Viewing Orders or Order Status

• Orders (also known as CPOE Orders): This module displays the recent orders for the selected patient, including the name of each order, the start date, and the status (such as active, pending, or complete). These orders may be derived from the institution’s source HIM order entry system, or they may have been entered directly in Commure Pro. This module contains substantially more functionality than the Order Status module as it allows you to view, enter, modify, hold, resume, renew, or discontinue orders for patients on your patient list. See Viewing CPOE Orders and Entering Orders.
• Order Status: This module displays the recent orders for the selected patient, including the date, time, and status of each order. The orders that are displayed are orders that were entered in your organization’s source HIM system. This is a “view-only” module and does not allow the entry or modification of orders. See Viewing Order Status.

​

Viewing CPOE Orders

You can access and view CPOE orders in the Orders module if your administrator has enabled this feature for you. The Orders module displays the recent orders for the selected patient, including the name of each order, the start date, and the status (such as active, pending, or complete). These orders may be derived from the institution’s source HIM order entry system, or they may have been entered directly in Commure Pro. During rounding, you have ready access to a complete list of the patient’s recent orders so that you can take appropriate action. You can:

• Review the Summary list of new and existing orders. See CPOE Orders at a Glance, Viewing New Orders, or Viewing Existing Orders.
• Identify the type order by its icon. See Viewing Order Type Icons.
• Sort the list of orders. See Sorting the List of Orders.
• Filter the list of orders to view just a subset. See Filtering the List of Orders.
• View the details of one specific order. See Viewing the Details of an Order.
• View the history of one specific order. See Viewing the History for an Order

​

CPOE Orders at a Glance

The Orders module opens with a Summary of orders for the selected patient. This summary is broken into two sections:

• New Orders: This section contains orders of any type that you have entered on your device but have not yet submitted.
• Existing Orders: This section contains orders of any type that were previously entered in the system. This section always lists all current active orders. However, the number of past inactive orders or future orders that are available for viewing on the Existing Orders list is based on the settings below. If the patient has any expiring medication orders, these are always sorted to the top of the list. Use the Orders Summary to get a quick overview of the items that you are in the process of ordering, the medications that are about to expire, and the items that have already been ordered for the patient. From this screen, you can manage the patient’s new or existing orders, and you can also enter additional new orders.

To view the Order Summary, log into the Commure Pro application and then follow these steps:

1. From the Patient List module, select a patient. The Home menu is displayed.
2. Select the Orders module. The Orders Summary is displayed. It shows a list of new and existing orders.

From the Orders Summary you can:

• Confirm that you have selected the correct patient. The patient heading row shows the selected patient’s name, age, gender, location, code status, and an additional identifier such as DOB, MRN, or account/visit number. An asterisk after the code status indicates that there are additional comments. You can tap on this heading to go directly to the Patient Details module, where you can view the code status comments, as well as other details for the patient.
• Review any clinical decision support (CDS) alerts that might be displayed. If any clinical decision alerts are present for the patient, they are listed in yellow, below the patient heading. Alerts can provide clinical data, suggest additional orders, or inform you of issues related to an order. See Reviewing Clinical Decision Support (CDS) Alerts.
• Confirm that the correct visit is selected for any new orders you might enter. The Visit drop-down, located near the top of the body area of the screen, shows you the currently selected visit. Any new orders that you enter will be associated with this visit. Select the Visit drop-down to choose a different visit for your new orders (see Changing the Visit for a New Order).
• Review the new orders that you have entered, but have not yet signed and submitted:
• The New Orders section, located at the top of the body area of the screen, lists all orders that you have recently added, but have not yet signed and submitted. Each order is displayed on a separate line. See Viewing New Orders for a complete description of the orders in this section. There is also a Sign/Submit button that you can use to sign and submit all of your new orders. If you have not entered any new orders for the patient, this section, as well as the Sign/Submit button, are not present on the screen.
• Review the patient’s existing orders:
• The Existing Orders section is located in the body area of the screen, below the New Orders section (if present). This section lists all signed and submitted orders for the patient, including those entered by yourself and others. Expiring medications, if any, are always shown at the top of the list.
• At the top of the Existing Orders section, there are two headings side-by-side that allow you to filter or sort the list of existing orders. See Filtering the List of Orders and Sorting the List of Orders.
• Below the headings, each order is then displayed on a separate line. See Viewing Existing Orders for a complete description of the orders in this section.
• You can view or manage the details associated with any existing order: just select the order row (see Viewing the Details of an Order or Managing New and Existing Orders).
• Add a new order. Select Add, located near the top right corner of the screen. See Basic Steps: Entering a New Order.
• Exit the Order Summary. Select the Home Menu at the top left of the screen to view the list of modules, or select the Patient List button at the top right of the screen to go back to the Patient List.

