计算机使用智能体分类English
R09.03.01.02 · 任务小类

医嘱与临床文书

Orders & clinical documentation

Enter orders and notes correctly with decision-support prompts.

20 条本项目编写的提案 · 分类 v1.1 · 新增基准运行 0 次。下方验证方式与部分得分规则是设计,不是执行结果。

典型应用
Epic (test) · OpenEMR · Oracle Health
小类 GUI 需求标签
G3 · 仅 GUI

任务提案 · 20

展开查看完整原文与建议检查方式;两种界面均保留提案英文原文。

R09.03.01.02-T01 Record a full vitals set for today's encounter in OpenEMR

原始指令

In sandbox OpenEMR (synthetic patients, login in input/creds.txt) open today's encounter for MRN 402015 and record vitals from the nurse's sheet input/vitals_note.txt: BP 128/82, pulse 76, temp 37.1 C, SpO2 97%, weight 81.4 kg, height 176 cm. Save the vitals form.

平台
web · 任意系统(网页)
应用
OpenEMR
交互表面
brow · 浏览器
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G2 · GUI 必要
交互原语
type · 文字与表单 click · 指向与点击
工作产物
WP08 · 应用 / 系统状态
条件
未声明
提案难度
1 / 5

建议验证方式

DB form_vitals row linked to today's encounter with exact values (unit conversions as OpenEMR stores them) and BMI computed; no other encounter modified. Agent account lacks API scopes; HTTP logs show only UI routes.

建议部分得分

15% correct encounter; 70% six values (proportional); 15% no stray writes

R09.03.01.02-T02 Order a cardiology referral with reason and urgency in OpenEMR

原始指令

For synthetic patient MRN 402108 in sandbox OpenEMR, create a referral (Transactions > Referral) to the in-network cardiologist 'Dr. Test Cardio' with reason 'Exertional chest pressure, abnormal stress ECG 2026-10-08', urgency 'Urgent', and link the stress test result document.

平台
web · 任意系统(网页)
应用
OpenEMR
交互表面
brow · 浏览器
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G2 · GUI 必要
交互原语
type · 文字与表单 click · 指向与点击
工作产物
WP08 · 应用 / 系统状态
条件
未声明
提案难度
2 / 5

建议验证方式

Referral transaction row exists for the patient with exact recipient, reason text (normalized), urgency and linked document ID; only one referral created. The agent account has no REST/FHIR client credentials, the APIs are disabled in Globals and direct DB access is firewalled; web access logs confirm browser-session changes only.

建议部分得分

25% referral created; 25% recipient; 30% reason; 20% urgency and link

R09.03.01.02-T03 Place a conditional magnesium replacement order in OpenEMR

原始指令

For inpatient synthetic MRN 402233 in sandbox OpenEMR, check the latest serum magnesium. If it is below 1.6 mg/dL, order IV magnesium sulfate per input/mg_protocol.pdf (dose by level) and a repeat magnesium level for the next morning 06:00; otherwise order nothing.

平台
web · 任意系统(网页)
应用
OpenEMR
交互表面
brow · 浏览器
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G2 · GUI 必要
交互原语
nav · 平移 / 缩放 / 滚动 type · 文字与表单 click · 指向与点击
工作产物
WP08 · 应用 / 系统状态
条件
未声明
提案难度
3 / 5

建议验证方式

Seeded Mg is 1.3: prescription row with drug, dose (2 g), route IV and infusion time per protocol; lab order for Mg dated next day 06:00; no extra orders. A twin fixture with normal Mg must produce no orders. The agent account has no REST/FHIR client credentials, the APIs are disabled in Globals and direct DB access is firewalled; web access logs confirm browser-session changes only.

建议部分得分

20% correct decision; 40% medication order fields; 30% repeat lab timing; 10% no extra orders

R09.03.01.02-T04 Add a new allergy and inactivate an outdated one in OpenEMR

原始指令

For synthetic patient MRN 402301 in sandbox OpenEMR: add allergy 'Penicillin' (reaction hives, severity moderate, onset 2026-09-30), and mark the existing 'Sulfa' allergy inactive with comment 'Tolerated TMP-SMX 2025 per pharmacy'. Do not delete any entries.

