Cerner Order Communication Type
Introduction
Order Communication Types are used to discern how the information about an order was communicated to the person entering the order into the system. Physicians (or users with the ability to enter orders in their own names will always show as written). The communication types chosen will also drive the Computerized Physician Order Entry (CPOE) statistics as well as which orders go to the physician inboxes for co-signature.
Communication Types
Some Communication Types vary by domain, and some positions are limited on which communication types are available. These are the most inclusive list, but may not be viewable in all positions.
The Communication Type window appears similar to this screen shot which is in the bottom half of the window when entering the ordering physician:
Communication Types that Route to Physician for Cosign
- Phone w/ Readback
- Verbal w/ Readback
- Protocol/Standing Order w/ Cosign
- Protocol w/ Cosign
- Cosign Required
Communication Types that Do Not Route to Physician for Cosign
- Fax (choosing this communication type assumes there is a scanned copy of faxed order in chart)
- Written (choosing this communication type assumes there is a scanned copy of written order in chart)
- Protocol/Standing Order (choosing this communication type assumes there is a documented facility protocol for order to be placed without Physician co-signature)
- Protocol (choosing this communication type assumes there is a documented facility protocol for order to be placed without Physician co-signature)
- Order Initiation (Specifically intended to activate an Order Set in planned state)
- Paper (choosing this communication type assumes there is a scanned copy of paper order in chart)
- Initiate Plan/Conditional (Specifically intended to activate an Order Set in planned state)
- Downtime Paper (choosing this communication type assumes there is a scanned copy of written order in chart)
CPOE Reporting
When running the DA2 Report for CPOE, all Protocol communication types including the ones with Cosign count as CPOE. When looking at CPOE numbers in Lights On, the protocol with Co-sign does not count as CPOE. Lights On does not count any orders as CPOE if they require a co-signature.
Non-Staff Providers
Ensure those entering orders for non-staff providers are using communication types which do not require co-sign. Those orders will go to be cosigned but those providers do not access the system in order to review them. Typically HIM, when reviewing the Order Deficiency report should proxy into those providers message centers to handle those orders. This may also require coaching of other users on the communication types to use.