Editing a Filed Order

Under certain circumstances, you can edit an order after it has been filed. The procedure for doing this varies, depending on whether or not the lab allows online order editing, and whether or not the order was part of a batch. If the lab allows online order editing and the order was not part of a batch, you can access the Order Entry page and change almost any aspect of the order except the lab, client, or patient’s SSN or patient ID. The changes are sent to the lab immediately.

If you edit an order online and add a new test, that test might be added to the original requisition, or a new requisition might be created automatically, depending on how the system is configured by an administrator. For example, you might be able to add a chlamydia or human papillomavirus (HPV) test to an existing order for a Pap test. If the lab is configured to split orders based on the transport temperature, and you add a test that requires a different temperature to an existing order, a new requisition that contains just the test with the different temperature is created automatically.

If the lab does not allow online order editing, or if the order was part of a batch, you can complete a form requesting up to three additional diagnosis or order codes, as well as provide other comments. This form is then e‑mailed to the Client Services administrator, and that administrator makes the appropriate changes to the order.

Notes:  

• You can edit a filed order only if you can place orders with the associated lab and client.

• If the lab does not have an email address for Client Services, you can edit only generic orders.

• You can edit an electronic order only if it was filed within the past seven days.

• You cannot edit an order that was previously canceled, transferred to the hold list, or part of a Companion Diagnostics program. Redirected and nationwide orders cannot be edited from the original lab.

• For generic and non-electronic orders, edits are always handled as if online editing is allowed, but no information is ever transmitted to the lab electronically. Any actions taken via the requisition log are for your reference only. To actually change the order, contact the lab.

• If you edit a filed order that includes a point-of-care (POC) test, and the results have not yet been released, any changes will be reflected in the order in the order queue. If you remove all of the POC tests from the order, the order is removed from the order queue.

• If you add one or more POC tests to a filed order, that order is added to the order queue.

• If you edit a filed order that includes a POC test after the results have been released, any changes will not be reflected in the original report. In addition, adding a POC test to the filed order will not add that order to the order queue; you must create a new order to be able to enter the result.

• You can also edit a filed order by scanning the bar code on the requisition.

• If you change the station or room for a patient of a long-term care (LTC) client, that information is automatically updated in all of the patient’s pending orders, including expired standing orders.

• If you edit an order that contains a test that is no longer available for that client or lab, the test will not be removed from the filed order. However, if you remove it manually, you will not be able to add it again.

If the order was placed by a Quest Diagnostics or contracted phlebotomist with a lab and facility that support accessioning, you can edit the order online only under the following circumstances:

• The lab allows online order editing.

• The version of the accession system used by the lab supports online editing.

• All specimens are currently on hand (that is, no specimens have been sent to the lab).

In addition, the Request Accession Number check box cannot be changed. If an accession number was previously obtained, the check box is selected; if no number was obtained, it is cleared.

If you add a test to an accessioned order, labels should be printed only if the new test requires an additional specimen. If you remove tests or make other changes that do not affect the ordered tests, an updated requisition is printed, but no extraneous labels should be printed. (Extraneous label printing is suppressed only if the accession system supports this feature.)

Physicians and hospital staff members can edit accessioned orders, but any changes are handled as they would be for any other order (that is, no prompts appear about the specimens, and only a standard requisition, labels, ABN, and specimen requirements page can be printed, not an accession requisition, labels, ABN, and specimen requirements page). In addition, if the original order included a diagnosis that requires a greater degree of specificity, a different diagnosis must be specified.

Edit a Filed Order (Online Edits Allowed)

Edit a Filed Order (Online Edits Not Allowed)

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