Cerner Order Set Modification Template

Order Set Modification Template Instructions:
1) Use the fields below to describe the modification to the Order Set. Please be sure to include the name of the Order Set and the Order Name at minimum. These fields are bolded for your reference.
2) If you have additional comments or details around the request, please provide those in the Notes field.

Order Addition

Order Set Name

FIN # (if referencing a specific encounter)

Order to be Added (as it appears in the order search box)

CPT Code (if applicable)

Default Order Sentence(s) (ex. 1 mg, IM, Once)

Default Order Comments

Default order as checked (included)

Notes

Order Removal

Order Set Name

FIN # (if applicable)

Order to be Deleted (as it appears in the order set)

Default Order Sentence

Order Set Name

FIN # (if applicable)

Order Name (as it appears in the order set)

Default Order Sentence(s) (ex. 1 mg, IM, Once)

Default Order Comments

Notes: