| OP sets all defaults to share all information. Any individual decisions by Practice-users to restrict information sharing (access, use, or exchange) are the responsibility of the Practice in the implementation of its 21st Century Cures Act Information Blocking policies and procedures for its Practice and patients. |
Version 20.10
Path: Clinical tab > More button (Customize Group) > Risk Assessments
Add or Edit Risk Questions
Note: Some risk questions are required for the middleware to function correctly. In particular, the questions for functional status, cognitive status, and smoking status can not be modified. These questions are directly derived from Promoting Interoperability (MU Stage 3).The LOINC codes on the questions, the set of allowed answers, and the SNOMED codes on those answers must conform to particular value sets specified by the CDA and/or QRDA specifications. |
- Navigate to the Risk Assessments Editor using the path above.
- Follow the below instructions whether Adding or Editing a Risk Question.
- Add a Risk Question: Click the Add button or click into the add a new question field and type the risk question.
- Edit a Risk Question: Highlight the question to edit, click the Edit button.
- Complete or the risk question using the table below.
Question Column | Description |
| Risk Question | Risk question that will appear in the Risk Assessment tab in the patient chart or while charting a sick or well visit. |
| Privacy | Set a privacy level to restrict visibility to specific staff. |
| Sort Order | Numeric value to organize questions within the Risk Assessment tab. |
| Sex | Set a risk question to display dependent upon a child's gender. |
| Min Age (months) | Set a risk question to only display when a child has reached the minimum age. |
| Max Age (months) | Set a risk question to no longer display when a child has reached the maximum age. |
| DX Code | The code entered in this column is dependent on the DX Code Type. |
| DX Code Type | The entry in this column controls what is entered in the DX Code. LOINC is the requirement for Meaningful Use. |
| Risk Group | The question can be categorized in the risk group column. |
| SDOH | Selection of this checkbox is used when the Risk Question is considered an eligible Social Determinant of Health and calculated for MDM Risk. Food Insecurity, Health Literacy and Housing Insecurity are selected by default. |
- Click the Save button. Repeat the above steps to add or edit additional Risk Questions.
Add or Edit Risk Answers
- If not in the Risk Assessment Editor, navigate using the path above.
- Click to select a risk question in the top panel. The answers to the selected question display in the Answer panel.
- Follow the below instructions whether Adding or Editing a Risk Answer.
- Add a Risk Answer: Click the Add button or click into the add a new answer field and type the risk answer
- Edit a Risk Answer: Highlight the answer to edit, click the Edit button.
- Complete the risk answer using the table below.
Answer Column | Description |
Answer | Set of answers defined specific to the Risk Question selected. Selections will display when charting a sick or well visit |
| Answer Code | U=Unknown, N=Low Risk, R=At Risk, C=Current Exposure, P=Past Exposure, H=History |
| Risk Level | Value in the risk level will be set to reflect the answer code. Values set in this field set the display color on selection of the answer. |
| Sort Order | Numeric value to organize answers for a selected risk question |
| DX Description | Description of the selected SNOMED. DX Description will populate if SNOMED selection is made in the SNOMED column. |
| SNOMED | SNOMED code selection. SNOMED will populate if a selection is made in the DX Description column. |
| DX Code Type | Field will be left blank. |
Note: A value of Unknown is required as an Answer for the Risk Question to be visible. |
- Click the Save button. Repeat the above steps to add or edit additional Risk Answers.
Version 20.8
Path: Clinical tab > More button (Customize Group) > Risk Assessments
Add Risk Questions
Note: Some risk questions are required for the middleware to function correctly. In particular, the questions for functional status, cognitive status, and smoking status can not be modified. These questions are directly derived from Promoting Interoperability (MU Stage 3).The LOINC codes on the questions, the set of allowed answers, and the SNOMED codes on those answers must conform to particular value sets specified by the CDA and/or QRDA specifications. |
- Navigate to the Risk Assessments Editor using the path above.
- Click the Add button or click into the add a new question field and type the risk question.
- Complete the risk question using the table below.
Question Column | Description |
| Risk Question | Risk question that will appear in the Risk Assessment tab in the patient chart or while charting a sick or well visit. |
| Privacy | Set a privacy level to restrict visibility to specific staff. |
| Sort Order | Numeric value to organize questions within the Risk Assessment tab. |
| Sex | Set a risk question to display dependent upon a child's gender. |
| Min Age (months) | Set a risk question to only display when a child has reached the minimum age. |
| Max Age (months) | Set a risk question to no longer display when a child has reached the maximum age. |
| DX Code | The code entered in this column is dependent on the DX Code Type. |
| DX Code Type | The entry in this column controls what is entered in the DX Code. LOINC is the requirement for Meaningful Use. |
| Risk Group | The question can be categorized in the risk group column. |
Add Risk Answers
- If not in the Risk Assessment Editor, navigate using the path above.
- Click to select a risk question in the top panel. The answers to the selected question display in the Answer panel.
- Click the Add button or click into the add a new answer field and type the risk answer.
- Complete the risk answer(s) using the table below.
Answer Column | Description |
Answer | Set of answers defined specific to the Risk Question selected. Selections will display when charting a sick or well visit |
| Answer Code | U=Unknown, N=Low Risk, R=At Risk, C=Current Exposure, P=Past Exposure, H=History |
| Risk Level | Value in the risk level will be set to reflect the answer code. Values set in this field set the display color on selection of the answer. |
| Sort Order | Numeric value to organize answers for a selected risk question |
| DX Description | Description of the selected SNOMED. DX Description will populate if SNOMED selection is made in the SNOMED column. |
| SNOMED | SNOMED code selection. SNOMED will populate if a selection is made in the DX Description column. |
| DX Code Type | Field will be left blank. |
Note: A value of Unknown is required as an Answer for the Risk Question to be visible. |
