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Viewing the Order Status Display Option

If your organization has not implemented Commure Pro CPOE™, you can use the Order Status display option to check the status of any orders for a given patient. This option lets you see the status of the ordering process within your source order entry system, as well as the status from the department that processes the order. Depending on how your source order entry system is configured, you might be able to view the status of orders for the following types of items: tests, dietary needs, consults, notes, etc. This option is unique in that it not only shows you the orders for tests that have available results, but also shows you those in progress. This allows you to avoid redundant ordering for tests that have been taken, but for which the results are not yet available. To view orders, follow these steps:
  1. Select a patient on the Patient List tab, or click on the Details icon from another option.
  2. Select the amount of information you wish to display by clicking the Timeframe drop-down list.
  3. Click on Order Status from the display list. The patient data display area shows the Order Statuses window. This summary list displays the date and time of the order, the name of the order, and the completion status.
    For systems with MEDITECH® back-ends, the summary list contains a fourth column for the Service date and time (the date and time the order was resulted). Furthermore, for those orders that are associated with meal times such as breakfast, lunch, or dinner, an abbreviation for the type of meal replaces the numeric time.
    If you would like to change the sorting order of the Order Statuses summary list, simply click on a column heading. For example, if you click the Date heading, the sort order of the list toggles between ascending and descending chronological order by order date. You can also choose to view only active orders by clicking the checkbox next to Active Only in the Order Status title bar.
  4. To view further information about a particular order, click on the row containing that order. A detail window opens below the summary list. The detail window shows you the full name of the order, the status of the order in your order entry system, the status of the order in the department that is processing it, the start and stop dates of the order, the ordering physician, and any additional details.
  5. (Optional) You may print the Summary or Detail window by clicking Print . For details on printing in the display area, see the text describing Print icon in Understanding the Patient Data Display.

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Viewing the Orders Display Option

If your organization has implemented Commure Pro CPOE™, you can view a patient’s existing and new orders in the following ways using different filters:
  • Viewing Order Type Icons
  • Viewing Patient Orders by Order Type
  • Viewing New Orders
  • Viewing Existing Orders
  • Finding and Viewing Orders

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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 either the Existing Orders for this visit, Existing orders for other visits, or New Orders lists. They are located to the left of the order name. These icons represent each order type as follows:
  • Diet — fork and knife icon
  • Lab — flask icon
  • Medication — capsule icon
  • Nursing — nurse icon
  • Other — clipboard icon
  • Radiology — x-ray icon

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Viewing Patient Orders by Order Type

There are filters available that allow you to group or hide your patient orders for easier viewing. You can use both filters together or by themselves. For example, if you only want to see all orders except nursing and you want to see them grouped by order type (Labs, Medications, etc), you would use two filters simultaneously. You can find these filters in the Patient Orders heading of the Order Entry window next to Filter. By default, the Group by Type checkbox is checked. All orders in the New Orders , Existing Orders for this current visit, and Existing orders for other visits lists display grouped in the following sequence: Medications, Lab, Radiology, Other, Diet, and then Nursing. To ungroup your list of orders by order type:
  • Uncheck the Group by Type checkbox in the Patient Orders heading.
All orders in the New Orders, Existing Orders for this current visit, and Existing orders for other visits lists are no longer grouped by type.
Expiring orders that need to be renewed will always be listed at the top of the Existing orders for other visits list and are not affected by any sorting.
To view only orders of a specific order type:
  1. Select the Show drop-down in the Patient Orders heading. A list of available order type filters displays.
  2. Select the order type filter from the drop-down to apply to the list of existing orders. The list of existing orders displays only the orders for the selected order type. For example, if you chose Medication PRN Only, the order type drop-down changes to Meds PRN Only and only the medication orders with a PRN display.
    Expiring orders that need to be renewed will always be listed at the top of the Existing orders for other visits list and are not affected by any sorting.

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Viewing New Orders

The New Orders list displays all new orders available for submission and, by default, lists them in the order in which you entered them with the last entered order at the top of the list. You can also view the details of each new order:
  1. Select an order in the New Orders list. The Order Details window displays.
  2. Click Cancel to return to the New Orders list.
    If you wish to make changes to the order, see Modifying the Details of a New Order.