平台
web · 任意系统(网页)
应用
OpenEMR
交互表面
brow · 浏览器
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G2 · GUI 必要
交互原语
type · 文字与表单 click · 指向与点击
工作产物
WP08 · 应用 / 系统状态
条件
未声明
提案难度
3 / 5

建议验证方式

lists table: penicillin allergy active with reaction, severity and onset exact; sulfa entry still present with end date/inactive and the comment; row count unchanged otherwise. The agent account has no REST/FHIR client credentials, the APIs are disabled in Globals and direct DB access is firewalled; web access logs confirm browser-session changes only.

建议部分得分

50% penicillin entry fields; 40% sulfa inactivated with comment; 10% nothing deleted

R09.03.01.02-T05 Write and sign a SOAP note from a visit transcript in OpenEMR

原始指令

For today's encounter of synthetic patient MRN 402377 in sandbox OpenEMR, write a SOAP note in the SOAP form from the visit transcript input/visit_transcript.txt (12 min dialogue), including vitals already in the chart, an assessment with 2 problems and a plan per problem. Sign/lock the encounter form.

平台
web · 任意系统(网页)
应用
OpenEMR
交互表面
brow · 浏览器
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G2 · GUI 必要
交互原语
type · 文字与表单 nav · 平移 / 缩放 / 滚动 multi · 跨应用
工作产物
WP01 · 文档
条件
未声明
提案难度
4 / 5

建议验证方式

form_soap row present with 4 non-empty sections and signed status; content checked by a clinician-written rubric with an LLM grader (stated): 8 required facts, no fabricated meds or allergies (hard fail). The agent account has no REST/FHIR client credentials, the APIs are disabled in Globals and direct DB access is firewalled; web access logs confirm browser-session changes only.

建议部分得分

15% form saved in right encounter; 15% signed; 60% rubric facts (LLM-graded); 10% no fabrication

R09.03.01.02-T06 Admit a pneumonia patient with an order set in Epic training

原始指令

In the Epic training environment (Citrix, synthetic patient 'Test, Walter' MRN E1006102), use the 'Community-Acquired Pneumonia Admission' order set: select ceftriaxone 1 g IV q24h plus azithromycin 500 mg IV q24h, enoxaparin 40 mg SC daily, CBC/BMP/blood cultures x2, and admit to Medicine. Sign the orders.

平台
win · Windows
应用
Epic (test)
交互表面
desk · 桌面 GUI
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G3 · 仅 GUI
交互原语
click · 指向与点击 nav · 平移 / 缩放 / 滚动 type · 文字与表单
工作产物
WP08 · 应用 / 系统状态
条件
licensed · 授权专业软件
提案难度
4 / 5

建议验证方式

Training DB order extract: exactly the specified orders with doses, routes and frequencies, signed, linked to an admission order; unselected default order-set items absent. The agent reaches Epic only through a pixel-only Citrix session with no Epic web-service/FHIR credentials, clipboard or drive mapping, so orders must be entered in the Epic client.

建议部分得分

15% admission order; 45% antibiotic and VTE orders; 25% labs; 15% no extra defaults

R09.03.01.02-T07 Reconcile eight home medications on admission in Oracle Health PowerChart

原始指令

In the Oracle Health (Cerner) PowerChart training domain, open synthetic patient 'Zztest, Rosa' and complete admission medication reconciliation for 8 home meds per input/admitting_plan.txt: continue 3, discontinue 2, modify 2 doses, and hold 1 until surgery. Sign the reconciliation.

