Problem List (MU2)

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#209 Problem List (MU2)

Status: closed-accepted

Owner: nobody

Labels: None

Priority: 5

Updated: 2013-03-17

Created: 2013-03-06

Creator: ZH Healthcare

Private: No

Hi,

Made the modification for Problem List (MU2). Please check the attached document for the working.

GitHub path:
https://github.com/zhhealthcare/openemr/commit/cc40b1a6d9fa0858385ef91e7b9f52e7e2e1fcde

Discussion

ZH Healthcare - 2013-03-06

Documentation

Problem List (MU).zip

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Brady Miller - 2013-03-08

Hi Vinish,
I placed a review on github.
-brady

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ZH Healthcare - 2013-03-08

Hi Brady,

I have made the modifications suggested.

GitHub Path:
https://github.com/zhhealthcare/openemr/commit/problem_list_v2

Thanks & Regards
ZH HealthCare

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Brady Miller - 2013-03-09

Hi Vinish,
Placed a review on github.
thanks,
-brady

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ZH Healthcare - 2013-03-11

Hi Brady,

Made the modifications suggested.

GitHub Path:
https://github.com/zhhealthcare/openemr/commit/problem_list_v3

Thanks & Regards
ZH HealthCare

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Brady Miller - 2013-03-14

Hi,
Code looks good and tests well. I'm now working on integrating it with the new fee sheet improvements; turns out it's a bit more complicated than I initially thought, but almost there.
-brady

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Kevin Yeh - 2013-03-14

From what I can see from the MU2 code, there are two things that need to change with the fee sheet stuff. code_check.php needs to be updated to use ct_prob instead of ct_diag, and update_issues in fee_sheet_queries needs to be updated to handle the new modification date field.

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Brady Miller - 2013-03-15

Hi Kevin,

The problem is what happens when a user uses ICD9 for billing and snomed for medical problems. This means your functions to make problems from diagnostic codes and vice versa should not happen. I have gotten it to work in a rudimentary fashion .In commit link below the mods in custom/code_types.inc.php and effectively control this well. The other mods are simply my initial attempts to not show the checkbox in the P column on the justification screen to make it nicer (otherwise it simply ignores it when checkes); note this code is still broken as I work through the solution to not show the checkbox below the P. Here is the code (again, it is broken for now): http://github.com/bradymiller/openemr/commit/ec89528fb3c33f8dbe4661003047423072d485e0

-brady

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Brady Miller - 2013-03-15

In below paragraph, meant to say:
"In commit link below the mods in
custom/code_types.inc.php and interface/forms/fee_sheet/review/fee_sheet_queries.php effectively control this well."

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Kevin Yeh - 2013-03-15

Code looks "ok." I'm not sure the restriction makes sense though... It implies that ICD9 isn't allowed in a problem list at all. People shouldn't have to remove existing ICD9 coded problems as part of MU2. And you also make it so that the ICD9 problems can't be kept track of for billing re-use.
Does the MU2 requirement explicitly forbids ICD9?

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Brady Miller - 2013-03-16

Hi Kevin,
The behavior is completely up to the user. I am just making it support the option when a user sets a different code type for billing and medical problems. So, this will allow users, if they want, to compartmentalize ICD9 into billing codes only and SNOMED into medical problems only. Note MU2 requires problems to be coded into SNOMED codes (I am guessing could also be done by translating ICD9 codes to SNOMED codes on the fly, but this would be far more complicated, although I am guessing it is where things will head in the future; because it seems ver odd to have separate coding like that). Note that the fee sheet behavior does not get effected if a user sets them to problem and diag, which is the default.
-brady

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Brady Miller - 2013-03-16

Hi,

Ok, got it working well. Here is the branch:
https://github.com/bradymiller/openemr/commits/zhhealthcare-problem_list_v3-fee-sheet-integrate_V5
(1st commit is the fee sheet integration and 2nd commit is zh's problem list improvements)

Plan to commit this if no objections.

-brady

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Brady Miller - 2013-03-17

status: open --> closed-accepted
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Brady Miller - 2013-03-17

Hi Vinish,
I just committed this code to sourceforge. Thank you for this awesome contribution.
-brady

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