Ordering

A CDS system may wish to propose orders for a patient based on new information about this patient. It does so by creating orders in the ‘proposed’ state using the Order Service. For example, a system that provides extensive drug-drug, drug-allergy, and drug-disease decision support utilizes the interface to place an unsigned, weight-adjusted Amoxicillin order for a pediatric patient.

A regional medical center exposes an order interface to allow a trusted community provider to directly refer a patient for orthopedic consultation. The system provides the referrer with detailed information regarding requirements that must be satisfied before the order can be accepted.

A hospitalist orders a consistent carbohydrate, diabetic diet for a patient using a dedicated nutrition system. The system provides the physician with detailed information regarding requirements that must be satisfied before the order can be filled (e.g., a hospital policy requiring a nutritional assessment by a dietician).

A health facility wishes to incorporate evidence-based order sets from a content vendor into one or more of its systems. A content vendor uses the Order Service Catalog functionality to upload and maintain the order sets for which the facility contracts. The facility’s system accesses the vendor content using the Catalog Service to retrieve the updated artifacts.

A health facility may wish to upload an existing order set from its EHR into an external CDS content editor in order to update it given recent evidence uncovered in the particular domain of this order set. The order set is uploaded, modified based on a number of requirements, and when complete, reimported into the EHR.