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+`order-discontinue`
+
+!!! info
+ This page defines a workflow [hook](../../specification/current/#hooks) for the purpose of providing clinical decision support using CDS Hooks. This is a build at the level of [Draft](http://hl7.org/fhir/versions.html#std-processs).
+
+| Metadata | Value
+| ---- | ----
+| specificationVersion | 1.0
+| hookVersion | 0.1.0
+| hookMaturity | [0 - Draft](../../specification/current/#hook-maturity-model)
+
+## Workflow
+
+The `order-discontinue` fires when a signed order is manually discontinued by a clinician (including orders for medications, procedures, labs and other orders). Note that this hook does not fire when an order expires "naturally", for example at a predictable time, such as a a medication prescription's refills completing.
+
+## Context
+CDS Services should consider retreiving or prefetch'ing the `toBeDiscontinued` order, and should focus decisions support on the discontinuation of this order.
+
+Field | Optionality | Prefetch Token | Type | Description
+----- | -------- | ---- | ---- | ----
+`userId` | REQUIRED | Yes | *string* | The id of the current user.
For this hook, the user is expected to be of type [Practitioner](https://www.hl7.org/fhir/practitioner.html) or [PractitionerRole](https://www.hl7.org/fhir/practitionerrole.html).
For example, `PractitionerRole/123` or `Practitioner/abc`.
+`patientId` | REQUIRED | Yes | *string* | The FHIR `Patient.id` of the current patient in context
+`encounterId` | OPTIONAL | Yes | *string* | The FHIR `Encounter.id` of the current encounter in context
+`toBeDiscontinued` | REQUIRED | No| *object* | FHIR Bundle with the orders resources bring discontinued.
DSTU2 - FHIR Bundle of MedicationOrder, DiagnosticOrder, DeviceUseRequest, ReferralRequest, ProcedureRequest, NutritionOrder, VisionPrescription.
STU3 - FHIR Bundle of MedicationRequest, ReferralRequest, ProcedureRequest, NutritionOrder, VisionPrescription.
R4 - FHIR Bundle of DeviceRequest, MedicationRequest, NutritionOrder, ServiceRequest, VisionPrescription.
+
+## Examples
+
+### Example (R4)
+
+```json
+{
+ "context":{
+ "userId":"PractitionerRole/123",
+ "patientId":"1288992",
+ "encounterId":"89284",
+ "toBeDiscontinued":
+ {
+ "resourceType":"Bundle",
+ "entry":[
+ {
+ "resource":{
+ "resourceType":"NutritionOrder",
+ "id":"pureeddiet-simple",
+ "identifier":[
+ {
+ "system":"http://goodhealthhospital.org/nutrition-requests",
+ "value":"123"
+ }
+ ],
+ "status":"draft",
+ "patient":{
+ "reference":"Patient/1288992"
+ },
+ "dateTime":"2014-09-17",
+ "orderer":{
+ "reference":"Practitioner/example",
+ "display":"Dr Adam Careful"
+ },
+ "oralDiet":{
+ "type":[
+ {
+ "coding":[
+ {
+ "system":"http://snomed.info/sct",
+ "code":"226211001",
+ "display":"Pureed diet"
+ },
+ {
+ "system":"http://goodhealthhospital.org/diet-type-codes",
+ "code":"1010",
+ "display":"Pureed diet"
+ }
+ ],
+ "text":"Pureed diet"
+ }
+ ],
+ "schedule":[
+ {
+ "repeat":{
+ "boundsPeriod":{
+ "start":"2015-02-10"
+ },
+ "frequency":3,
+ "period":1,
+ "periodUnit":"d"
+ }
+ }
+ ],
+ "texture":[
+ {
+ "modifier":{
+ "coding":[
+ {
+ "system":"http://snomed.info/sct",
+ "code":"228055009",
+ "display":"Liquidized food"
+ }
+ ],
+ "text":"Pureed"
+ }
+ }
+ ],
+ "fluidConsistencyType":[
+ {
+ "coding":[
+ {
+ "system":"http://snomed.info/sct",
+ "code":"439021000124105",
+ "display":"Dietary liquid consistency - nectar thick liquid"
+ }
+ ],
+ "text":"Nectar thick liquids"
+ }
+ ]
+ },
+ "supplement":[
+ {
+ "type":{
+ "coding":[
+ {
+ "system":"http://snomed.info/sct",
+ "code":"442971000124100",
+ "display":"Adult high energy formula"
+ },
+ {
+ "system":"http://goodhealthhospital.org/supplement-type-codes",
+ "code":"1040",
+ "display":"Adult high energy pudding"
+ }
+ ],
+ "text":"Adult high energy pudding"
+ },
+ "productName":"Ensure Pudding 4 oz container",
+ "instruction":"Ensure Pudding at breakfast, lunch, supper"
+ }
+ ]
+ }
+ }
+ }
+ }
+}
+```
+
+
+## Change Log
+
+Version | Description
+---- | ----
+0.1.0 | Proposed