Enable Support for Customizable Ordersets and Trigger Mechanisms

[gigincg]

Feature Request

We propose to introduce support for customizable clinical ordersets within the CARE system to enhance decision-making and standardize care processes. This feature should include a mechanism to trigger ordersets based on specific clinical criteria or diagnoses.

Implementation Details

• Triggerable Ordersets: Ordersets should be automatically triggerable based on predefined conditions such as patient diagnosis or lab results.
• Customization: Allow customization of ordersets to cater to the specific protocols of various healthcare facilities or departments.

Documentation Requirement

Before any development begins, the contributor must:

• Create a detailed documentation draft in the docs repository.
• Outline the proposed implementation strategy and the extent of customization possible.
• Highlight how ordersets will be managed, triggered, and maintained within the system.

Example Orderset: Management of Acute Asthma in Adults

• Medications: High-dose inhaled corticosteroids, Oral steroids, Rescue inhaler (Albuterol)
• Diagnostics: Peak flow measurement, Blood gases
• Observations: Monitor respiratory rate, oxygen saturation
• Instructions: Patient education on inhaler technique, Asthma action plan review

This example should be detailed in the documentation to serve as a template for further customization.

Note: If you are interested in working on this feature, please indicate your interest in this issue. Ensure you review the necessary guidelines on our contribution page and prepare the required documentation as outlined above.

[gigincg]

Annexture

Here's a list of actions, that may be triggered as part of an orderset:

1. Medications

   • Prescription drugs
   • Over-the-counter medications
   • Intravenous solutions
   • Pre-medication protocols

2. Observations

   • Vital signs monitoring (blood pressure, temperature, heart rate, respiratory rate)
   • Pain assessment
   • Fluid intake and output
   • Nutritional status and dietary requirements

3. Lab Tests

   • Blood tests (CBC, blood glucose, lipid profile)
   • Urine tests (urinalysis)
   • Microbiological cultures (bacterial, fungal)
   • Genetic testing or biomarkers

4. Imaging

   • X-ray
   • MRI
   • CT scan
   • Ultrasound

5. Procedures

   • Surgical interventions
   • Non-surgical treatments (e.g., catheter insertion, lumbar puncture)
   • Rehabilitation exercises
   • Wound care

6. Consultations

   • Referrals to specialists (cardiologists, endocrinologists)
   • Mental health evaluations
   • Physiotherapy
   • Dietary consultation

7. Patient Education

   • Disease-specific information
   • Medication instructions
   • Lifestyle and dietary recommendations
   • Follow-up care and self-monitoring techniques

8. Care Coordination

   • Follow-up appointments
   • Transfer orders within or between facilities
   • Home care or community health services

9. Dietary Orders

   • Specific diets (low salt, diabetic, allergy-specific)
   • Fluid restrictions or supplements
   • Parenteral nutrition

10. Safety and Precautions

    • Allergy checks
    • Fall risk assessments and interventions
    • Isolation precautions for infectious diseases

11. Discharge Planning

    • Medication reconciliation
    • Summary of hospital stay and treatment
    • Instructions for home care or rehabilitation

[sainak]

CEP draft created in ohcnetwork/docs#33