Index: /ccr2ccd-xslt/trunk/gpl/PAT_100840_CCD.xml =================================================================== --- /ccr2ccd-xslt/trunk/gpl/PAT_100840_CCD.xml (revision 981) +++ /ccr2ccd-xslt/trunk/gpl/PAT_100840_CCD.xml (revision 981) @@ -0,0 +1,965 @@ + + + + + + + + + + +Continuity of Care Document from ZZ ALBANY-PRRTP + + + + + + + + + + + + + + + +JODY +JEAN +JONES + + + + + + + + + + + + +ZZ ALBANY-PRRTP + + +123 MAIN +ALBANY +NEW YORK +12180 + + + + + + + + + + + + + + + +
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Problem + + + + + + +
Jul 3, 2010
+		250.00 (ICD9CM) + Diabetes MellitusActive/ChronicSYSTEM MANAGER
Problem + + + + + + +
Jul 4, 2010
+		428.0 (ICD9CM) + Congestive Heart FailureActive/ChronicSYSTEM MANAGER
Problem + + + + + + +
Jul 4, 2010
+		412. (ICD9CM) + Old Myocardial InfarctionInactive/ChronicSYSTEM MANAGER
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MedicationDateStatusFormStrengthQuantitySIGIndicationsInstructionRefillsSource
ASPIRIN 81MG EC TAB +ACTIVETAB,EC81 MG90 TAB81 MG ORAL (BY MOUTH) QD +
+		 +3 SYSTEM MANAGER
ATENOLOL 100MG TAB +ACTIVETAB100 MG90 TAB100 MG ORAL (BY MOUTH) QD +
+		 +3 SYSTEM MANAGER
LISINOPRIL 20MG TAB +ACTIVETAB20 MG90 TAB20 MG ORAL (BY MOUTH) QAM +
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Vital SignDateResultSource
BLOOD PRESSURE +BLOOD PRESSURE 120/70
+		WorldVistA EHR/VOE 1.0
RESPIRATION +RESPIRATION 29
+		WorldVistA EHR/VOE 1.0
PULSE +PULSE 78
+		WorldVistA EHR/VOE 1.0
TEMPERATURE +TEMPERATURE 98.6 F
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Glucose Quant + +
GLUCOSE:MCNC:PT:FLU:QN 120 mg/dL H
+
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Gen Chem Specimen + +
HEMOGLOBIN A1C 7 % H
+
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Calculation + +
LDL CHOLESTEROL 90 MG/DL
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+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Index: /ccr2ccd-xslt/trunk/gpl/make-ccd.bat =================================================================== --- /ccr2ccd-xslt/trunk/gpl/make-ccd.bat (revision 981) +++ /ccr2ccd-xslt/trunk/gpl/make-ccd.bat (revision 981) @@ -0,0 +1,1 @@ +copy ccd-header.xsl + ccd-purpose.xsl + ccd-alerts.xsl + ccd-advdir.xsl + ccd-funcstat.xsl + ccd-problems.xsl + ccd-procedures.xsl + ccd-medications.xsl + ccd-immunizations.xsl + ccd-vitals.xsl + ccd-encounters.xsl + ccd-socialhistory.xsl + ccd-familyhistory.xsl + ccd-results.xsl + ccd-payers.xsl + ccd-planofcare.xsl + ccd-providers.xsl + ccd-support.xsl + ccd-references.xsl + ccd-actors.xsl + ccd-footer.xsl + ccd-util.xsl ccr_ccd.xsl Index: /ccr2ccd-xslt/trunk/gpl/make-ccd.sh =================================================================== --- /ccr2ccd-xslt/trunk/gpl/make-ccd.sh (revision 981) +++ /ccr2ccd-xslt/trunk/gpl/make-ccd.sh (revision 981) @@ -0,0 +1,22 @@ +cat ccd-header.xsl > ccr_ccd.xsl +cat ccd-purpose.xsl >> ccr_ccd.xsl +cat ccd-alerts.xsl >> ccr_ccd.xsl +cat ccd-advdir.xsl >> ccr_ccd.xsl +cat ccd-funcstat.xsl >> ccr_ccd.xsl +cat ccd-problems.xsl >> ccr_ccd.xsl +cat ccd-procedures.xsl >> ccr_ccd.xsl +cat ccd-medications.xsl >> ccr_ccd.xsl +cat ccd-immunizations.xsl >> ccr_ccd.xsl +cat ccd-vitals.xsl >> ccr_ccd.xsl +cat ccd-encounters.xsl >> ccr_ccd.xsl +cat ccd-socialhistory.xsl >> ccr_ccd.xsl +cat ccd-familyhistory.xsl >> ccr_ccd.xsl +cat ccd-results.xsl >> ccr_ccd.xsl +cat ccd-payers.xsl >> ccr_ccd.xsl +cat ccd-planofcare.xsl >> ccr_ccd.xsl +cat ccd-providers.xsl >> ccr_ccd.xsl +cat ccd-support.xsl >> ccr_ccd.xsl +cat ccd-references.xsl >> ccr_ccd.xsl +cat ccd-actors.xsl >> ccr_ccd.xsl +cat ccd-footer.xsl >> ccr_ccd.xsl +cat ccd-util.xsl >> ccr_ccd.xsl Index: /ccr2ccd-xslt/trunk/gpl/make-qrda.sh =================================================================== --- /ccr2ccd-xslt/trunk/gpl/make-qrda.sh (revision 981) +++ /ccr2ccd-xslt/trunk/gpl/make-qrda.sh (revision 981) @@ -0,0 +1,17 @@ +cat qrda-header.xsl > ccr_qrda.xsl +cat ccd-purpose.xsl >> ccr_qrda.xsl +cat ccd-alerts.xsl >> ccr_qrda.xsl +cat ccd-problems.xsl >> ccr_qrda.xsl +cat ccd-procedures.xsl >> ccr_qrda.xsl +cat ccd-medications.xsl >> ccr_qrda.xsl +cat ccd-immunizations.xsl >> ccr_qrda.xsl +cat ccd-vitals.xsl >> ccr_qrda.xsl +cat ccd-encounters.xsl >> ccr_qrda.xsl +cat ccd-results.xsl >> ccr_qrda.xsl +cat ccd-payers.xsl >> ccr_qrda.xsl +cat ccd-providers.xsl >> ccr_qrda.xsl +cat ccd-support.xsl >> ccr_qrda.xsl +cat ccd-references.xsl >> ccr_qrda.xsl +cat ccd-actors.xsl >> ccr_qrda.xsl +cat qrda-footer.xsl >> ccr_qrda.xsl +cat ccd-util.xsl >> ccr_qrda.xsl Index: /ccr2ccd-xslt/trunk/gpl/qrda-footer.xsl =================================================================== --- /ccr2ccd-xslt/trunk/gpl/qrda-footer.xsl (revision 981) +++ /ccr2ccd-xslt/trunk/gpl/qrda-footer.xsl (revision 981) @@ -0,0 +1,8 @@ + + + + + + + + Index: /ccr2ccd-xslt/trunk/gpl/qrda-header.xsl =================================================================== --- /ccr2ccd-xslt/trunk/gpl/qrda-header.xsl (revision 981) +++ /ccr2ccd-xslt/trunk/gpl/qrda-header.xsl (revision 981) @@ -0,0 +1,522 @@ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + QRDA Incidence Report + + + + + + + + + + + + + + + + + + + + 1200 Sanders Lane + Rockville + MD + 20850 + + + + + + Jody + Jones + + + + + + + + + + + + + + + + + + WorldVistA Test Clinic + + + 123 Maple Ave + Gaithersburg + MD + 20877 + + + + + + + + + + + + + + + + + + + + + + + + + + World VistA Test Clinic + + + + + + + + + + + + WorldVistA Test Clinic + + + + + + + + + + + + + + + + + + + + + + + + + + Dr. + Nancy + Anthracite + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 123 Maple Ave + Gaithersburg + MD + 20877 + + + + Nancy + Anthracite + MD + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 123 Maple Ave + Gaithersburg + MD + 20877 + + + + Nancy + Anthracite + MD + + + + + + + + + + + +
+ + + + + Measure set: CMS EHR Measure Set + 2010 Measures Set Measures + + +
+ + + + + + + + + + + + + + Measure Section + + + + CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus + CMS Measure #2: Diabetes Mellitus: Low Density Lipoprotein (LDL-C) Control in Diabetes Mellitus + CMS Measure #3: Diabetes Mellitus: High Blood Pressure Control in Diabetes Mellitus + CMS Measure #5: Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) + CMS Measure #7: Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI) + CMS Measure #110: Preventive Care and Screening: Influenza Immunization for Patients >= 50 Years + CMS Measure #111: Preventive Care and Screening: Pneumonia Vaccination for Patients 65 Years and Older + CMS Measure #112: Preventive Care and Screening: Screening Mammography + CMS Measure #113: Preventive Care and Screening: Colorectal Cancer Screening + CMS Measure #124: Health Information Technology (HIT): Adoption/Use of Electronic Health Records (EHR) + CMS Measure eRx:Adoption/Use of Medication Electronic Prescribing Measure + + + + + + + + Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0% + + + + + + + + Percentage of patients 18 through 75 years with diabetes mellitus who had most recent LDL-C level in control (less than 100 mg./dL) + + + + + + + + Percentage of patients 18 through 75 years with diabetes mellitus who had most recent blood pressure in control (less than 140/80 mmHg) + + + + + + + + Percentage of patients 18 years and older with a diagnosis of heart frilure and LVSD who were prescribed ACE inhibitor or ARB therapy + + + + + + + + Percentage of patients 18 aged 18 years and older wit a diagnosis of CAD and prior MI who were prescribed beta-blocker therapy + + + + + + + + Percentage of patients aged 50 years and older who received an influenza immunization during the flu season (September through February) + + + + + + + + Percentage of patients afed 65 years and older who have ever received a pneumoccal vaccine + + + + + + + + Percentage of womaen aged 40 through 69 years who had a mammogram to screen for breast cancer within 24 months + + + + + + + + Percentage of patients aged 50 through 80 who received the appropriate colorectal cancer screening + + + + + + + + Documents whether provider has adopted and is using health information technology. To qualify, the provider must havea adopted and be using a certified/qualified electronic health record (EHR) + + + + + + + + Documents whether provider has adopted and is using ePrescribing + + + + + +
+ + Reporting Parameters + + + Reporting Period Jan 1, 2010 to Dec 31, 2010 + + + + + + + + + + + +
