HL7 Electronic Health Record System Functional Model, Release 2.1.1
2.1.1-ballot - Normative Ballot

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## Requirements: CP.4.3 Manage Non-Medication Patient Care Orders (Function)

Page standards status: Informative

Statement N:

Enable the origination, documentation, capture, transmission, tracking and maintenance of non-medication patient care orders.

Description I:

Non-medication orders that request actions or items can be captured and tracked including new, renewal and discontinue orders. Examples include orders to transfer a patient between units, to ambulate a patient, for medical supplies, wound care, durable medical equipment, home IV, and diet or therapy orders. Additionally, psychotherapy and other mental health counseling, behavioral counseling (e.g., smoking cessation, alcohol treatment) other surgical and non-surgical procedures, and complementary alternative medicine are included in non-medication treatments. Each item ordered includes the appropriate detail, such as order identification and instructions. Orders should be communicated to the correct service provider for completion.

Actors:
ehr Criteria N:

CP.4.3#01 | SHALL | The system SHALL provide the ability to manage non-medication patient care orders for an action or item.
CP.4.3#02 | SHALL | The system SHALL provide the ability to capture and render order detail for correct order fulfillment.
CP.4.3#03 | SHALL | The system SHALL provide the ability to manage the status (e.g., active, discontinued, requisitioned, completed) of the ordered action or item.
CP.4.3#04 | SHOULD | The system SHOULD provide the ability to capture a future date for an ordered action or item.
CP.4.3#05 | SHOULD | The system SHOULD provide the ability to capture and render a set of patient instructions that will be provided to the patient for correct order fulfillment.
CP.4.3#06 | SHOULD | The system SHOULD provide the ability to transmit the order for fulfillment.
CP.4.3#07 | SHOULD | The system SHOULD provide the ability to link non-medication orders to a medication order (e.g., ordering an intravenous pump in coordination with intravenous medication).
CP.4.3#08 | SHOULD | The system SHOULD provide the ability to store a task to be recurrent at a defined interval for a specified length of time.
CP.4.3#09 | SHALL | The system SHALL conform to function CPS.4.3 (Support for Non-Medication Ordering).