Need someone who can help build an audit of the Standard Measures Report and CQM

Developers
Don Lewis
2013-11-08
2013-11-19
  • Don Lewis

    Don Lewis - 2013-11-08

    Need someone who can help build an audit of the Standard Measures Report

    Ours is coming up blank. See your price to help.

    Don

     
  • fsgl

    fsgl - 2013-11-08

    Work-around discussed in this thread.

    If it's successful in your case, click the orange button here.

     
    Last edit: fsgl 2013-11-08
    • Don Lewis

      Don Lewis - 2013-11-08

      Thanks. So we need to enter those fees as .01 for Standard Measures to work?

       
  • fsgl

    fsgl - 2013-11-08

    PQRS codes cannot be entered without the penny. If you use zero for the fee, nothing will show up.

    If the Standard Measures Report don't have the numerators/denominators, you must get them manually from Reports/Clients/Clinical using the diagnoses and the PQRS codes. Some of the Clinical Quality Measures are not hard-coded, i.e., Diabetic Eye Exam, 2022F. That is why the Standard Measures Report cannot be used for 2022F.

    This link will tell you how to configure the Clinical Reports to give totals.

     
  • Don Lewis

    Don Lewis - 2013-11-09

    Code Mod Act Rep Type Description Standard
    G8417 Yes No CPT4 Calculated BMI above normal parameters and a follow-up plan was documented 0.01

    Is this one correctly done? Where do I find the others? Like Cancer, Diabetes, etc.

    Thanks

     
  • fsgl

    fsgl - 2013-11-09

    Before we go off on tangents, is this exercise in preparation for MU Stage 1 Attestation for a practice in Internal Medicine or Family Practice?

    If that is the case, only the 3 Core Clinical Quality Measure are required. Therefore, concentrate on the measures for Hypertension, Smoking Screening and Adult Weight Screening; see this .pdf.

    Your link above pertains to the PQRS Pilot Program, which is completely different from the EHR Incentive Program (MU Stage 1).

    Sherwin Gaddis noted in the other thread that Adult Weight Screening has been hard-coded. The Adult Weight numerator and denominator should appear in the Standard Measures Report.

    The Smoking numbers are in the AMC Report.

    The numbers for Hypertension should be in the Standard Measure Report, provided the diagnosis of Hypertension (with the ICD-9 code) is in Issues/Medical Problems and BP's have been recorded for all Hypertensive patients in 2013.

    If all the numbers are available, there was no need to mess about with the work-around. There is no need to fool around either with the 3 Alternate Clinical Quality Measures nor with the 3 Additional Clinical Quality Measures!

    Are the all the numbers in the Standard Report and AMC Report?

    If the work has been done for you already and you feel generous after getting the $15K from CMS, consider donating dineros to the project because there is quite of bit of work to be done for MU Stage 2.

     
    Last edit: fsgl 2013-11-14
  • Don Lewis

    Don Lewis - 2013-11-09

    Podiatry, 2nd year of stage 1

     
  • Don Lewis

    Don Lewis - 2013-11-09

    Will donate yes

     
  • fsgl

    fsgl - 2013-11-09

    OK, just do Hypertension, Smoking and Adult Weight.

    No fuss, no muss.

    If 2nd year, $12K. Still nothing to sneeze at.

    Please be aware of Figliozzi and Co., see the Caution section of this Wiki article.

    Thank you for your generosity.

     
  • Don Lewis

    Don Lewis - 2013-11-10

    Still don't know how to get Standard Measures to list the report...its blank with only column headings. We have all the data we think...but CPT4?

     
  • fsgl

    fsgl - 2013-11-10

    I don't get it. This is your second year of MU Attestation. Did you use another EHR last year? Even if that's the case, there should be some carryover.

    Time to roll up our sleeves.

    1. Check that the rules are in place, see attachment 1.
    2. Check that the Passive Alerts are in place, see attachment 2
    3. a. Hypertension requires the diagnosis and ICD-9 codes in Issues/Medical Problem.
      b. Weight requires that plus height in Vitals. BMI is calculated automatically for you.
      c. Smoking status is entered in Issues/Lifestyle. Regarding Smoking Cessation Intervention, I am not positive that has been hard-coded. On the Attestation for 2012, if you did Smoking Status, you got credit for Smoking Cessation Intervention. To be on the safe side, prepare an Alternate Clinical Quality Measure just in case you need it. See attachment 3.

    Provide a screenshot of the problem.