平台
win · Windows
应用
Oracle Health
交互表面
desk · 桌面 GUI
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G3 · 仅 GUI
交互原语
click · 指向与点击 type · 文字与表单 nav · 平移 / 缩放 / 滚动
工作产物
WP08 · 应用 / 系统状态
条件
licensed · 授权专业软件
提案难度
4 / 5

建议验证方式

Training-domain extract: reconciliation status complete; each home med has the specified action; modified doses exact; held med has hold reason; inpatient orders generated only for continued/modified meds. PowerChart runs in a pixel-only Citrix training session with no Millennium FHIR/Ignite credentials issued, so entries can be made only through PowerChart screens.

建议部分得分

60% actions per med (equal share each); 20% modified doses; 20% signed and orders generated

R09.03.01.02-T08 Respond to a drug-interaction alert by choosing a safer antibiotic

原始指令

For synthetic patient MRN 402480 (on simvastatin 40 mg) in sandbox OpenEMR with the drug-interaction checker enabled, the clinician asks for clarithromycin 500 mg BID x7 days for sinusitis. When the interaction alert appears, follow input/cds_policy.txt: cancel clarithromycin and prescribe azithromycin 500 mg day 1 then 250 mg days 2-5 instead.

平台
web · 任意系统(网页)
应用
OpenEMR
交互表面
brow · 浏览器
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G2 · GUI 必要
交互原语
click · 指向与点击 type · 文字与表单 vis · 视觉判断
工作产物
WP08 · 应用 / 系统状态
条件
未声明
提案难度
3 / 5

建议验证方式

No active clarithromycin prescription; azithromycin prescription with exact sig and quantity; CDS alert log shows the alert displayed and acknowledged with the cancel action. The agent account has no REST/FHIR client credentials, the APIs are disabled in Globals and direct DB access is firewalled; web access logs confirm browser-session changes only.

建议部分得分

40% no clarithromycin; 40% azithromycin order exact; 20% alert acknowledged

R09.03.01.02-T09 Order fasting labs linked to diagnosis codes for a future date

原始指令

For synthetic patient MRN 402512 in sandbox OpenEMR, place a procedure order (Procedures > Order) for fasting lipid panel and HbA1c to the in-house lab, scheduled for 2026-10-28 fasting, linked to ICD-10 E11.9 and E78.5, with patient instructions '12-hour fast'.

平台
web · 任意系统(网页)
应用
OpenEMR
交互表面
brow · 浏览器
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G2 · GUI 必要
交互原语
type · 文字与表单 click · 指向与点击
工作产物
WP08 · 应用 / 系统状态
条件
未声明
提案难度
3 / 5

建议验证方式

procedure_order with 2 order codes, collection date, fasting flag, both diagnoses linked per order, instructions text; correct lab provider. The agent account has no REST/FHIR client credentials, the APIs are disabled in Globals and direct DB access is firewalled; web access logs confirm browser-session changes only.

建议部分得分

30% two tests; 20% date and fasting; 30% diagnosis links; 20% instructions and lab

R09.03.01.02-T10 Complete a discharge navigator with med changes and follow-up in Epic training

原始指令

In the Epic training environment discharge synthetic inpatient 'Test, Ivy' MRN E1006577 per input/discharge_plan.pdf: reconcile discharge meds (2 new, 1 stopped, 1 dose change), order follow-up appointments with PCP in 7 days and cardiology in 4 weeks, write patient instructions from the template, and sign the discharge order. Stop before printing the AVS.

平台
win · Windows
应用
Epic (test)
交互表面
desk · 桌面 GUI
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G3 · 仅 GUI
交互原语
click · 指向与点击 type · 文字与表单 nav · 平移 / 缩放 / 滚动
工作产物
WP08 · 应用 / 系统状态
条件
licensed · 授权专业软件 long · 长流程
提案难度
5 / 5

建议验证方式

Training extract: discharge med list exactly per plan; 2 follow-up orders with correct departments and time frames; instructions note contains the 5 template sections; discharge order signed; no AVS print event. The Epic training client runs in a pixel-only Citrix session with no FHIR or Interconnect credentials issued, so entries can be made only through Hyperspace screens.

