ICD-SNOMED Mapping

NextGen® Enterprise EHR Template Editor Help 8

Set up ICD SNOMED Map Trigger

The ICD SNOMED action enables users to view and assign the following: ICD code(s) mapped to a selected SNOMED-CT problem to today's assessment or encounter If only one ICD code is associated with the selected SNOMED problem, the ICD description, ICD diagnosis code ID, and the ICD code are automatically assigned to the selected variable or template field. If more than one ICD code is associated with the selected SNOMED problem, the user must select an ICD code from a list in a window to assign the ICD description, ICD diagnosis code ID, and the ICD code to a variable or a template field. SNOMED concept ID(s) mapped to a selected ICD code to the patient's clinical problem list If only one SNOMED problem is associated with the selected ICD code, the SNOMED concept ID, SNOMED description, and the SNOMED fully specified name are automatically assigned to the selected variable or template field. If more than one SNOMED problem is associated with the selected ICD code, the user must select a

NextGen® Enterprise EHR Help

Diagnosis Codes

This section provides information on: Validation and expiration for diagnosis codes you assign from template triggers. How to quickly find and select the appropriate ICD Billing code for a patient diagnosis using a template Pop-Up trigger. Diagnosis Expiration and Validation Select the Medical Necessity Diagnosis Code ICD-SNOMED Mapping Parent topic: Using Templates Related concepts Access Rights to Medical Records

NextGen® Adaptive Content Engine Help Enterprise 8

Add a New SNOMED Code Mapping

You can add a SNOMED mapping in the SNOMED Configuration practice template. Access the SNOMED Configuration practice template. Right-click the SNOMED grid and select Add New. The SNOMED Mapping - [New Record] template opens. Enter a field name, and a symptom in the appropriate fields. Enter a concept in the Concept ID 1, Concept ID 2, and Concept ID 3 fields. Enter a SNOMED code in the SNOMED Code 1 and SNOMED Code 2 fields. Click Saveand click Close. The information entered appears in the SNOMED grid. Parent topic: Manage SNOMED Codes on the SNOMED Config Template

NextGen® Adaptive Content Engine Help Enterprise 8

Select an Assessment from Clinical Problems

On the Add or Update Assessment template, Clinical Problems section, filter the grid by selecting Show chronic, Show my tracked problems, or No active problems. Assessments Select a Clinical Problem item from the grid. A system check determines if there was a previously mapped ICD code for that clinical problem for the open patient chart. If there is a previously saved mapping, that ICD code is added to the ICD description and ICD Code fields to be used for today’s assessment. The Clinical Problems section includes the Systematized Nomenclature of Medicine - Clinical Terms (SNOMED - CT®) problem list (from the Concept Id column on the Problem List tab in the Problems module). The system translates the selected diagnosis into a SNOMED® code and saves it in the Clinical Problems section. Note: The SNOMED list contains healthcare concepts with unique meanings and formal, logic-based definitions organized into hierarchies. The list provides the ability to consistently index, store, and ret

NextGen® Enterprise EHR Help

Add a Problem to the Billing ICD List

From the problem list, you can add a problem to the billing ICD list. Open the Problems Module. Select a problem from the problem list. Do one of the following: Right-click the problem, and then select Add to Billing ICD List. On the date entry grid tracking toolbar, select Add to Billing ICD List. The Billing ICD Search window opens. The application maps the problem SNOMED Concept ID code to the billing ICD code and displays the results in the Billing ICD List tab. Select Mapped ICD Code Note: The Billing ICD Search window displays synonym descriptions associated with an ICD code in the search results. If the selected problem has multiple billing ICD-10 codes, the application displays the list of mapped codes. Select which billing ICD-10 code to add to the billing ICD list for the current encounter. If the selected problem has only one billing ICD-10 code, that code is automatically added to the billing ICD list for the current encounter. Select the Preferences button to display a lis

NextGen® Enterprise EHR Help

Problem List

The Problem List tab enables you to view the details of the active, inactive, resolved, and unresolved problems of a patient and update them as needed. You can record and update a patient’s problems using the Systemized Nomenclature of Medicine - Clinical Terms (SNOMED-CT®) concept. SNOMED-CT® is a standard vocabulary used to express clinical terms. SNOMED-CT® is comprised of descriptive terms or synonyms related to a clinical concept and provides links between different concepts. The problem list is demographic and is not associated with an encounter. After you record a problem if you need to use it as a diagnosis for billing, you must add the problem to the billing ICD list. Problem List View and modify the details of problems in the problem list. Problem List Data Entry Area The problem list data entry area displays options for managing patient problems. Managing Problems and ICD Codes Parent topic: Diagnosing Patient Problem

ICD-SNOMED Mapping

Recommendations

Set up ICD SNOMED Map Trigger

Diagnosis Codes

Add a New SNOMED Code Mapping

Select an Assessment from Clinical Problems

Add a Problem to the Billing ICD List

Problem List