Clinical Decision Support Rules

arribaroberto wrote on Monday, April 25, 2016:

Yes, I am having trouble creating a clinical decision support rule in Version 4.2.0 (4) of OpenEMR. I have followed the tutorial written by Mr. Tony McCormick and the rule described in the tutorial will not work in my version of OpenEMR. Can anyone point me in the right direction or offer some suggestions? I have followed Mr. McCormick’s instructions to the letter.

Thank you.

tmccormi wrote on Tuesday, April 26, 2016:

Actually, I just posted the PDF. Brad Greg wrote the manual. Lots of things have changed, so there might be some need to update that manual now.

I haven’t tried that function myself, though my staff (at the time) wrote the UI and the manual… Brady wrote the rules engine as I recall.

fsgl wrote on Tuesday, April 26, 2016:

See this.

If you can’t find the answer in the previous discussion, post screenshots so we can help locate the problem.

mdsupport wrote on Tuesday, April 26, 2016:

Effective use of CDR engine depends on your objectives. It helps if you have ability to read PHP language code. If you are end user, try completely understanding preconfigured rules by comparing the EMR setting with the corresponding meaningful use requirement. Then change one setting at a time to confirm your understanding. In our case we ended up using custom changes to the database to make full use of this feature.

A word of caution: the engine is geared towards measurement and not descriptive reporting. You will succeed in generating warning that xyz test is overdue but it would be hard / impossible to display the supporting data such as - xyz test should be performed every 6 months for males aged 65 or more AND this patient’s last test was on 1/1/2000.

arribaroberto wrote on Monday, May 02, 2016:

fsgl: Thanks for your response. What I did was create a rule for a pulmonary function test. A reminder should fire when a patient is coded as having the medical problem of asthma. When a patient is coded with the problem the reminder does not appear. Not sure what I did. I have attached a screen shot.

Thanks.

arribaroberto wrote on Monday, May 02, 2016:

Tony: If you could help me find all the relevent information, I would be more than willing to create a new manual. I need to teach CDS to my students.

Thank yon.

fsgl wrote on Monday, May 02, 2016:

Hi Robert,

You need to move the Action from the second box to the first box & then delete the Action from the second box. See attachment.

Be certain to complete the other dialog boxes as described here.

visolveemr wrote on Tuesday, May 03, 2016:

Robert,

As fsgl stated, move the action part. In addition, make sure you are specifying a criteria under clinical target section. Only if criteria is specified, it will show up under clinical reminders

Thanks,
ViSolve OpenEMR Support team
ViSolve