​

Viewing Order Type Icons

All orders, new or existing, have an icon to represent their Order Type. These icons will help you easily identify the types of orders in the New Orders and Existing Orders sections of the Orders Summary, or when searching for orders to add. They are located to the left of the order name. These icons represent each order type as follows:

​

Viewing New Orders

The New Orders section, located at the top of the body area of the Orders Summary, lists all orders that you have recently added, but have not yet signed and submitted. The heading for this section tells you how many new unsubmitted orders you have entered for this patient. For example:New Orders (3). Each new order is displayed on a separate line. The left column shows an icon representing the Order Type (see Viewing Order Type Icons), followed by the Order Description and the Order Status (Pending Submit). To view or manage the details associated with any of these orders: just select the order row (see Viewing the Details of an Order or Managing New and Existing Orders). Below the list of new orders is the Sign/Submit button ; select it to sign and submit all of your new orders. Or to discard all of them, tap More and then choose the Discard All option. If you have not entered any new orders, the entire New Orders section, including the Sign/Submit button, is not present on the screen.

​

Viewing Existing Orders

The Existing Orders section is located in the body area of the Orders Summary, below the New Orders section (if present). This section lists all signed and submitted orders for the patient, including those entered by yourself and others. At the top of the Existing Orders section, there is a series of headings:

• The first heading tells you the how many existing orders are currently showing, out of the total available for the patient’s current visit. For example:Existing Orders (6 of 20). You can expand or collapse this section as desired using the Expand or Collapse icons to the left of the heading.
• The next two headings are displayed side-by-side.
  • The left heading displays the order type and timeframe filters that are currently applied. For example, it might say “Lab, Yesterday thru Tomorrow” to indicate that a Lab filter was applied, along with a timeframe filter from Yesterday to Tomorrow. To apply a filter, see Filtering the List of Orders.
  • The right heading tells you how the orders are currently sorted. For example, it might say “Date” with a down arrow to indicate that they are sorted in descending order by start date. To change the sort order, see Sorting the List of Orders.
• The orders for the currently selected visit are listed next, directly underneath the headings described above (note that the currently selected visit is listed at the top of the screen). Each order is displayed on a separate line. The left column shows an icon representing the Order Type (see Viewing Order Type Icons). Next is the Order Description, followed by the Order Status (such as Active, Completed, or Pending), and then the Start Date and Time of the order. If the order is an expiring medication order, there is a comment in red below the description that indicates the date that the medication will expire (for example, Expires Tomorrow at 9:30 AM).
• If the patient has orders associated with any other visits, those orders are listed next, under an Existing Orders for Other Visits heading. You can expand or collapse this section as desired using the Expand or Collapse icons to the left of the heading. See also Changing the Visit for a New Order. Orders that are entered in Commure Pro CPOE (web or handheld) and that have not yet been processed by your source HIM system are shown in italicized font. Commure Pro orders that have been processed, or orders that were entered directly in your source HIM system, are shown in regular font.

To view or manage the details associated with any existing order: just select the order row (see Viewing the Details of an Order or Managing New and Existing Orders).

