> ## Documentation Index
> Fetch the complete documentation index at: https://docs.rxscale.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Prescription Statuses

> Learn about prescription review, approval, and signing statuses

# Prescription Statuses

Every prescription in RxScale goes through a review and signing process before it becomes legally valid. This page explains what each prescription status means.

## Status Overview

| Status               | What It Means                                                                                                 |
| -------------------- | ------------------------------------------------------------------------------------------------------------- |
| `waiting for doctor` | A doctor has not yet reviewed this prescription. It is in the queue waiting for a doctor to take action.      |
| `approved`           | The doctor approved the prescription. It will be electronically signed next.                                  |
| `signed`             | The prescription has been electronically signed (QES) and is legally valid. It can now be sent to a pharmacy. |
| `declined`           | The doctor declined this prescription. The patient may need a new consultation.                               |
| `cancelled`          | The prescription was cancelled. This can happen at the request of the patient, the doctor, or the system.     |
| `ON_HOLD`            | The prescription is on hold for further review by the support team.                                           |
| `NON_QES_SIGNED`     | The prescription was signed without a qualified electronic signature.                                         |

## How a Prescription Moves Through the System

```
 waiting for doctor
        |
    ---------
   |         |
   v         v
approved   declined
   |
   v
 signed
```

### Step by Step

1. **Waiting for doctor** -- When a prescription is created, it starts here. A doctor needs to review the patient's information and the requested medication.

2. **Approved** -- The doctor has reviewed the prescription and confirmed it is appropriate. The prescription is now queued for electronic signing.

3. **Signed** -- The prescription has been electronically signed using a qualified electronic signature (QES). This makes it legally valid. The associated order can now move forward to a pharmacy.

4. **Declined** -- If the doctor determines the prescription is not appropriate, they will decline it. The patient will be notified and may need to schedule a new consultation.

5. **Cancelled** -- A prescription can be cancelled at various stages if it is no longer needed.

## Special Statuses

### ON\_HOLD

A prescription placed on hold requires additional review by the support team. This may happen if there are questions about the patient's information, the medication, or other factors that need clarification before the prescription can proceed.

### NON\_QES\_SIGNED

In some cases, a prescription may be signed without a qualified electronic signature. This status indicates the prescription has been signed, but not with the full legal QES standard. This is used in specific situations where QES is not required or not yet available.

## Related Topics

* [Prescription Signing](/help-center/signing) -- Learn how the electronic signing process works.
* [Order Statuses](/help-center/order-statuses) -- See how prescription statuses affect the overall order.