Audience: Prescribers, nurses, clinical staff Status: Draft (WS5 pending — content subject to refinement) Last Updated: 2026-05-08Documentation Index
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Overview
Order sets are reusable bundles of orders (labs, medications, assessments, monitoring) that can be activated against a patient chart in one step. Standing order protocols let nurses execute pre-approved orders within defined parameters without an additional prescriber order.Activate an Order Set From a Patient Chart
- Open the patient chart (
/cl/charts/:id). - Tap the floating + action button (bottom-right) and select Start Order Set.
- The action requires the
cl.order_sets.activatepermission and a linkedpm_patientsrecord.
- The action requires the
- Choose a template, review the items grouped by category (Labs, Medications, Assessments, Monitoring), uncheck any items that should not be activated, add an optional reason, and submit.
- The activation is recorded in
cl_order_set_activations. Individual orders are then created through CL-05 / CL-09 hooks (Phase 2).
Browse and Manage Order Set Templates
- Navigate to CL → Resources → Order Sets (
/cl/order-sets). - Search by name or category. Drafts, approved, and retired templates are listed (filter as needed).
- Use New Order Set to create a template (requires
cl.order_sets.manage). Add items per category, mark required defaults, and save. - Order sets are hidden when an admin disables
order_sets_enabledin CL module settings.
Execute a Standing Order (Nurses)
- Navigate to CL → Resources → Standing Order Protocols (
/cl/standing-orders). - Select an active protocol (within its effective/expiration window).
- Open Execute and complete the parameter form. Frequency limits are enforced before submission (e.g., “max 2 per 24h”).
- Submitted executions are append-only — they cannot be edited or deleted. Review and corrections happen via the supervisor review workflow.
Permissions
| Permission | Purpose |
|---|---|
cl.order_sets.view | View templates and activation history |
cl.order_sets.manage | Create/edit/retire templates |
cl.order_sets.activate | Activate templates against patient charts |
cl.standing_orders.view | View standing order protocols and executions |
cl.standing_orders.manage | Create/edit standing order protocols |
cl.standing_orders.execute | Record standing order executions |
cl.standing_orders.review | Review nurse executions |
Related
- Spec:
specs/cl/specs/CL-44-clinical-order-sets-standing-orders.md - Admin guide:
order-sets-admin-guide.md