Home Blood Glucose Monitors

Home Blood Glucose Monitors

You can use the printable clinical templates and suggested clinical data elements (CDEs) for the order, face-to-face encounter, and lab test results to assist with documenting your medical records to support the need for basic and specialty home blood glucose monitors and supplies.

Health IT Vendors: To use the suggested CDEs, download or print and use as guidance in creating or enhancing existing electronic clinical templates within your electronic health record (EHR) system.

Providers: To use a printable clinical template, download and/or print the template, complete as applicable and file in the patient’s medical record.

Type of Documentation Download
Order  
Basic Home Blood Glucose Monitor & Supplies Order CDEs (PDF) Draft R1.0a 9/5/2017
  Template (PDF) Draft R1.0a 9/5/2017
Specialty Home Blood Glucose Monitor & Supplies Order CDEs (PDF) Draft R1.0a 9/5/2017
  Template (PDF) Draft R1.0a 9/5/2017
F2F Encounter  
Basic Home Blood Glucose Monitor & Supplies F2F Encounter CDEs (PDF) Draft R1.0a 9/5/2017
  Template (PDF) Draft R1.0b 10/31/2017
Lab Test Results  
Basic & Specialty Home Blood Glucose Monitor Lab Test Results CDEs (PDF) Draft R1.0a 9/5/2017
  Template (PDF) Draft R1.0a 9/5/2017

 

We want to hear from you! Email us your comments and suggestions about the draft templates and CDEs.

 

Page Last Modified:
12/01/2021 05:40 PM