Setting Up Orderable Follow-Up Guideline Items
You can define second-tier (follow-up) guidelines that automatically apply to a patient's active guidelines using the Intervention/Orders Setup panel.
The Intervention/Orders Setup panel allow you to create multiple follow-up (second-tier) guidelines for a care guideline item to ensure complete patient care.
When you select or set up a follow-up guideline item in the Intervention/Orders Setup panel, the Follow-Up to field appears with the corresponding first-tier guideline test name. By default, the Orders checkbox is selected. When you select the Orders link, the Follow-Up Guideline window opens.
- You can view the details of the Reason type, Condition/Reason, Follow-Up Guideline Name, and Orderable Guideline Name fields in the Follow-Up Guideline window.
- The orderable follow-up (second-tier) guideline which is set up in the Intervention/Orders Setup panel is applied to a patient when the result of the first-tier guideline matches exactly with the options selected in the following categories of the Follow-Up Guideline window:
- Any value
- Specific value
- Range of values
If a second-tier guideline is no longer applicable to a patient, then you must remove it from the Intervention/Orders Setup panel. NextGen® Enterprise EHR does not automatically remove any guidelines from patient records.