Help Center

Managing your Problem List

Last Updated: Mar 15, 2019 07:33AM PDT
Table of Contents:
  1. Adding a problem to your problem list
  2. Crosswalking ICD-10 to existing problems with ICD-9
  3. Search Tips
  4. Frequently Asked Questions

Adding a problem to your Problem List

To add a problem to your patient’s problem list in the Clinical Profile:
  1. Click “+Add Problem”.
  2. Search for a diagnosis with descriptive text or a code (ICD-9, ICD-10, or SNOMED).
  3. Pick a matching diagnosis from the list of results that Elation returns.
  4. Click “Save”.

Our recent search tool has been improved to respect the language that clinicians use, return more relevant results, and accept searches by text or code (including ICD-9, ICD-10, or SNOMED).
 
 

Crosswalking ICD-10 to existing problems with ICD-9

To help you quickly identify problems that don’t have ICD-10 associated and need crosswalking, we will display an alert banner in your Problem List section, as shown below:

Click “Show” to highlight all of the problems on your Problem List that need to be crosswalked.

To crosswalk a problem:
1. Click on the problem in your Problem List (or click “Actions” > “Edit” on the problem).

Automatically, a list of potential matching diagnoses and their corresponding ICD-10 & ICD-9 codes will be displayed under the search bar. At the top of the dialog, you can see the original description and code(s) from the problem you’re crosswalking. We will use that information to help narrow the list of results to the most relevant ones.

2. Select the most appropriate diagnosis from the list of results that corresponds to the original problem.

Selecting the diagnosis will automatically update the coding on the original problem, adding ICD-10, ICD-9, and SNOMED codes. With one click, your coding is done!

3. Click “Save & Crosswalk Another” to move onto the next problem that needs to be crosswalked to ICD-10, or if you don’t wish to crosswalk additional problems, click “Save.”

Search Tips

Our search tool now includes many common abbreviations and shorthands to allow you to find what you are looking for even faster.

For example, try:
  • "fx" for fractures (no need to capitalize!)
  • "hx" for history
  • "lbp" for low back pain

For diagnoses with many specific sub-diagnoses, you can use simple abbreviations or the first few letters of a word to narrow your search:
  • "dm2" for all Type 2 DM diagnoses
  • "w dm2" - for well-controlled diagnoses
  • "un dm2"- for uncontrolled diagnoses
  • "po dm2" - for poorly-controlled diagnoses

Similarly, for diagnoses with both adult and pediatric codes, like BMI, you can use:
  • "a bmi" for the adult diagnoses
  • "p bmi" for the pediatric diagnoses

Try using abbreviations for your most common diagnoses!

Power user tip: The search results only show the single best diagnosis for each ICD-10+ICD9 pair, but if you want to see every possible diagnosis (including duplicates) prepend a "!" in front of your query e.g. "!dm2".

Frequently Asked Questions

1. What does the “+” sign next to a code in the search results mean?
You will see a “+” sign when there is more than 1 corresponding ICD-9 or ICD-10 code for the diagnosis. When you choose a diagnosis with this scenario, you will see multiple ICD-10s or ICD-9s show up next to the Dx you just selected. (e.g. The Dx “bilateral knee pain” doesn’t have a single corresponding ICD-10 code; instead, it will automatically apply M25.561 “pain in right knee” and M25.562 “pain in left knee”)

2. What does it mean to “Add Another Dx?” What are the benefits of doing that?
Elation gives you flexibility in how you can classify and codify a patient problem. If you think about and treat a problem as a combination of diagnoses, you have the freedom to list all of those diagnoses and their corresponding codes on that problem. Add additional diagnoses to a problem with “+ Add Another Dx.” And when you export that problem to your note and its bill from the Problem List, all diagnoses codes on that problem will carry over at once.
 


3. What is a SNOMED code and why does it show up when I select a Dx?
The Systematized Nomenclature of Medicine or SNOMED is collection of medical terms, part of which is dedicated to the classification of diagnoses. Codifying your Problem List in SNOMED is a requirement for Meaningful Use Stage 2, a task that Elation does on your behalf every time that you add a problem.
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