Hello

What is the context for the orders(for direct clinical care as a physician
would) or to record past encounters(as most sites have done with the paper
forms).

I would think you would want to attach this to an encounter, and have 2
interfaces, one for the clinician and another for the lab tech or
pharmacist dispensing medications

I don't know what your ground situation is , but how would you deal with
generics(i am assuming maybe implementing the drug  formularly option here
is helpful?

Random Judy

On Tue, Jan 24, 2012 at 12:42 PM, Ben Wolfe <[email protected]> wrote:

> Roger, orders.patient_id and orders.orderer_id exist for encounterless
> orders.  For orders with encounters these are copies from encounter. (or I
> suppose the orderer could be different from encounter.provider)
>
> Ben
>
>
> On Tue, Jan 24, 2012 at 11:12 AM, Friedman, Roger (CDC/CGH/DGHA) (CTR) <
> [email protected]> wrote:
>
>>  Rowan --****
>>
>>                 Creating an order without an encounter is not possible
>> because patient and provider come from the encounter.****
>>
>>                 If you are dealing with specimens collected at the
>> facility, e.g. by a phlebotomist, you will want to have that as an
>> encounter and the order can be attached to it; however, the provider is not
>> really the phlebotomist.****
>>
>>                 You could have "Order lab tests" and "Order drugs"
>> checkboxes on the form; the module could examine them and display the
>> appropriate forms with the encounter etc. information preloaded.  This is
>> extensible to other types of orders -- referrals, non-lab tests (e.g.
>> x-rays), physical therapy, diet, etc.  This might require an extension
>> point in the encounter screen to show what orders go with each encounter,
>> and an "Add Order" button for each encounter to add them directly there.*
>> ***
>>
>>                 I would not recommend upgrading to 1.9 since we are going
>> to be working on orders for 1.10 and the data model is going to change.**
>> **
>>
>> ** **
>>
>> *From:* [email protected] [mailto:[email protected]] *On Behalf Of *Rowan
>> Seymour
>> *Sent:* Tuesday, January 24, 2012 5:55 AM
>> *To:* [email protected]
>> *Subject:* [OPENMRS-DEV] Creating orders****
>>
>> ** **
>>
>> We have two modules under development here at the Rwandan MOH which
>> relate to orders - one for drug orders and one for lab test orders. The
>> drug order module currently has a dashboard tab portlet where new drug
>> orders can be added to a specific encounter. The lab test order module also
>> has dashboard tab portlet where new lab test orders are created - but these
>> are added to a newly created encounter.****
>>
>> ** **
>>
>> Neither of these solutions seem ideal - the former requires the clinician
>> to search for an encounter which is awkward. The latter creates an extra
>> encounter. So I was wondering what the best practice here is. The options
>> as I see them are:****
>>
>>    1. Create the orders without an encounter (I think this is
>>    possible...)****
>>    2. Add them to an existing encounter created (e.g. the encounter from
>>    the consultation form like the drug orders)****
>>    3. Create a new encounter to hold the orders (like "lab test order"
>>    encounter)****
>>    4. Add sections for lab tests and drug orders to the whatever
>>    consultation form is being used (this isn't implemented in htmlformentry
>>    yet tho?) and this would make sure all the orders end up in that one
>>    encounter.****
>>    5. Upgrade to 1.9 and group everything into a "visit"? (obviously not
>>    happening anytime soon)****
>>
>>  Advice appreciated****
>>
>> Rowan****
>>
>> ** **
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-- 
Judy

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