A therapy order is the document that says which treatments a patient is to receive, how many times and for which diagnosis. Under the order an Execution history builds up β one entry per session performed, with the person who performed it and the date.
An order is not the same as a treatment plan. A treatment plan is a therapeutic pathway with phases and exercises. An order is a medical instruction coded in ICD-9, which one person issues, another performs, and the NFZ settlement reads.
The feature is visible only at facilities of type Hospital; wherever it is unavailable, the button carries the hint Available for hospital facilities.
Where you find orders
In three places, always under the same name Therapy orders:
- Ward β a combined tab for every patient on the selected ward.
- Patient record β a single patient's tab, with the full history.
- Active session β a panel on the screen of a visit in progress, so an execution can be logged without leaving the session.
How to do it
Create an order
Click New order. In the New therapy order dialog fill in:
- ICD-9 procedures β required, at least one. The search suggests codes from the dictionary; Heltio will not accept an entry outside it.
- ICD-10 diagnosis β optional, also chosen from the dictionary.
- Ordering physician and Physician ID (NPWZ) β who issued the instruction.
- Frequency and Planned sessions β how many treatments the order provides for.
- Priority and Instructions β guidance for whoever performs it.
- Date ordered β if you leave it out, Heltio puts in the moment of creation.
Creation is acknowledged with Order created. A new order has the status Active and the source Manual.
Or create it from an e-referral
The arrow next to New order opens Create from e-referral. The list shows the patient's referrals fetched from P1 β with the caveat that stands above it: Only received or realized referrals are available. A Rejected or Expired referral is unavailable.
Once a referral is chosen, the order dialog opens with the diagnosis and the ordering physician filled in, and a note above the form saying the data comes from the referral. You fill in the procedure codes yourself β a referral does not always carry them. Such an order has the source e-referral.
Log an execution after the treatment
In the order menu choose Log execution. The dialog shows the order date and the planned number of sessions, and you fill in:
- ICD-9 procedures β if omitted, they inherit the codes from the order.
- Quantity done β how many sessions this entry closes.
- Notes β the course of the treatment.
- Date & time β the moment of saving by default.
Heltio confirms with Execution logged. The performer is recorded automatically from your account β there is no field in which it could be substituted. An execution does not change the order status: the order stays Active until somebody closes it.
Look through the execution history
View history opens the Execution history with the columns Date, By and Qty, newest entry first. An order with not a single session shows No executions yet.
Close the order
- Mark complete β the order has been carried out. The dialog warns: "The order will be marked complete. You can still view its execution history." Confirmation is acknowledged with Order completed.
- Cancel order β the order is withdrawn. You may give a Reason (optional). The dialog warns that the order will be permanently cancelled and no further executions can be added. Confirmation is acknowledged with Order cancelled.
Both states are irreversible. The execution history is left intact in either case.
Filters and statuses
Above the list stand four toggleable markers: Active, Completed, Cancelled, Expired. By default only Active is selected β that is the list of work to be done. With every filter removed the list shows No orders match the selected status; a patient with no order at all sees No orders for this patient.
The source marker says where an order came from: Manual, e-referral or HIS β the last meaning an order taken in from the hospital system, not typed into Heltio.
On a phone
A patient's orders are on their record in the mobile app. An execution logged with no signal is not lost: Heltio accepts the entry locally and shows Saved offline β will sync when you reconnect, and above the list it counts how many changes are waiting to sync. Once the network is back, the entries go through by themselves.
When something goes wrong
Add at least one ICD-9 procedure
What this means: The order form was saved without a single procedure code.
Unknown ICD-9 procedure code
What this means: The code does not occur in the procedure dictionary Heltio uses.
Unknown ICD-10 diagnosis code
What this means: The same thing, on the diagnosis side.
This order is no longer active
What this means: You are trying to log an execution against an order that is completed, cancelled or expired.
Order is already closed
What this means: You are trying to close an order that somebody closed earlier.
This referral cannot be used
What this means: The e-referral you chose has the status Rejected or Expired.
No usable e-referrals for this patient
What this means: The patient has not a single e-referral in Heltio fit to be transcribed.
Failed to load orders
What this means: The list did not arrive.
Who has access
Clinic Admin PractitionerThe permissions spread across three levels, and that is deliberate:
| Action | Who can |
|---|---|
| View orders and the execution history | the whole clinical team of the ward, including a technician, a trainee and a read-only account |
| Create an order, including from an e-referral | Owner, Admin, Coordinator, Senior therapist |
| Log executions | everyone above, plus a technician, a trainee, an occupational therapist, a speech therapist and a psychologist |
| Complete or cancel an order | Owner, Admin, Coordinator |
A technician performs the treatments but does not issue orders and does not close them β exactly as their role describes. Each of these actions leaves an entry in the audit log.
Related
- Day rehabilitation β an order may point to a patient's day programme.
- Devices and treatment stations β planning a whole series of treatments on equipment.
- Active session β the orders panel during a visit.
Related features
Day rehabilitation β enrolment and attendance
The register of patients at a Day Rehabilitation Centre: who is enrolled, how many treatment days are planned, who attended today and when a place frees up.
Devices and treatment stations
The register of treatment equipment, the schedule of every device, and the planning of a multi-week treatment series that books a device for each session.
Patient record
The file of a single person β personal details, clinical profile, note history, measurements, consents, guardians and settlements, in the tabs down the left-hand side.
Active session β working during a visit
The screen you work on from the moment the patient walks in until they leave: the clinical note, range-of-motion measurements, the treatment plan, attachments and the summary that closes the visit.