建议部分得分

40% med reconciliation; 25% follow-ups; 15% instructions; 20% discharge order signed

R09.03.01.02-T11 Document a vaccine administration with lot and site in OpenEMR

原始指令

For synthetic patient MRN 402600 in sandbox OpenEMR, document today's influenza vaccine: product and CVX from input/vaccine_label.png, lot and expiration from the photo, 0.5 mL IM left deltoid, VIS edition date, administered by the logged-in user, and consent obtained.

平台
web · 任意系统(网页)
应用
OpenEMR
交互表面
brow · 浏览器
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G2 · GUI 必要
交互原语
type · 文字与表单 click · 指向与点击 vis · 视觉判断
工作产物
WP08 · 应用 / 系统状态
条件
未声明
提案难度
3 / 5

建议验证方式

immunizations row: CVX, lot, expiration (read from the label image), dose, route, site, VIS date and administering user exact; date today. The agent account has no REST/FHIR client credentials, the APIs are disabled in Globals and direct DB access is firewalled; web access logs confirm browser-session changes only.

建议部分得分

30% product/CVX; 30% lot and expiration; 25% dose/route/site; 15% VIS and administrator

R09.03.01.02-T12 Enter an insulin sliding-scale order with hold parameters in PowerChart

原始指令

In the Oracle Health PowerChart training domain, for synthetic patient 'Zztest, Ahmed', order insulin lispro correctional scale per input/insulin_scale.pdf (ranges, units, AC and HS), with hold parameters 'hold if NPO and BG<150' and a hypoglycemia protocol PRN order. Sign.

平台
win · Windows
应用
Oracle Health
交互表面
desk · 桌面 GUI
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G3 · 仅 GUI
交互原语
type · 文字与表单 click · 指向与点击 nav · 平移 / 缩放 / 滚动
工作产物
WP08 · 应用 / 系统状态
条件
licensed · 授权专业软件
提案难度
4 / 5

建议验证方式

Order extract: lispro order with 6 scale ranges and units exact, frequency AC+HS, hold comment present; hypoglycemia protocol order exists; signed by the test user. PowerChart runs in a pixel-only Citrix training session with no Millennium FHIR/Ignite credentials issued, so entries can be made only through PowerChart screens.

建议部分得分

50% scale ranges/units; 20% frequency; 15% hold parameters; 15% hypoglycemia order

R09.03.01.02-T13 Fill a procedure-note layout form from a dictation in OpenEMR

原始指令

For synthetic patient MRN 402655 in sandbox OpenEMR, open today's encounter and complete the 'Joint Injection Procedure' layout-based form from input/dictation.txt: joint and side, indication, consent, prep, medication and dose, lot, ultrasound guidance yes/no, complications, and post-procedure instructions. Save.

平台
web · 任意系统(网页)
应用
OpenEMR
交互表面
brow · 浏览器
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G2 · GUI 必要
交互原语
type · 文字与表单 click · 指向与点击
工作产物
WP08 · 应用 / 系统状态
条件
未声明
提案难度
3 / 5

建议验证方式

LBF field values exact vs gold extraction from the dictation (11 fields; free-text fields normalized); form linked to today's encounter. The agent account has no REST/FHIR client credentials, the APIs are disabled in Globals and direct DB access is firewalled; web access logs confirm browser-session changes only.

建议部分得分

90% fields (proportional); 10% correct encounter

R09.03.01.02-T14 Prepare an e-prescription and stop at the transmit confirmation

原始指令

For synthetic patient MRN 402711 in sandbox OpenEMR, create a new prescription for atorvastatin 20 mg tablet, 1 tab PO nightly, quantity 90, 3 refills, to the patient's preferred pharmacy. Proceed to the e-prescribing review screen but do not transmit; leave it pending for the physician's signature.

平台
web · 任意系统(网页)
应用
OpenEMR
交互表面
brow · 浏览器
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G2 · GUI 必要
交互原语
type · 文字与表单 click · 指向与点击
工作产物
WP08 · 应用 / 系统状态
条件
risk · 高风险 / 不可逆
提案难度
3 / 5

建议验证方式

prescriptions row with exact drug, sig, quantity, refills and pharmacy; erx status pending/not transmitted; sandbox eRx gateway log shows no NewRx message. The agent account has no REST/FHIR client credentials, the APIs are disabled in Globals and direct DB access is firewalled; web access logs confirm browser-session changes only.