     
    Last edit: fsgl 2013-11-14
    • Don Lewis

      Don Lewis - 2013-11-10

      I don't see attached #2

      thanks

      Don Lewis DC CEO
      www.emr4doctors.com
      800.758.9539

      On Sunday, November 10, 2013 9:41 AM, fsgl fsgl@users.sf.net wrote:

      I don't get it. This is your second year of MU Attestation. Did you use another EHR last year? Even if that's the case, there should be some carryover.
      Time to roll up our sleeves.
      1. Check that the rules are in place, see attachment 1.
      2. Check that the Passive Alerts are in place, see attachment 2.
      3. a. Hypertension requires the diagnosis and ICD-9 codes in Issues/Medical Problem.
      b. Weight requires that plus height in Vitals. BMI is calculated automatically for you.
      c. Smoking status is entered in Issues/Lifestyle. Regarding Smoking Cessation Intervention, I am not positive that has been hard-coded. On the Attestation for 2012, if you did Smoking Status, you got credit for Smoking Cessation Intervention. To be on the safe side, prepare an Alternative Clinical Quality Measure just in case you need it. See attachment 3.
      Provide a screenshot of the problem.
      Attachment: 1.PNG (43.4 kB; image/x-png)


      Need someone who can help build an audit of the Standard Measures Report and CQM


      Sent from sourceforge.net because you indicated interest in https://sourceforge.net/p/openemr/discussion/202506/
      To unsubscribe from further messages, please visit https://sourceforge.net/auth/subscriptions/

       
  • Don Lewis

    Don Lewis - 2013-11-10

    Sorry I see them now online

     
  • Don Lewis

    Don Lewis - 2013-11-10

    Still no data in report. All screens matched. Last year report worked.

     
  • fsgl

    fsgl - 2013-11-10

    I replicated your screenshot by going to Administration/Alerts and unchecking all the Passive Alerts.

    Try unchecking all of them, save & re-checking Hypertension, Weight, both Smoking and save again.

    Any luck?

     
    • Don Lewis

      Don Lewis - 2013-11-10

      We're closer I got some to show up.   I can only check off weight and tobacco (2 ea).  Hypertension makes the report turn blank. I must choose one provider only.

      Don Lewis DC CEO
      www.emr4doctors.com
      800.758.9539

      On Sunday, November 10, 2013 11:51 AM, fsgl fsgl@users.sf.net wrote:

      I replicated your screenshot by going to Administration/Alerts and unchecking all the Passive Alerts.
      Try unchecking all of them, save & re-checking Hypertension, Weight, both Smoking and save again.
      Any luck?


      Need someone who can help build an audit of the Standard Measures Report and CQM


      Sent from sourceforge.net because you indicated interest in https://sourceforge.net/p/openemr/discussion/202506/
      To unsubscribe from further messages, please visit https://sourceforge.net/auth/subscriptions/

       
  • fsgl

    fsgl - 2013-11-10

    Very strange behavior indeed.

    The reports should be run for only one practitioner because attestation is per one practitioner.

    Perhaps with an overnight rest and reboot in the morning, maybe the strange behavior will go away after you play with Alerts again tomorrow. If your local machine remains recalcitrant, we may need to give a shoutout to Brady or Kevin.

    Another thought: run a report with Weight & Smoking, then run a separate report with just Hypertension. There is no law against having 2 pages of print-out to support your attestation.

    Still another thought: noticed that you used Internet Explorer. Try Firefox instead. IE can be wacky at times.

    Question for you: where are the numbers for Smoking Cessation Intervention generated? I experimented with the Counseling part of Lifestyle in Issues to no avail. The correct number of smokers pops up as the denominator, what about the numerator? What did you do last year?

    If you don't get the correct numerator for Smoking Cessation, there is a PQRS code for Diabetic foot care and you will then have to use the work-around for the NQF 0056 Clinical Quality Measure.

     
    Last edit: fsgl 2013-11-15
  • fsgl

    fsgl - 2013-11-11

    Did you try with Firefox?

     
    • Don Lewis

      Don Lewis - 2013-11-11

      yes. Hypertension turns it off.  diabetic foot also

      Don Lewis DC CEO
      www.emr4doctors.com
      800.758.9539

      On Sunday, November 10, 2013 4:41 PM, fsgl fsgl@users.sf.net wrote:

      Did you try with Firefox?


      Need someone who can help build an audit of the Standard Measures Report and CQM


      Sent from sourceforge.net because you indicated interest in https://sourceforge.net/p/openemr/discussion/202506/
      To unsubscribe from further messages, please visit https://sourceforge.net/auth/subscriptions/

       
  • fsgl

    fsgl - 2013-11-11

    I've requested help.

