Major Diagnoses and Allergies

The third page of the Patient Editor (notjane) contains a list of major diagnoses and allergies for the patient and a summary of appointment information.

Pre-ICD-10 and Pre-EHR: The Major Diagnoses and Allergies lists in the Patient Editor (notjane) were designed to work with ICD-9, prior to the implementation of EHR technology. Your practice may continue to use these lists, but they do not work with electronic chart records or the ICD-10 coding system. For more information, read the ICD-10 Transition notes below.

Major Diagnoses and Allergies: You can enter major diagnoses and allergies manually using the ICD-9 diagnoses in the Diagnosis table in the Table Editor (ted. Only diagnoses that are marked as “Major” or “Allergy” in the Partner diagnosis table can appear on these lists.

Appointment Information: Partner lists the next three scheduled appointments for the patient. You can also see the total number of appointments, the total number of appointments missed and canceled, and an explanation of what visits were most recently missed and canceled. All of this information is maintained automatically by Partner and can not be edited.

More Diagnoses and Procedure Information: For a detailed history of the procedures and diagnoses of this patient, press F5Patient History to run the patinfo program.

ICD-10 Transition Notes for Partner’s Major Diagnoses and Allergies Lists

For many years, the Partner Practice Management system offered some basic clinical tracking features using ICD-9 diagnosis codes. The Patient Editor (notjane) includes Major Diagnoses and Allergies lists, which were updated automatically from billed diagnoses. These lists could then appear when scheduling, on paper encounter forms, form letters, and in the Partner Phone Encounter Notes (pen) program.

The Major Diagnoses and Allergies lists depend on features specific to the ICD-9 billing codes table in Partner. They can not automatically populate from the ICD-10 billing code set.

Will the Transition to ICD-10 Remove Patient Major Diagnoses and Allergies?

PCC will not erase or remove any ICD-9 data tracked in the Major Diagnoses and Allergies lists or elsewhere in Partner or PCC EHR. Your practice can continue to review the Major Diagnoses and Allergies lists, add ICD-9 codes to them, and use them in various programs.

Since all billing now uses ICD-10, the patient lists will no longer automatically update based on billed charges. A patient’s ICD-9 Major Diagnoses and Allergies lists will become less and less useful over time, and the ICD-9 code set will not be updated or supported. You can continue updating a patient’s lists manually, or discontinue their use.

As they will become less accurate over time, PCC recommends that you remove the Major Diagnoses and Allergies lists from your scheduling screen and paper forms. The patient’s chart in PCC EHR includes a Problem List and Allergy list which can replace some features of Partner’s Major Diagnoses and Allergies features, and reports and the Patient Recaller can use billed ICD-9 and ICD-10 diagnoses as criteria.

If your practice uses the Major Diagnoses and Allergies lists, PCC Support can help you find alternative solutions. For example, many practices have found that using patient flags to inform physicians and staff about a patient’s status can work better than relying on the Major Diagnoses list. Contact PCC Support to discuss your options.

  • Last modified: October 27, 2015