{"schema":"https://ver.cy/schemas/card/1.0.0","id":"EM-HCP-05","code":"em-hcp-05","url":"https://ver.cy/models/em-hcp-05/","name":"Clinical order and service request","alternateNames":[],"kind":"enterprise-contour","status":"published","version":"research-checkpoint","language":"en","classifiers":{"family":"Enterprise profiles","category":"Enterprise subject","entryKind":"subject","plane":"","domain":["Enterprise","HCP"],"industry":["Healthcare provider"],"navPath":"","tags":["EM-HCP-05","W-IND","subject","ServiceRequest","OrderDetail","Referral","OrderStatusChange","PerformerAssignment"],"facets":{}},"whatItIs":"A request by an authorized practitioner for a diagnostic test, imaging, a procedure, a consultation or a referral, with its status, the performing party and the link to results. Medication prescriptions are a separate contour.","purpose":"Record what was requested, by whom and why, and connect it to who performed it and what the result was, so that no request is lost or misread.","scope":{"in":[],"out":[],"boundaries":[]},"distinguishingFeatures":["An order records the request, and its performance and results are linked records.","Verbal orders are recorded and signed later.","Results reference the order they answer.","Medication prescriptions are recorded in a separate contour."],"structure":{"bundles":[{"id":"order","name":"Order","description":"What was requested and by whom.","layers":[{"id":"request","name":"Request","description":"Request details, ordering practitioner and signature.","findings":[{"id":"request-details","name":"Request details","description":"Requested service, priority, ordering practitioner and encounter.","questions":[{"text":"Which test, procedure or referral was requested in this order, and with what priority?","id":"request-details-q1"},{"text":"Who placed this order, when and in which encounter?","id":"request-details-q2"}]},{"id":"signature","name":"Signature","description":"Verbal orders and their later signature.","questions":[{"text":"Was this order given verbally, and who signed it later and when?","id":"signature-q1"}]}]}]},{"id":"fulfilment","name":"Fulfilment","description":"Who performs the order and what came back.","layers":[{"id":"status-and-results","name":"Status and results","description":"Status changes, performers, specimens and results.","findings":[{"id":"status","name":"Status","description":"Current status, performer and changes.","questions":[{"text":"What is the current status of this order, and which party is performing it?","id":"status-q1"},{"text":"Who cancelled or changed this order, and why?","id":"status-q2"}]},{"id":"results","name":"Results","description":"Results, specimens and acknowledgment.","questions":[{"text":"Which results or reports answer this order?","id":"results-q1"},{"text":"Which specimens were collected for this order?","id":"results-q2"},{"text":"Was the result of this order acknowledged by the ordering practitioner or a delegate?","id":"results-q3"}]}]}]}]},"agentConduct":{"may":["Track open orders and results that wait for acknowledgment.","Check that orders name the ordering practitioner and time.","Route orders to the performing department as configured."],"mustNot":["Place, change or cancel clinical orders.","Interpret results for patients or give clinical advice.","Attach a result to an order without a reliable match."],"requiresHuman":["Only authorized practitioners place and sign clinical orders.","Results without a matching order must be resolved by laboratory or clinical staff."]},"ethics":{"considerations":["Results that are never acknowledged can cause harm through delayed treatment.","Order data reveals sensitive health conditions."],"affectedParties":["Patients","Ordering practitioners","Laboratory and imaging staff"]},"owners":{"steward":"The medical director who answers for ordering and result follow-up.","roles":[],"masterSystems":["Electronic health record system","Laboratory information system","Radiology information system"]},"relations":[{"target":"EM-HCP-03","type":"neighbor"},{"target":"EM-HCP-04","type":"neighbor"},{"target":"EM-HCP-08","type":"neighbor"},{"target":"EM-HCP-02","type":"neighbor"},{"target":"EM-HCP-06","type":"neighbor"},{"target":"WM-MAT-007","type":"references","note":"conceptual-candidate"},{"target":"WM-ACT-047","type":"references","note":"conceptual-candidate"},{"target":"WM-LIV-023","type":"references","note":"conceptual-candidate"}],"interaction":{"identity":{"applicability":"required","items":["An order has an identifier unique within the ordering system, and often a second identifier from the performing system.","Each order references one patient record and the ordering practitioner."]},"properties":{"applicability":"not-applicable","items":[]},"recognition":{"applicability":"required","items":["Records show what was requested, its priority, the ordering practitioner, the status and the performer.","An order must be distinguished from its result, from an appointment and from a charge."]},"capabilities":{"applicability":"required","items":["The contour supports order tracking, result routing and acknowledgment follow-up."]},"hazards":{"applicability":"required","items":["Mismatched results can lead to wrong clinical decisions.","Lost referrals can delay diagnosis."]},"interfaces":{"applicability":"optional","items":["HL7 International publishes the FHIR ServiceRequest resource.","Regenstrief Institute publishes LOINC codes for laboratory tests and clinical observations."]},"context":{"applicability":"required","items":["The contour is used for laboratory tests, imaging, procedures and referrals.","Ordering rights depend on professional licensing in each jurisdiction."]}},"sources":[{"title":"HL7 FHIR: ServiceRequest resource"},{"title":"IHE laboratory and radiology workflow profiles"},{"title":"LOINC: codes for laboratory and clinical observations"},{"title":"HL7 FHIR R4 ServiceRequest resource","url":"https://hl7.org/fhir/R4/servicerequest.html","note":"Checked live (HTTP 200) on 2026-10-21."},{"title":"LOINC","url":"https://loinc.org/","note":"Checked live (HTTP 200) on 2026-10-21."}],"openQuestions":["How is an order kept separate from its fulfilment by another department or provider?","How are verbal orders recorded and later signed?","How is a result linked to the order without the order changing its meaning?","Settle the boundary and the reuse, extend or new decision against the current specifications.","Confirm the semantic crosswalk, rights and source mastership.","Choose immutable references and run fixture checks before claiming publication readiness."],"resources":{"source":"https://ver.cy/enterprise/models/em-hcp-05/"},"provenance":{"origin":"enterprise research programme","builtFrom":["enterprise/models/em-hcp-05/brief.json","ver-cy/world-models/card-supplements/em-hcp-05.json"],"providers":[],"researchStatus":"published-partial","generatedAt":"","builder":"tools/build_cards.py@1.0.0"},"completeness":{"sections":{"classifiers":"filled","whatItIs":"filled","purpose":"filled","distinguishingFeatures":"filled","structure":"filled","agentConduct":"filled","ethics":"filled","owners":"filled","relations":"filled","interaction.identity":"filled","interaction.properties":"not-applicable","interaction.recognition":"filled","interaction.capabilities":"filled","interaction.hazards":"filled","interaction.interfaces":"filled","interaction.context":"filled","sources":"filled"},"notes":{"interaction.properties":"Enterprise record contour: physical properties belong to referenced world models.","_supplement":"Sections authored in card supplement 1.1.0 by Claude (Opus 5.5) (2026-10-21, unreviewed). Written from the industry contour brief and established practice in the field; source pages were checked live on 2026-10-21. Unreviewed.","_gate":"Published through the contour publication gate 1.0 on 2026-10-21T19:02:23+00:00: completeness 1.00; subject: research brief; 2 live sources; review by codex: pass"},"score":1.0}}