     
  • fsgl

    fsgl - 2013-11-14

    Found other places to troubleshoot, see attachment 1 and if your CDR page is the same.

    On the 4.1.2 Demo, when the report ran with a single provider, it came up blank, but with All (Cumulative), everything populated. Hopefully there is only 1 Podiatrist involved.
    Just took another look at your screenshot and you ran in Cumulative. Oh, well.

    On my own machine, either singly or cumulatively produced the same result because we are a solo practice.

    MI-Squared's CDR Guide said that the denominator for Tobacco Cessation Intervention comes from clicking that item in Clinical Reminders and data entry in the dialog box which pops up. Be certain to use the PostNuke Calendar, otherwise cannot save info. See attachments 2 & 3.

     
    Last edit: fsgl 2013-11-14
  • Don Lewis

    Don Lewis - 2013-11-14

    So kind of you to try and help. We actually need the hypertension and diabetic alerts to work. Tobacco and adult weight are working. When we turn on the hypertension alert then the report fails. I would love to help audit this if someone can tell me which function to add some code to display the data examined for the report.

     
  • Don Lewis

    Don Lewis - 2013-11-14

    BTW the report doesn't even start on Windows 8 with IE10. I have to use Firefox.

     
  • fsgl

    fsgl - 2013-11-14

    If you have been running your reports on Windows 8, is it possible to put a backup on the old Windows 7 machine and try again?

    If not, does the CDR page in Administration/Globals match?

    If not, can you run the report with just Hypertension all by itself? Go to Alerts and just check it and uncheck everything else.

    If all of the above is a dead end, do the following:
    1. Follow the instructions above for getting the numbers for Tobacco Cessation Intervention. This way you will have both Parts A & B for the second Core Clinical Quality Measure.
    2. Go to Reports/Clients/Clinical and run for Diabetes Mellitus in the Problem DX box. When you click in that box, an ICD-9 search will pop up, enter 250.00. A list of all the Diabetic patients will appear. Add the CPT code of 2028F (explained in this .pdf) to their encounters if you have not done so already.
    3. At the end of the reporting period, run the Clinical report for 250.00 again. To get a report for 2028F; in the Options box, select Service Codes from the drop down menu and enter 2028F in the Code box that will appear under the Options box. The 250.00 report will give the denominator and the 2028F report will give the numerator.

    If you do 1-3, you should have 2 Core CQM's and 1 Additional CQM's. Only need 3 CQM's to attest successfully.

    It's a shame that you have to go through all this rigmarole, when the data is just sitting there. The problem is that we cannot get at it.

     
  • fsgl

    fsgl - 2013-11-14

    I vaguely remember that there was a CDR Activation Manager ( a separate module from Alerts) which cannot be found. This may have control over the Standard Measures Report. It had been in Administation/Other or in Miscellaneous.

    I'm unable to find it in the 4.1.1 or 4.1.2 Demo's. The 4.1.0 Demo is locked out.

    In the meantime, I'll search for the .php file for the Standard Measures Report. If I can find it, you can look through to see if your copy had been inadvertently changed. I'll post the path, if found.

     
  • Don Lewis

    Don Lewis - 2013-11-14

    OK thanks! I got Hypertension to work as an ACTIVE ALERT RULE. I don't know the reason for passive and active.

     
  • Don Lewis

    Don Lewis - 2013-11-14

    The provider with the large practice did not work though.

     
  • fsgl

    fsgl - 2013-11-14

    As explained in MI2's white paper:

    "Active Alert – Will show a pop up for the rule that is triggered when opening a patient’s demographics

    Passive Alert –Alert will show in widget only when the rule is triggered".

    If the data for Hypertension, Active Alert, is correct; then it can be used.

    Has the problem been resolved to permit attestation? I know the Standard Measures Report is still wacky.

     
  • Don Lewis

    Don Lewis - 2013-11-14

    I will let you know. For now I added high BMI and high BP to my own audit report I do for AMS.

     
  • fsgl

    fsgl - 2013-11-15

    Brady has been up to his ears at his day job so he has been unable to answer directly.

    He wrote this:
    "Two things to consider:
    1. check if there are php errors being logged.
    2. get the OpenEMR version (and patch); OpenEMR 4.1.1 (without recent patch) can take hours/days in very large practices and will essentially time out after awhile. (the fact that it times out with more rules makes me think this is the issue)."

    All of this makes sense because I remember that it took almost 30 minutes for us to run the AMC Reports for only 1500 patients before Brady sped things up.

