CPOE

The below page will provide an explanation on CPOE.

What is CPOE?

CPOE, otherwise known as Computerized Provider Order Entry can relate to either medications, laboratory orders, or radiology orders.

Medication Orders

Entering Medication Orders

Medication Orders refers simply to prescriptions, either electronic or printed on paper. That order must be entered by the physician into the patient's chart for documentation.

For steps on completing this, read our Writing a Prescription page.

Entering Lab Orders

Lab Orders are documented on the patient's chart level. To add a new lab order, from the patient's chart, click on the Orders drop-down menu, then click Lab Orders. This will open the Lab Orders window, where all previous lab orders for this patient will be visible.

To add a new lab order, click the green Add button. You will be asked to provide the following information:

  • Vendor — Who you are ordering the lab from/sending the lab to. Click the "…" to select a vendor. This is required.
  • Code — What lab you are ordering. Click the "…" to search the list of LOINC codes. This is required.
  • Date Ordered — The date you are ordering the lab. This is required.
  • Date Sent — The date the lab is sent to the vendor. This is required.
  • Date Received — The date the results are received.
  • Specimen Source — A free-text field used to document the source of the lab specimen.
  • Units — The units of the specimen.
  • Results — Enter the results here.
  • Normals — Additional field for results.
  • Abnormal — A true or false field. Are the results abnormal?

Once you have entered all information, click Save. The lab order will close and you will be back on the Lab Orders screen, where the new order will now be listed.

Click on the order and click the red Link button to link this lab order to the encounter where the lab was ordered. This is required for proper documentation.

Radiology Orders

Radiology orders would include items such as images or x-ray orders.

Entering a Radiology Order

Radiology orders, like lab orders, are documented at the patient level. To document a radiology order, click on the Orders drop-down menu on the patient's chart, then select radiology order. This will open the radiology orders window, where all previous radiology orders will be entered. To add a new radiology order, click the green Add button. The Patient Radiology Editor window will open, where you will enter the below information:

  • Vendor — Who you are ordering the radiology from/sending the radiology to. Click the "…" to select a vendor. This is required.
  • Code — What lab you are ordering. Click the "…" to search the list of LOINC codes. This is required.
  • Date Ordered — The date you are ordering the radiology. This is required.
  • Date Sent — The date the radiology is sent to the vendor. This is required.
  • Date Received — The date the results are received.
  • Results — Enter the results here.
  • Normals — Additional field for results.
  • Abnormal — A true or false field. Are the results abnormal?

Once you have entered all information, click Save. The radiology editor will close and you will be returned to the Radiology Orders window, where the new order will now be listed.

Click on the order and click the red Link button to link this radiology order to the encounter where the radiology was ordered. This is required for proper documentation.

Pathology Orders

Pathology orders would include all orders which will be sent through the BAKO integration.

Entering a Pathology Order

Pathology orders are documents at the pateint level. To document a pathology order, click on the Orders drop-down menu on the paitnet's chart, then select pathology order. This will open the pathology orders window, where all previous pathology orders will be entered. To add a new pathology order, click the green Add button. The Patient Pathology Editor window will open, where you will enter the below information:

  • Page one
    • Requisition Form — This is the type of form that will be printed to send to BAKO
    • Requisition Number — The requisition number for the form
    • Date Collected — The date the sample was collected
    • Bill To — Who the lab will bill for the BAKO request.
  • Page two
    • Specimens Tab — Enter the details for the speciman
      • This includes where the speciman was taken from and why type of speciman.
    • Comments Tab — Any comments to be sent with the Pathology order
    • Order Form tab — The order form to be printed and sent with the pathology order.
    • Provider — The provider for the pathology sample.
    • Date sent — The date the pathology order was sent.

Receiving a Pathology Order

BAKO Pathology orders are received into TRAKnet electronically. Follow the below steps to download the BAKO orders into the TRAKnet application.

  • Navigate to the Tools Drop down menu and select Pathology Orders.
  • On the Pathology Orders screen there will be a link indicating New reports are available, click this link to download the reports.
Pathology.PNG
  • The orders will download into the TRAKnet application.
Unless otherwise stated, the content of this page is licensed under Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License