MU Stage1 Final Rule - Record and Chart Vital Signs

SECTION # ' Section 170.302(e)—Record and Chart Vital Signs

MU OBJECTIVE Record and chart changes in vital signs: - Height - Weight - Blood pressure - Calculate and display BMI (Plot and display growth charts for children 2-20 years, including BMI)

MU STAGE 1 MEASURE For more than 50% of all unique patients age 2 and over seen by the EP or admitted to eligible hospital’s or CAH’s inpatient or emergency department (POS 21 or 23), height, weight and blood pressure are Recorded as structured data

CERTIFICATION CRITERION Interim Final Rule Text: (1)Vital signs. Enable a user to electronically Record, modify, and retrieve a patient’s vital signs including, at a minimum, the height, weight, blood pressure, temperature, and pulse. (2)Calculate body mass index. Automatically calculate and display body mass index (BMI) based on a patient’s height and weight. (3) Plot and display growth charts. Plot and electronically display, upon request, growth charts for patients 2–20 years old. Final Rule Text: §170.302(f). (1)Vital signs. Enable a user to electronically Record, modify, and retrieve a patient’s vital signs including, at a minimum, height, weight, and blood pressure. (2) Unchanged (3) Unchanged

STANDARDS N/A

TEST CRITERIA # §170.302 (f) http://healthcare.nist.gov/docs/170.302.f.1_vitalsigns_v1.1.pdf http://healthcare.nist.gov/docs/170.302.f.2_BMI_v1.1.pdf http://healthcare.nist.gov/docs/170.302.f.3_growthcharts_v1.1.pdf

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There is an all open source PHP based Application already built for use with VistA. There is information and documentation at http://opensourcevista.net:8888/NancysVistAServer/PGC.

For international use, data files need to have the WHO data added and verified. That is partially done but needs more work.

Once ePrescribing changes to CPRS that are necessary for Meaningful Use are done, changes will probably be made to the software to make it easier to install.

Kevin Toppenberg has also built a pediatric growth chart Application which has one proprietary component that he has licensed on behalf of the community and runs only with the Internet Explorer browser and is easy to install.

WorldVistA will probably use Kevin's solution at least until ePrescribing is released and installation of the first solution gets easier.

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