The Order Entry Maintenance screen includes an option to associate an ancillary order (that has not been completed) with an existing Physician Problem List entry. This option was added to meet the Meaningful Use objective for the electronic lab reportable transmission to ambulatory providers and incorporate laboratory tests and values/results objectives.

 

 

Select Hospital Base Menu > Enter patient account number > All Orders > Laboratory > Test description > Maintenance

 

Order Entry Maintenance

 

From the OE Maintenance screen, select Assoc Problem to access the Physician Problem List and open the Problem Display screen. The ancillary test order # and description will display. To associate a problem with the test, double-click the problem description. Double-click the problem description again to remove an association.

 

 

Select Ancillary test > Maintenance > Assoc Problem > Problem Description

 

Problem Display

 

Once the problem description has been selected, the problem description and date of association will appear as Associated Problems.

 

To add a new problem, select New Problem. The Diagnosis List screen will appear, where a new description may be searched for and selected by double-clicking on the description.

 

 

Select Ancillary test > Maintenance > Assoc Problem > New Problem

 

New Problem Description

 

 

Once the description is selected, the Problem Display screen will appear. No problem detail will need to be indicated. The new problem may be selected, and the description will pull to the line titled "Associated Problems."

 

 

Select Ancillary test > Maintenance > Assoc Problem > New Problem

 

Problem Association

 

 

Once the order has reached an Unverified/Resulted/Complete status, the user will no longer be able to add/remove an associated problem. The user will still be able to select the Assoc Problem button to view associated orders, but the only action that may be taken is to Include in Medical History.

 

The new problem entry will appear on the Problem Display screen and must be selected to associate to the ancillary order.

 

To remove an association, double-click the Problem entry and it will no longer appear on the Associated Problems line.

 

 

Select Ancillary test > Maintenance > Assoc Problem > New Problem > Exit Problem List

 

Associated Problem

 

 

Once the problem has been associated, exit the Physician Problem List. The Assoc Problem button will appear purple to indicate that a problem has been associated with the test item.