1. Go to the Consults tab.
2. Select the New Consult button.
3. If the Provider & Location for Current Activities dialog opens, fill in the Visit Location and other information and select OK .
4. Select a service from in the Consult to Service/Specialty window.
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 the urgency from the Urgency field.
6. Select the person to whom you are sending the consult from the Attention field.
(Note about providers with similar first and last names.)
7. If necessary, enter a different Clinically Indicated Date.
Note: The Clinically Indicated Date field does not apply to Prosthetics consults services, and the field is not available when the user selects a Prosthetic service.
8. Select whether the consult is for an inpatient or an outpatient.
9. Select the Place of Consultation from the list.
10. Enter a Provisional Diagnosis
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).
Before ICD-10 Activation: CPRS will search for diagnoses that contain the search term. The matching terms will display in the bottom portion of the Lookup Diagnosis dialog. Before ICD-10 activation, 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.
After ICD-10 Activation: CPRS will search for ICD-10 diagnoses that contain the search term or string (whatever text is entered). The search can be extended if no appropriate terms are found.
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.
11. Fill in a Reason for Request.
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. If finished ordering consults for this patient, select Quit .
14. You may sign the consult now or later.
Related topics
Complete a Consult from the Consults Tab
Complete a Consult from the Notes Tab
New Consult from the Orders Tab
New Procedure from the Consults Tab
New Procedure from the Orders Tab