Update #getV.First_Name_M0040# #getV.Last_Name_M0040# CMS485

pm = CreateObject("Component", "Menu"); pm.MenuFunction('physician',#GetV.Patient_Id#,#Session.CS.AssessmentID#,'','','');

Sent to Physician
Received from Physician
Order Status

Order Information
Patient	#getV.First_Name_M0040# #getV.Last_Name_M0040#
Date Sent	#DateFormat(GetV.Date_Sent, "mm/dd/yyyy")#
Physican	#Replace(getv.Physician_Item_24, CrLf, " ", "ALL")#
HI Claim Number	#GetV.HI_Claim_Item_1#
Start of Care	#DateFormat(GetV.SOC_Item_2,"mm/dd/yyyy")#
Certification Dates	#DateFormat(GetV.Cert_start_Item_3a,"mm/dd/yyyy")# to #DateFormat(GetV.Cert_End_Item_3b,"mm/dd/yyyy")#
Date of Birth	#DateFormat(GetV.DOB_Item_8,"mm/dd/yyyy")# Gender #GetV.Gender_Item_9#
Medications	#ListElement#
Primary Diagnosis	#ListElement# #ListElement# #DateFormat(GetV.M0230_Date_Item_11,"mm/dd/yyyy")#
Surgical Procedure	#GetV.Surgical_ICD_Item_12# #GetV.Surgical_Procedure_Item_12# #DateFormat(GetV.Surgical_Procedure_Date_Item_12,"mm/dd/yyyy")#
Diagnosis	#ListElement# #ListElement#
Supplies/DME	#getV.DME_Supplies_Item_14#
Safety Measures	#Replace(getV.Safety_Measures_Item_15, CrLf, " ", "ALL")#
Nutrition	#getV.Nutritional_Item_16#
Allergies	#getV.Allergies_Item_17#
Functional Limitations	#getV.Func_Limits_Item_18a#
Other Functional Limits	#GetV.Func_Limits_Item_18a_other#
Activities Permitted	#getV.Activities_Permitted_Item_18b#
Other OK Activities	#GetV.Activities_Permitted_Item_18b_other#
Mental Status	#getV.Mental_Status_Item_19#
Other Mental	#GetV.Mental_Status_Item_19_other#
Prognosis	#getV.Prognosis_Item_20#
Orders for Care	SN_Schedule:#GetV.SN_Schedule_21##GetAssessDet.SN_Visit_Orders# Therapy_Schedule:#GetV.Therapy_Schedule_21##GetAssessDet.Therapy_Visit_Orders# HHA_Schedule:#GetV.HHA_Schedule_21##GetAssessDet.HHA_Visit_Orders# #getV.Order_item_21#
Addendum Details	#Replace(getV.Addendum_Details_21, CrLf, " ", "ALL")#
Goals Rehab Discharge	#getV.Goals_Item_22# Rehabilition Potential:#GetAssessDet.Rehab_Prognosis_M0270# Discharge Plans:#getV.Discharge#
Physician-described Homebound Status	#Replace(getV.Phys_Descr_Homebound, CrLf, " ", "ALL")#
Physician-described Skilled Needs	#Replace(getV.Phys_Descr_Clinical_Cond, CrLf, " ", "ALL")#

