How to  create Level-1 Components 

If the required component is not present in the encounter sheet, users can create a Level-1 by going to the level-1 listing on the left side using the icon and then clicking on the icon. The add/edit screen, as in the image below, appears.

Important fields in the Level-1 Component Create/Edit screen

Field Description
Name Name of the L1 component
Code Unique code for the L1 component
SOAP Select the SOAP component under which this Level1 should appear
Parent Provide the parent component.
Description A short description of the L1 component
Number of columns Specify how the Level-2 items are to be arranged in the L2 pop-up screen; one-column, 2-column or 3-column view
Page Size
List Order Order of appearance of the L1 item in the chart

How to Create Level 2 Components

Level-2 can be created by clicking on the level-1 component. In the Level-2 pop-up window that appears, click on the add icon to open the Level 2 Add/Edit screen.

Note: Rich Text is a newly introduced field in our EHR. It had advanced styling options like B, U and I.

Important fields in the Level-2 Component Create/Edit screen

Field Description
Name Name of the L2 component
Code Unique code for the L2 component
Field Type Choose whether the type is long text, short text, single choice, date, etc.
Level1 Provide the parent component.
List Order Order of appearance of the L2 item under the L1 item
Group Code Groups are created to classify the L2 components into different groups; this is useful when the L2 list is lengthy. Each item can be part of multiple groups. Provide the group codes separated by commas.
Field Mask  Numeric/Alphanumeric/Alphabets/ALL
Description A short description of the L2 component

ICD 10-Procedure Code Mapping for Level2’s

Level-2 items in a chart can be mapped to a specific set of procedure codes and ICDs. A tab for procedure code/ICD mapping is brought into the Level-2 add/edit screen (see image below) to store the mapped procedure codes and ICDs. Users can enter values as depicted in Table 1.1.1 and save the changes.

Fields for Procedure Code – ICD Mapping

Field Description
Group Code Select Procedure Code or ICD
Value Provide the first 3 characters of the selected procedure code or ICD. When matching entries emerge, select one
Code This is populated as per the entry in the Value field
List Order Specify the ordering, if any.
Active To delete an entry added, uncheck the ‘Active’ check box.

While charting, in the Level-2 popup screen, users can view the mapped ICDs and procedure codes with a link icon under other Level-2 downs. Select Level 2 using the check box provided, and save the Level 2 component.

The mapped procedure codes and ICDs will appear under the Billing and ICD-10 components of the chart, respectively.

ICD Section after Mapping

Procedure Code Component After Mapping