This lesson will guide you through the main steps of determining the flow version for a treatment order, reviewing the schedule for it and approving it.
The treatment management process in SAP Cell and Gene Therapy Orchestration encompasses the entire lifecycle of managing individual patient treatments, from initial order request to successful finished product delivery. Once the treatment center has sent a request to deliver a certain therapy for an eligible patient, the processing of this order starts with managing the treatment order. Here, the treatment order manager can determine and confirm the flow version, set and confirm the schedule and review and approve the treatment order.

The first step that a treatment order manager would do, is to determine and confirm the flow version for this particular new treatment order. This is done via the Confirm Flow Version app.
Determine and Confirm the Flow Version
On the landing page of SAP Cell and Gene Therapy Orchestration subscription, we find under the section Treatment Management, the Confirm Flow Version App. In this app, we navigate to the order that we want to determine and confirm the flow version by searching for it using the COI ID. With the selection of the order, the Confirm Flow Version button opens a selection of available flow versions.

Select and Confirm a Flow Version
The available flow versions and associated steps can be reviewed by clicking on the blue flow version IDs in this window. This will open an overview of the steps of the relevant flow version. You can see here the biospecimen collection step with the pick-up location, the biospecimen shipment step to the manufacturing site with the processing activity, and the finished product shipment step to the treatment center.

Once a flow version is selected, the "Confirm Flow Version" button is used to enter the selection into this system. Now that the exact supply chain has been determined, the next action is to review and confirm the schedule for the associated steps of the treatment order.
Confirm the Schedule for a Treatment Order
From the landing page of SAP Cell and Gene Therapy Orchestration subscription, we open the Confirm Schedules app in the Treatment Management section. Here, we search for and navigate to the treatment order that we want to review and confirm the schedule for.

Confirm the Schedule for a Treatment Order
In the schedule confirmation screen, we can review and edit the dates for the biospecimen shipment, the processing activities and the finished product shipment by selecting the respective tab (not shown here). Once we are ready, we can confirm the schedule for these steps by clicking on the Confirm Schedule button. A pop-up will appear reminding us that the confirmation of the schedule is an irreversible step (you can change the planned dates later, but the treatment order schedule will have the status schedule confirmed from now on). Now that the flow version has been determined and the schedule has been confirmed, we can approve this treatment order.

Treatment Order Approval in SAP Cell And Gene Therapy Orchestration Subscription: Treatment Order Review
From the landing page of SAP Cell and Gene Therapy Orchestration subscription, we navigate to the Manage Orders app in the Treatment Management section. Here, we can select the relevant order using its COI ID to get to the treatment order view.

Treatment Order Approval in SAP Cell And Gene Therapy Orchestration subscription: Treatment Order Approval Workflow
In this app, all the important information is summarized in the respective tabs and can be reviewed one more time before the order is approved and the execution can start. To approve the order, we click on the Approve button on the bottom right. This opens up a pop-up where your e-signature and a reason is to be provided to enter the approval into the system.

Treatment Order Approval in SAP Cell And Gene Therapy Orchestration Subscription: E-Signature For Treatment Order Approval
By saving your approval with the e-signature, the order is now approved for execution.

Treatment Order Approval in SAP Cell And Gene Therapy Orchestration Subscription: Review of Treatment Order Approval Status
The new approval status Approved can be verified by reviewing the tab Approval Details of the treatment order.
