You’re also steps closer to meeting Meaningful Use. Meaningful Use Stage 2 requires that more than 30% of laboratory, 30% of radiology and 60% of medication orders are recorded using Computerized Physician Order Entry (CPOE). Read more about how CPOE ordering relates to Meaningful Use here.
Connect your EHR with a imaging partner: If you have not yet set up an imaging integration with your EHR, please follow the steps in the article “How can I connect with imaging centers?”. Practice Fusion will notify you once your connection has been approved.
Creating orders in your EHR
Once your practice is connected to an imaging center, you're ready to begin ordering.
1. Navigate to a patient chart.
2. From the Actions , Add imaging order.
If you are charting an encounter, you can also scroll down to the Orders section and click Add.
Time-saving tip: If you have previously ordered images for this patient, your order will automatically pre-populate your last selected imaging center.
3. If the preferred imaging center for your order is not already selected, select one from the drop down list. You’ll also notice that pending orders and templates are listed to the left of the order in the details pane.
If you are not connected to an imaging center: To record an order for print/fax, record keeping, or to meet Meaningful Use measures, select “Other.”
4. You may search for studies using either the name or your imaging center’s study code. When searching, some studies also support keywords and synonyms. If you don't find the study name, you can enter a custom study and the imaging center’s study code, if available.
5. You may search for a new diagnosis or select one from the patient's diagnosis history listed in the details pane on the left for easy selection. You'll also notice that pending orders and templates are listed to the left for easy selection. You'll also notice that pending orders and templates are listed to the left of the order in the details pane.
Search by description, ICD-9 code, or ICD-10 code within the Add diagnosis field to select from a list of related diagnoses. If you select an ICD-10 code or an ICD-9 code that matches to one ICD-10 code, the ICD-10 code will automatically be added to the order. If the diagnosis maps to multiple ICD-10 codes, use the refine search filters to narrow the number of results and select the correct ICD-10 code. Select Show codes to display both diagnosis codes and descriptions. For details instructions on adding ICD-10 codes, please see: How do I add ICD-10 codes to lab and image orders?
Time-saving tip: Use your details pane to quickly populate orders. You'll notice that the ordering details pane automatically extends from the ordering screen. This panel gives you access to several time-saving features to build your order.
Note: You’ll notice as you build your order that details populate on the left side of your screen. Use this as a navigation tool to edit specific portions of your order by clicking on the relevant section.
Image ordering shortcuts
diagnoses tab of the details pane allows you to quickly select patient
diagnoses that have been recorded within the patient's chart. If you select an ICD-10 code, the code will be automatically be added to the order. If you
select an ICD-9 code, you will first need to upgrade
the code to ICD-10. Once you have selected the specific ICD-10 code, the
diagnosis will be added to the order.
Please note that if you have previously created a template containing
ICD-9 diagnosis codes, you will be prompted to update the diagnoses
within the template to ICD-10. For details instructions on adding ICD-10 codes, please see: How do I add ICD-10 codes to lab and image orders?
Templates: At any point during your ordering process, you may save your order as a Template. With templates, you can:
Easily save frequently ordered studies such as MRI, Echocardiogram, Mammogram, etc.
Add diagnoses to your template for billing purposes, or associate frequently used diagnoses with your template.
Selecting a Template during the ordering process will automatically populate your order with associated diagnoses and studies for the imaging center that you've selected. Templates can be kept personal or may be shared with your practice. For more information, see: How do I create and edit ordering templates?To create a new template for your currently selected imaging center, fill in studies and diagnosis and select Save as Template, available from the down arrow to the right of the Save button. Select Allow practice to use template to share with your practice.
Recent: The recent section in your details pane lists all recent studies ordered for this patient. Studies ordered from the imaging center you have selected for the current order can be clicked to add to your order in progress.
Complete your order
1. Select Next to proceed to enter study-specific details such as stat preference or additional diagnoses attached to the study. At this point you may also add any relevant comments or questions by filling out the Study Note section.
2. The study details screen will repeat per study that you are ordering
Time-saving tip: Use the quick preview feature to review recent results to determine whether your order should contain a follow-up study. Select Open this imaging result to open a new tab with the result you're interested in.
Review your order summary
The final step is to review your order summary which allows you to:
Remove any studies that you decide you don't need - select the x next to the study in the summary
Supply payment information (Note: Insurance information is automatically transferred from your patient’s Profile)
Reconcile any missing patient information
Assign primary and ordering providers
Add a note to the order
Associate your order with a chart note. If you created the order within an encounter, the associated chart note will automatically be selected. Orders will display in the Orders section of their associated encounters. If necessary, the selected encounter date can be edited prior to or after sending the order.
Reconcile missing information
On the summary page, you may notice validation messages prompting you to provide more information.
1. Select the provided link to be taken to the section that requires your attention.
Note: If you notice that your patient’s insurance information is incorrect or missing, select "Edit" from the Order Summary. Once saving the patient profile, you will be automatically taken back to your order.
2. Once back in the order, any validation messages will automatically clear if information was previously missing and has been added. If you have electronically connected your practice to an imaging center through Practice Fusion, you’ll now be given the option to “Send” your imaging order. Otherwise, select “Print.”
You must click “Send” or “Print” in order for the imaging order to count for your Meaningful Use measures.
Associating manually entered imaging results
If you need to associate non-electronic study results with this order, select Actions from this screen and select Enter imaging results to manually enter structured results. See this thread for more information on manually entering imaging results. Otherwise, you can expect electronic results from your diagnostic partner to arrive directly in your EHR once the lab or study is completed.
Viewing submitted orders
Submitted orders may be found in your patient's Timeline or Quick Preview, along with the submission status.
If you associated the order with a chart note, the order will display in the Orders section of the encounter with the current status.