​

Sorting the List of Orders

The Orders Summary has two sections, each with its own default sort order:

• The New Orders section lists the orders in the order that you entered them, with the first order that you entered at the top of the list and the last order that you entered at the bottom of the list.
• The Existing Orders section always lists any expiring medication orders first. The remaining orders are then sorted as follows:
  • The existing orders are first grouped together by order Type, and the types are listed in a specific fixed order: all Medication orders are listed together first, then all Lab orders, all Radiology, Other, Diet, and Nursing.
  • Within each order Type, the orders are then sorted by order Status, which effectively groups orders of the same status together. The statuses are also listed in a specific fixed order: Submitted, Held for Routing, Ordered, Active, Held, Pending, DC (discontinued), Complete, and Cancelled.

• Within each Status, the orders are then listed alphabetically by order Description. You cannot change the sort order for the New Orders section. You can change to the way the Existing Orders section is sorted, but keep in mind that expiring medication orders will always be displayed at the top of the list. For example, if you change the sort order to alphabetic by description, the expiring medication orders will be shown at the top of the list in alphabetic order by description, and then all other orders will shown underneath that, also in alphabetic order by description. Please note that the sort order that you choose also affects any orders for other visits that might be displayed under the Existing Orders for Other Visits heading.

1. From the Orders Summary, select the Sort drop-down under the Existing Orders section. By default, the drop-down is labeled “Status (grouped by type)” to indicate that the orders are grouped by order Type and then sorted by order Status. However, if you have recently changed the sort order, the drop-down might display a different label, such as “Description.” The Sort By screen is displayed, showing your current sorting selections.
2. Select the attribute by which you want to sort.
   • Date sorts by the order’s start date.
   • Description sorts alphabetically by order name (A-Z or Z-A).
   • Status sorts by the order’s status (in a specific fixed order, as described above), with a secondary sort by order Start Date and a tertiary sort by order Description.
3. For the attribute you selected in Step 2, select the order in which you want to sort (Ascending or Descending).
4. Check or uncheck the Group by type option as desired. When Group by type is checked, all of the orders of the same type are grouped together, and then the sorting options that you choose in Steps 2 and 3 above are applied within each group. For example, if Group by type is checked, and sorting is by Date in Ascending order, you will see all of the Diet orders listed in chronological order by date, and then all of the Lab orders listed in chronological order by date, and so on. Again, any expiring medication orders will always be grouped at the top of the list.
5. Select OK. The existing orders are displayed in the order that you selected.

The same sort order remains selected until you choose something different.

​

Filtering the List of Orders

On the Orders Summary screen, the New Orders section always displays all new, unsubmitted orders. This section cannot be filtered in any way. However, you can use a filter when you want to limit the number of orders that are displayed in the Existing Orders section. For example, you might filter the list of Existing Orders to view only orders of a certain type (such as Laboratory or Radiology), or to view only orders within a certain timeframe. Please note that when you use a timeframe filter, the filter affects only inactive orders (discontinued, cancelled, or completed orders). All active orders are always shown (both current and future active orders), regardless of any timeframe filter that you might choose. Please note that the filters you choose also affect any orders for other visits that might be displayed under the Existing Orders for Other Visits heading. When all of the existing orders for the selected patient visit are displayed, the column heading shows the total number of orders, such as “Existing Orders (20 of 20).” When you select filter criteria that excludes some of the orders, the Orders heading changes to show how many from the full list are currently being displayed. For example, you might see “Existing Orders (6 of 20).”

