Importing Code Systems

In the EHR Setup Window, click Code Systems Importer.

Several systems for medical and procedural coding can be imported into Open Dental and then attached to patient information. Coding systems allow a consistent way to organize, index, store, and retrieve clinical data between providers and care sites.

EHR: Some data must be associated with a specific code to be recognized in EHR Measure Reports, or to show in clinical documents. We recommend importing all code systems. At a minimum, import RxNorms, SNOMED CT Codes, and LOINC Codes, since these code systems are used often in EHR data.

Note: Code systems cannot be downloaded when using Middle Tier. Instead, connect directly to the database.

Click Check for Updates. A list of code systems available for import will list.

To import codes:

  1. Select the code system(s) to import.
  2. (optional) To retain previously downloaded code descriptions, check the Keep old descriptions box. To replace old descriptions with new, uncheck the box.
  3. Click Download Updates

If there are licensing agreements, they will display prior to import. Click OK to agree to licensing terms and proceed; click [X] to cancel the import.

It may take a several minutes for the data to download. As the download progresses, the status will show in the Download Status column.When the import is complete, a message will indicate success. The download is not complete until the message shows.

Available Coding Systems

Currently the following coding systems can be downloaded.

Name Description Codes/Database Size Where used
CDCREC CDC Race and Ethnicity Set. 966 codes < .1MB CQMs, demographics
CVX 159 codes < .1MB vaccine data export
HCPCS Healthcare Common Procedure Coding System 5,951 codes.5MB procedure codes, CQMs
ICD-9-CM International Classification of Diseases 9th revision 2,1211 codes 7.4MB procedures, problems, claims, drug-problem interaction checks, CQMs, syndromic surveillance
ICD-10 International Classification of Diseases 10th revision 95,352 codes 5.54 MB procedures, syndromic surveillance, clinical summaries, summaries of care, claims, CQMs
LOINC Logical Observation Identifiers Names and Codes 72624 codes15.5MB CQMs, medical laboratory orders, radiology orders, clinical summaries, summaries of care, syndromic surveillance, vaccines (validation)
RxNorm A normalized naming system for generic and branded drugs. 391275 codes34.9MB medications (every medication should be associated with an RxNorm), prescriptions, CQMs
SNOMED CT Systemized Nomenclature of Medication Clinical Terms 401,068 codes 36.4MB problems (every problem should be attached to a SNOMED CT code), CQMs, procedures (medical tab)
SOP Systems of Payment. 145 codes < .1MB CQMs
UCUM Unified Code for Units of Measure. 557 < .1MB CQMs, medical laboratory orders, syndromic surveillance, vaccines
Note: CPT Codes were used with 2011 EHR. They are no longer used and cannot be imported.