Sign-Off the Orders as a Provider

You can submit and review the plan of care based on your role in the Provider Sign Off panel.

1. Open NextGen® Enterprise EHR.
2. On the SOAP tab, expand the Assessment/Plan panel.
3. To open the Cosign/Review Orders template, do one of the following:
   • Select the Review/Cosign Orders link.
   • Select Add/Update and then select the Cosign Orders tab on the Add or Update Assessment template.
   

   Note: In the Orders panel, you can view all the orders and expected immunization orders placed in the current encounter. In the Immunizations Today panel, only the immunization orders placed in the current encounter appear.
4. In the Orders panel, to sign off on an order, do the following:
   1. Select an order from the grid in the Orders panel.
      The selected order details appear in the Details of individual order section under the Immunizations Today panel.
   2. If necessary, add comments in the Clinical information/comments field.
   Note: In the Cosign/sign off orders section, the Individual order option is selected by default.
5. To sign off all the orders in the Orders panel, in the Cosign/sign off orders section, select the All orders option, and document any comments in the Reason/explanation/comment field.
6. Select Sign/Update.
   The current username and the current system date appear in the Cosigned by column and Cosigned column respectively in the Orders panel.
7. In the Immunizations Today panel, do the following:
   1. Select an order from the grid.
      The selected order details appear in the Details of individual order section.

      Note: In the Cosign/sign off orders section, NextGen® Enterprise EHR selects the Immunization order option by default.
   2. To sign off all the orders in the Immunizations Today panel, select the All orders option and document any comments in the Reason/explanation/comment field.
   3. Select Sign/Update.
      The current username and the current system date appear in the Cosigned by column and Cosigned column respectively.
8. To select the priority of the task and send the task to a pre-configured recipient for any further action, select Quick Task.
   Note: The Quick Task Setup template opens at the first time when you select Quick Task. You can configure the task recipient to automatically send the orders to as the orders are being placed in run-time. You can select the cog button to open the Quick Task Setup template any time after initially setting up task recipients to make any changes.

   Note: You can configure the task recipient on the Practice Configuration practice template.
9. To task the orders to a specific recipient for cosignatures and/or sign off, select Task.
10. Select the Lab/Radiology Order Processing link to process and submit lab orders to the lab vendor.
11. Select Save & Close.