1. From the Orders Summary, select the Filter drop-down at the top of the Existing Orders section. When you first access the Orders module, the drop-down is labeled “All, Yesterday thru Tomorrow.” However, if you change the filter, the drop-down might display a different label, such as “Lab, Last 5 Days thru Tomorrow.” The Filter Existing Orders screen is displayed, showing your current filter selections.
2. In the Order Typ e field, select All, or a specific order type such as Labs, Radiology, or Medications. For medication orders, you can select the general Medications filter to see all medication type orders, or you can choose a more specific medication filter such as:
   • Expiring Meds: Shows only medication orders that are expiring.
   • IV Only: Shows only medication orders with Routes that begin with the letters “IV.”
   • On Hold Only: Shows only medication orders that are currently on hold.
   • PRN Only: Shows only medication orders that are PRN (given as needed, such as for pain).
   • Scheduled Only: Shows only medication orders that are not PRN.
3. In the From and Thru fields, select a starting and ending period. For example, you might choose From Last 5 Days, Thru Tomorrow.
   Your administrator determines the timeframe filters that are available on your handheld device.
4. Select the Active Only checkbox if you want to view only active orders. Those that are discontinued, cancelled, or completed are not shown.
5. Select OK. The Existing Orders list changes to display only the orders that you selected.

The same filter criteria remains selected until you choose something different. To show all of the orders for the patient, repeat the steps above and uncheck the Active Only box, choose the earliest choice as your From option, the latest choice as your Thru option, and All in the Order Type section.

​

Viewing the Details of an Order

The Orders Summary lists all the important order information for the selected patient, including the type of order, the order description, the start date, the status, and the total number of orders. This Summary might be all you need when you are rounding or checking a patient’s orders. For more information, such as the priority, frequency, or dosing information, go to the Order Details for an order.

1. From the Orders Summary, select an order in the New Orders or Existing Orders section. The Order Details screen opens and displays the information for that order. The information that is shown depends on the type of order:
   • Newly entered orders that you have not yet submitted are listed in the New Orders section. The Order Details screen shows the same fields that were seen when entering the order. For example, radiology orders might show the priority, frequency, and number of times. The detail fields are shown in edit mode, so that you can make changes if necessary.
   • Once an order is submitted, or if an order was entered directly in your source system, it is listed in the Existing Orders section. For these orders, the Order Details screen shows the same details that you saw when you entered the order, but they are displayed in a slightly different format. For example, the order details such as the dose, frequency, or route are all displayed as part of the order name (or the “order string”), rather than as separate fields. In addition, the order is shown in non-editable mode.
2. From the Order Details screen you can:
   • Go back to the Orders Summary and select a different order to view. From the Details screen, select Back at the top left of the screen.
   • View a complete history of the order (only for existing orders). See Viewing the History for an Order.
   • Take a variety of actions, depending on the status of the order (new or existing) and the type of order. See Managing New and Existing Orders. For new orders you can:

• Delete the order entirely (see Modifying the Details of a New Order or Discarding or Deleting New Orders).

For existing orders of all types, you may be able to:

• Discontinue the order (see Discontinuing an Existing Order).

• Order Again the same item (see Reordering an Existing Order).

For existing medication orders only, you may also be able to:

• Modify the order (see Modifying the Details of an Existing Medication Order).

• Hold the order (see Holding an Existing Active Medication Order).
• Resume the order (see Resuming a Held Medication Order).
• Renew the order (see Renewing an Expiring Medication Order).

​

Viewing the History for an Order

You can see the entire history for a particular order from the Order Details screen. For example, you can view information such as the date and time the order was placed, the physician who placed and signed the order, if the order was ever on hold, and the current status of the order. This historical information is available only on existing orders, since new unsubmitted orders do not yet have any history. Please note that if the order was just submitted, there might be a slight delay before the Order History is available.

1. From the Orders Summary, select an order in the Existing Orders section. The Order Details screen opens and displays the information for that order.
2. Tap More and in the upper right corner and then select Order History. The Order History screen displays a complete history of the order from the time it was placed until the current moment.
3. Tap Back to return to the Order Details screen, and then tap Back again to return to the Orders Summary.

