Order Sets

1. Display the Order Sets page: On the Main Menu, click Settings > Clinicals. In the left menu, under Practice Links — Order Configuration, click Order Sets.

Select one or more options from the Filter by fields

2. User — Select a user name from the menu to search for order sets for that user only.
3. Specialty — For multispecialty practices only, you can select a specialty name from the menu to search for order sets for that specialty only.
4. Order set type — You can filter the search by the type of order set (Has specified diagnoses or No specified diagnoses).
5. Order set name — You can filter the search by the name of the order set.
6. Diagnosis — You can filter the search by the diagnosis name.

7. Sets with compendium changes — Select this option to display order sets in which a facility-specific order was replaced by a global athenaOne order or which was discontinued.

Filter the list or reset your filters

8. Click Filter.
   The search results appear.
9. Click Reset to specify different search filters.

1. Display the Order Sets page: On the Main Menu, click Settings > Clinicals. In the left menu, under Practice Links — Order Configuration, click Order Sets.
2. Click Add new. The input fields appear at the top of the page.
3. Order Set Name — Enter a short, descriptive name for the new order set.
4. Users — Click All to make this order set available to all providers in your practice, or click Selected to make the order set available only to the providers that you select from the list.
5. Specialty — If your practice uses the multispecialty feature, click All to make this order set available to all specialties in your practice, or click Selected to make the order set available only to the specialties you select.
   Note: Verify that the order set is not associated with both specific providers and an entire specialty. In this case, the order set is available only to the selected providers, not the entire specialty.
   
6. Ordering — Do not use this field.

Select orders

7. Under each blue No Diagnosis bar, use the Add Orders tabs to locate and select the orders you want. You can select as many orders as you need. The selected orders appear under the Diagnoses and Orders Detail heading below.
8. Click a selected order and enter the order details in the fields provided. To expand a collapsed order item, click the gray heading bar for the order.
   • Administer and Prescribe options:
     • If you select the Administer option, you can use the Perform Date field to create order sets that include orders to be fulfilled today and in the future. For example, an order set can include orders for an initial fracture visit (an order for a cast to be applied today, along with a pain medication to be filled today, and an X-ray order to be completed in 4 weeks).
     • If you select the Prescribe option, you can use the Submit Date field to create order sets that include orders to be fulfilled in the future.
   • For Imaging, Surgery/Px, and Referral orders, you can add CPT codes in the Procedure Code fields. When you add CPT codes to an order set, those procedure codes populate automatically when you select the order set in an encounter or order group.
9. Click Add to save the order set. Providers can now select the order set when adding a diagnosis or order for a patient.

1. Display the Order Sets page: On the Main Menu, click Settings > Clinicals. In the left menu, under Practice Links — Order Configuration, click Order Sets.
2. Click Add new. The input fields appear at the top of the page.
3. Order Set Name — Enter a short, descriptive name for the new order set.
4. Users — Click All to make this order set available to all providers in your practice, or click Selected to make the order set available only to the providers that you select from the list.
5. Specialty — If your practice uses the multispecialty feature, click All to make this order set available to all specialties in your practice, or click Selected to make the order set available only to the specialties you select.
   Note: Verify that the order set is not associated with both specific providers and an entire specialty. In this case, the order set is available only to the selected providers, not the entire specialty.
   
6. Ordering — Do not use this field.

Select the diagnoses

7. Under the Diagnoses heading, use the tabs or Search tool to select the diagnosis you want.
   In the Search tool, enter text to view a list of matching SNOMED diagnoses.
   The diagnosis appears as a blue row in the Diagnoses and Orders Detail form.
8. If the SNOMED diagnosis you selected has not been mapped to an ICD-10 code, click the Select ICD-10 code (required) link and select the code.

Select orders for each diagnosis

9. Under each blue diagnosis bar, use the Add Orders tabs to locate and select the orders you want. You can select as many orders as you need. The orders you select appear under the Diagnoses and Orders Detail heading below.

Enter additional details in the Diagnoses and Order Details form

10. Enter the order details in the fields provided. To expand a collapsed order item, click the gray heading bar for the order.
    
• Administer and Prescribe options:
  • If you select the Administer option, you can use the Perform Date field to create order sets that include orders to be fulfilled today and in the future. For example, an order set can include orders for an initial fracture visit (an order for a cast to be applied today, along with a pain medication to be filled today, and an X-ray order to be completed in 4 weeks).
  • If you select the Prescribe option, you can use the Submit Date field to create order sets that include orders to be fulfilled in the future.
• For Imaging, Surgery/Px, and Referral orders, you can add CPT codes in the Procedure Code fields. When you add CPT codes to an order set, those procedure codes populate automatically when you select the order set in an encounter or order group.
11. Click Add to save and add the diagnosis order set. Providers can now select the order set when adding a diagnosis or order for a patient.

