We need an option to add an omit reason for lab and radiology orders in the event a patient refuses, etc.
Guest
Jun 20, 2025
Perhaps this "Dream" isn't worded very well. As providers are responsible for entering the majority of the orders, so should they be responsible for discontinuing them if the provider is the one choosing to cancel. Nursing can cancel tests from a verbal order and the provider can then co-sign, but that's double work and inefficient. If the provider wants to cancel a Urine HCG bc the patient had a tubal, then that reason should be documented in the order cancelation. Each dept can cancel an order, but again where is the documentation that the tech was "told" to cancel the order. Ancillary orders don't have a co-sign option. There needs to be a reason tied to the order, instead of the provider having to remember to enter that info in Notes. CPSI do better.
@Guest Cancel reasons can be set up for each department. I think I need some more information on your particular situation because from what I can see Radiology and the Emergency Department are set up with Cancel reasons. I will send you a separate email to gather more info. Thank you.
For example: patient is being seen in the emergency room and the physician orders a chest x-ray, when the staff go to get the patient for the x-ray they refuse to have it done. We need to be able to note on the order why it was not carried out. Currently when we discontinue an order it does not give us an option to say why we are discontinuing it from the nursing side. We go to order chronology, find the order, click on the order we need to discontinue and click discontinue, save, and update. At no point in these steps do we get an option to enter why we are discontinuing it. I hope that helps. Thank you.
Hi, @Guest. I wanted to get a little more info from you on this need. When you say you need an omit reason, are you talking about something other than a cancel reason used when the test is cancelled? If so, can you tell me how you would envision the omit reason working? Thank you.
Perhaps this "Dream" isn't worded very well. As providers are responsible for entering the majority of the orders, so should they be responsible for discontinuing them if the provider is the one choosing to cancel. Nursing can cancel tests from a verbal order and the provider can then co-sign, but that's double work and inefficient. If the provider wants to cancel a Urine HCG bc the patient had a tubal, then that reason should be documented in the order cancelation. Each dept can cancel an order, but again where is the documentation that the tech was "told" to cancel the order. Ancillary orders don't have a co-sign option. There needs to be a reason tied to the order, instead of the provider having to remember to enter that info in Notes. CPSI do better.
Cancel reasons can be set up for each department who needs to be prompted via the following path
Web Client
Tables
Department Table
Select Desired Department
Page 4
@Guest Cancel reasons can be set up for each department. I think I need some more information on your particular situation because from what I can see Radiology and the Emergency Department are set up with Cancel reasons. I will send you a separate email to gather more info. Thank you.
For example: patient is being seen in the emergency room and the physician orders a chest x-ray, when the staff go to get the patient for the x-ray they refuse to have it done. We need to be able to note on the order why it was not carried out. Currently when we discontinue an order it does not give us an option to say why we are discontinuing it from the nursing side. We go to order chronology, find the order, click on the order we need to discontinue and click discontinue, save, and update. At no point in these steps do we get an option to enter why we are discontinuing it. I hope that helps. Thank you.
Hi, @Guest. I wanted to get a little more info from you on this need. When you say you need an omit reason, are you talking about something other than a cancel reason used when the test is cancelled? If so, can you tell me how you would envision the omit reason working? Thank you.