Click Edit >
System Tables > Conditions > Diagnosis.
In the Diagnosis Search dialog, find and highlight
the applicable diagnosis, and then click the Properties
button. (You can also double-click the applicable diagnosis to access
the Conditions Properties dialog.)
NOTE: To search for a condition, select the applicable Search
Column and Search Type,
and then type into the Description field. The system will return conditions
that match that description for the Search Column and Search Type selected.
In the Condition Properties dialog, click the
Manage Order Set button.
In the Order Set Manager dialog, be sure that
the Diagnoses tab is selected.
In Diagnoses tab 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.
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 add an Order Set to this diagnosis, highlight the applicable Order Sets in the All Order Sets column,
and then click the Add>>
button. To remove a linked diagnosis or set of diagnoses, highlight the
applicable diagnoses in the Linked Diagnoses column, and then click the
<<Remove button.
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.
To add an Order Set to this diagnosis, highlight the applicable Order Sets in the All Order Sets column,
and then click the Add>>
button. To remove a linked diagnosis or set of diagnoses, highlight the
applicable diagnoses in the Linked Diagnoses column, and then click the
<<Remove button.
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.
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 add an Order Set to this diagnosis, highlight the applicable Order Sets in the All Order Sets column,
and then click the Add>>
button. To remove a linked diagnosis or set of diagnoses, highlight the
applicable diagnoses in the Linked Diagnoses column, and then click the
<<Remove button.
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.
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.
To add an Order Set to this diagnosis, highlight the applicable Order Sets in the All Order Sets column,
and then click the Add>>
button. To remove a linked diagnosis or set of diagnoses, highlight the
applicable diagnoses in the Linked Diagnoses column, and then click the
<<Remove button.
In the Linked Order Sets column, check the Default box next to the corresponding
order set to specify which order set should default when Adding
a Problem to the Problem List
in a patient's chart.
When finished, click the Apply
button, and then click the OK
button.
NOTE: You have the ability to add and remove diagnoses to and from
a selected Order Set by clicking the Order
Sets tab.Here you would select the applicable Order
Set, search for and select the applicable Diagnoses,
and then click the Add to Select Codes
button; or select the applicable Diagnoses
in the Selected Codes section, and then click the Remove
from Selected Codes button.
In the Conditions Properties button, click the
OK button.
Repeat steps 2 - 8 to link order sets to another diagnosis. Click the Close button in the Conditions dialog when finished.