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Viewing Existing Orders

From within the Order Entry window, you can view a patient’s list of existing orders for the current visit or existing orders from previous visits using different filters or you can view the specific status details of an existing order. Transfer orders if configured to be held for routing until the patient actually transfers will display as follows:
  • For a new medication order placed in Transfer Order Reconciliation, the order has a “Held for Routing” status with the label New Upon Transfer, to indicate that the new order is waiting to be sent to the back end system until the patient actually transfers. In order entry, the provider cannot modify or discontinue the order.
  • For an order that was discontinued in Transfer Order Reconciliation, the order has an “Active” status with the label Stop upon Transfer, to indicate that it will be discontinued in the back end system once the patient actually transfers. In order entry, a provider can modify or discontinue the original active order (prior to the patient being transferred), if necessary.
  • For an order that was continued in Transfer Order Reconciliation, the order has an “Active” status with no additional label. The order will be continued in the back end system once the patient actually transfers. In order entry, provider can modify or discontinue the original active order (prior to the patient being transferred), if necessary.

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Displaying Orders from a Current versus Previous Visit

When you are in the Order Entry window, the list of existing orders for the current visit displays in the upper right section of the Order Entry window under Existing orders for [current visit date and visit type]. If there are existing orders from a previous visit, you will see the Existing orders for other visits header at the bottom of the screen below the Existing orders for [current visit date and visit type] list. By default, these older orders are not displayed. You must click the Expand icon located in the upper right corner of the Existing orders for other visits header to display these orders.
To hide the existing orders for other visits, click the Collapse icon .

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Sorting the List of Existing Orders

  1. Select a column heading of either Start (start date of order), Status (order’s current condition such as active, pending, or complete), or the order description of Existing orders for this visit or Existing orders for other visits as the criteria for sorting and viewing your patient’s list of orders. A triangle appears next to the column name to indicate the selected sort order. The position of the triangle indicates if the orders are sorted in ascending or descending order using the following columns:
    • Status- in the following order: Submitted (all orders submitted in Commure Pro display as italicized), Held for Routing, Ordered, Active, Held, Pending, DC’d, Complete, Cancelled.
    Within each Status grouping, orders are then sorted by their Name/Description.
    • Start- the date and time the order started
    • Name- alphabetically by order name/description
    Non-medications only: when sorting by Name, the Order Group that the order belongs to is considered first, followed by the order’s descriptive text. For this reason, the list may not appear to be alphabetical because in some cases the Order Group abbreviation appears at the front of the name and in other cases it appears at the end; the Order Group abbreviation is always considered before the Name/Description text, regardless of its position.
If your system has enabled to allow renewing of medication orders, any expiring medication orders will automatically sort to the top of the list using the selected sort and then the rest of the orders will display using the selected sort order.
When medication orders are linked in MEDITECH, they are now shown together on an order list with a chain icon immediately to the right of the order. When an order list is sorted, these medications remain together and are listed based on order ID, with the lowest order ID listed first in priority. All remaining linked orders are listed below the first in ascending order, based on order ID.
  1. (Optional) Select the column heading a second time to reverse the sort.

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Viewing Existing Orders within a Specific Timeframe

You can choose to only view existing orders within a specific timeframe including past, current, and future orders.
  1. Select the Show Orders from: drop-down and choose the desired starting timeframe.
  2. Select the thru: drop-down and choose the ending timeframe. The Existing orders for the current visit list changes to display only the orders that are active (included pending or submitted) or completed within the selected timeframe. Medication orders that are completed will display grayed out and with a strike through.

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Viewing Active Existing Orders

Since list of existing orders will display any existing order that meets the specific timeframe that are active (included pending or submitted) or completed, you can choose to have only active orders display.
  • To do this, select the Active Only check box located to the left of the Show filter.
The timeframe filters Show Order from and thru disappear as they are not used. Only active orders display.

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Viewing the Status Details of an Existing Order

You can view the specific status details of an order. For example, you can view the medication detail (Start date, end date, ordering physician, etc.) and MAR information of an existing medication order.
  1. Select an order from your patient’s Existing orders for this visit or Existing orders for other visits list. The Order Status window for the selected order displays.
    For diet orders, the Order Details window displays as it also contains the order status information.
  2. Click Close to return to the Order Entry window.

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Viewing the History for an Order

If enabled at your organization, 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.
For orders that were 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. In the Order Detail section, select View Order History.The Order History screen displays a complete history of the order from the time it was placed until the current moment.
  3. Click Close to return to the Orders Summary window.