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Documentation Index

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Audience: Clinical administrators, compliance leads Status: Draft (WS5 pending — content subject to refinement) Last Updated: 2026-05-08

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Feature Flag

CL-44 is gated by cl_module_settings.order_sets_enabled (boolean, default true). Disable it to hide order set navigation, the chart quick action, and the management pages. The standing order protocol UI remains independent of this flag.

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Module Settings

SettingDefaultPurpose
order_sets_enabledtrueMaster feature flag
order_set_max_items50Soft cap enforced in the template editor
standing_order_default_expiry_days365Default protocol expiration when none is supplied

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Permissions Mapping

Seeded by migration 20260508131517_*:
RolePermissions granted
platform_adminAll seven CL-44 permissions
staffcl.order_sets.view, cl.order_sets.activate, cl.standing_orders.view, cl.standing_orders.execute
readonlycl.order_sets.view, cl.standing_orders.view
Adjust per-role mappings via the platform permission management UI as needed.

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Database Surface (Phase 1)

  • cl_order_set_templates — versioned templates (status: draft, approved, retired)
  • cl_order_set_activations — per-patient activation log; references cl_charts and pm_patients
  • cl_clinical_standing_orders — protocol definitions with parameter ranges and effective/expiration dates
  • cl_standing_order_executions — append-only execution log (no UPDATE/DELETE policy by design)
All tables are tenant-scoped via cl_has_org_access(organization_id, auth.uid()) with FORCE ROW LEVEL SECURITY enabled.

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Operational Notes

  • Append-only executions: corrections must be issued as compensating executions; do not attempt UPDATE/DELETE — RLS will reject them.
  • Frequency enforcement is implemented client-side in useStandingOrderExecutions (frequencyLimit: { count, windowHours }) before insertion. A future migration will add a server-side trigger if abuse is observed.
  • CL-09 EN-30 coexistence: the legacy lab-only cl_standing_order_protocols and StandingOrderProtocolsPage remain unchanged at /cl/settings/standing-orders. CL-44’s cross-category protocols live at /cl/standing-orders.
  • Spec: specs/cl/specs/CL-44-clinical-order-sets-standing-orders.md
  • User guide: order-sets-user-guide.md
  • Tasks: specs/cl/tasks/CL-44-TASKS.md