1. Display the Order Sets page: On the Main Menu, click Settings > Clinicals. In the left menu, under Practice Links — Order Configuration, click Order Sets.
2. You can filter the list of order sets using the filters at the top of the page.
3. Locate the order set that you want to update in the list, and click the update link.
4. Scroll down to the Diagnoses and Orders Detail heading.
5. To expand a collapsed diagnosis or order item, click the gray bar for that item.
6. Edit fields as needed.
7. Click Save to save the changes.

An order alarm specifies the number of days or weeks to allow the order to be filled. If an order remains unfilled beyond this time, athenaOne updates the status of the order to FOLLOWUP, and the task appears in the Need Followup column in the Clinical Inbox, in the row for the assigned user.

1. Display the Order Sets page: On the Main Menu, click Settings > Clinicals. In the left menu, under Practice Links — Order Configuration, click Order Sets.
2. Click update next to the order set that contains the order for which you want to set an alarm.
3. Alarm (in the Diagnoses and Orders Detail section) — Select the number of days, weeks, or months (up to one year) when the patient should fill an order.
4. Click Save.

CMS updates ICD-10 codes annually, removing certain codes and adding more specific replacements. Because athenaOne removes expired ICD-10 codes from order sets and encounter plans, providers must select a new ICD-10 code when using these order sets and encounter plans. The practice can update order sets and encounter plans to use the new, more specific ICD-10 codes.

1. Display the Order Sets page: On the Main Menu, click Settings > Clinicals. In the left menu, under Practice Links — Order Configuration, click Order Sets.
2. You can filter the list of order sets using the filters at the top of the page.
3. Locate the order set in the list, and click the update link.
4. Scroll down to the diagnosis and click it.

5. Click the ICD-10 code menu to display mapped codes, or click Add ICD-10 code.
   
   

6. Search for and select the replacement ICD-10 code.
7. Click Save to save the changes.

Note: These instructions apply to Lab, Imaging, Surgery/Px, Referral, and Other orders. Prescription medication orders must be sent immediately, but you can set the Earliest Fill Date field to make the prescription available to the patient only on a future date (for example, 5 days or 2 weeks after the encounter in which you used the order set).

1. Display the Order Sets page: On the Main Menu, click Settings > Clinicals. In the left menu, under Practice Links — Order Configuration, click Order Sets.
2. Click Add new.
3. Enter the required information in the Order Set Name, Users, and Specialty fields.
4. Click the Diagnosis button to search for the diagnoses and orders.
5. For Lab, Imaging, Surgery/Px, Referral, and Other orders, you can select the perform date from the Future Submission menu.
6. Click Add to save the order set.
   Note: In order for future orders to appear in future encounters, you must select a clinical provider for the order.
   

1. Display the Order Sets page: On the Main Menu, click Settings > Clinicals. In the left menu, under Practice Links — Order Configuration, click Order Sets.
2. You can filter the list of order sets using the Providers and Specialty filters at the top of the page.
3. Locate the desired order set in the list, and click the delete link at the right. A warning message appears.
4. Click OK to delete the order set, or click Cancel to preserve it. The deleted order set appears disabled at the bottom of the list, with an undelete link.

An order alarm specifies the number of days or weeks to allow the order to be filled. If an order remains unfilled beyond this time, athenaOne updates the status of the order to FOLLOWUP, and the task appears in the Need Followup column in the Clinical Inbox, in the row for the assigned user.

You can set order alarms as follows:

• For an individual order — You can set an order alarm from the Assessment / Plan section of the encounter. In the expanded view of the order, use the Alarm menu.
• For an order set — You can set an alarm for an order set on the Order Sets page using the Alarm menu. To see the Alarm menu, click the update link for an order set and look under the Diagnoses and Orders Detail heading.
  Note: Order sets do not have a "no alarm" option.

To set an alarm for an order route, use the Alarm days menu on the Order Routes page.

Which alarm setting does athenaOne use for an order?

 

athenaOne searches for the alarm setting to use in the following order.

1. Previous/historical alarm value — If a previous order with the same order type exists for the patient, athenaOne uses the same alarm value set for the most recent order with the same order type.
2. Order set — athenaOne uses the Alarm selection on the Order Sets page (if the order is part of an order set and an alarm is configured on the Order Sets page).
3. User preference — If you selected the No lab alarms by default option on the User Preferences page, the default value in the Alarm menu for your ordered labs is none (blank).
4. Order route — athenaOne uses the Alarm days setting on the Order Routes page (if the order is configured with an order route).
5. Order type — athenaOne uses the default alarm setting for the order type (set by athenahealth) — usually one or two weeks, depending on the type of order.