+ Index: /ccr2ccd-xslt/trunk/gpl/qrda-measures.xsl =================================================================== --- /ccr2ccd-xslt/trunk/gpl/qrda-measures.xsl (revision 981) +++ /ccr2ccd-xslt/trunk/gpl/qrda-measures.xsl (revision 981) @@ -0,0 +1,266 @@ + *************************************************** + Measure Section + *************************************************** + --> + +
+ + + + + + + + + + + + + + + + + + + + + + + + + + Measure Section + + + + CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus + CMS Measure #2: Diabetes Mellitus: Low Density Lipoprotein (LDL-C) Control in Diabetes Mellitus + CMS Measure #3: Diabetes Mellitus: High Blood Pressure Control in Diabetes Mellitus + CMS Measure #5: Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) + CMS Measure #7: Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI) + CMS Measure #110: Preventive Care and Screening: Influenza Immunization for Patients >= 50 Years + CMS Measure #111: Preventive Care and Screening: Pneumonia Vaccination for Patients 65 Years and Older + CMS Measure #112: Preventive Care and Screening: Screening Mammography + CMS Measure #113: Preventive Care and Screening: Colorectal Cancer Screening + CMS Measure #124: Health Information Technology (HIT): Adoption/Use of Electronic Health Records (EHR) + CMS Measure eRx:Adoption/Use of Medication Electronic Prescribing Measure + + CMS Measure #39: Screening or Therapy for Osteoporosis for Women Aged 65 Years and Older + CMS Measure #47: Advance Care Plan + CMS Measure #48: Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older + CMS Measure #128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up + CMS Measure #173: Preventive Care and Screening: Unhealthy Alcohol Use - Screening + CMS Measure #0013: Hypertension (HTN): Blood Pressure Measurement - QRDA Cat I template + CMS Measure #0022: Drugs to be avoided in the Elderly + CMS Measure #0024: Body Mass Index (BMI) 2 through 18 years of age + CMS Measure #0028: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention + CMS Measure #0038: Childhood Immunization Status - QRDA Cat I template + + + + + + + + Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0% + + + + + + + + Percentage of patients 18 through 75 years with diabetes mellitus who had most recent LDL-C level in control (less than 100 mg./dL) + + + + + + + + Percentage of patients 18 through 75 years with diabetes mellitus who had most recent blood pressure in control (less than 140/80 mmHg) + + + + + + + + Percentage of patients 18 years and older with a diagnosis of heart frilure and LVSD who were prescribed ACE inhibitor or ARB therapy + + + + + + + + Percentage of patients 18 aged 18 years and older wit a diagnosis of CAD and prior MI who were prescribed beta-blocker therapy + + + + + + + + Percentage of patients aged 50 years and older who received an influenza immunization during the flu season (September through February) + + + + + + + + Percentage of patients afed 65 years and older who have ever received a pneumoccal vaccine + + + + + + + + Percentage of womaen aged 40 through 69 years who had a mammogram to screen for breast cancer within 24 months + + + + + + + + Percentage of patients aged 50 through 80 who received the appropriate colorectal cancer screening + + + + + + + + Documents whether provider has adopted and is using health information technology. To qualify, the provider must havea adopted and be using a certified/qualified electronic health record (EHR) + + + + + + + + Documents whether provider has adopted and is using ePrescribing + + + + + + + + + + Percentage of patients who had a DXA measurement ordered or performed at least once since age 60 or pharmacologic therapy prescribed within 12 months before the end of the measurement period + + + + + + + + Percentage of patients age 65 and older who have an advanced care plan or surrogate decision maker documented in the medical record or documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan. + + + + + + + + Percentage of patients equal to or older than 65 years of age at the beginning of the measurement perion who were assesed for the presence or absence of urinary incontinence within 12 months. + + + + + + + + Percentage of patients aged 18 yesrs and older with a calculate BMI in the past 6 months or during the current visit documented in the medical record