Diabetes order sets
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Revision as of 18:58, 11 September 2007 by AdamWright (Talk | contribs)
These diabetes order sets are based on content released into the public domain by Kaiser Permanente.
Each order set contains a variety of common orders for patients with diabetes. One of the major questions in order set design is whether a good order set has all of the choices someone might want (which implies that an order set is a tool for making ordering quicker), or whether it should contain the "best" choices (which implies that an order set is a tool for influencing ordering behavior). These two order sets lean towards the side of inclusiveness, although they do make a careful effort to be evidence-based, and generally contain drugs available in a generic form in the United States.
An order set for Type II Diabetes, with a focus on DM management
- Diagnoses (with ICD-9 codes)
- DM 2 [250.00H]
- DM 2 W DIABETIC NEPHROPATHY
- DM 2 W DIABETIC PERIPHERAL NEUROPATHY
- Medications
- SURESTEP TEST STRIPS (Sig: Use as directed for diabetes, Disp: 100)
- ONE TOUCH ULTRASOFT LANCETS (Sig: Use as directed, Disp: 100)
- ONE TOUCH ULTRA 2 KIT (Sig: Use as directed, Disp: 1)
- ONE TOUCH ULTRA TEST STRIPS (Sig: Use as directed, Disp: 100)
- ASPIRIN 81 MG ORAL EC TAB (Sig: TAKE 1 TAB PO ONCE DAILY FOR DIABETES HEART PROTECTION, Disp: 100)
- ASPIRIN 325 MG ORAL EC TAB (Sig: TAKE 1 TAB PO ONCE DAILY FOR DIABETES HEART PROTECTION, Disp: 100)
- METFORMIN 500 MG ORAL TAB (Sig: TAKE 1 TAB PO BID FOR DIABETES, Disp: 120)
- METFORMIN 1,000 MG ORAL TAB (Sig: TAKE 1 TAB PO BID FOR DIABETES, Disp: 120)
- GLIPIZIDE 5 MG ORAL TAB (Sig: TAKE 1 TAB PO ONE DAILY FOR DIABETES, Disp: 60)
- GLIPIZIDE 5 MG ORAL TAB (Sig: TAKE 1 TAB PO BID FOR DIABETES, Disp: 120)
- GLIPIZIDE 10 MG ORAL TAB (Sig: TAKE 1 TAB PO ONE DAILY FOR DIABETES, Disp: 60)
- GLIPIZIDE 10 MG ORAL TAB (Sig: TAKE 1 TAB PO BID FOR DIABETES, Disp: 120)
- GLIPIZIDE 10 MG ORAL TAB (Sig: TAKE 2 TABS PO BID FOR DIABETES, Disp: 240)
- SIMVASTATIN 10 MG ORAL TAB (Sig: take 1 tab po once daily for cholesterol, Disp: 60)
- SIMVASTATIN 20 MG ORAL TAB (Sig: take 1 tab po once daily for cholesterol, Disp: 60)
- SIMVASTATIN 40 MG ORAL TAB (Sig: take 1 tab po once daily for cholesterol, Disp: 60)
- SIMVASTATIN 80 MG ORAL TAB (Sig: take 1 tab po once daily for cholesterol, Disp: 60)
- LISINOPRIL 10 MG ORAL TAB (Sig: TAKE 1 TAB PO ONCE DAILY FOR BLOOD PRESSURE AND KIDNEY PROTECTION, Disp: 60)
- LISINOPRIL 20 MG ORAL TAB (Sig: TAKE 1 TAB PO ONCE DAILY FOR BLOOD PRESSURE AND KIDNEY PROTECTION, Disp: 60)
- LISINOPRIL 40 MG ORAL TAB (Sig: TAKE 1 TAB PO ONCE DAILY FOR BLOOD PRESSURE AND KIDNEY PROTECTION, Disp: 60)
- LISINOPRIL-HYDROCHLOROTHIAZIDE 10 MG-12.5 MG TAB (Sig: TAKE 1 TAB PO ONCE DAILY FOR BLOOD PRESSURE AND KIDNEY PROTECTION, Disp: 60)
- LISINOPRIL-HYDROCHLOROTHIAZIDE 20 MG-12.5 MG TAB (Sig: TAKE 1 TAB PO ONCE DAILY FOR BLOOD PRESSURE AND KIDNEY PROTECTION, Disp: 60)
- LISINOPRIL-HYDROCHLOROTHIAZIDE 20 MG-25 MG TAB (Sig: TAKE 1 TAB PO ONCE DAILY FOR BLOOD PRESSURE AND KIDNEY PROTECTION, Disp: 60)
- NPH INSULIN 100 UNIT/ML INJ (Sig: INJECT SUBCUTANEOUSLY AS DIRECTED FOR DIABETES, Disp: 20)
- REGULAR INSULIN 100 UNIT/ML INJ (Sig: INJECT SUBCUTANEOUSLY AS DIRECTED FOR DIABETES, Disp: 20)
- Immunizations (with CPT codes)
- Immunization
- TDaP Vaccination 0.5 ml IM (ages 11-64) [90715A]
- Td (adult) vaccination, 0.5 mL IM (age 65 and over) [90718C]
- Pneumococcal Polysaccharide (Pneumovax) vaccination, 0.5 mL IM [90732C]
- Influenza vaccination, 3 yr - adult, 0.5 mL IM [90658C]