    Be certain that if the Podiatrist is still on 4.1.1, his machine has been patched to 14 (needs to be at least Patch 6 to run faster, avoid timing out and going blank). Would be nice if this is the solution.

     
    Last edit: fsgl 2013-11-15
    • Don Lewis

      Don Lewis - 2013-11-16

      How do I read the php errors?


      I wrote this query on the rules table

      SELECT item , (
      SELECT providerID
      FROM patient_data
      WHERE patient_data.pid = rule_patient_data.pid
      ) AS DrID
      , (
      SELECT fname
      FROM patient_data
      WHERE patient_data.pid = rule_patient_data.pid
      ) AS Fname

      , (
      SELECT lname
      FROM patient_data
      WHERE patient_data.pid = rule_patient_data.pid
      ) AS Lname

      FROM rule_patient_data order by DrID

      Don Lewis DC CEO
      www.emr4doctors.com
      800.758.9539


      From: fsgl fsgl@users.sf.net
      To: [openemr:discussion] 202506@discussion.openemr.p.re.sf.net
      Sent: Friday, November 15, 2013 1:33 AM
      Subject: [openemr:discussion] Need someone who can help build an audit of the Standard Measures Report and CQM

      Brady has been up to his ears at his day job so he has been unable to answer directly.
      He wrote this:
      "Two things to consider:
      1. check if there are php errors being logged.
      2. get the OpenEMR version (and patch); OpenEMR 4.1.1 (without recent patch) can take hours/days in very large practices and will essentially time out after awhile. (the fact that it times out with more rules makes me think this is the issue)."


      Need someone who can help build an audit of the Standard Measures Report and CQM


      Sent from sourceforge.net because you indicated interest in https://sourceforge.net/p/openemr/discussion/202506/
      To unsubscribe from further messages, please visit https://sourceforge.net/auth/subscriptions/

       
  • Tony McCormick

    Tony McCormick - 2013-11-16

    1) Please start an new topic for new questions.
    2) This is an SQL statement not PHP.

    Try just running it by itself as PHP query and see what error's you get. Then post the actual error in that new message.

    --Tony

     
  • fsgl

    fsgl - 2013-11-16

    1.Load all 3 measures in Alerts; Weight, both Smoking and Hypertension.

    2.After getting the blank Standard Measures Report, go to xampp\php\logs\php_error_log, copy the error and paste same in a post here. One of the developers will interpret the error log and give you the diagnosis.

    3.What version and patch is the Podiatrist on, presently?

     
  • Don Lewis

    Don Lewis - 2013-11-16

    No php_error.log file found. It seems to be off. I tried to change php.ini to these settings to no help..still no error log.

    ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
    ; Error handling and logging ;
    ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;

    ; This directive informs PHP of which errors, warnings and notices you would like
    ; it to take action for. The recommended way of setting values for this
    ; directive is through the use of the error level constants and bitwise
    ; operators. The error level constants are below here for convenience as well as
    ; some common settings and their meanings.
    ; By default, PHP is set to take action on all errors, notices and warnings EXCEPT
    ; those related to E_NOTICE and E_STRICT, which together cover best practices and
    ; recommended coding standards in PHP. For performance reasons, this is the
    ; recommend error reporting setting. Your production server shouldn't be wasting
    ; resources complaining about best practices and coding standards. That's what
    ; development servers and development settings are for.
    ; Note: The php.ini-development file has this setting as E_ALL | E_STRICT. This
    ; means it pretty much reports everything which is exactly what you want during
    ; development and early testing.
    ;
    ; Error Level Constants:
    ; E_ALL - All errors and warnings (includes E_STRICT as of PHP 6.0.0)
    ; E_ERROR - fatal run-time errors
    ; E_RECOVERABLE_ERROR - almost fatal run-time errors
    ; E_WARNING - run-time warnings (non-fatal errors)
    ; E_PARSE - compile-time parse errors
    ; E_NOTICE - run-time notices (these are warnings which often result
    ; from a bug in your code, but it's possible that it was
    ; intentional (e.g., using an uninitialized variable and
    ; relying on the fact it's automatically initialized to an
    ; empty string)
    ; E_STRICT - run-time notices, enable to have PHP suggest changes
    ; to your code which will ensure the best interoperability
    ; and forward compatibility of your code
    ; E_CORE_ERROR - fatal errors that occur during PHP's initial startup
    ; E_CORE_WARNING - warnings (non-fatal errors) that occur during PHP's
    ; initial startup
    ; E_COMPILE_ERROR - fatal compile-time errors
    ; E_COMPILE_WARNING - compile-time warnings (non-fatal errors)
    ; E_USER_ERROR - user-generated error message
    ; E_USER_WARNING - user-generated warning message
    ; E_USER_NOTICE - user-generated notice message
    ; E_DEPRECATED - warn about code that will not work in future versions
    ; of PHP
    ; E_USER_DEPRECATED - user-generated deprecation warnings
    ;
    ; Common Values:
    ; E_ALL & ~E_NOTICE (Show all errors, except for notices and coding standards warnings.)
    ; E_ALL & ~E_NOTICE | E_STRICT (Show all errors, except for notices)
    ; E_COMPILE_ERROR|E_RECOVERABLE_ERROR|E_ERROR|E_CORE_ERROR (Show only errors)
    ; E_ALL | E_STRICT (Show all errors, warnings and notices including coding standards.)
    ; Default Value: E_ALL & ~E_NOTICE
    ; Development Value: E_ALL | E_STRICT
    ; Production Value: E_ALL & ~E_DEPRECATED
    ; http://php.net/error-reporting
    error_reporting = E_ALL & ~E_NOTICE & ~E_STRICT

