Problems and Diagnoses – Searching Using IMO Codes

Clinical IS Update
Effective Date:
Problems and Diagnoses – Searching Using IMO
Codes
Topic:
April 2, 2014
Contact:
Facility:
All IUH Facilities
Audience:
All Providers and Clinician Staff Who Enter
Problems and Diagnoses
Overview:
Effective April 2, 2014, IMO (Intelligent Medical Objects) will be used to search for Diagnoses or
Problems.
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IU Health Help Desk
[email protected]
IMO is a clinician friendly vocabulary used to search problems and diagnoses.
IMO is more efficient and descriptive than our current search which uses SNOMED and ICD-9
codes.
IMO aligns to Meaningful Use and allows an easier transition to ICD-10
ICD-9/ICD-10 and SNOMED codes are automatically selected in the background based on the
selected IMO term.
Problems and Diagnoses – Searching Using IMO Codes
When adding a Problem or Diagnoses from the Problem and Diagnoses Band (or from PowerNote, MPages, Inpatient
Summary, Ambulatory Viewpoint), Cerner will search based on your entry and display selections based on IMO
Codes. This is a change from the current state which searches ICD-9 and/or SNOMED codes.
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Diagnoses are Encounter specific
Example: Conjuctivitis or Acute MI
Problems are medical conditions which effect the patient’s care across encounters
Example: Heart Failure
Example of something which qualifies for both a Problem and a Diagnosis: Encounter in which a VTE was
diagnosed.
Current State
Future State as of April 2, 2014
Entering a Problems or Diagnoses from the Problems and
Diagnoses Band is a 5 step process.
1. + Add button
2. Type in the required field
3. Click the Binoculars to Search
4. Select the appropriate Term
5. Click OK
Entering a Problem or Diagnoses from the Problems and
Diagnoses Band, Inpatient Summary, or Ambulatory
Viewpoint using the Quick Search box will be a 2 step
process.
1. Type in the quick search box
2. Select the appropriate Term
Note: Free Texting Problems and Diagnoses will no
longer be allowed – See additional Free Texting
information at the end of this document
Strengthening Patient Care Through Excellence in Clinical IS Education
Problems and Diagnoses – Searching Using IMO Codes
Cherwell change number:
292671
Effective Date: April 2, 2014
Page 1 of 3
Clinical IS Update
Future State
Problems and Diagnoses Band
Quick Search Box
Search term – “pulm nod”
Search term – “pink
eye”
Ambulatory Viewpoint or Inpatient Summary
Quick Search Box
Diagnosis
Problem
The appropriate ICD9 Code will be selected automatically The appropriate SNOMED Code will be selected
based on your selection from the list of choices.
automatically based on your selection from the list of
choices.
Example: Pulmonary Nodule, Left was selected.
Example: Pulmonary Nodule was selected
Strengthening Patient Care Through Excellence in Clinical IS Education
Problems and Diagnoses – Searching Using IMO Codes
Cherwell change number:
292671
Effective Date: April 2, 2014
Page 2 of 3
Clinical IS Update
User Preference Settings
A Provider or Clinician may choose to set a ‘User Preference’ if they would like to continue to search by additional vocabularies
such as ICD-9 Code for Diagnoses.
Step
1.
2.
3.
4.
5.
Action
Open Problems and Diagnoses Band
Click + Add in Diagnosis Section
Click on the Binoculars icon
Click the Elipses button beside the Terminology field
Click in the Checkbox for ICD-9-CM,
This allows the user to type in the ICD-9 code when
adding a diagnosis.
Leave IMO checked
Free Texting Information
Free Texting will no longer be allowed to enter the following:
 Resident PCP: This will be captured in the Registration Conversation.
 Preferred Name: This will be captured in the Registration Conversation.
 ‘Need to know’ clinical information: This will be captured as a Reminder. Note: Reminders are used in Ambulatory.
Step
1.
2.
3.
Action
Click the Communicate Button and Select Reminder
Using the Dropdown, change the ‘Show in’ field to Chart
Type in the ‘need to know’ information into the ‘Subject’ field then click Send
4.
Reminder will display on the Ambulatory Viewpoint in the Reminders Section.
Strengthening Patient Care Through Excellence in Clinical IS Education
Problems and Diagnoses – Searching Using IMO Codes
Cherwell change number:
292671
Effective Date: April 2, 2014
Page 3 of 3

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