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Lab Orders for RAD codes

Lab orders for RAD codes (radiology orders) can be manually entered using the lab order interface and Imaging Results can be attached. This is an older method of entering CPOE Radiology Orders, but still valid. To be considered a radiology order the Service Identifier (LOINC code) must have a classtype of RAD. For an order to count as CPOE, a provider must be logged on when the order is created. 

Note: In version 15.4 and greater there is a different and simpler way to enter and approve CPOE radiology orders for EHR. See Enter and Approve CPOE Radiology Orders.

  1. From the EHR Dashboard, click Edit labs.

Only orders entered after December 31, 2013 show. To view prior orders, click Labs/Rads on the EHR dashboard.

  1. Click Add.



  1. Enter required order information.

Ordering Provider:  Identifier, ID, Identifier Type, Universal ID. 
Click [...] to select a provider and auto-populate provider information.  If the provider has an NPI, the default Identifier will be the NPI number.  If the provider does not have an NPI, the Provider Number (OID) is the default.  Identifier must be the NPI or Provider Number.

Service Identifer: Code System, Observation ID and Date/Time Start.
Click [...] to select the LOINC code for this order. The code must have a classtype of RAD.  For example, bitewings use the code 46386-9.
Date/Time Start must be entered using this format:  YYYY-MM-DD.

Or, some dental related LOINC codes that might be useful include:

LOINC NameShort
46386-9 Teeth XR Bitewing
24695-9 Face XR
24828-6 Mandible XR Panorex
24829-4 Mandible XR
24834-4 Nasal bones XR
24902-9 Salivary gland Flr W contr intra SD
24916-9 Sinuses XR
24917-7 Skull XR 1V
25000-1 TMJ XR
25074-6 Zygomatic arch XR
26067-9 Salivary gland-Bl Flr W contr intra SD
26068-7 Salivary gland-L Flr W contr intra SD
26069-5 Salivary gland-R Flr W contr intra SD
26172-7 Zygomatic arch-Bl XR
26173-5 Zygomatic arch-L XR
26174-3 Zygomatic arch-R XR
37303-5 Face+Zygomatic Arch XR
37338-1 Skull+Face+Mandible XR
37546-9 TMJ-Bl XR Open+Closed Mouth
38153-3 Submandib gland Flr W contr intra SD
42460-6 Submandib gland-L Flr W contr intra SD
43533-9 Mandible-R XR
43534-7 Mandible-L XR 4V
48491-5 TMJ-L XR Open+Closed Mouth
48695-1 Skull.base XR 1V
48696-9 Submandib gland-R Flr W contr intra SD
48698-5 Submandib gland-BL Flr W contr intra SD
48699-3 TMJ-Ul XR Open+Closed Mouth

To determine which other codes are RAD, you can use this QuerySELECT * FROM loinc WHERE classtype="RAD";

  1. Enter other information if desired (optional).
  • Place Order Number:  Object Identifiers (OIDs) must be set up. To auto-create order numbers, check the Auto box.  When you click Save, the ID, Identifier, and Universal ID fields will populate. The Place Order ID number should exactly match the identifying number on the lab order being sent to the lab.
  • Last Update:  This date reflects the last time results changed and affects the date of the order on the Lab Orders window.  It is not updated automatically.
  • All Dates:  Must be entered using this format:  YYYY-MM-DD
  • TQ1 Dates:  TQ1 equals Timing and Quantity.
  • Notes:  Notes about the lab. You can create new notes, or add comments to existing notes.
  1. Click Save to close the window. The denominator and numerator for CPOE_RadiologyOrdersOnly should increase by one. Measure details are visible in Stage 2 measure reports.
  1. To track the imaging results, you have two options:
  • If you will send the order off and wait for results, reopen the order, click Manage Images, then check the Waiting for Images checkbox. 
  • If/when the images are ready, reopen the order, click Manage Images, then attach them to the order. See Imaging Results.

Troubleshooting
Problem: The dates of orders on the Lab Orders window are all 01/01/0001.
Solution: This date matches the Last Update date entered on the Lab Order Edit window. Change it as needed.

 

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