    ; This directive controls whether or not and where PHP will output errors,
    ; notices and warnings too. Error output is very useful during development, but
    ; it could be very dangerous in production environments. Depending on the code
    ; which is triggering the error, sensitive information could potentially leak
    ; out of your application such as database usernames and passwords or worse.
    ; It's recommended that errors be logged on production servers rather than
    ; having the errors sent to STDOUT.
    ; Possible Values:
    ; Off = Do not display any errors
    ; stderr = Display errors to STDERR (affects only CGI/CLI binaries!)
    ; On or stdout = Display errors to STDOUT
    ; Default Value: On
    ; Development Value: On
    ; Production Value: Off
    ; http://php.net/display-errors
    display_errors = On

    ; The display of errors which occur during PHP's startup sequence are handled
    ; separately from display_errors. PHP's default behavior is to suppress those
    ; errors from clients. Turning the display of startup errors on can be useful in
    ; debugging configuration problems. But, it's strongly recommended that you
    ; leave this setting off on production servers.
    ; Default Value: Off
    ; Development Value: On
    ; Production Value: Off
    ; http://php.net/display-startup-errors
    display_startup_errors = Off

    ; Besides displaying errors, PHP can also log errors to locations such as a
    ; server-specific log, STDERR, or a location specified by the error_log
    ; directive found below. While errors should not be displayed on productions
    ; servers they should still be monitored and logging is a great way to do that.
    ; Default Value: Off
    ; Development Value: On
    ; Production Value: On
    ; http://php.net/log-errors
    log_errors = On

    ; Set maximum length of log_errors. In error_log information about the source is
    ; added. The default is 1024 and 0 allows to not apply any maximum length at all.
    ; http://php.net/log-errors-max-len
    log_errors_max_len = 1024

    ; Do not log repeated messages. Repeated errors must occur in same file on same
    ; line unless ignore_repeated_source is set true.
    ; http://php.net/ignore-repeated-errors
    ignore_repeated_errors = Off

    ; Ignore source of message when ignoring repeated messages. When this setting
    ; is On you will not log errors with repeated messages from different files or
    ; source lines.
    ; http://php.net/ignore-repeated-source
    ignore_repeated_source = Off

    ; If this parameter is set to Off, then memory leaks will not be shown (on
    ; stdout or in the log). This has only effect in a debug compile, and if
    ; error reporting includes E_WARNING in the allowed list
    ; http://php.net/report-memleaks
    report_memleaks = On

    ; This setting is on by default.
    ;report_zend_debug = 0

    ; Store the last error/warning message in $php_errormsg (boolean). Setting this value
    ; to On can assist in debugging and is appropriate for development servers. It should
    ; however be disabled on production servers.
    ; Default Value: Off
    ; Development Value: On
    ; Production Value: Off
    ; http://php.net/track-errors
    track_errors = On

    ; Turn off normal error reporting and emit XML-RPC error XML
    ; http://php.net/xmlrpc-errors
    ;xmlrpc_errors = 0

    ; An XML-RPC faultCode
    ;xmlrpc_error_number = 0

    ; When PHP displays or logs an error, it has the capability of inserting html
    ; links to documentation related to that error. This directive controls whether
    ; those HTML links appear in error messages or not. For performance and security
    ; reasons, it's recommended you disable this on production servers.
    ; Note: This directive is hardcoded to Off for the CLI SAPI
    ; Default Value: On
    ; Development Value: On
    ; Production value: Off
    ; http://php.net/html-errors
    html_errors = On

