Home Forums Discussions Problems Order entry- missing comments

When I use the order entry (especially with referrals), when I type in something for the comment field it does not always appear when I print out the order (or on the plan.
It is not consistent, sometimes it works, others don't. I thought it was only when I did a quick add but this was not the only time.
Irritating to have to hand-write why the referral is being done

Greg

You have to type in your comment before you click on the order. If you click on the order and then write a comment the comment won't print but if you unclick(uncheck) the order and recheck it after writing in your comment then the comment will print/save.

OH! Sometimes it is obvious after you know what the answer is. Thanks a bunch for the pointer.

Good to see an answer, but I think it is the wrong approach and should be changed in the future.
Seems to make more sense to select an order and then fill out the info, but at least there is this workaround.
Again, better documentation would help

Greg

Good to see a workaround on that issue,it was bothering me too, but I agree, it needs fixed. You should be able to type in the comment box before OR after checking off the order and have it be saved. Submitted that as a bug several times. Since using 5024, the AC guys are probably getting tired of my bug reports, seems like I am submitting them constantly. At least for me, this update has been one of the most buggy, unstable beta's so far. Lots of problems with the "orders". Besides the above, just about every other time I click the "send order" button, I get a run time error, crashing me to desktop...luckily it usually resurrects my note when I restart.

Also, when AC moved from 5022 to 5024, when viewing the orders under the "view orders" window, the amount of free text entry that can be typed into the order box has been significantly limited. My staff was using this area to document details of the order. For example: if I ordered a renal consult and they set it up, they would document with whom they set it up, the appointment time, any special instructions they gave to the patient, etc, in this box. Now they can type in about 15 characters max! Even worse, on any orders that we had entered PRIOR to updating to 5024, any text they entered beyond the 15 character limit has been eliminated....so in the above example, when I look back at the "Pending Order" in the example above, I have no idea which renal guy they are seeing or when since that info has been wiped. We were really trying to use the "Orders" as intended, moving them correctly along from "ordered" to "pending" to "completed", which was working out fairly well. Once again, in the example above, after my MA would set up the referral to renal doctor X, the order for this would stay in her inbox as "pending" until she got the consult letter from him. If she didn't get one, she could easily click on the order, see who we sent them to, and give their office a call to see if the patient ever showed up, get a copy of the consult, etc. She could then import it into the chart, reconcile it to the order, mark it as completed, and send it off to me to view the consult letter. Now, she has to look a bit foolish and call the patient back to ask them "so who did we refer you too for that kidney problem...we sorta lost that name somehow?!?!"...Now we are back to having to generate a separate message with that info in it, unless we generate all orders as "free text" orders, which also defeats the underlying premise of being able to use order tracking as intended.

...and speaking of reconciling, they did NOT fix the "reconcile" feature with this update. You can still reconcile the same imported item to twenty different orders if you want and when you right click on the order that was supposedly reconciled, the command to "view" the result of the order is ALWAYS greyed out (irregardless of what the AC tech guys try to tell ya in other posts on this forum!) and can not be selected...sorta makes the reconcile feature a worthless waste of time. Only thing I can figure is maybe the reconcile does not work with imported items unless they are part of the database, such as labs imported thru a user interface...I would test that theory but it seems that our quest interface has been rendered inoperable since the update....

ANYWAY, sorry about getting long winded here but it just seems that the "Order Tracking" function was sorta just thrown into the programming because it was a CCHIT requirement...who cares if it actually works, as long as they are CCHIT certified. And dont even get me started on immunizations

Sure would like that reconcile feature to function. It would be a big help with regard to tracking orders.

Sure would like that reconcile feature to function. It would be a big help with regard to tracking orders.

I sure will be happy when the run time error 364 quits. It closes AC back to the desk top probably 5% of the time when I try to send an order. It always reopens back to the note I was working on and I have never lost anything.
I sort of think that if I hover the cursor over the send order button a little longer before I click it the run time error is less likely to occur. Meaning that this seems to happen more when I am in a hurry and moving the cursor too fast. ( I don't know enough about computers to know if this is a silly idea or not.)

Today is the first day I really noticed this but it is becoming extremely annoying getting this error almost everytime I send an order and have to wait and restart the program and redo the orders. It is really getting old. Especially when very busy. I send my orders to labdoctor. I send my referrals elsewhere. My labdoctor mailbox has all the orders I have ever sent. I just realized this today. I have only really used this feature since Feb 1st. The order tracking/reconciliation function in the sign off window doesn't work so I have tried in my free time (haha) to reconcile the orders outside the chart inthe view orders area, to make sure something important isn't lost. I stopped my paper tracking. Anyway when I reconcile the labs and xrays with the orders, nothing is removed from the labdoctor mailbox. When those labs are forwarded to my mailbox for sign off there isn't a pop up asking if the old message should be deleted so the person forwarding them to me has never deleted the original order in the labdoctor mailbox. In my office, I am the one to reconcile the order. I have reconciled all my feburary orders but the orders all remain in the labdoctor mailbox, even after marked as complete and reconciled by me. We are thinking that this reconcile order function will only work properly when we receive labs and xrays digitally into the record without having to import them...wonder if this is the problem. All our mailboxs are pretty empty except this labdoctor/ lab tracking area and that is what I'm doing when the program shuts me down.....in the middle of writing orders and referal orders for patients. It is extremely annoying and getting very old and interfering with office hours. Did I say that already?

I agree with your observation. I get this error if I click more than once on the "Sign Off" button when signing off a series of Imported Items from the sign off window.

It also occurs (less frequently) if I click on one Imported Item (in the Imported Items tab) & quickly try to switch to a different item from the left panel list, before the original item displays in the right panel.