Why a note will not sign: pending orders
Summary
A medication the scribe heard in the visit arrives as a pending action, not as a prescription. Signing the note is blocked while any of them is still open. Close each one by writing the order or by dismissing it with a reason. Nothing arrives selected and Gale decides none of them. Nothing reaches a pharmacy today; Gale is not connected to the pharmacy network yet.
By Gale Editorial · Updated 2026-09-22. How we write.
Before anything else
Nothing you draft or sign in Gale reaches a pharmacy today: Gale is not connected to the pharmacy network yet. A script you draft and sign exists only in this chart. Record it in Gale so the chart and the note are right, then send it by the route your practice already uses.
What prescribing does not do yet is the full list.
What lands in the queue
When the scribe reads a medication out of a visit, Gale does not write a prescription. It files an action for you to decide, under From the visit at the top of the prescribing screen.
Nothing arrives selected. If you ever open the queue and find an order already selected, that is a defect, the row says so, and it asks you to report it — nothing pre-checks a clinical decision here, and a screen that did would be worth stopping for.
Why the note will not sign
Signing is blocked while any extracted action is still open, and the block names the medications holding it.
It is a block, not a warning. A warning is a thing you click past in the same visit that produced it. An extracted action left open is documentation without a decision: the note reads as though a medication was ordered when nobody decided anything.
A visit with no extracted medications is never blocked, which is most of them.
Closing one: write it, or dismiss it
Two ways, side by side at the same weight.
Write this order opens an empty composer beside what the scribe read. It is empty on purpose. Copy extracted text brings the scribe's words across in one named act, so what reaches the prescription is text you moved rather than text that moved itself. Edit it, then draft.
Dismiss asks why you are not writing it, and records nothing without a reason. The reason is the point: it is what separates a decision from a dropped thread, and it is what the record can show later.
What follows the order
Write it, and the provenance follows onto the prescription: the record shows that a machine proposed it and a clinician decided. Edit the text and that provenance decays, because an order you rewrote is an order you authored.
Dismiss it, and the queue keeps the decision and your reason under Decided. Nothing the scribe heard is deleted.
Common questions
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