    ; If html_errors is set On PHP produces clickable error messages that direct
    ; to a page describing the error or function causing the error in detail.
    ; You can download a copy of the PHP manual from http://php.net/docs
    ; and change docref_root to the base URL of your local copy including the
    ; leading '/'. You must also specify the file extension being used including
    ; the dot. PHP's default behavior is to leave these settings empty.
    ; Note: Never use this feature for production boxes.
    ; http://php.net/docref-root
    ; Examples
    ;docref_root = "/phpmanual/"

    ; http://php.net/docref-ext
    ;docref_ext = .html

    ; String to output before an error message. PHP's default behavior is to leave
    ; this setting blank.
    ; http://php.net/error-prepend-string
    ; Example:
    ;error_prepend_string = ""

    ; String to output after an error message. PHP's default behavior is to leave
    ; this setting blank.
    ; http://php.net/error-append-string
    ; Example:
    ;error_append_string = "
    "

    ; Log errors to specified file. PHP's default behavior is to leave this value
    ; empty.
    ; http://php.net/error-log
    ; Example:
    ;error_log = php_errors.log
    ; Log errors to syslog (Event Log on NT, not valid in Windows 95).
    ;error_log = syslog
    error_log = "\xampp\apache\logs\php_error.log"

     
  • Don Lewis

    Don Lewis - 2013-11-16

    OK I got the error file by restarting Apache :)

    We're using build 4.1.0

    Here's what it has... Note: Providers with little or no data work ok. Also we must always click start twice.

    [16-Nov-2013 09:06:53] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 861

    [16-Nov-2013 09:06:54] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 867

    [16-Nov-2013 09:06:54] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 1175

    [16-Nov-2013 09:06:54] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 1940

    [16-Nov-2013 09:06:54] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 2960

    [16-Nov-2013 09:06:54] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 3486

    [16-Nov-2013 09:06:54] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 3526

    [16-Nov-2013 09:06:54] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 3545

    [16-Nov-2013 09:07:03] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 861

    [16-Nov-2013 09:07:03] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 867

    [16-Nov-2013 09:07:03] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 1175

    [16-Nov-2013 09:07:03] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 1940

    [16-Nov-2013 09:07:03] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 2960

    [16-Nov-2013 09:07:03] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 3486

    [16-Nov-2013 09:07:03] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 3526

    [16-Nov-2013 09:07:03] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 3545

    [16-Nov-2013 09:07:29] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 861

    [16-Nov-2013 09:07:29] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 867

    [16-Nov-2013 09:07:29] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 1175

    [16-Nov-2013 09:07:29] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 1940

    [16-Nov-2013 09:07:29] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 2960

    [16-Nov-2013 09:07:29] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 3486

    [16-Nov-2013 09:07:29] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 3526

    [16-Nov-2013 09:07:29] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 3545

    [16-Nov-2013 09:08:59] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 861

    [16-Nov-2013 09:08:59] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 867

    [16-Nov-2013 09:08:59] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 1175

    [16-Nov-2013 09:08:59] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 1940

    [16-Nov-2013 09:08:59] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 2960

    [16-Nov-2013 09:08:59] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 3486

    [16-Nov-2013 09:08:59] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 3526

    [16-Nov-2013 09:08:59] PHP Deprecated: Assigning the return value of new by reference is deprecated in C:\xampp\htdocs\Openemr_HealthSync2\library\adodb\adodb.inc.php on line 3545

     
  • fsgl

    fsgl - 2013-11-16

    While we wait for one of the developers to tell us what is the problem besides PHP being outdated, would suggest the following:

    1.Backup your files.

    2.Install XAMPP-OpenEMR Package.

    3.Read this thread and follow CVerk's MySqldump instructions during upgrade.

    4.Do the Upgrade

    5.Install Patch 3.

    6.Run report with 3 Measures.

    Any luck?

     
    Last edit: fsgl 2013-11-17
  • Brady Miller

    Brady Miller - 2013-11-17

    Hi,

    Need to ensure proper php settings:
    http://www.open-emr.org/wiki/index.php/FAQ#What_are_the_correct_PHP_settings_.28can_be_found_in_the_php.ini_file.29_.3F

    Also will need to upgrade to OpenEMR 4.1.2, since the CDR reporting engine in 4.1.0 is very, very, very slow (your script is essentially timing out). Note the 4.1.2 also has the Admin->Clinic->"Report Results" report which will save the CDR report results automatically and also track the progress of reports that are in progress.

