# Does openEHR have the concept of Order Entry Forms, templates? **Category:** [Integration](https://discourse.openehr.org/c/integration/63) **Created:** 2025-02-01 08:20 UTC **Views:** 130 **Replies:** 7 **URL:** https://discourse.openehr.org/t/does-openehr-have-the-concept-of-order-entry-forms-templates/6256 --- ## Post #1 by @Kevin_Mayfield1 I'm doing some analysis around Genomics Order Entry Forms to be used to send a order to a (regional) Genomic Laboratory Hub (LIMS). It looks as though on the wire this is going to HL7 v2 ORM. A representation of this as a form would look something like this. ![Screenshot 2025-02-01 at 08.08.39|690x257](upload://lPRpSYcPn4gfPTHaFtPWnSeygfN.png) In openEHR would this be a template? I've found details on openEHR Genomic data but not not the order itself. The reason I ask, is I don't think I need to give the openEHR developer a traditional interface pipe+hat (i.e. the HL7 v2 ORM) to work with, I want to make it easier for them (and the other non openEHR systems). If this concept is supported in openEHR, I can use FHIR Q+QR 'Template' as the API and I then do the conversion to HL7 v2 ORM (and eventual conversion to FHIR Message/Workflow for national system) --- ## Post #2 by @joostholslag There’s a generic ‘service request’ archetype on CKM. https://ckm.openehr.org/ckm/archetypes/1013.1.614 It might fit your needs. But I suspect we would need to create a new genomic order archetype. Depending on the overlap with sevice request it might be a totally different instruction archetype or a cluster. Either way you would create a template on the archetypes potentially with request for service as a composition https://ckm.openehr.org/ckm/archetypes/1013.1.18 Or part of an encounter composition if other clinical data gets recorded at the same time. @ian.mcnicoll and @videhasharma are also working on genomics. So might be worth getting there view. Ps for openehr to FHIR. Are you familiar with openFHIR? --- ## Post #3 by @Kevin_Mayfield1 This is the model I've inferred from one providers EPIC and LIMS. Have included your link to service request (thanks). I don't think I will be able to turn the communication method from traditional exchange of data messaging (i.e. HL7 v2 ORM_O01) to a modern workflow orientated approach (which would bring in openFHIR, EPICs FHIR API and also FHIR Workflow). Does this model match openEHR? @richard.kavanagh ![Screenshot 2025-02-02 at 06.58.45|690x314](upload://A4cvjpd8g9xrIEHki3XVAWC9lxg.jpeg) --- ## Post #4 by @Kevin_Mayfield1 This might get a bit complicated. The problem I'm working on is LAB-1, the interaction between Order Placer and Order Filler, described in https://www.ihe.net/uploadedFiles/Documents/PaLM/IHE_PaLM_TF_Vol1.pdf It might be easier to use IHE PALM as focus of this discussion as it is more business communication focused. The problem I am likely to face is the national system is saying FHIR, what already is in place is a combination of IHE PALM and HL7 v2 OML/ORM. This is saying it is not HL7 FHIR at present (and neither openEHR). --- ## Post #5 by @ian.mcnicoll As Joost has said, basically yes. In this case I would expect an openEHR template to underpin that from (assuming the ask was to store that request in an openEHR CDR, -perhaps prior to sending the request to the lab. This is pretty close to the approach we are taking in a Genomic testing scenario we are working on in Belfast. In your use -case, where does the openEHR-based system fit in -? is it making the request (and storing a copy) or receiving the request and storing the copy, or both. I've created a template that, I think, matches your form requirements https://tools.openehr.org/designer/#/viewer/shared/Pz9zaGFyZWRJZD0xJDZkMTA0NGRmZWVlODQ4NWM5YWNmYjJlODQ3NDU2MGI3 I'll see if I can get that expressed as a FHIR Logical model and upload it to Simplifier. --- ## Post #6 by @Kevin_Mayfield1 Thanks Ian. I think I need to dig into this some more. I think most of the content of that form is covered in a ServiceRequest (openEHR or FHIR). NHS England is describing an Order Form concept (non WGS and presume WGS). I think this may describe the 'Template' better. I'll do some digging into that. --- ## Post #7 by @Kevin_Mayfield1 [quote="ian.mcnicoll, post:5, topic:6256"] assuming the ask was to store that request in an openEHR CDR [/quote] Not sure what happens on the Better system prior to the order. I'm trying to understand this a bit more. --- ## Post #8 by @ian.mcnicoll The normal approach would be to save the record of the order, obviously the final report, and also potentially interim status messages coming back from the lab. --- **Canonical:** https://discourse.openehr.org/t/does-openehr-have-the-concept-of-order-entry-forms-templates/6256 **Original content:** https://discourse.openehr.org/t/does-openehr-have-the-concept-of-order-entry-forms-templates/6256