- Influenza vaccination, 0.5 mL IntraNasal [90660C]
- Administration Codes
- VACC ADMIN, FIRST IM OR SUBQ VACCINE TOXOID (Always order) [90471B]
- VACC ADMIN, EACH ADDITIONAL IM OR SUBQ VACCINE TOXOID (For 2 or more total IMM's select FIRST IMM code above, and this code for each additional administration) [90472B]
- VACC ADMIN, FIRST INTRANASAL OR PO VACCINE TOXOID [90473B]
- Immunization
- Lab orders (with CPT codes)
- Labs today
- CBC W DIFFERENTIAL, AUTO [85025B]
- POTASSIUM, SERUM [84132C]
- CREATININE, SERUM [82565C]
- GLUCOSE, FASTING [82947B]
- ELECTROLYTES, SERUM [80051E]
- TSH W REFLEX TO FT4 [84443K]
- TSH ONLY [84443B]
- LIPID PANEL, FASTING [80061B]
- LIPID PANEL, NON-FASTING [80061D]
- ALT, SERUM [84460B]
- PSA [84153B]
- HEMOGLOBIN A1C [83036B]
- MICROALBUMIN/CREATININE, URINE [200479]
- Labs today
- CBC W DIFFERENTIAL, AUTO [85025B]
- CREATININE, SERUM [82565C]
- GLUCOSE, FASTING [82947B]
- ELECTROLYTES, SERUM [80051E]
- TSH W REFLEX TO FT4 [84443K]
- TSH ONLY [84443B]
- LIPID PANEL, FASTING [80061B]
- LIPID PANEL, NON-FASTING [80061D]
- ALT, SERUM [84460B]
- PSA [84153B]
- HEMOGLOBIN A1C [83036B]
- MICROALBUMIN/CREATININE, URINE [200479]
- Labs in 3-12 months
- CBC W DIFFERENTIAL, AUTO [85025B]
- CREATININE, SERUM [82565C]
- GLUCOSE, FASTING [82947B]
- ELECTROLYTES, SERUM [80051E]
- TSH W REFLEX TO FT4 [84443K]
- TSH ONLY [84443B]
- LIPID PANEL, FASTING [80061B]
- LIPID PANEL, NON-FASTING [80061D]
- ALT, SERUM [84460B]
- PSA [84153B]
- HEMOGLOBIN A1C [83036B]
- MICROALBUMIN/CREATININE, URINE [200479]
- Standing Lab Orders
- HEMOGLOBIN A1C (HGB A1C) q 3 months for 1 year [83036B]
- Labs today
- Procedures (with CPT codes)
- ANNUAL SCREENING, DM FOOT USING TOUCH PRESSURE QUANT. SENSORY TESTING, PER FOOT [0106TA]
Another order set for diabetes, with a focus on complications
- Diagnoses (with ICD-9 codes)
- Diabetes related
- SENSORY PROBLEM W FEET, HIGH RISK [V49.3H]
- SENSORY PROBLEM W FEET, LOW RISK [V49.3I]
- SCREENING, DIABETIC RETINOPATHY [V72.0T]
- Screening for other conditions
- SCREENING FOR CA, BREAST, BY MAMMOGRAM [V76.12G]
- SCREENING FOR CA, CERVIX [V76.2A]
- SCREENING FOR CA, COLON [V76.51A]
- SCREENING EXAMINATION FOR CA, PROSTATE [V76.44A]
- SCREENING, ENDOCRINE, NUTRITIONAL, OR METABOLIC [V77.99G]
- SCREENING [V82.9B]
- Diabetes related
- Diabetes-related Orders (with CPT codes)
- Lab today
- HEMOGLOBIN A1C [83036B]
- LIPID PANEL [80061]
- LDL DIRECT [83721C]
- MICROALBUMIN SCREEN URINE [213757]
- ALT, SERUM [84460B]
- AST, SERUM [84450B]
- REF EYE CARE, DIABETIC SCREENING [217755]
- Lab in 2-6 months
- HEMOGLOBIN A1C [83036B]
- LIPID PANEL [80061]
- LDL DIRECT [83721C]
- MICROALBUMIN SCREEN URINE [213757]
- ALT, SERUM [84460B]
- AST, SERUM [84450B]
- Lab in 6-12 months
- HEMOGLOBIN A1C [83036B]
- LIPID PANEL [80061]
- LDL DIRECT [83721C]
- MICROALBUMIN SCREEN URINE [213757]
- ALT, SERUM [84460B]
- AST, SERUM [84450B]
- Lab today
- Other related orders
- Lab today
- CBC W DIFFERENTIAL, AUTO [85025B]
- SODIUM, SERUM [84295A]
- POTASSIUM BLOOD [84132A]
- CHLORIDE, SERUM [82435C]
- BUN, SERUM [84520M]
- CREATININE, SERUM [82565C]
- OCCULT BLOOD ST 3 SPECIMENS [82270A]
- PAP, LIQUID BASE SCREEN [88174C]
- PSA [84153B]
- TSH W REFLEX TO FT4 - order if screening [84443K]
- THYROID STIMULATING HORMONE (TSH ONLY)- order if monitoring [84443A]
- URINALYSIS W REFLEX TO MICROSCOPY AND CULTURE [81003G]
- Lab today
- Referral, imaging and reminder orders
- FLEX SIG [214156]
- REF COLON CANCER SCREENING HI RISK (aka COLONOSCOPY) [213973]
- REMIND TO HAVE PAP EXAM [213594]
- XR MAMMOGRAPHY SCREENING BILATERAL, 2 VIEWS EACH BREAST [77057K]