#getV.Order_item_21# --->

Order Information
Patient	#getV.First_Name_M0040# #getV.Last_Name_M0040#
Order Date
Date Sent
Physican	<cfoutput>#Replace(getv.Physician_Item_24, CrLf, '<br/>', 'ALL')#</cfoutput>
HI Claim Number
Start of Care
Certification Dates	to
Date of Birth	Gender checked value="1 - Male"/>Male checked value="2 - Female"/>Female
Medications	<cfoutput>#Replace(getV.Active_meds_Item_10, CrLf, '<br>', 'ALL')#</cfoutput>
Primary Diagnosis
Surgical Procedure
Diagnosis
Supplies/DME	checked>4 Wheeled walker checked>long leg brace checked>AFL checked>nebulizer checked>bath bench checked>ostomy supplies checked>cane checked>oxygen supplies checked>commode checked>reacher checked>diabetic supplies checked>rolling walker checked>eggcrate checked>sliding board checked>enema supplies checked>sling checked>feeding pump checked>small base cane checked>feeding tube supplies checked>sock aid checked>grab bars checked>TENs unit checked>hand held shower checked>urinary/catheter supplies checked>hospital bed checked>ventilator and supplies checked>hoyer lift checked>walker checked>IV supplies checked>wheelchair checked>L H. shoe horn checked>wound care supplies checked>L H. sponge checked>Other... checked>large base quad cane #getV.DME_Supplies_Item_14#
Safety Measures	checked>activity supervision checked>no bp right arm checked>ambulates with assistance checked>no constrictive clothing checked>ambulates with devices checked>no lifting checked>anticoagulant precautions checked>no reaching checked>aspiration precautions checked>no stair use checked>avoid temperature extremes checked>no straining checked>bathroom safety checked>non-slip surface in tub checked>bedrails up while in bed checked>non-weight bearing LLE checked>bleeding precautions checked>non-weight bearing RLE checked>cardiac precautions checked>O 2 Precautions checked>child-safe environment checked>posey while OOB checked>diabetic precautions checked>remove environmental barriers checked>electrical safety measures checked>restricted ROM checked>emergency phone number prominently displayed checked>seizure precautions checked>fall precautions checked>sharps precautions checked>hand rails checked>smoke detectors checked>hip precautions checked>standard precautions checked>inadequate med/food prep area checked>supervision at all times checked>inadequate medication storage area checked>toe-touch weight bearing LLE checked>infectious material management checked>toe-touch weight bearing RLE checked>knee precautions checked>transfer with assist checked>medical bootbox.alert/lifeline checked>walker precautions checked>medication safety checked>wheelchair percautions checked>no bending checked>Other... checked>no bp left arm #getV.Safety_Measures_Item_15#
Nutrition	checked>1000cal ADA checked>high calorie checked>1200cal ADA checked>high fiber checked>1400cal ADA checked>high protein checked>1500cal ADA checked>low cholesterol checked>1800cal ADA checked>low fiber checked>2gm sodium checked>low sodium checked>4gm sodium checked>NG feeding checked>bland checked>pureed checked>cardiac diet checked>regular checked>diabetic checked>renal diet checked>fluid restriction checked>soft checked>fluid for hydration checked>TPN checked>full-liquid checked>vegetarian diet checked>gastrostomy checked>Other... checked>G-Tube #getV.Nutritional_Item_16#
Allergies	#getV.Allergies_Item_17#
Functional Limitations	checked>Amputation checked> Ambulation checked>Bowel/Bladder incontinence checked>Speech checked>Contracture checked>Legally Blind checked>Dyspnea w Min Exertion checked>Hearing checked>Paralysis checked>Other checked>Endurance
Other Functional Limits	#GetV.Func_Limits_Item_18a_other#
Activities Permitted	checked>Complete Bedrest checked> Independent at Home checked> Other checked>Bedrest BRP checked> Crutches checked>Up As Tolerated checked> Cane checked>Transfer bed/chair checked> Wheelchair checked>Exercises Prescribed checked>Walker checked>Partial Weight Bearing checked>No Restrictions
Other Activities	#GetV.Activities_Permitted_Item_18b_other#
Mental Status	checked>Oriented checked>Forgetful checked>Disoriented checked>Agitated checked>Comatose checked>Depressed checked>Lethargic checked>Other
Other Mental	#GetV.Mental_Status_Item_19_other#
Prognosis	checked> Poor checked> Guarded checked> Fair checked> Good checked> Excellent
Orders for Care (5 lines displays on 485 then overflows to addendum)	#getV.Order_item_21#
Goals Rehab Discharge (5 lines displays on 485 then overflows to addendum)	<cfoutput>#getV.Goals_Item_22#</cfoutput> <cfoutput>#GetAssessDet.Rehab_Prognosis_M0270#</cfoutput> <cfoutput>#getV.Discharge#</cfoutput>
Addendum Details	#Replace(getV.Addendum_Details_21, CrLf, "<br>", "ALL")#