Defining SIG Codes and SIG Favorites

Providers include SIG codes with prescriptions to indicate the frequency and amount of medication the patient is to take. These codes are standardized in the industry and common codes are installed with the Intergy software.

Standard SIG codes are shipped with the Intergy system. In the Rx Utilities window, you can add new SIG codes as needed, and delete/deactivate codes you are not using. You can also edit the details for a SIG code. For example, you can designate a SIG code as a favorite, which causes it to display at the top of the list when the provider selects a SIG code in Intergy EHR or Intergy EHR PDA.

The system uses some of the details for a SIG code to automatically calculate the days supplied when the provider writes a new prescription for a patient. For this reason and because many SIG codes are standardized, we do not recommend that practices change SIG description and dosage details. However, you might want to edit a SIG code to designate it as a favorite. Favorite SIG codes display at the top of the SIG code selection list when entering a prescription in Intergy EHR or Intergy EHR PDA. Note that after a SIG code has been used on a prescription, it can no longer be deleted and only editing of the favorite status is permitted.

Note that the Intergy online help contains detailed information about maintaining SIG codes.

To add a SIG code
  1. From the Intergy desktop menu bar, select the Setup menu and then select Prescriptions. The Rx Utilities page opens.

  2. Select the Sig Codes page from the page directory. Select the New button.

  3. The New SIG dialog box opens. Complete each field in the dialog box. Descriptions of the fields are provided below:

  4. Field

    Description

    Code

    Specify an abbreviated code to describe the signature. For example 'Q.H.' for 'every hour'. The SIG code and description will display in Intergy EHR.

    Description

    Specify a description of the signature that communicates the instructions for taking the drug as defined by the SIG code. For example, 'twice a day' to describe the 'bid' sig.

    Dosage Interval

    Specifies how frequently the patient should use the prescribed item. The following choices are shipped with the system:

    • (D)aily – The prescribed item should be used once a day. If you select this option, enter a value in the How many doses per day are taken field.

    • (L)ess Than Once a Day – The prescribed item should be used less than once a day. If you select this option, enter a value to indicate How many days between doses.

    • (N)o Days Supplied at Calculation – A dosage interval is not required for this item.

    How many doses per day are taken

    Specifies the number of doses that should be taken by the patient in one day. For example, if a patient is required to take a prescribed item in the morning and again in the evening, the number of doses would be 2.

    This field is disabled when the dosage interval is '(N)o Days Supplied at Calculation', or '(L)ess Than Once a Day'.

    How many days between doses

    Specifies the number of days that should pass before the patient should take another dose of the prescribed item. For example, a patient might be required to take a prescribed item once every 3 days.

    This field is disabled when the dosage interval is '(N)o Days Supplied at Calculation'. This field is also disabled with a default value of '1' when the dosage interval is '(D)aily'.

    How many units per does

    Specifies the number of units of the prescribed item the patient should take for each dose. For example, one dose might consist of 2 tablets.

    This field is disabled when the dosage interval is '(N)o Days Supplied at Calculation'.

    Favorite

    If this SIG code is used frequently by the practice, you can specify it as a favorite. In Intergy EHR, favorite SIG codes display on the selection list for the SIG field, thus enabling quick selection. Less common SIG codes are still available on the full SIG code list. You can select one of the following options:

    • (Y)es – This SIG code is used frequently and should display on the selection list for the SIG code field.

    • (N)o – This SIG code is not used frequently and should only display on the full SIG code list.

     

  5. When you are finished, select the Save button to keep your changes. The New SIG dialog box remains open so you can continue adding SIG codes.

  6. When you finish adding SIG codes, select the Close button to return to the Rx Utilities window. The new SIG will display in the SIGs list.