    As fsgl suggests above, definitely should test the upgrade on a testing instance first and backup your production instance before doing the upgrade.

    -brady
    OpenEMR

     
    • Don Lewis

      Don Lewis - 2013-11-17

      Thanks!

      Don Lewis DC CEO
      www.emr4doctors.com
      800.758.9539


      From: Brady Miller bradymiller@users.sf.net
      To: [openemr:discussion] 202506@discussion.openemr.p.re.sf.net
      Sent: Sunday, November 17, 2013 12:25 AM
      Subject: [openemr:discussion] Need someone who can help build an audit of the Standard Measures Report and CQM

      Hi,
      Need to ensure proper php settings:
      http://www.open-emr.org/wiki/index.php/FAQ#What_are_the_correct_PHP_settings_.28can_be_found_in_the_php.ini_file.29_.3F
      Also will need to upgrade to OpenEMR 4.1.2, since the CDR reporting engine in 4.1.0 is very, very, very slow (your script is essentially timing out). Note the 4.1.2 also has the Admin->Clinic->"Report Results" report which will save the CDR report results automatically and also track the progress of reports that are in progress.
      As fsgl suggests above, definitely should test the upgrade on a testing instance first and backup your production instance before doing the upgrade.
      -brady
      OpenEMR


      Need someone who can help build an audit of the Standard Measures Report and CQM


      Sent from sourceforge.net because you indicated interest in https://sourceforge.net/p/openemr/discussion/202506/
      To unsubscribe from further messages, please visit https://sourceforge.net/auth/subscriptions/

       
      • fsgl

        fsgl - 2013-11-18

        If Brady's fix worked, please remember to donate.

         
  • Brady Miller

    Brady Miller - 2013-11-17

    A quick option to just get your CDR report results would be to copy your production server and data over to a testing instance, do the upgrade on that and run the reports off that (then would still be running your 4.1.0 in your production instance).

     
  • fsgl

    fsgl - 2013-11-17

    CVerk's backup script works flawlessly.

    Restoration with it is the easiest of all backup options described in the Wiki.

    Would recommend it over the resident backup utility.

     
    Last edit: fsgl 2013-11-17
  • fsgl

    fsgl - 2013-11-18

    OK, client data has been recovered with help. You have all the how-to links.

    Is there anything that is not clear?

    Please don't be ashamed to let us know what is confusing.

    If you don't understand something, that will only lead to error and what's worse, frustration.

    There is only one person in these Forums who knows pretty much everything. The rest of us are still learning.

    Perhaps it would be better if we break this down into bite sized pieces and concentrate only on the Podiatrist for the time being.

    Do you know how to backup the Podiatrist's data?

    I would be happy to take you through every step, even down to each keystroke if need be.

     
    Last edit: fsgl 2013-11-18
    • Don Lewis

      Don Lewis - 2013-11-19

      Is phase 2 going to be difficult for the engineering and/or funding of certification?

      Don Lewis DC CEO
      www.emr4doctors.com
      800.758.9539


      From: fsgl fsgl@users.sf.net
      To: [openemr:discussion] 202506@discussion.openemr.p.re.sf.net
      Sent: Monday, November 18, 2013 3:35 AM
      Subject: [openemr:discussion] Need someone who can help build an audit of the Standard Measures Report and CQM

      OK, client data has been restored with help. You have all the how-to links.
      Is there anything that is not clear?

      Please don't be embarass to let us know what is unclear. There is only one person in these Forums who knows pretty much everything. The rest of us are still learning.
      Perhaps it would be better if we break this down into bite sized pieces and concentrate only on the Podiatrist for the time being.
      Do you know how to backup the Podiatrist's data?


      Need someone who can help build an audit of the Standard Measures Report and CQM


      Sent from sourceforge.net because you indicated interest in https://sourceforge.net/p/openemr/discussion/202506/
      To unsubscribe from further messages, please visit https://sourceforge.net/auth/subscriptions/

       
  • fsgl

    fsgl - 2013-11-18

    From your last post, I presume that:
    1. you have the Podiatrist's data backed up to a flash drive or external hard drive. If the backup is on C-drive you must have a way to distinquish the old copy and the new copy (backup).
    2. you had no difficulty installing the XAMPP 1.8.2/OpenEMR 4.1.2 package.

    Steps 1 to 5 of the Upgrade are fairly straightforward.

