Managing Incomplete Orders

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Selecting Orders

To create your order, you can use one or both of the following approaches. You can select a diagnosis and then add the appropriate order items. This approach can be useful for differential diagnoses. For example, for a patient exhibiting symptoms of pneumonia, you may have two differential diagnoses—streptococcus pneumonia and viral pneumonia. You can select a set of tests specific to streptococcus pneumonia first, followed by a different set specific to viral pneumonia. You can select the order items first and then assign the diagnoses. In this approach, you can search for and select a laboratory, diagnostic, or immunization item using the following options. Select Common Orders Search for Orders Items Select Order Items from Favorites Select Order Items from the Immunizations Recommendations List When you select an order item, Computerized Physician Order Entry (CPOE) displays and saves the order details in the Incomplete Items list. If you close the CPOE window when you have selecte

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Place Selected Orders

Before you begin While selecting your orders, ensure that you address all the mandatory indicators, which are denoted by . Ensure that you have completed the charge submission and payers information configurations in File Maintenance so that your practice can post charges for performing laboratory and diagnostic tests, and also automatically include Healthcare Common Procedural Coding System (HCPCS) codes and Modifiers in the charges for diagnostic orders with Appropriate Use Criteria (AUC) check. Note: For more information on charge submission configurations, go to NextGen Healthcare Success Community and download the latest File Maintenance Preferences Guide for NextGen® Enterprise and Procedures and Superbill Modules User Guide for NextGen® Enterprise. You can place your selected orders and view a summary of the of the placed orders in Placed Items. Note: In File Maintenance, if you have configured Practice Preferences for automatic billing of laboratory or diagnostic orders, Comput

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Managing Order Details

When you select an order item, Computerized Physician Order Entry (CPOE) displays the order details in the following tabs based on the order type. All Laboratory Diagnostic Immunization In the All tab, CPOE displays a consolidated summary of all your selected order items, grouped by the order type and selected performing entities. In the Laboratory, Diagnostic, and Immunization tabs, CPOE displays the details of the respective order items. You can review and modify the details of your order items before placing your order. Note: CPOE saves your selected order items in the Incomplete Items list until you place the order. Manage General Order Details You can view and modify sections of the order that are common for all your selected order items. Modify Assigned Diagnoses on Orders You can assign and modify a diagnosis for individual order items. Add Comments and Schedules for Laboratory and Diagnostic Order Items You can document the reason for ordering a test and create schedules for fu

NextGen® Enterprise EHR Help

CPOE Configuration Requirements

Computerized Physician Order Entry (CPOE) is available on NextGen® Enterprise EHR from version 5.9.2020.1 onwards. Before using CPOE, ensure that you have: Set the screen resolution on your system to 1366 x 768 pixels or higher. Configured the Orders module in NextGen® Enterprise EHR. For more information on the NextGen® Enterprise EHR Orders module, go to NextGen Healthcare Success Community and download the latest Orders Module User Guide for NextGen® Enterprise EHR. Enabled the CPOE Order Search Bar in File Maintenance > Practice Preferences > EHR so that it appears in NextGen® Enterprise EHR. Note: When you enable the CPOE Order Search Bar at the practice level in File Maintenance, users can hide the CPOE Order Search Bar at the user level by clearing the CPOE Order Search Bar option in the View menu of NextGen® Enterprise EHR. Configured the security privilege settings in System Administrator to grant or deny ordering permissions to different user roles. Configure Common Orders Di

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Overview on Computerized Physician Order Entry

Computerized Physician Order Entry (CPOE) is the process of electronically capturing and transmitting medical treatment instructions, including medication, laboratory, and diagnostic orders. CPOE is a core Meaningful Use criteria objective for both hospital-based and ambulatory electronic health record (EHR) systems. As providers and clinical support staff with ordering privileges, the CPOE implementation on NextGen® Enterprise EHR enables you to search for, select, and order one or multiple laboratory, diagnostic, and immunization items in a simple workflow. You can select order items from the frequently ordered items list, favorites list, and immunization recommendations list, or directly search for order items by the test name, compendium code, or CVX and CPT® code. Based on your order selection, CPOE's built-in decision support system automatically performs various critical checks that assist you in selecting the most appropriate order item for the patient's condition. Benefits of

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Clear Selected Order Items

You can clear the order items you selected in the COMMON ORDERS, SEARCH RESULTS, FAVORITES, and IMMUNIZATIONS lists. Open CPOE. Select an order item.The order details appear. Add diagnoses to the selected order items. Note: For an immunization order item, Computerized Physician Order Entry (CPOE) automatically adds the default ICD-10-CM Z23 diagnosis code. To clear a selected order item, do one of the following: In the left pane, clear the check box corresponding to the selected order item. Select Clear for Add. Note: Clear for Add only clears all the selected order items and diagnoses in the left pane. This option is useful when you want to create your order according to the patient's medical condition. You can select multiple combinations of tests and diagnoses. In the right pane, select the clear icon corresponding to the selected order item. Parent topic: Selecting Orders Related concepts Managing Order Details Selecting Orders Related tasks Select Common Orders Search for Orders I