You are right.  I was working from a cheat sheet where I had deleted the audit 
info and apparently took patient_id with it.  And it's orders.orderer according 
to what I see.

From: [email protected] [mailto:[email protected]] On Behalf Of Ben Wolfe
Sent: Tuesday, January 24, 2012 12:43 PM
To: [email protected]
Subject: Re: [OPENMRS-DEV] Creating orders

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]<mailto:[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]> 
[mailto:[email protected]<mailto:[email protected]>] On Behalf Of Rowan Seymour
Sent: Tuesday, January 24, 2012 5:55 AM
To: 
[email protected]<mailto:[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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