order-review

Metadata Value
specificationVersion 1.0
hookVersion 1.0
Hook maturity 3 - Considered

Deprecation Notice

This hook is deprecated in favor of the order-sign hooks, with the goal of clarifying workflow trigger points and supporting orders beyond medications. In this refactoring, medication-prescribe and order-review hooks are being deprecated in favor of newly created order-select and order-sign hooks. This notice is a placeholder to this effect while CDS Hooks determines the appropriate process for deprecating hooks.

Workflow

The user is in the process of reviewing a set of orders to sign.

Context

The set of orders being reviewed for signature on-screen. All FHIR resources in this context MUST be based on the same FHIR version. All FHIR resources in the orders object MUST have a status of draft.

Field Optionality Prefetch Token Type Description
userId REQUIRED Yes string The id of the current user.
For this hook, the user is expected to be of type Practitioner.
For example, Practitioner/123
patientId REQUIRED Yes string The FHIR Patient.id of the current patient in context
encounterId OPTIONAL Yes string The FHIR Encounter.id of the current encounter in context
orders REQUIRED No object DSTU2 - FHIR Bundle of MedicationOrder, DiagnosticOrder, DeviceUseRequest, ReferralRequest, ProcedureRequest, NutritionOrder, VisionPrescription with draft status
STU3 - FHIR Bundle of MedicationRequest, ReferralRequest, ProcedureRequest, NutritionOrder, VisionPrescription with draft status

Example (STU3)

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{
   "context":{
      "userId":"Practitioner/123",
      "patientId":"1288992",
      "encounterId":"89284",
      "orders":{
         "resourceType":"Bundle",
         "entry":[
            {
               "resource":{
                  "resourceType":"NutritionOrder",
                  "id":"pureeddiet-simple",
                  "identifier":[
                     {
                        "system":"http://goodhealthhospital.org/nutrition-requests",
                        "value":"123"
                     }
                  ],
                  "status":"draft",
                  "patient":{
                     "reference":"Patient/1288992"
                  },
                  "dateTime":"2014-09-17",
                  "orderer":{
                     "reference":"Practitioner/example",
                     "display":"Dr Adam Careful"
                  },
                  "oralDiet":{
                     "type":[
                        {
                           "coding":[
                              {
                                 "system":"http://snomed.info/sct",
                                 "code":"226211001",
                                 "display":"Pureed diet"
                              },
                              {
                                 "system":"http://goodhealthhospital.org/diet-type-codes",
                                 "code":"1010",
                                 "display":"Pureed diet"
                              }
                           ],
                           "text":"Pureed diet"
                        }
                     ],
                     "schedule":[
                        {
                           "repeat":{
                              "boundsPeriod":{
                                 "start":"2015-02-10"
                              },
                              "frequency":3,
                              "period":1,
                              "periodUnit":"d"
                           }
                        }
                     ],
                     "texture":[
                        {
                           "modifier":{
                              "coding":[
                                 {
                                    "system":"http://snomed.info/sct",
                                    "code":"228055009",
                                    "display":"Liquidized food"
                                 }
                              ],
                              "text":"Pureed"
                           }
                        }
                     ],
                     "fluidConsistencyType":[
                        {
                           "coding":[
                              {
                                 "system":"http://snomed.info/sct",
                                 "code":"439021000124105",
                                 "display":"Dietary liquid consistency - nectar thick liquid"
                              }
                           ],
                           "text":"Nectar thick liquids"
                        }
                     ]
                  },
                  "supplement":[
                     {
                        "type":{
                           "coding":[
                              {
                                 "system":"http://snomed.info/sct",
                                 "code":"442971000124100",
                                 "display":"Adult high energy formula"
                              },
                              {
                                 "system":"http://goodhealthhospital.org/supplement-type-codes",
                                 "code":"1040",
                                 "display":"Adult high energy pudding"
                              }
                           ],
                           "text":"Adult high energy pudding"
                        },
                        "productName":"Ensure Pudding 4 oz container",
                        "instruction":"Ensure Pudding at breakfast, lunch, supper"
                     }
                  ]
               }
            },
            {
               "resource":{
                  "resourceType":"MedicationRequest",
                  "id":"smart-MedicationRequest-103",
                  "meta":{
                     "lastUpdated":"2018-04-30T13:25:40.845-04:00"
                  },
                  "text":{
                     "status":"generated",
                     "div":"<div xmlns=\"http://www.w3.org/1999/xhtml\">Amoxicillin 120 MG/ML / clavulanate potassium 8.58 MG/ML Oral Suspension (rxnorm: 617993)</div>"
                  },
                  "status":"draft",
                  "intent":"order",
                  "medicationCodeableConcept":{
                     "coding":[
                        {
                           "system":"http://www.nlm.nih.gov/research/umls/rxnorm",
                           "code":"617993",
                           "display":"Amoxicillin 120 MG/ML / clavulanate potassium 8.58 MG/ML Oral Suspension"
                        }
                     ],
                     "text":"Amoxicillin 120 MG/ML / clavulanate potassium 8.58 MG/ML Oral Suspension"
                  },
                  "subject":{
                     "reference":"Patient/1288992"
                  },
                  "dosageInstruction":[
                     {
                        "text":"5 mL bid x 10 days",
                        "timing":{
                           "repeat":{
                              "boundsPeriod":{
                                 "start":"2005-01-04"
                              },
                              "frequency":2,
                              "period":1,
                              "periodUnit":"d"
                           }
                        },
                        "doseQuantity":{
                           "value":5,
                           "unit":"mL",
                           "system":"http://unitsofmeasure.org",
                           "code":"mL"
                        }
                     }
                  ],
                  "dispenseRequest":{
                     "numberOfRepeatsAllowed":1,
                     "quantity":{
                        "value":1,
                        "unit":"mL",
                        "system":"http://unitsofmeasure.org",
                        "code":"mL"
                     },
                     "expectedSupplyDuration":{
                        "value":10,
                        "unit":"days",
                        "system":"http://unitsofmeasure.org",
                        "code":"d"
                     }
                  }
               }
            }
         ]
      }
   }
}