and if the most recent BMI is ourtide parameters, a follow-up plan is documented. Ages 65 and older BMI equal to or greater than 30 or less than 22 and ages 18-64, BMI greater than or equal to 25 or less than 18.5 + + + + + + + + Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic method within 24 months + + + + + + + + Percentage of patients aged 18 years and older with a diagnosis of hypertension in the beginning of the measurement period with a blood pressure recoreded. + + + + + + + + Percentage of patients aged 65 years and older who received at least one drug to be acoided in the elderly and/or two different drugs to be avoided in the elderly in the measurement period + + + + + + + + Percentage of children 2-18 years of age at the beginning of the measurement period whose weight is classified based on BMI percentile for age and gender. + + + + + + + + Percentage of patients aged 18 years of older who were screened about tobacco use at least once during the two year measurement preoid AND who received cessation counseling if identified as a tobacco user. + + + + + + + + Percentage of children who turn two years of age during the measurement period who have had four DTaP/DT, three IPV, one MMR and three H influenza type B, three hepatitis B, one chicken pox vaccine (VZV) and four pneumococcal conjugate vaccines by their second birthday + + + + + + + + Documents whether provider has adopted and is using ePrescribing + + + + + +
+ + Reporting Parameters + + + Reporting Period Jan 1, 2010 to Dec 31, 2010 + + + + + + + + + + + +
+ + + + + + + + + + + + + + + + + + + + + + QRDA Incidence Report + + + + + + + + + + + + + + + + + + + + 1200 Sanders Lane + Rockville + MD + 20850 + + + + + + Jody + Jones + + + + + + + + + + + + + + + + + + WorldVistA Test Clinic + + + 123 Maple Ave + Gaithersburg + MD + 20877 + + + + + + + + + + + + + + + + + + + + + + + + + + World VistA Test Clinic + + + + + + + + + + + + WorldVistA Test Clinic + + + + + + + + + + + + + + + + + + + + + + + + + + Dr. + Nancy + Anthracite + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 123 Maple Ave + Gaithersburg + MD + 20877 + + + + Nancy + Anthracite + MD + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 123 Maple Ave + Gaithersburg + MD + 20877 + + + + Nancy + Anthracite + MD + + + + + + + + + + + +
+ + + + + Measure set: CMS EHR Measure Set + 2010 Measures Set Measures + + +
+ + + + + + + + + + + + + + Measure Section + + + + CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus + CMS Measure #2: Diabetes Mellitus: Low Density Lipoprotein (LDL-C) Control in Diabetes Mellitus + CMS Measure #3: Diabetes Mellitus: High Blood Pressure Control in Diabetes Mellitus + CMS Measure #5: Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) + CMS Measure #7: Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI) + CMS Measure #110: Preventive Care and Screening: Influenza Immunization for Patients >= 50 Years + CMS Measure #111: Preventive Care and Screening: Pneumonia Vaccination for Patients 65 Years and Older + CMS Measure #112: Preventive Care and Screening: Screening Mammography + CMS Measure #113: Preventive Care and Screening: Colorectal Cancer Screening + CMS Measure #124: Health Information Technology (HIT): Adoption/Use of Electronic Health Records (EHR) + CMS Measure eRx:Adoption/Use of Medication Electronic Prescribing Measure + + + + + + + + Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0% + + + + + + + + Percentage of patients 18 through 75 years with diabetes mellitus who had most recent LDL-C level in control (less than 100 mg./dL) + + + + + + + + Percentage of patients 18 through 75 years with diabetes mellitus who had most recent blood pressure in control (less than 140/80 mmHg) + + + + + + + + Percentage of patients 18 years and older with a diagnosis of heart frilure and LVSD who were prescribed ACE inhibitor or ARB therapy + + + + + + + + Percentage of patients 18 aged 18 years and older wit a diagnosis of CAD and prior MI who were prescribed beta-blocker therapy + + + + + + + + Percentage of patients aged 50 years and older who received an influenza immunization during the flu season (September through February) + + + + + + + + Percentage of patients afed 65 years and older who have ever received a pneumoccal vaccine + + + + + + + + Percentage of womaen aged 40 through 69 years who had a mammogram to screen for breast cancer within 24 months + + + + + + + + Percentage of patients aged 50 through 80 who received the appropriate colorectal cancer screening + + + + + + + + Documents whether provider has adopted and is using health information technology. To qualify, the provider must havea adopted and be using a certified/qualified electronic health record (EHR) + + + + + + + + Documents whether provider has adopted and is using ePrescribing + + + + + +
