| | Description | Order Entry / Results Reporting
The Module is required to include online communication of physician orders, and patient information between nursing and ancillary departments. Patient charges should be generated upon confirmation of order.
The result reporting function is required to allow users to communicate with laboratory, radiology and pharmacy
The Order Results Management module allow provider’s orders for patient services to be entered and electronically transmitted from the point where the order originates to the point of patient services thus minimizing delays , eliminating lost paper , and making information accessible to other providers. Order entry includes pharmacy dispensing for inpatients and outpatients. |
| 1 | | Enter , amend, cancel , print or verify orders | | 2 | | Support on-line entry of order to ancillary departments( ex: lab, radiology, pharmacy ) from nursing stations | | 3 | | Display patient’s demographic, medical and physician data on all order entry screens | | 4 | | Support entry of order duration | | 5 | | Allow user to select a sub-set of a standard order set | | 6 | | Automatically date and time stamp all orders | | 7 | | Allow hospital to define formats for results reporting | | 8 | | Access all patients on a location | | 9 | | View clinical results and reports | | 10 | | Provide possibility to assign clinical and diagnostic codes ( ex : ICD , user defined codes , ..) |
| 11 | | Allow update of current order’s priority, duration, and frequency with notification to ancillary department | | 12 | | Support order sets ( ex: multiple orders ) activated by entering a single order code | | 13 | | Support recurring orders with entry of a stop date | | 14 | | Automatically cancel recurring orders for discharged patients | | 15 | | Support the entry of patient requests for meals and transmit to dietary department | | 16 | | Support entry of text messages with orders sent to ancillary departments | | 17 | | Support the holding of orders for verification and approval before processing | | 18 | | Support suspension of orders and reactivation later on | | 19 | | Allow clinician to specify a time period during which no tests are permitted for a patient | | 20 | | Provide an audit trail identifying staff who enter, review, and cancel each order | | 21 | | Check for duplicate orders and prompt for verification or cancellation of the duplicate order before processing | | 22 | | Support cancellation of duplicate orders and maintain an audit trail | | 23 | | Provide ability to identify STAT orders transmit to the ancillary department | | 24 | | Display patient’s current and discontinued orders by service in chronological and reverse order | | 25 | | Support remote order entry from a PC in the physician’s office | | 26 | | Support the entry of specimen collection information | | 27 | | Support manual entry of test results by ancillary department and print at nursing station | | 28 | | Support entry of test results in a free text format | | 29 | | Include ‘normal’ test results with patient’s actual results | | 30 | | Support sending of laboratory and radiology results to computers in physician offices | | 31 | | Support holding of results and release only after verification by authorized personnel | | 32 | | Enter and track the status, request date , and service date of an order | | 33 | | Enter and retrieve clinical data | | 34 | | Capture costs and charges of procedures | | 35 | | Retrieve information from archival storage | | 36 | | Enter an unlimited number of orders from different departments | | 37 | | Enter an unlimited amount of order sets, series orders , and clinical interventions |
| >>> Order Results Management | | | | 38 | | Allow a provisional order to be entered, subject to confirmation by another user | | 39 | | Allow the retroactive entry of orders that have been completed and should not be repeated (Example: Lasix 40mg, IV, STAT - DONE) | | 40 | | Ability to attach multimedia to action results and also provide links to third party diagnostic imaging systems for the handling of very high-resolution clinical images of data | | 41 | | Allow the setting up of order sets | | 42 | | Capability of handling duplicate orders and conflicts with other orders | | 43 | | Provide the ability to carry out secondary tasks associated with an order that are required to complete performance of the order (e.g. print patient instructions, print specimen labels, send notice of transportation, request catheter etc) | | 44 | | Support on-line ordering for dietary meals and supplements | | 45 | | Support types of medications ordering ( ex: generic , trade name , ..) | | 46 | | Support the ability to order type and units of blood or blood products | | 47 | | Generate specimen labels as a by product of order entry and print on the nursing unit | | 48 | | Customize labels and revise when necessary | | 49 | | Ability to provide an on line summary of medications administered | | 50 | | Support auto printing of lab results by individual patient, entire nursing unit, or by ordering location | | 51 | | Receive orders from other modules |
| 53 | | Provide warnings / reports of uncollected / unacknowledged orders | | 54 | | Provide order statuses ( ex: Ordered/ To be collected/ Collected/Received in lab/Completed ) | | 55 | | Provide Pharmacy statuses ( ex : Ordered Dispensed Administered Cancelled Discontinued Suspended Resumed Auto stopped Revised ) | | 56 | | Ability to provide an alert upon patient discharge of outstanding orders needing action or completion | | 57 | | Ordering screens to facilitate the entry of multiple orders for all departments | | 58 | | Check for duplicate procedures during the ordering process | | 59 | | Generate a visual or audible alert on workstation, CRT or printer at nurse station upon receipt of STAT or abnormal test results |
| >>> Order Costing and Charging | | | | 60 | | Enter charges per order and amended orders in the ordering module | | 61 | | Support pricing by financial class and special agreement | | 62 | | Handle multiple price changes | | 63 | | Pre-load pricing information | | 64 | | Ability to present ordered item / service cost information at the time of order confirmation as part of the confirmation | | 65 | | Set charge for each test or treatment | | 66 | | What status an order is charged | | 67 | | Determine which charges can be edited |
| 68 | | Allow on-line inquiry into lab results | | 69 | | Support on-line inquiry and reporting of all orders during the patient’s stay | | 70 | | Provide ability to highlight abnormal test results on printed forms and results inquiry screens | | 71 | | Allow alternative search of diagnostic codes | | 72 | | Allow alternative search of procedures | | 73 | | Allow alternative search of investigations | | 74 | | Allow alternative patient search by confirmed or provisional diagnosis | | 75 | | Allow alternative patient search by Planned procedures ( completed and incomplete ) | | 76 | | Allow alternative patient search by Planned investigation ( still outstanding , completed ) | | 77 | | Instant access to current data such as diagnosis, patient condition , visitor permissions, allergies, test results, and current diet | | 78 | | Ability to review and update orders to check priority, service date, and status | | 79 | | Ability to review all orders entered for a patient or location on a specific date |
| 80 | | Support optional printing of orders on a standard or user defined forms | | 81 | | Support optional printing of ALL results during a patient’s stay | | 82 | | Print patient schedules of ordered tests | | 83 | | Print patient order documentation at the nursing station | | 84 | | Print list of current and complete orders by patient and by physician | | 85 | | Print summary report in dietary department totaling patient requests for each meal choice | | 86 | | Print order summary report of total routine and STAT orders by service and physician | | 87 | | Print list ( ex: on demand ) of all results in past 24 hours for patient | | 88 | | Print lists of patients’ charges | | 89 | | Orders by date , GL period , location , technician , doctor | | 90 | | Reports listing : Duplicate , canceled , incomplete , overdue , uncharged orders | | 91 | | Ability to provide a printed summary of medications administered | | 92 | | Ability to provide a printed summary of selected order types | | 93 | | Lists of verified, unverified, incomplete, canceled, uncharged, and overdue orders | | 94 | | Lists of patient’s daily orders itemizing all tests and treatments | | 95 | | Dietary reports detailing patient’s diet histories, current diets, and restrictive diets | | 96 | | Generate reports and statistics for nursing areas and ancillary departments |
| 98 | | Inpatient / Outpatient Care System | | 99 | | Laboratory Information System | | 100 | | Imaging and Therapeutic Services | | 103 | | Financial and Billing | | 104 | | Material Management and Inventory |
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