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Hi All,
We recently upgraded to EHR 9.8 and one of our consult letters became corrupt. I have been tweaking it for days with no luck. Close, but not what can't get exactly what the Physician wants.
Currently, we are using the CCC-CPOE for the Assessment. The consult letter is set to pull in the following coding:
{ccc_add_assess("","","N")}
Which populates the information below. The Physician does not want the "Assessed: 0815/2014" line.
Problem: Conductive Hearing Loss, Unspecified
Assessed: 08/15/2014
Patient has hearing loss.
Problem: Asthma
Assessed: 08/15/2014
Patient has asthma.
I tried {PROB_LIST_CHANGES("full")} and "new" but that gave me the Problem, ICD-9, Who Assessed it (Physician), etc. It looked far worse.
The Physician would like is to see the above without the Assessed line and for each Problem to be numbered. Similar to how it appears in the office visit note itself.
Any thoughts or help would be greatly appreicated. I'd be happy with just the Assessed line out of the picture.
Thanks,
-Alicia
Posted : August 15, 2014 7:14 am
You will want to put the output of ccc_add_assess into an array, run a match against each element in the array to find "Assessed:" and then, using the number match returns, do a remove command starting at that number match gave you for the length of however long Assessed: MM/DD/YYYY is and write that to a variable that you will have this function return. You could also put the whole output into a variable and then do a loop that will run it through the match and remove until match returns a 0.
Then there is the mldef method. Here are two functions that pull in the last assessments done into a handout we have. This illustrates how to get the problem and assessments (they aren't stored in the same table)
{fn get_last_assessments()
{
local aPD,cPD,ePD
ePD = 0
local iPD = getRowCount('Assessments')
while iPD > 0 do
iPD = iPD-1
aPD = getRow('Assessments',iPD,'SDID')
cPD=aPD
if cPD > ePD then
ePD =cPD
else
""
endif
endwhile
local aP,cP
cP = fmt("Problems discussed at your last visit:","B") + HRET
local iP = getRowCount('Assessments')
while iP > 0 do
iP = iP-1
aP = getRow('Assessments',iP,'SDID','ANNOTATE','SPRID')
if aP[1] = ePD then
cP=cP + get_prob_from_sprid(aP[3]) + HRET + "Assessment: " + aP[2] + HRET
else
""
endif
endwhile
if cP=="" then return "None entered" else "" endif
return str(cP)
}}
{get_last_assessments()}{fn get_prob_from_sprid(passedsprid)
{
passedsprid = replacestr(passedsprid,".00","")
local aSP, cSP
local iSP = getRowCount('_MasterProb')
while iSP > 0 do
iSP = iSP-1
aSP = getRow('_MasterProb',iSP,'SPRID','DESCRIPTION')
if aSP[1] = passedsprid then
cSP=aSP[2]
else
""
endif
endwhile
return cSP
}}
Good luck!
Posted : August 18, 2014 2:53 am
ccc_add_assess() just calls ccc_extract_assess(), so you can just manipulate that function to get what you need out of it. If you want to keep the functionality of ccc_extract_assess(), you'll need to name your modified version something else. Here is the code for you to modify:
fn ccc_extract_assess(aa,bb,cc)
{
/*
aa is Dx label; bb is comma delimited string of Dx codes to assess; cc is # of days or a date to set date range, or "L" for last value;
if bb is empty, then all problems will be assessed;
if cc is empty, then all dates will be assessed;
if bb and cc empty, then return assessments for all problems and all dates;
returns a "\r\n" delimited string of assessments.
*/
local a,b,c,d,e,f,g="",h,i,j,k,l,m,n,p,q,r,s,t,u
a = getfield(prob_after("delimited"),"|","")
n = size(a)
if n=0 then return "" else "" endif
k = getfield(bb,",","")
l = size(k)
/* set date range */
h = str(cc)
cond
case h="" or h="L" or h="l" ""
case size(h) < 10 h = str(subtractdates(str(._todaysdate),"0","0",h))
else ""
endcond
for c=1, c<=n, c=c+1 do
if a[c]="" then "" else
b = getfield(a[c],"^","")
/* j is dx code from Prob List */
j = b[3]
/* 12-22-05: moved m to here-jt */
m = ""
/* determine if selected problem is found in dx code string */
if bb="" then "" else
for f=1, f<=l, f=f+1 do
if match(j,k[f]) > 0 then m = 1 break else "" endif
endfor
endif
/* if bb has a value but does not match w/ selected problem, then do nothing */
if bb<>"" and m = "" then "" else
/* get delimited list of assessments for selected problem */
if g_use_ccc_list_assess = true then
d = ccc_list_assessments_delim(b[1],b[2],j)
else
d = list_assessments(b[1],b[2],j,"delimited")
endif
if d="" then "" else
e = getfield(d,"|","")
if h="L" or h="l" then q = 1 else q = size(e) endif
/* 12-13-06:
added this code since the date of the assessment does not always follow the date of entry;
since e[] is sorted by date of entry and not date of assessment, this had to be added to get the 'last value';
for args other than "L", the date of assessment is already being compared prior to accepting it as a value.
*/
if size(e)<2 then "" else
if h="L" or h="l" then
u=copy(e[1])
r = getfield(u,"^","")
while size(r)<6 do r[size(r)+1]="" endwhile
t=str(r[5])
for f=2, f<=size(e), f=f+1 do
s = getfield(e[f],"^","")
while size(s)<6 do s[size(s)+1]="" endwhile
if durationdays(t,str(s[5]))>0 then t=str(s[5]) u=copy(e[f]) endif
endfor
/* reset e[1] to values with most recent date for "L" arg; since q is set to 1, then e[1] will be only value evaluated below */
e[1]=copy(u)
endif endif
for f=1, f<=q, f=f+1 do
if e[f]="" then "" else
i = getfield(e[f],"^","")
// Mods DAFN 13dec2005
while size(i)<6 do i[size(i)+1]="" endwhile
/* 12-22-05: jt added; make sure a true date before proceeding */
if durationdays("01/01/1920",str(i[5]))==0 then "" else
/* make sure date is within range */
if durationdays(str(i[5]),h) > 0 then break else
/* formatting */
if size(g) < 4 then p="\r\n" else
if sub(g,size(g)-3)=="\r\n\r\n" then p="" else p="\r\n"
endif endif
g = g +
if i[1]="" then "" else p + "Problem: \t" + ccc_capLETTER(i[1]) + "\r\n" +
if i[5]="" then "" else "Assessed: \t" + i[5] + "\r\n" endif +
if i[6]="" then "" else i[6] + "\r\n" endif
endif
endif endif endif
endfor
endif endif endif
endfor
return g
}
Posted : August 18, 2014 3:22 am
Topic starter
Hi,
I greatly appreciate your responses. I tried both suggestions and couldn't get them to work. I even reached out to the workbench and they suggested I use the same command we've been using {ccc_add_assess("","","N")} or replace the "N" with an "L". This brings in the older assessments that were done over a year or 2 ago along with the new or current.
Our Providers are totally frustrated and the workbench told me maybe the CCC forms changed when upgrading to 8.3.8 for EHR 9.8.
I can't believe there isn't an eaiser way to pull a consult letter together.
Thanks,
-Alicia
Posted : August 25, 2014 11:15 pm