+ + Reporting Parameters + + + Reporting Period Jan 1, 2010 to Dec 31, 2010 + + + + + + + + + + + +
+ + + +
+ + Patient Data +
+ + + +
+ + + + Problems + + + + + + + + + + + + + + + + + + + + + + + + +
ConditionEffective DatesCondition Status
Diabetes mellitus1995Active/Chronic
Congestive Heart Failure2007Active/Chronic
Myocardial Infactioon1996Resolved
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + +
+ + + + + Medications + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
MedicationDateStatusFormStrengthQuantitySIGRefillsPrescribed by
GLYBURIDE-METFORMIN 2.5 mg-500 mg oral tablet7-3-2010ACTIVETABLET2.5/500 MG90 TAB ONE BY MOUTH Q12HtwoNancy Anthracite, MD
ATENOLOL 100MG TAB7-3-2010ACTIVETAB100 MG90 TABONE TAB (BY MOUTH) QDTWONancy Anthracite, MD
LISINOPRIL 20MG TAB7-3-2010ACTIVETAB20 MG90 TAB20 MG ORAL (BY MOUTH) QAM2Nancy Anthracite, MD
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + glyburide-metformin + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + atenolol + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + lisinopril + + + + + + +
+ + + +
+ + +Results + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
TestDateResultRef. Range
Calculated LDL7-3-2010LDL CHOLESTEROL 90 MG/DL0-130
HEMOGLOBIN A1C 9.1 percent H7-3-2010A1C 9.1 percent H3.5-6.0
EJECTION FRACTION2010021039%55-75
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + +0-130 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +3.5-6.0 + + + + + + + + + + + + + + + + + + + + + + + + +LEFT VERTRICULAR EJECTION FRACTION + + + + +55-75 + + + + + + + +
+ + + +
+ + +Procedures + + + + + + + + + + + + + + + + + + + + + + +
ProcedureDate Ordered ByPerformed By
Mammogram2-10-2010Nancy Anthracite, MDGrover, Christie & Merritt
Colonoscopy2-18-2010Nancy Anthracite, MDJohn Gallager, MD
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + +
+ + + History of Immunizations + + + + + + + + + + + + + + + + + + + + + +
VaccineDateStatus
Influenza virus vaccine, splitOct. 15. 2009Completed
Pneumococcal vaccineJan. 10,2010Completed
+ + + + + + + + + +
+ + + + + + + + + + INFLUENZA VIRUS VACCIINE, SPLIT + + + + + + + + + + + + + + +
+ + + + + + + + + + PNEUMOCCAL VACCINE + + + + + + +
+ + + +
+ + +Vital Signs + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
DateVital SignResultSource
2-5-2010Systolic Blood Pressure130WorldVistA Test Clinic
2-5-2010Diastolic Blood Pressure78WorldVistA Test Clinic
2-5-2010Heart Rate55WorldVistA Test Clinic
7-3-2010Systolic Blood Pressure128WorldVistA Test Clinic
7-3-2010Diastolic Blood Pressure80WorldVistA Test Clinic
7-3-2010Heart Rate57WorldVistA Test Clinic
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + Structured data section + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Certified System UsedSystem TypeCertification TypeEncounter Date Used
WorldVistA EHR EHRCCHIT Certified2-5-2010
WorldVistA EHREHRQualified System7-3-2010
AllscriptseRxQualified7-3-2010
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + </section> + </component> +<!-- + ************************************ + Payers section + + ******************************* + --> + +<component> +<section> +<templateId root="2.16.840.1.113883.10.20.1.9"/> +<!-- 48768-6 is payment sources --> +<code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment sources"/> +<title>Payment Sources + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Payer nameGroup/TypePrimary Policy Owner/Responsible PartyCovered party IDPayor TelephoneElectronic Claims Payor NumberAuthorized
Mail Handlers Benefit Plan454Jody Jean Jones88888881-800-410-777862413Colonoscopy
MedicareJody Jean Jones002003004Colonoscopy
