ashutoshw007 wrote on Friday, November 14, 2014:
When i create a new patient in open emr V4.2.1, assesments get added automatically with the patients.
Can anyone tell me what could be the cause?
Any help appreciated.
Thank you.
ashutoshw007 wrote on Friday, November 14, 2014:
Sometimes more than one assesments get added.
I have attached the screenshot for the same.
Can anyone please help me??
fsgl wrote on Friday, November 14, 2014:
Assessment is not part of the Patient Summary.
Provide more details.
fsgl wrote on Friday, November 14, 2014:
Screenshot was not attached successfully to second post.
ashutoshw007 wrote on Friday, November 14, 2014:
Thanks for your interest in helping me.
Assesments get added under clinical reminders section.
I am attaching the screenshot.
fsgl wrote on Friday, November 14, 2014:
If the practice is in India, ignore Clinical Reminders, which are relevant only
to U.S. practices.
To disable module, see attached.
blankev wrote on Friday, November 14, 2014:
If you have a practice anywhere in this world that uses assessment as an option to remind the doctor or the client, start reading the WIKI pages to fine-tune this module.
It is a kind reminder that something might have to be done, and the patient might have advantage of preventive investigation or follow up of some medical issue.
Don’t disable just because you live somewhere. This is not a specific US module. It can be tweaked in whatever is different within your local situation.
ashutoshw007 wrote on Friday, November 14, 2014:
Thanks a lot guys.
It actually worked.
fsgl wrote on Friday, November 14, 2014:
Happy to help.
bradymiller wrote on Saturday, November 15, 2014:
Hi,
Agree with Pimm, Note the CDR modules were created with internationalization in mind (for example, the items are translated). Can turn off and modify rules at Administration->Alerts (turn them off/on)
and
Administration->Rules (modify and create new rules)
Note to deal with the Smoking Assessment clinical reminder it will go away if set a smoking status in Patient History.
-brady
OpenEMR
blankev wrote on Saturday, November 15, 2014:
In one of the many EMR’s I followed there was a connection from the Status reminders to the “rules from where the evaluation was derived” (or a stepwise representation of the rules. IF THEN ELSE…) could there be some kind of link page where all evaluation rules to be include can be derived from? So I can take my rule from the Netherlands or from the States whatever I prefer or even have my own rules in some kind op HTML page setting.
Since programming and Github are not my expertise, it is up to a programmer to implement all the rules as suggested by fsgl.
All decisions included in OpenEMR are derived from one or more officially proposed rules like the AHA or from a publication.
fsgl wrote on Saturday, November 15, 2014:
Fortunately for Ashutosh, he is not burdened with Meaningful Use.
Because the feds pay the piper, they get to call the tune. As a result they seem to think that they know best how to care for patients.
The day that an Ophthalmologist forgets to examine the optic nerve/fundus for Glaucoma/Diabetes is the day he should retire. Best clinical practices were taught in medical school. Most of us have not forgotten.
Clinical Decision Rules serve only to provide documentation for Meaningful Use Attestation. Physicians look to their peers for Continuing Medical Education, not to the ONC-HIT nor the Department of Health & Human Services.
blankev wrote on Saturday, November 15, 2014:
The USER is talking. But why did “THEY” teach Ophthalmology in University and today practice is nothing compared to what ONC-HIT tries to implement.
Could it not be somewhere in between. Most of the time you use method of learning skills and the other most of the time you use the progress notes of your pears
Isn’t it that one is not excluding the other. In front of the judge it might be different, but in clinical practice you have to make choices. Making these choices is sometimes easier with a little background info like a stream-scheme or whatever rule to follow. Like you always looking at the funds for the optic nerve.
Correct me if I am wrong or did misinterpret your statement.
bradymiller wrote on Saturday, November 15, 2014:
Disagree,
Primary care physicians, especially, have a lot of preventive care things they are responsible for, and the recs(and best clinical practices) do change over time. Having one spot that shows what is due for a patient is very, very useful. Even before EMR’s, paper systems even incorporated CDR rules in the primary care setting(for example, diabetes would trigger reminders on the patient intake form, which then would get manually entered in by clerks if the physicians actually filled it out). Otherwise, physicians are stuck looking up each item and ensuring up to date which is a huge headache. Additionally, can automate things like sending out patient reminders for immunizations. MU was definitely the primary incentive for the CDR engine, but it was built in a way to be globally clinically useful. Note that the default CDR standard rules that populate the clinical reminder and patient reminder widgets are not all derived from ONC-HIT nor the Department of Health & Human Services, but are mostly common sense things geared to the primary care physician.
-brady
bradymiller wrote on Saturday, November 15, 2014:
Of course, I am saying all these things because I am currently neck-deep in the CDR engine code for MU2 related stuff 
fsgl wrote on Saturday, November 15, 2014:
Thank you for working on the MU2 CDR engine.
It was not my intention to throw cold water on your endeavor, but Ashutosh in India does not seem to need or want memory aids.
Internal Medicine colleagues had a summary of diagnoses & medications with a checklist of prophylaxes in the front of paper charts in the old days. They were taking good care of their patients before the feds started giving advice.
If a practice becomes so busy & cannot manage with summaries & checklists, then it is not paper vs. EHR. Rather the crux of the matter is spreading oneself too thin. That would lead to a lengthy discussion of Medicare & public funding of healthcare, which would bore folks to tears.
Younger colleagues are less allergic to governmental insertion into Medicine than us old folks because the solo practice is becoming an anachronism. Old Ophthalmologists tend to chafe a bit when ordered to hand back to the patient a clinical summary after copying the list of diagnoses & meds supplied by the same patient.
Notwithstanding the above, our common goal is to improve & promote OpenEMR.