    A. Did you have any trouble with steps 1 through 5? Between steps 5 and 6, it gets more complex.

    B. Do you know how to do the mysqldump using CVerk's script and Command Prompt?

    C. Do know where to get the Podiatrist's root password?

     
    Last edit: fsgl 2013-11-18
    • Don Lewis

      Don Lewis - 2013-11-18

      Yes we have sqldump backing up daily to a folder and my other IT/programmer restored it.

      I'm waiting for him to restore it into 4.1.2 to try Standard Measures

      Don Lewis DC CEO
      www.emr4doctors.com
      800.758.9539


      From: fsgl fsgl@users.sf.net
      To: [openemr:discussion] 202506@discussion.openemr.p.re.sf.net
      Sent: Monday, November 18, 2013 8:05 AM
      Subject: [openemr:discussion] Need someone who can help build an audit of the Standard Measures Report and CQM

      From your last post, I presume that:
      1. you have the Podiatrist's data backed up to a flash drive or external hard drive.
      2. you had no difficulty installing the XAMPP 1.8.2/OpenEMR 4.1.2 package.
      Steps 1 to 5 of the Upgrade are fairly straightforward.
      A. Did you have any trouble with steps 1 through 5? Between steps 5 and 6, it gets more complex.
      B. Do you know how to do the mysqldump using CVerk's script and Command Prompt?
      C. Do know where to get the Podiatrist's root password?


      Need someone who can help build an audit of the Standard Measures Report and CQM


      Sent from sourceforge.net because you indicated interest in https://sourceforge.net/p/openemr/discussion/202506/
      To unsubscribe from further messages, please visit https://sourceforge.net/auth/subscriptions/

       
  • fsgl

    fsgl - 2013-11-18

    It is not clear if you had any difficulties with steps 1 through 5 of the Upgrade. These 5 steps essentially take the Podiatrist's Default folder and copy over and replace the Default folder in 4.1.2. Just need to copy and paste; nothing fancy here.

    The 2nd programmer will need to take the client's MySql database to copy over and replace the MySql database of 4.1.2. Because this is now the old database, the next step will upgrade it. Additionally this step will also upgrade the Access Control in one fell swoop.

    Step 6 requires you to go to http://localhost/openemr/sql_upgrade.php and choose 4.1.0 from the drop down menu. You will be upgrading directly from 4.1.0 because it is not necessary to do the intermediary upgrade to 4.1.1.

    You have to run this script twice if you don't get this message, "Database and Access Control upgrade finished", with the first try. Both CVerk and I had to do it twice.

    Do step 7 of the Upgrade.

    Don't forget to turn on Apache and MySql in XAMPP Control in 4.1.2.

    Run the Report with just the 3 Measures and let us know how you made out.

     
    • Don Lewis

      Don Lewis - 2013-11-18

      OK thanks

      Don Lewis DC CEO
      www.emr4doctors.com
      800.758.9539


      From: fsgl fsgl@users.sf.net
      To: [openemr:discussion] 202506@discussion.openemr.p.re.sf.net
      Sent: Monday, November 18, 2013 1:41 PM
      Subject: [openemr:discussion] Need someone who can help build an audit of the Standard Measures Report and CQM

      It is not clear if you had any difficulties with steps 1 through 5 of the Upgrade. These 5 steps essentially take the Podiatrist's Default folder and copy over and replace the Default folder in 4.1.2. Just need to copy and paste; nothing fancy here.
      The 2nd programmer will need to take the client's MySql database to copy over and replace the MySql database of 4.1.2. Because this is now the old database, the next step will upgrade it. Additionally this step will also upgrade the Access Control in one fell swoop.
      Step 6 requires you to go to http://localhost/openemr/sql_upgrade.php and choose 4.1.0 from the drop down menu. You will be upgrading directly from 4.1.0 because it is not necessary to do the intermediary upgrade to 4.1.1.
      You have to run this script twice if you don't get this message, "Database and Access Control upgrade finished", with the first try. Both CVerk and I had to do it twice.
      Do step 7 of the Upgrade.
      Don't forget to turn on Apache and MySql in XAMPP Control in 4.1.2.
      Run the Report with just the 3 Measures and let us know how you made out.


      Need someone who can help build an audit of the Standard Measures Report and CQM


      Sent from sourceforge.net because you indicated interest in https://sourceforge.net/p/openemr/discussion/202506/
      To unsubscribe from further messages, please visit https://sourceforge.net/auth/subscriptions/

       
  • fsgl

    fsgl - 2013-11-19

    The project is required to re-certify in 2014 in order for users to attest for Stage 2. The technical knowledge for re-certification is not lacking but rather it's the funding.

    See Tony McCormick's explanation in this thread.

    How far did you get?

     

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