Tip: To clear your entry from the Diagnoses box and search for a new code or description, click 
next to the code or description.
1 Access a patient’s summary; for instructions, see Accessing a Patient Summary.
2 From the Patient tab, click Radiology > Place Order.
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Note: If necessary, click the Radiology tab. |
3 To enter a radiology procedure, do one of the following:
• Select a favorite radiology procedure. To select from a list of favorite radiology procedures, in the select from list click Favorites or Org Favorites, and then click the appropriate procedure in the list.
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Notes: • For more information about managing radiology favorites for individual users or an organization, see Manage Favorite Radiology Procedure Lists. • Inactive and non-billable codes will be accompanied by a label describing their status. |
• Search and add a procedure by code or description. To search for a procedure, do the following:
a Click ICD-9, CPT® & HCPCS level II, LOINC only or SNOMED only from the list to the right of the Procedure box.
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Notes: • If you choose to search for an ICD-9 or CPT/HCPCS code or description, related SNOMED descriptions for the code or description entered display (if available). • If reporting on CMS22 Preventative Care and Screening: Screening for High Blood Pressure and Follow-up Documented or CMS153/NQF0033 Chlamydia Screening for Women, you must specify a LOINC. |
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CPT ® copyright 2016 American Medical Association. Applicable FARS/DFARS Restrictions Apply to Government Use. |
b In the Procedure box, type three or more letters or numbers of the code or description.
c Click the appropriate procedure in the list. If necessary, click View more results to view additional items in the list.
• Add a free text description. To add a description that is not found in the database, in the Procedure box, type the description (up to 255 characters), and then press Enter.
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Note: Free text entries will not be included in reports or alerts, and are not easily shared with others using electronic formats such as CCD. |
4 In the Diagnoses box, do one of the following:
• Select from a list of diagnoses or problems. To select an existing diagnosis or problem, click in the Diagnoses box, and then click a diagnosis or problem in the list.
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Notes: • The Diagnoses list appears only when the order is initiated or accessed from an encounter note that already contains diagnoses. If the order is initiated from the encounter note, tasks page, or the patient’s summary, the Problems list is available if problems exist in the patient’s summary. • Inactive and non-billable codes will be accompanied by a label describing their status. |
• Search and add a diagnosis by code or description. To search for a diagnosis, do the following:
a Click ICD-9, ICD-10, or SNOMED only from the list to the right of the Diagnoses box.
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Note: If you choose to search for an ICD code or description, related SNOMED descriptions for the code or description entered display (if available). |
b In the Diagnoses box, type three or more letters or numbers of the code or description.
c Click the appropriate diagnosis in the list. If necessary, click View more results to view additional items in the list.
• Add a free text description. To add a description that is not found in the database, in the Diagnoses box, type the description (up to 255 characters).
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Note: Free text entries will not be included in reports or alerts, and are not easily shared with others using electronic formats such as CCD. |
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Tip: To clear your entry from the Diagnoses box and search for a new code or description, click |
5 If necessary, click 
next to Diagnoses to add additional diagnoses.
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Notes: • You can enter up to 10 diagnoses. • To remove a diagnosis that you have added, click |
6 Click the name of the provider who is ordering the procedure in the Ordering Provider list.
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Note: Defaults to the user who is currently logged in (if that user is a provider). |
7 If you have an authorization code for the procedure from the patient’s insurance company, type it in the Prior Auth #. box.
8 If you want to include information about a patient’s active allergies on the radiology order, select the Include Allergies/Adverse Reactions check box and then when the allergy/adverse reactions list appears, select the check box next to each of the appropriate allergies.
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Note: To include all active allergies and adverse reactions on the radiology order, select the Medication/Substance check box. To remove all allergies and adverse reactions from the radiology order, clear the Include Allergies/Adverse Reactions check box. |
9 Type any additional information that is relevant to the procedure in the Instructions box.
10 Click Save to Orders to place the order in the Orders queue.
The order is stored in the Orders queue as an initiated order.
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Notes: • A patient’s radiology orders remain in the Orders queue until each order is manually deleted, finalized, or tasked out to either yourself or another user. • If an encounter note was created within the past 48 hours for the same patient as the in progress or finalized radiology order, the details of the order automatically displays in the encounter note. |
11 Repeat steps 3–10 as needed to add additional radiology orders to the Orders queue.
12 Do any of the following:
• Update an order in the queue. Click the Edit link next to a procedure to access the order. Review the selected radiology order’s details, make any necessary changes, and then click Update to save your changes and return the updated order to the queue.
• Remove an order from the queue. Click 
next to the order you want to remove from the queue.
• Review all orders in the queue. Click Review and go to Review Initiated Radiology Orders.
• Close the order entry dialog box. Click in the upper right-hand corner to close the order entry dialog box and return to the patient’s summary.
next to it.