Manage an Order Set

Use the following steps to manage the diagnoses that an order set is linked to.

 

 

  1. Click Edit > System Tables > Order Sets.
     

  2. In the Order Set List dialog, highlight the Order Set you want to manage, and then click the Manage button.



     

  3. In the Order Set Manager dialog, be sure that the Order Sets tab is selected.
     

  4. In the Order Set field, select the Order Set you are managing.
     

  5. In the Linked Diagnoses section you can perform an ICD10 Search, an ICD9 Search, use the Crosswalk functionality (which allows you enter an ICD9 code and then the system will return the applicable ICD10 code(s) that match that initial ICD9 code), or use the SNOMED functionality (which allows you to search by a SNOMED description or code to match to applicable ICD10 codes).

    When using the ICD10 Search, Crosswalk, or SNOMED option, an ICD10 Code Set field will be available allowing you to select the Oct 1, 2014 – Sept 30, 2016 code set, the Oct 1, 2016 – Sept 30, 2017 code set, the Oct 1, 2017 – Sept 30, 2018 code set, or All ICD10 Codes. This allows you to easily search for the applicable ICD10 codes that are active, as outlined by the CDC, for the applicable date ranges. When accessing the Diagnosis Search dialog to link a diagnosis to an order set, the system will default to the code set based on the current day’s date.

    To perform an ICD10 Search, be sure that the ICD10 Search option is selected above, and then be sure that the correct ICD10 Code Set is selected. Next, you can then select the applicable Search Column and Search Type, and then begin typing the diagnosis you want to add in the Description field. The system will return conditions that match that description for the Search Column and Search Type selected.

    Once the applicable code has been located, highlight that code in the left column, and the applicable code will become highlighted in the diagnostic tree in the middle column, and the right column will display detailed information regarding the selected diagnosis. To add that code, click the Add to Selected Codes button. The code will then appear in the Selected Codes area under the ICD10 column.

    You can then add additional ICD10 codes in a similar manner, or perform an ICD9 Search, use the Crosswalk, or use the SNOMED search functionality.

    NOTE: When adding ICD10 diagnoses codes via the diagnostic tree (middle column), if you highlight a Diagnosis Category that contains billable diagnostic codes within that category, and click the Add to Selected Codes button, all of the codes within that category will be added. For example, in the figure below, if you select (I11) Hypertensive heart disease, and then click the Add to Selected Codes button, the I11.0 and I11.9 codes will be added.

    NOTE: You also have the ability to search for specific codes via the diagnosis tree in the middle column. Likewise, when performing an ICD10 Search, you are able to hide the left and right columns as needed by clicking the and buttons.  




    To perform an ICD9 Search, be sure that the ICD9 Search option is selected above, then select the applicable Search Column and Search Type, and then begin typing the diagnosis you want to add in the Description field. The system will return conditions that match that description for the Search Column and Search Type selected.

    Once the applicable codes has been located, highlight that code, and then click the Add to Selected Codes button. The code will then appear in the Selected Codes area under the ICD9 column.

    You can then add additional ICD9 codes in a similar manner, or perform an ICD10 Search, or use the Crosswalk.




    To use the Crosswalk option, be sure that the Crosswalk option is selected above, and then be sure that the correct ICD10 Code Set is selected. Next, you can then enter the specific ICD9 Code you would like to match to an applicable ICD10 code. The system will return ICD10 codes that match that ICD9 code.

    Once the applicable code has been located, highlight that code in the left column, and the applicable code will become highlighted in the diagnostic tree in the middle column, and the right column will display detailed information regarding the selected diagnosis. To add that code, click the Add to Selected Codes button. The code will then appear in the Selected Codes area under the ICD10 column.

    You can then add additional ICD10 codes in a similar manner, or perform an IC10 Search, an ICD9 Search, or use the SNOMED search functionality.   

    NOTE: When adding ICD10 diagnoses codes via the diagnostic tree (middle column), if you highlight a Diagnosis Category that contains billable diagnostic codes within that category, and click the Add to Selected Codes button, all of the codes within that category will be added. For example, in the figure below, if you select (I11) Hypertensive heart disease, and then click the Add to Selected Codes button, the I11.0 and I11.9 codes will be added.

    NOTE: Similar to the ICD10 Search, you also have the ability use the the diagnosis tree in the middle column to locate specific diagnosis codes. Likewise, when using the Crosswalk, you are able to hide the left and right columns as needed by clicking the and buttons.




    To use the SNOMED option, be sure that the SNOMED option is selected above,  and then be sure that the correct ICD10 Code Set is selected. Next, you can then select the applicable Search Column and Search Type, and then begin typing SNOMED description or code in the Description field. The system will return conditions that match that description for the Search Column and Search Type selected.

    Once the applicable code has been located, highlight that code in the left column, and the middle column will contain matching ICD10 codes. There are three possibilities for matching the SNOMED code to ICD-10 codes in the middle column: a one to one match, a one to many match, and no matches.

    The right pane will display the ICD-10 code tree, and if an ICD-10 code is selected in the middle column, that diagnosis code will be selected in the tree. To add that code, click the Add to Selected Codes button. The code will then appear in the Selected Codes area under the ICD10 column.

    You can then add additional ICD10 codes in a similar manner, or perform an ICD9 Search, or perform an ICD9 Search, or use the Crosswalk.

    NOTE: When adding ICD10 diagnoses codes via the diagnostic tree (right column), if you highlight a Diagnosis Category that contains billable diagnostic codes within that category, and click the Add to Selected Codes button, all of the codes within that category will be added. For example, in the figure below, if you select (I11) Hypertensive heart disease, and then click the Add to Selected Codes button, the I11.0 and I11.9 codes will be added.

    NOTE: You also have the ability to search for specific codes via the diagnosis tree in the right column. Likewise, when performing an SNOMED Search, you are able to hide the left and right columns as needed by clicking the and buttons.



     

  6. Once the diagnosis codes have been selected as needed, and appear in the Selected Codes area, you have the ability to remove any of these codes from the Selected Codes by highlighting the applicable diagnosis code(s), and then clicking the Remove from Selected Codes button. When the applicable ICD9 and ICD10 codes appear in the Selected Codes area, as needed, click the Apply button, and then click the OK button.
     

  7. Repeat steps 2 - 6 to manage other order sets. Click the Close button in the Order Set List dialog when finished.