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

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==MU Requirements==
==MU Requirements==
===Per ONC===
===Per ONC===
:Taken from [http://www.ofr.gov/OFRUpload/OFRData/2012-20982_PI.pdf ONC Final Rule]
:Taken from ONC Final Rule:[[File:2014_Edition_Cert_Federal_Register.pdf]]
<pre>
<pre>
(4) Vital signs, body mass index, and growth charts. (i) Vital signs. Enable a user to
(4) Vital signs, body mass index, and growth charts. (i) Vital signs. Enable a user to
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growth charts for patients.
growth charts for patients.
</pre>
</pre>
===Per ONC/NIST Final Test Methods===
===Per ONC/NIST Final Test Methods===
:See here: http://www.healthit.gov/policy-researchers-implementers/2014-edition-final-test-method
:See here: http://www.healthit.gov/policy-researchers-implementers/2014-edition-final-test-method
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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==
 
<u>Resolved Inconsistencies </u><br>
 
*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.
<pre>
From Health IT Test procedures
 
we proposed to remove the age range reference (2-20 years old) from this capability
</pre>
 
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