up.
• Save the form

Medication Order

• Choose Planned Medication Act for Type
• Search for the appropriate code from the code popup
• Select the date
• If this an exception case click the asterix to choose the Negated reason and enter the appropriate code from the look up.
• Save the form

Create/Find procedure order

• Create a procedure order under Admin->Procedure Order

Intervention Performed

• Choose Intervention from the Default Procedure Type
• Search for the appropriate code from the Procedure Test find code popup
• Enter the reason for the code for the test by clicking the asterix and use the find code popup to search for the code from the value set and choose pending or completed for the reason status. Otherwise if this an exception case choose negated and enter the appropriate code from the look up.
• Save the order

Create/Find Observation form

• Create an observation form under Clinical->Observation

Physical Exam Performed

• Choose Physical Exam Performed for Type
• Search for the appropriate code from the code popup
• Select the date
• If this an exception case click the asterix to choose the Negated reason and enter the appropriate code from the look up.
• Save the form