Order review: ConceptsTopic number: 1425411822803

Vetting

During order review, the care provider in the diagnostic department, usually a radiologist, evaluates the appropriateness of the ordered procedure for the suspected pathology and patient history. A different procedure or additional procedures might be needed.

Protocoling

An order can explain why a study should be done, but not how the study should be done. For complex procedures, hospitals have implemented procedure plans that can be reviewed by the radiologist or supervising technologist before the acquisition takes place.

You can change the assigned procedure plan or change the details of a procedure plan. For example, you can change procedure plan steps or change medication and so forth. If you do not agree with the procedures requested in the order, you can edit them. When a procedure is updated, a new order review task is triggered.

Important! Some external orders cannot be edited. If you do not agree with the procedure plan in an order and you cannot edit it, we recommend that you contact the ordering physician.

Workflow

Order review tasks always relate to one procedure at a time, even if an order contains multiple procedures.

If an order review workflow is configured, order review tasks are created automatically when new orders are received, or when receiving updates to that order. They are assigned depending on task assignment rules. Your administrator can add conditions such as performing department or modality type, to limit the creation of order review tasks to specific cases. For example, order review tasks can be limited to only orders for CT studies.

The user can create an order review task manually in their desktops.

Activities overviews

Order review tasks can be configured as a separate task list in Activities overviews by you or your administrator. You can search for tasks or studies for which order reviews are planned or performed using the Task type search field.

Performing order review tasks

To perform an order review task, select a study and click Start order review.

In the Review column of the Procedures table, you can see the status of the order review task for the active study (the one for which the checkbox in the Task column is selected), and other studies that are listed if the active study belongs to a multi-procedure order:

Before the order review task is completed, the message Order not reviewed appears in the page title when other users open the study.

The link to the procedure plan for which data was changed during order review is highlighted in orange in the task lists in the List area and on the Study and Acquisition tabs.

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