Example (DSTU2)

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"context":{
  "userId":"Practitioner/123",
  "patientId":"1288992",
  "encounterId":"89284",
  "orders":{
    "resourceType":"Bundle",
    "entry":[
      {
        "resource":{
          "resourceType":"NutritionOrder",
          "id":"nest-patient-1-NUTR1",
          "patient":{
            "reference":"Patient/1288992"
          },
          "orderer":{
            "display":"Dr Adam Careful"
          },
          "identifier":[
            {
              "system":"http://goodhealthhospital.org/nutrition-orders",
              "value":"123"
            }
          ],
          "dateTime":"2014-09-17",
          "status":"draft",
          "oralDiet":{
            "type":[
              {
                "coding":[
                  {
                    "system":"http://snomed.info/sct",
                    "code":"435801000124108",
                    "display":"Texture modified diet"
                  },
                  {
                    "system":"http://goodhealthhospital.org/diet-type-codes",
                    "code":"1010",
                    "display":"Texture modified diet"
                  }
                ],
                "text":"Texture modified diet"
              }
            ],
            "schedule":[
              {
                "repeat":{
                  "boundsPeriod":{
                    "start":"2015-02-10"
                  },
                  "frequency":3,
                  "period":1,
                  "periodUnits":"d"
                }
              }
            ],
            "texture":[
              {
                "modifier":{
                  "coding":[
                    {
                      "system":"http://snomed.info/sct",
                      "code":"228049004",
                      "display":"Chopped food"
                    }
                  ],
                  "text":"Regular, Chopped Meat"
                },
                "foodType":{
                  "coding":[
                    {
                      "system":"http://snomed.info/sct",
                      "code":"22836000",
                      "display":"Vegetable"
                    }
                  ],
                  "text":"Regular, Chopped Meat"
                }
              }
            ]
          }
        }
      },
      {
        "resource":{
          "resourceType":"MedicationOrder",
          "id":"smart-MedicationOrder-103",
          "status":"draft",
          "patient":{
            "reference":"Patient/1288992"
          },
          "medicationCodeableConcept":{
            "coding":[
              {
                "system":"http://www.nlm.nih.gov/research/umls/rxnorm",
                "code":"617993",
                "display":"Amoxicillin 120 MG/ML / clavulanate potassium 8.58 MG/ML Oral Suspension"
              }
            ],
            "text":"Amoxicillin 120 MG/ML / clavulanate potassium 8.58 MG/ML Oral Suspension"
          },
          "dosageInstruction":[
            {
              "text":"5 mL bid x 10 days",
              "timing":{
                "repeat":{
                  "boundsPeriod":{
                    "start":"2005-01-04"
                  },
                  "frequency":2,
                  "period":1,
                  "periodUnits":"d"
                }
              },
              "doseQuantity":{
                "value":5,
                "unit":"mL",
                "system":"http://unitsofmeasure.org",
                "code":"mL"
              }
            }
          ],
          "dispenseRequest":{
            "numberOfRepeatsAllowed":1,
            "quantity":{
              "value":1,
              "unit":"mL",
              "system":"http://unitsofmeasure.org",
              "code":"mL"
            },
            "expectedSupplyDuration":{
              "value":10,
              "unit":"days",
              "system":"http://unitsofmeasure.org",
              "code":"d"
            }
          }
        }
      }
    ]
  }
}

Change Log

Version Description
1.0 Initial Release