Create New Standing Orders
The Office Diagnostics Setup and Management practice template enables you to create a new office-based order set to be used on the Office Service template.
- On the Office Diagnostics Setup and Management practice template, in the Order Category section, select any of the following options:
- Office meds
- Office procedures
- Office supplies
- Office tests
- Office diagnostics
- In the Order Details section, click Proc. Code and select the relevant procedure code from the list.
The Order description field populates with the associated procedure description. You can edit the description in the Order description field.Note: The list includes the service items based on the selected Office Category. You can configure these service items in the Service Category Master File in File Maintenance.
- If applicable, click Side and select right, left, or bilateral option to determine the area the order is for.
- Select Normal range or Normal Value option. You use this option for test results that have a single numeric value (for example, blood glucose level) to establish a normal value or range of values, along with a unit of measure.
- Type the relevant data in the following fields:
- Normal range/value
- Unit of measure
- Click Results "Detail" to use and select the template that the user will use to enter result in run time.
- Select the Use number pad check box to use the numeric keypad to enter result.
In run time, the numeric keypad appears when you click the Detail button on the Office Service template.
- Click Diagnosis group and select the appropriate diagnosis to associate with the standing order selected in the Proc. Code field.
Note: You can create diagnosis groups and add the diagnosis in the group using the Dx Groups Reference Systems practice template.
- To prevent a user from modifying the diagnosis codes in run time, select the Lock diagnosis group check box.
If you do not select the check box, a user can change the diagnosis at the time of the order.
- Click the Location field.
The Select Location window opens with the list of locations in the grid.
- If the locations in the grid are not relevant, type the desired location in the fields above the grid and click Search.
The search results appear in the grid.
- Select a location from the grid and click OK.
- If the procedure is applicable for all location, select Apply to all check box.
- Enter Order set type to filter/group the standing orders.
- If you want to select the existing order set type, click the drop-down arrow and select the appropriate group from the list.
A single-specialty practice can create a Set Type as Not Used to add the tests not done in the practice, instead of deleting the items. So, the tests performed in the practice remain in the All Set Type rather than creating a different set type for the practice each time the test is used.
- In Clinical indication, enter any additional details.
- The Clear to Add button clears existing data from the fields without adding the data to the Standing Orders grid.
- Click Add.
The newly added order details appear in the Standing Orders grid.
You can add the same test multiple times in the Standing Orders grid. For example, a urine dipstick might be done for dysuria, hematuria, frequency, pregnancy, or other reasons. Hence, you can add multiple urine dipsticks, each with a different diagnosis in the grid.
- Click Save & Close.
Note: A diagnosis used on Office Diagnostics/Standing Orders is automatically linked to the test for billing and placed in the Assessment section of the chart. It is recommended that a nurse/medical assistant should enter a symptom as a ‘diagnosis’ or ‘reason for the test’. The provider can determine the diagnosis.