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +Mail Handler Benefit Plan + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +CMS + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ +
+ +
+ + + + Index: /ccr2ccd-xslt/trunk/gpl/sample2.xml =================================================================== --- /ccr2ccd-xslt/trunk/gpl/sample2.xml (revision 981) +++ /ccr2ccd-xslt/trunk/gpl/sample2.xml (revision 981) @@ -0,0 +1,15573 @@ + + + + 5e808d26-edbe-473f-be1c-8630d3ea770f + + English + + V1.0 + + 2010-06-22T20:55:55-05:00 + + + ACTORPATIENT_8 + + + + ACTORPROVIDER_10000000020 + + + ACTORSYSTEM_1 + + + + + ACTORPATIENT_8 + + Patient + + + + + + CEND PHR + + + + + + PROBLEM1 + + 2007-04-10T00:00:00-05:00 + + + Problem + + + Hypertension + + 401.9 + ICD9CM + + + + Active/Chronic + + + + ACTORPROVIDER_10000000031 + + + + + PROBLEM2 + + 2007-04-10T00:00:00-05:00 + + + Problem + + + Hyperlipidemia + + 272.4 + ICD9CM + + + + Active/Chronic + + + + ACTORPROVIDER_10000000031 + + + + + PROBLEM3 + + 2005-03-17T00:00:00-05:00 + + + Problem + + + Acute myocardial infarction, unspecified site, episode of care unspecified + + 410.90 + ICD9CM + + + + Active + + + + 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+ +@@MEDCONCVALUE@@ + +@@MEDCONCUNIT@@ + + + + +@@MEDQUANTITYVALUE@@ + +@@MEDQUANTITYUNIT@@ + + + + + +@@MEDDIRECTIONDESCRIPTIONTEXT@@ + + +@@MEDDOSEINDICATOR@@ + + +@@MEDDELIVERYMETHOD@@ + + +@@MEDDOSEVALUE@@ + +@@MEDDOSEUNIT@@ + + +@@MEDRATEVALUE@@ + +@@MEDRATEUNIT@@ + + + + +@@MEDVEHICLETEXT@@ + + +@@MEDDIRECTIONROUTETEXT@@ + + +@@MEDFREQUENCYVALUE@@ + + +@@MEDINTERVALVALUE@@ + +@@MEDINTERVALUNIT@@ + + + +@@MEDDURATIONVALUE@@ + +@@MEDDURATIONUNIT@@ + + + + +@@MEDPRNFLAG@@ + + +@@MEDPROBLEMOBJECTID@@ + +@@MEDPROBLEMTYPETXT@@ + + +@@MEDPROBLEMDESCRIPTION@@ + +@@MEDPROBLEMCODEVALUE@@ +@@MEDPROBLEMCODINGSYSTEM@@ +@@MEDPROBLEMCODINGVERSION@@ + + + + +@@MEDPROBLEMSOURCEACTORID@@ + + + + + +@@MEDSTOPINDICATOR@@ + +@@MEDDIRSEQ@@ + +@@MEDMULDIRMOD@@ + + + + + +@@MEDPTINSTRUCTIONS@@ + + + +@@MEDFULLFILLMENTINSTRUCTIONS@@ + + + +@@MEDRFNO@@ + + + + + + +@@VITALSIGNSDATAOBJECTID@@ + + +@@VITALSIGNSDATETIMETYPETEXT@@ + +@@VITALSIGNSEXACTDATETIME@@ + + +@@VITALSIGNSDESCRIPTIONTEXT@@ + + + +@@VITALSIGNSSOURCEACTORID@@ + + + +@@VITALSIGNSTESTOBJECTID@@ + +@@VITALSIGNSTESTTYPETEXT@@ + + +@@VITALSIGNSDESCRIPTIONTEXT@@ + +@@VITALSIGNSDESCCODEVALUE@@ +@@VITALSIGNSDESCCODINGSYSTEM@@ +@@VITALSIGNSCODEVERSION@@ + + + + +@@VITALSIGNSTESTSOURCEACTORID@@ + + + +@@VITALSIGNSTESTRESULTVALUE@@ + +@@VITALSIGNSTESTRESULTUNIT@@ + + + + + + + +@@RESULTOBJECTID@@ + + +Assessment Time + +@@RESULTASSESSMENTDATETIME@@ + + +@@RESULTDESCRIPTIONTEXT@@ + +@@RESULTCODE@@ +@@RESULTCODINGSYSTEM@@ + + + +@@RESULTSTATUS@@ + + + +@@RESULTSOURCEACTORID@@ + + + +@@RESULTTESTOBJECTID@@ + + +Assessment Time + +@@RESULTTESTDATETIME@@ + + +@@RESULTTESTDESCRIPTIONTEXT@@ + +@@RESULTTESTCODEVALUE@@ +@@RESULTTESTCODINGSYSTEM@@ + + + +@@RESULTTESTSTATUSTEXT@@ + + + +@@RESULTTESTSOURCEACTORID@@ + + + +@@RESULTTESTVALUE@@ + +@@RESULTTESTUNITS@@ + + + + + +@@RESULTTESTNORMALDESCTEXT@@ + + + +@@RESULTTESTNORMALSOURCEACTORID@@ + + + + + +@@RESULTTESTFLAG@@ + + + + + + +@@PROCOBJECTID@@ + + +@@PROCDATETEXT@@ + +@@PROCDATETIME@@ + + +@@PROCDESCTEXT@@ + +@@PROCDESCOBJATTR@@ + +@@PROCDESCOBJATTRVAL@@ + +@@PROCDESCOBJATTRCODE@@ +@@PROCDESCOBJATTRCODESYS@@ + + + + +@@PROCCODE@@ +@@PROCCODESYS@@ + + + +@@PROCSTATUS@@ + + + +@@PROCACTOROBJID@@ + + + +@@PROCLINKID@@ +@@PROCLINKREL@@ + + + + + +@@ENCOBJECTID@@ + +@@ENCDATETIME@@ + + +@@ENCTYPETXT@@ + +@@ENCTYPECODE@@ +@@ENCTYPECODESYS@@ + + + +@@ENCDESCTXT@@ + +@@ENCDESCCODE@@ +@@ENCDESCCODESYS@@ + + + + +@@ENCLOCACTORID@@ + + + + +@@ENCPRVACTORID@@ + + + +@@ENCINDTXT@@ + +@@ENCINDCODE@@ +@@ENCINDCODESYS@@ + + + + +@@ENCACTORID@@ + + +@@ENCCOMMENTID@@ + + + + +AA0005 + +Primary Provider + + + + + + + +@@ACTOROBJECTID@@ + + + +@@ACTORGIVENNAME@@ +@@ACTORMIDDLENAME@@ +@@ACTORFAMILYNAME@@ + + + +@@ACTORDATEOFBIRTH@@ + + +@@ACTORGENDER@@ + +@@ACTORGENDERCODE@@ +HL7 AdministrativeGender + + + + + +@@ACTORSSNTEXT@@ + +@@ACTORSSN@@ + + +@@ACTORSSNSOURCEID@@ + + + +
+ +@@ACTORADDRESSTYPE@@ + +@@ACTORADDRESSLINE1@@ +@@ACTORADDRESSLINE2@@ +@@ACTORADDRESSCITY@@ +@@ACTORADDRESSSTATE@@ +@@ACTORADDRESSZIPCODE@@ +
+ +@@ACTORRESTEL@@ + +@@ACTORRESTELTEXT@@ + + + +@@ACTORWORKTEL@@ + +@@ACTORWORKTELTEXT@@ + + + +@@ACTORCELLTEL@@ + +@@ACTORCELLTELTEXT@@ + + + +@@ACTOREMAIL@@ + + + +@@ACTORADDRESSSOURCEID@@ + + + + + + +@@ACTOROBJECTID@@ + +@@ACTORINFOSYSNAME@@ +@@ACTORINFOSYSVER@@ + + + +@@ACTORINFOSYSSOURCEID@@ + + + + + + +AA0003 + + +@@ACTORDISPLAYNAME@@ + + + +@@ACTORRELATION@@ + + + +@@ACTORRELATIONSOURCEID@@ + + + + + + +@@ACTOROBJECTID@@ + + + +@@ACTORGIVENNAME@@ +@@ACTORMIDDLENAME@@ +@@ACTORFAMILYNAME@@ +@@ACTORTITLE@@ + + + + + +@@IDTYPE@@ + +@@ID@@ + + +@@IDDESC@@ + + + + +@@ACTORSPECIALITY@@ + +
+ +@@ACTORADDRESSTYPE@@ + +@@ACTORADDRESSLINE1@@ +@@ACTORADDRESSCITY@@ +@@ACTORADDRESSSTATE@@ +@@ACTORPOSTALCODE@@ +
+ +@@ACTORTELEPHONE@@ + +@@ACTORTELEPHONETYPE@@ + + + +@@ACTOREMAIL@@ + + + +@@ACTORSOURCEID@@ + + + +@@ACTORORGLINK@@ +representedOrganization + + + + + +@@ACTOROBJECTID@@ + +@@ORGANIZATIONNAME@@ + +
+ +@@ACTORADDRESSTYPE@@ + +@@ACTORADDRESSLINE1@@ +@@ACTORADDRESSCITY@@ +@@ACTORADDRESSSTATE@@ +@@ACTORPOSTALCODE@@ +
+ +@@ACTORTELEPHONE@@ + +@@ACTORTELEPHONETYPE@@ + + + + +@@ACTORSOURCEID@@ + + + + + + + +S0001 +2008-03-18T23:10:58Z + +AA0001 + + + + + + + + + + + +YFveLLyo+75P7rSciv0/m1O6Ot4= + + +Bj6sACXl74hrlbUYnu8HqnRab5VGy69BOYjOH7dETxgppXMEd7AoVYaePZvgJft78JR4oQY76hbFyGcIslYauPpJxx2hCd5d56xFeaQg01R6AQOvGnhjlq63TbpFdUq0B4tYsmiibJPbQJhTQe+TcWTBvWaQt8Fkk5blO571YvI= + + + +meH817QYol+/uUEg6j8Mg89s7GTlaN9B+/CGlzrtnQH+swMigZRnEPxHVO8PhEymP/W9nlhAjTScV/CUzA9yJ9WiaOn17c+KReKhfBqL24DX9BpbJ+kLYVz7mBO5Qydk5AzUT2hFwW93irD8iRKP+/t+2Mi2CjNfj8VTjJpHpm0= +AQAB + + + + + + + + + +@@COMMENTOBJECTID@@ + +@@CMTDATETIME@@ + + + + + + + +@@ACTORSOURCEID@@ + + + + + Index: /ccr2ccd-xslt/trunk/make/ccr_qrda.xsl =================================================================== --- /ccr2ccd-xslt/trunk/make/ccr_qrda.xsl (revision 980) +++ /ccr2ccd-xslt/trunk/make/ccr_qrda.xsl (revision 981) @@ -67,6 +67,9 @@ - - + + + + + @@ -89,55 +92,9 @@ - - - - - - - 1200 Sanders Lane - Rockville - MD - 20850 - - - - - - Jody - Jones - - - - - - - - - - - - - - - - - - WorldVistA Test Clinic - - - 123 Maple Ave - Gaithersburg - MD - 20877 - - - - - - - - - - + + + + + Index: /ccr2ccd-xslt/trunk/make/qrda-header.xsl =================================================================== --- /ccr2ccd-xslt/trunk/make/qrda-header.xsl (revision 980) +++ /ccr2ccd-xslt/trunk/make/qrda-header.xsl (revision 981) @@ -67,6 +67,9 @@ - - + + + + + @@ -89,55 +92,9 @@ - - - - - - - 1200 Sanders Lane - Rockville - MD - 20850 - - - - - - Jody - Jones - - - - - - - - - - - - - - - - - - WorldVistA Test Clinic - - - 123 Maple Ave - Gaithersburg - MD - 20877 - - - - - - - - - - + + + + + Index: /ccr2ccd-xslt/trunk/make/qrda-measures.xsl =================================================================== --- /ccr2ccd-xslt/trunk/make/qrda-measures.xsl (revision 981) +++ /ccr2ccd-xslt/trunk/make/qrda-measures.xsl (revision 981) @@ -0,0 +1,266 @@ + *************************************************** + Measure Section + *************************************************** + --> + +
+ + + + + + + + + + + + + + + + + + + + + + + + + + Measure Section + + + + CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus + CMS Measure #2: Diabetes Mellitus: Low Density Lipoprotein (LDL-C) Control in Diabetes Mellitus + CMS Measure #3: Diabetes Mellitus: High Blood Pressure Control in Diabetes Mellitus + CMS Measure #5: Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) + CMS Measure #7: Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI) + CMS Measure #110: Preventive Care and Screening: Influenza Immunization for Patients >= 50 Years + CMS Measure #111: Preventive Care and Screening: Pneumonia Vaccination for Patients 65 Years and Older + CMS Measure #112: Preventive Care and Screening: Screening Mammography + CMS Measure #113: Preventive Care and Screening: Colorectal Cancer Screening + CMS Measure #124: Health Information Technology (HIT): Adoption/Use of Electronic Health Records (EHR) + CMS Measure eRx:Adoption/Use of Medication Electronic Prescribing Measure + + CMS Measure #39: Screening or Therapy for Osteoporosis for Women Aged 65 Years and Older + CMS Measure #47: Advance Care Plan + CMS Measure #48: Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older + CMS Measure #128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up + CMS Measure #173: Preventive Care and Screening: Unhealthy Alcohol Use - Screening + CMS Measure #0013: Hypertension (HTN): Blood Pressure Measurement - QRDA Cat I template + CMS Measure #0022: Drugs to be avoided in the Elderly + CMS Measure #0024: Body Mass Index (BMI) 2 through 18 years of age + CMS Measure #0028: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention + CMS Measure #0038: Childhood Immunization Status - QRDA Cat I template + + + + + + + + Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0% + + + + + + + + Percentage of patients 18 through 75 years with diabetes mellitus who had most recent LDL-C level in control (less than 100 mg./dL) + + + + + + + + Percentage of patients 18 through 75 years with diabetes mellitus who had most recent blood pressure in control (less than 140/80 mmHg) + + + + + + + + Percentage of patients 18 years and older with a diagnosis of heart frilure and LVSD who were prescribed ACE inhibitor or ARB therapy + + + + + + + + Percentage of patients 18 aged 18 years and older wit a diagnosis of CAD and prior MI who were prescribed beta-blocker therapy + + + + + + + + Percentage of patients aged 50 years and older who received an influenza immunization during the flu season (September through February) + + + + + + + + Percentage of patients afed 65 years and older who have ever received a pneumoccal vaccine + + + + + + + + Percentage of womaen aged 40 through 69 years who had a mammogram to screen for breast cancer within 24 months + + + + + + + + Percentage of patients aged 50 through 80 who received the appropriate colorectal cancer screening + + + + + + + + Documents whether provider has adopted and is using health information technology. To qualify, the provider must havea adopted and be using a certified/qualified electronic health record (EHR) + + + + + + + + Documents whether provider has adopted and is using ePrescribing + + + + + + + + + + Percentage of patients who had a DXA measurement ordered or performed at least once since age 60 or pharmacologic therapy prescribed within 12 months before the end of the measurement period + + + + + + + + Percentage of patients age 65 and older who have an advanced care plan or surrogate decision maker documented in the medical record or documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan. + + + + + + + + Percentage of patients equal to or older than 65 years of age at the beginning of the measurement perion who were assesed for the presence or absence of urinary incontinence within 12 months. + + + + + + + + Percentage of patients aged 18 yesrs and older with a calculate BMI in the past 6 months or during the current visit documented in the medical record and if the most recent BMI is ourtide parameters, a follow-up plan is documented. Ages 65 and older BMI equal to or greater than 30 or less than 22 and ages 18-64, BMI greater than or equal to 25 or less than 18.5 + + + + + + + + Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic method within 24 months + + + + + + + + Percentage of patients aged 18 years and older with a diagnosis of hypertension in the beginning of the measurement period with a blood pressure recoreded. + + + + + + + + Percentage of patients aged 65 years and older who received at least one drug to be acoided in the elderly and/or two different drugs to be avoided in the elderly in the measurement period + + + + + + + + Percentage of children 2-18 years of age at the beginning of the measurement period whose weight is classified based on BMI percentile for age and gender. + + + + + + + + Percentage of patients aged 18 years of older who were screened about tobacco use at least once during the two year measurement preoid AND who received cessation counseling if identified as a tobacco user. + + + + + + + + Percentage of children who turn two years of age during the measurement period who have had four DTaP/DT, three IPV, one MMR and three H influenza type B, three hepatitis B, one chicken pox vaccine (VZV) and four pneumococcal conjugate vaccines by their second birthday + + + + + + + + Documents whether provider has adopted and is using ePrescribing + + + + + +
+ + Reporting Parameters + + + Reporting Period Jan 1, 2010 to Dec 31, 2010 + + + + + + + + + + + +
+ +