Function documentationCreate Several Clinical Orders in a Collective Order

 

You can create several clinical orders for different patients in one work step. To do this you use the collective mode for clinical orders.

This means you create a collective order from which the system creates individual, independent clinical orders after creation in collective mode. The collective order is not retained in the system. The collective mode is used purely as entry support for identical or similar clinical orders.

Example Example

All patients admitted to a specific care unit require an initial examination. To order these initial examinations, you enter a clinical order for each patient, with the following order items:

  • Admission of patient

  • X-ray examination

  • Laboratory examination

You can create the clinical orders required for the initial examinations of several patients in collective mode.

This means you only need to create one clinical order for all patients in collective mode. Once the collective order has been saved, the system creates a clinical order for the initial examination for each patient - based on the collective order.

End of the example.

The order dialog in collective mode generally resembles the usual order dialog, but has two modes.

  • Collective mode: In this mode you enter the order data for all selected patients.

  • Specific mode: In this mode you enter only the order data for one specifically selected patient.

    The specific mode corresponds to the usual order dialog.

    Caution Caution

    Before you toggle to specific mode to enter the specific order data for one selected patient, you should first enter the order data for all selected patients in collective mode.

    When you enter specific order data for a patient, the system then no longer transfers the entered order data from collective mode into the existing clinical order for this patient.

    End of the caution.

    Note Note

    The joint planning of order items is not available for collective orders.

    See Joint Planning (Multi-Appointment)

    End of the note.

You can create a clinical order in collective mode. In collective mode you can select cycles for items or services. See Ordering Cyclical Services.

Note Note

This function is available to you if you have activated the business function Clinical System Situation-Based Clinical Documentation (ISHMED_SCD).

End of the note.

Note Note

Note that manual generation is not possible in collective mode. If you wish to execute manual generation, you can navigate to the single mode of the clinical order.

End of the note.

If you choose Create Collective Order (Create Collective Order) for an existing clinical order, you can create a clinical order for an additional patient.

Note the following:

  • The system will transfer the ordered services into the new clinical order. The copied services will have the service status Unconfirmed Requested (UA).

  • Individual cyclical services which have already been generated will not be copied.

  • Individual cyclical services which were entered manually will not be copied.

  • The new services which result from replaced services will not be copied. The replaced services will have the service status Unconfirmed Requested (UA).

Activities

You can access collective order entry as follows:

  • Select several patients in a view of the clinical work station (e.g. Occupancy, Clinical Orders view type etc.) and choose Create Clinical Order (Create Clinical Order).

  • You can add further patients to a new or existing order by choosing Collective Order (Collective Order).

Caution Caution

Enter the order data in collective mode first and then the specific order data.

As soon as you enter specific order data for a patient, the system then no longer transfers the data entered in collective mode into the existing clinical order for this patient.

End of the caution.

In collective mode the system displays the input area for patient data as a patient list and flags the patients as follows:

  • - (-)Patient for whom no specific order data has been entered

  • - (-) Patient for whom specific order data has already been entered

In this list of selected patients the following functions are available:

  • Select Patient (Select Patient), to enter the specific order data for the selection patient (as in the usual dialog for the clinical order).

    In specific mode you choose the icon with the with the quick info text Back to Collective Mode, to toggle back to collective mode after entering the specific order data. You can save the specific order data. The patient’s clinical order is then no longer affected by entries in collective mode.

  • Remove Patient (Remove Patient) to remove a selected patient from the patient list.

    Note Note

    The patient is deleted from the patient list is you have not yet entered any specific order data.

    If you have already entered specific order data for this patient, the system offers the corresponding specific order for cancellation.

    End of the note.

  • Add Patient (Add Patient), to add another patient to the patient list in collective mode. The system flags this patient as a patient for whom no specific order data has been entered.

You enter the necessary clinical order data such as, for example, order items, services, etc. in a very similar way as in the Create Clinical Order function.

When entering appointment data in collective mode you should note the following procedure:

  • If you enter the appointment template or an appointment (Change Appointment) in collective mode, the system transfers this data into the specific mode of the individual orders.

    See Create/Change Appointment Templates for Order Items

    See Editing Appointments (Appointment Editor)

    Note Note

    Note that the Movement option is not available in the drop-down list for the appointment.

    End of the note.

  • If you call the planning grid for appointment planning in collective mode, the system transfers all patients and order items into the worklist of the planning grid. You can plan this data individually in the planning grid.

    See Time-Based Planning of Order Item with Planning Grid

    When you return to collective mode the system flags all patients as patients for whom specific data already exists (- (-)). Entries in collective mode no longer have an effect on the specific orders of these patients.

    Note Note

    When you save the clinical order in collective mode the system creates individual specific orders for the patients. The collective order is not retained, i.e. the system no longer contains information that an individual clinical order originates from a collective order.

    You can process the individual clinical orders as normal.

    End of the note.

    Note Note

    When saving the clinical order the system checks whether the entered appointments of the order items correspond to the opening times and the deadline of the treatment organizational unit (planning objects).

    Also, the system checks whether the service quota, which the treatment OU determined for the initiator, has not been exceeded.

    If the entries do not correspond to the opening times, the deadline, or the service quota (is exceeded), the system displays a warning or an error message (system parameter N1KPMSG).

    End of the note.