​

Viewing Order Status

The Order Status module displays the recent orders for the selected patient, including the date, time, and status of each order. The orders that are displayed are orders that were entered in your organization’s source HIM system. This is a “view only” module that does not allow the entry or modification of orders. You can view the Order Status module if your administrator has enabled this feature for you.

​

Order Status at a Glance

The Order Status module opens with a summary of all the current orders for the selected patient. From the list, you can see the details for any order.

• The module heading row shows the number of current Orders for the patient, such as “Order Status (21 of 21).” When you apply a filter, this line is updated. For example, “Order Status (6 of 21)” indicates that four orders out of six match the filter and are displayed on the list.
• The patient heading row shows the selected patient’s name, age, gender, location, code status, and an additional identifier such as DOB, MRN, or account/visit number. An asterisk after the code status indicates that there are additional comments. You can tap on this heading to go directly to the Patient Details module, where you can view the code status comments, as well as other details for the patient.
• Each order is displayed on a separate line that shows the Order name (or brief description), the Date of the order, and the Status (such as Final-IP or Pending-Ordered; your institution might use different status names). It may also show the Source of the order status information (the hospital or practice from which it was derived).
• From the Summary list, you can select an order and view the details associated with it. To view the details for an order, tap anywhere in the row. The Order Detail screen opens and displays the details. See Reviewing Order Status Details.

​

Filtering Order Status

You can use a filter to limit the number of orders that are displayed on the Summary list. For example, you might filter the list to see only one type of order, such as Laboratory orders. The module header row keeps track of the number of orders currently displayed for the patient. For example, when no filter is applied, you might see “Order Status (9 of 9)” in the header, and all of the available orders displayed in the summary list. If a filter is applied, the Filter button is displayed at the top of the summary list, with a label describing the filter criteria. For example, you might see “Order Status (2 of 9)” in the module header, and the Filter button labeled, “Filtered by: Laboratory” to indicate that only the Laboratory orders are shown. If you apply more than one filter, the module header counts the combined number, and the Filter button label lists each of the filters that are applied. To apply a filter for Order Status, follow these steps:

1. Tap Filter in the upper right corner of the Order Status Summary screen.

If you do not see the Filter button, tap More and choose Filter. The Filters screen is displayed and shows the list of filters. The currently selected filter(s) are indicated by a checkmark.

2. Select or deselect one or more filters. If some but not all of the filters are selected, a Select All button is available at the bottom of the screen; tap Select All to select all of the available filters. If all of the filters are selected, a Deselect All button is available; tap Deselect All to deselect of the filters.
3. Tap Done. The orders that match the filter criteria are displayed. If you selected more than one filter, the filters are ORed. For example, if you selected both the Laboratory and Radiology filters, then any orders that are of the type Laboratory or Radiology are displayed.

The filter(s) remain selected until you choose something different.

​

To go back to showing all of the orders for the patient

1. From the Order Status Summary list, tap Filter in the top-right corner of the screen.

If you do not see the Filter button, tap More and choose Filter.

2. At the bottom of the Filters screen, tap Select All, and then tap Done. All of the available orders are displayed in the Order Status Summary list.

​

Reviewing Order Status Details

The Order Status Summary lists all the important status information for the selected patient, including the date and time, the name and number of orders, and the order status. This Summary might be all you need when you are rounding or checking a patient’s orders. For more information, such as the Ordering Physician and Department Status for an order, go to the Details for that order. To review the Details for an order, tap an order to select it. The Details screen opens and displays the information for that order. The Status field displays the status as it appears with your order entry system. Typically, you will see statuses such as Canceled, Completed, Deleted, Incomplete, In Process, Ordered, Pending, Suspended, Unscheduled, or Discontinued. The Department Status field displays the status from the department system processing the order. This varies by department. An example of a blood bank status is Blood Drawn. From the Details screen you can:

• Move to the Details screen for the next order status in the patient’s Summary list. Swipe right to move forward in the list, or swipe left to move backward in the list.
• Go back to the Summary list and select a different order status. Select the Back button .