To order a consult from the Orders tab follow these steps:
1. Select the Orders tab.
2. Select the active orders view from the View Orders pane
-or-
select View | Active Orders (includes pending, recent activity).
3. Select Consult in the Write Orders list.
Note: The consults order may be labeled differently or may not be available from your Write Orders field.
Note: If encounter information has not been entered, the encounter information dialog will appear before the Order a Consult dialog. You must complete the encounter information dialog before proceeding.
The Order a Consult dialog displays.
4. Select a type of consult from the Consult to Service/Specialty field.
When you select the Consult Service or Specialty, several things may happen:
o If the service has some prerequisites, a dialog will display stating what those are and will allow you to print the information, continue to place the consult order, or cancel the order.
o In addition, any predefined text or template will display to help the user fill out the Reason for Request field.
o The Provisional Diagnosis field becomes active as well.
5. Select an urgency from the Urgency field.
6. Select an individual from the Attention field.
(Note about providers with similar first and last names.)
7. If needed, designate a different Earliest Appropriate Date (the default is Today).
Note: The Earliest Appropriate Date field does not apply to Prosthetics consults services, and the field is not available when the user selects a Prosthetic service.
8. Choose inpatient or outpatient from the "Patient will be seen as an:" option group.
9. Choose a location from the Place of Consultation drop-down box.
10. Enter a provisional diagnosis.
Note: If a user tries to enter a diagnosis with an inactive code, CPRS will bring up a message indicating that the code must be changed and giving the user the chance to choose a diagnosis with and active code.
For each consult, this field is either set up to require that
o The user type in an answer (the box will be white and the Lexicon button unavailable), or
o The user must select a response must be from the Lexicon (the field will be yellow and the Lexicon button is available).
§ CPRS will search for diagnoses that contain the search term. The matching terms will display in the bottom portion of the Problem List Lexicon Search dialog. The search now looks for SNOMED Concepts Terms (SNOMED CT) items. Most items will also be mapped to an ICD-9-CM code. The list will show the SNOMED concept text, the SNOMED code, and the ICD-9-CM code if the term is mapped to one.
§ If you do not see the appropriate problem listed, select the Extend Search button. On the Consults tab, the Extend Search button extends the search to the ICD-9-CM clinical hierarchy to find additional terms.
11. Enter a reason for the request in the Reason for Request field.
Sites can help users by putting in predetermined boilerplate text, text with TIU objects, and/or it could be linked to a template that users can fill out. Users can then add to the text already present. Or the field may be left blank for the user to fill in the reason. However, a reason for request is required and the consult cannot be saved without a reason for request.
12. Select Accept Order.
13. Enter another consult
-or-
select Quit.
Note: You may sign the consult now or wait to later.
Relate topics
Complete a Consult from the Consults Tab
Complete a Consult from the Notes Tab
New Consult from the Consults Tab
New Procedure from the Consults Tab
New Procedure from the Orders Tab