Managing Order Details

NextGen® Enterprise EHR Help

Modify Assigned Diagnoses on Orders

When you select a diagnosis in the Assign Diagnosis section, Computerized Physician Order Entry (CPOE) automatically adds it to all the selected order items. You can manually change the diagnosis selection for individual order items. Open CPOE. Select an order item. Assign a diagnosis to the selected order item. To modify the diagnosis for an order item, do one of the following: In the All tab, select the expand icon corresponding to the order item. Select the Laboratory, Diagnostic, or Immunization tab, and then select the expand icon corresponding to the order item. The Modify Diagnosis section appears. Select a diagnosis. Note: You can select multiple diagnoses. For more information on how to use the Search and Clear options under Modify Diagnosis, see steps 4-6 in Add Diagnoses to Order Items. CPOE adds the diagnosis to the order item. To close the Modify Diagnosis section, select the collapse icon. Parent topic: Managing Order Details Related concepts Selecting Orders Related task

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Manage General Order Details

In the All tab, which displays a summary of all your selected order items, you can view and modify the diagnoses for each order item; and any information that is common for all the selected order items, such as ordering provider, location, and insurance details. Note: Computerized Physician Order Entry (CPOE) groups the order items by order type and performing entity. Open CPOE. Select an order item. Assign a diagnosis to the selected order item. Note: For an immunization order item, Computerized Physician Order Entry (CPOE) automatically adds the default ICD-10-CM Z23 diagnosis code. For information on how to change the diagnosis selection, see Modify the assigned diagnosis. To view the details of the order, do one of the following: In the All tab, select the order item's link under Description. Select the Laboratory, Diagnostic, or Immunization tab. Note: For information on viewing the patient's order and immunization history, see Check Order History for laboratory or diagnostic orde

NextGen® Enterprise EHR Help

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

NextGen® Enterprise EHR Help

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

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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

NextGen® Enterprise EHR Help

Manage Immunization Order Details

Before you begin Ensure that you have completed the recommended setup and mapping instructions for custom Vaccines for Children (VFC) SIM codes in File Maintenance. For more information, go to NextGen Healthcare Success Community, and download the latest File Maintenance Master Files Guide for NextGen® Enterprise. Ensure that you have configured the registries for your practice. For more information on registries setup, go to NextGen Healthcare Success Community, and download the latest Immunization Registry Configuration Guide for NextGen® Enterprise EHR. Ensure that you have configured allergy check for immunization orders. Ensure that you have configured drug interactions checks. For more information on medication interactions setup, go to NextGen Healthcare Success Community, and download the latest Drug Interaction and Medication Update Utility User Guide for NextGen® Enterprise EHR and Medications and Medication Allergies Module User Guide for NextGen® Enterprise EHR. In the Immu