PrognoCIS Help: Consults

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Introduction: A physician refers a patient to a specialist for various reasons as part of a routine check-up. This depends on the age, gender, and medical history of the patient. When a specialist renders advice or a professional opinion to the patient, followed by sending a report of findings to the physician or a Referring Provider, such an exchange of opinions is called a consult.

There are two types of consult orders that can be created from PrognoCIS:

In-House Consult: When the specialist is associated with the clinic.
External Consult: When the specialist is associated with an outside clinic.

To add a new consult, click the Add New button on the Consults search popup, invoked by clicking Settings → Configuration → Workflow → Consults, or click the Add button in the top-left corner, next to the search binocular icon on this screen.

Field Description:

*Name: Give an appropriate name to a consult while defining it. The name can be suggestive of the specialty or the purpose of that specific consult. For example, Eye Examination or Progression of Cataract. This is the only mandatory field on the Consults Master screen. Entering up to 50 alphanumeric characters in the Name field is allowed. Special characters like #%^<>"& are not allowed in this field; if added, the error message, "Special Characters(#%^<>"&) are not allowed." is displayed.
CPT/HCPCS: This CPT/HCPCS button is displayed beside the Name field. The button is disabled until the user adds a value in the mandatory Name field; the button is then enabled. The tooltip of this button reads 'PreAuth CPT/HCPCS'. Clicking this button invokes the Assign Codes CPT/HCPCS popup for the user.
Gender: Select the applicable gender for the consult being defined; accordingly, the consult is then available for Male, Female, or Both genders. By default, Both is the value selected in the gender drop-down.
Specialty: This drop-down displays a list of specialties. It is required that the consult be referred to a physician with the selected specialty.
Notes:
1. On changing a specialty, the list of preferred doctors changes.
2. The first value is selected by default from the Specialty drop-down.
3. The values in the drop-down are displayed from Settings → Configuration → Groups → Group Type → Non System → SP Type

Pref Provider: A consult order is categorized as In-House or External on transaction screens such as the TOC Consult, CPOE Consult, and Order Sheet Consult tabs, based on the Pref Provider selected in this field.
Clicking the search binocular icon next to this field invokes the Consult Provider search popup. It displays a list of referring doctors with the specialty selected in the Specialty drop-down mentioned above. From this popup, a referring doctor can be selected as the default preferred provider for the consult that is being defined.
The Consult Provider search displays provider types such as DR, RD, ZE, and ZR. Based on these provider types, a consult order is marked as In-House or External while ordering the consult. Here, DR represents the Pref Provider type for In-House consults, and RD, ZR, and ZE represent the Pref Provider types for External consults. Please refer to the following table for more details regarding the provider types and the corresponding consult order types.

No.	Provider Type	Consult Type	Full Form
1.	DR	In-House	Provider
2.	RD	External	Ref Doc (Referring Provider)
3.	ZE	External	Org Provider (Provider Organizations)
4.	ZR	External	Ref Org (Referring Organization)

The user can change this preferred doctor on any transaction screen, such as the TOC Consult, CPOE Consult, and Order Sheet Consult tabs.

Letter Template: Encounter letter outputs are generated based on a Progress Notes template. Select the default template to be used while generating a consult letter. The values in the drop-down are displayed from Settings → Configuration → Output Templates → Letter.
SNOMED Code for Order: Clicking the search binocular icon next to this field invokes the SNOMED codes search popup to assign a code to the Consult order. On ordering the respective consult, the associated codes are added to the Assessment screen.
SNOMED Code for Report: Clicking the search binocular icon next to this field invokes the SNOMED codes search popup to assign a code to the Consult result. When a result is received for the respective consult order, the associated code is added to the Assessment screen. Clicking the Clear hyperlink removes the selected codes.
Active: When this checkbox is selected, the consult is marked as 'Active'; otherwise, it is marked as 'Inactive'. The system considers only active consults when creating a consult order as part of protocols.

Action Buttons

Save button: Clicking the Save button either creates a new record or updates changes in an existing record.

Delete button: On clicking the Delete button, a warning message, "Are you sure you want to delete this record?" is displayed. The warning message popup has OK and Cancel buttons. On clicking the OK button, that consult is deleted. On clicking the Cancel button, the user is navigated back to the existing Consults Master screen.

Reset button: Clicking the Reset button reverts the field values to the last saved changes.