建议部分得分

60% prescription fields; 20% correct pharmacy; 20% not transmitted

R09.03.01.02-T15 Add an addendum to a signed note instead of editing it in Epic training

原始指令

In the Epic training environment, the signed progress note of 2026-10-10 for synthetic patient 'Test, Nora' MRN E1006820 states the wrong laterality (left knee instead of right). Correct it the compliant way: add an addendum stating the correction and reason, leaving the original note text intact.

平台
win · Windows
应用
Epic (test)
交互表面
desk · 桌面 GUI
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G3 · 仅 GUI
交互原语
nav · 平移 / 缩放 / 滚动 type · 文字与表单 click · 指向与点击
工作产物
WP08 · 应用 / 系统状态
条件
licensed · 授权专业软件
提案难度
3 / 5

建议验证方式

Training extract: original note text unchanged (hash); addendum linked to it, signed, containing 'right knee' and a reason; no new standalone note created. The Epic training client runs in a pixel-only Citrix session with no FHIR or Interconnect credentials issued, so entries can be made only through Hyperspace screens.

建议部分得分

40% addendum linked and signed; 30% correction content; 30% original intact

R09.03.01.02-T16 Order weight-based pediatric amoxicillin with a dose cap

原始指令

For synthetic child MRN 402790 (weight in today's vitals) in sandbox OpenEMR, prescribe high-dose amoxicillin suspension 400 mg/5 mL at 90 mg/kg/day divided BID for 10 days, capped at 4,000 mg/day, with the volume per dose rounded to 0.1 mL and the total bottle quantity in mL.

平台
web · 任意系统(网页)
应用
OpenEMR
交互表面
brow · 浏览器
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G2 · GUI 必要
交互原语
type · 文字与表单 click · 指向与点击 vis · 视觉判断
工作产物
WP08 · 应用 / 系统状态
条件
未声明
提案难度
3 / 5

建议验证方式

Prescription sig dose volume equals 90 mg/kg/day/2 converted to mL (rounded 0.1) using the charted weight, cap respected, BID x10 days, quantity = dose volume x 20 rounded up to bottle size. The agent account has no REST/FHIR client credentials, the APIs are disabled in Globals and direct DB access is firewalled; web access logs confirm browser-session changes only.

建议部分得分

20% weight used correctly; 40% per-dose volume; 20% frequency and duration; 20% quantity

R09.03.01.02-T17 Document code status and an advance directive in PowerChart

原始指令

In the Oracle Health PowerChart training domain, for synthetic patient 'Zztest, Helen', document the goals-of-care conversation in input/goc_note.txt: enter a code status order 'DNR/DNI, full medical treatment otherwise', record the health-care proxy, and attach the scanned advance directive input/ad.pdf to the correct document type.

平台
win · Windows
应用
Oracle Health
交互表面
desk · 桌面 GUI
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G3 · 仅 GUI
交互原语
click · 指向与点击 type · 文字与表单 drag · 拖放
工作产物
WP08 · 应用 / 系统状态
条件
licensed · 授权专业软件
提案难度
4 / 5

建议验证方式

Extract: code status order with exact selection and signed; proxy name/relationship/phone fields exact; document attached with type 'Advance Directive'. PowerChart runs in a pixel-only Citrix training session with no Millennium FHIR/Ignite credentials issued, so entries can be made only through PowerChart screens.

建议部分得分

45% code status order; 25% proxy; 30% document attached correctly

R09.03.01.02-T18 Control pair of T01: post the vitals as FHIR Observations

原始指令

Control pair of T01. Using the OpenEMR FHIR R4 API with client credentials in input/fhir_client.json, create the same 6 vital-sign Observations (LOINC-coded, effective now, linked to today's encounter) for MRN 402015.

平台
lin · Linux mac · macOS
应用
OpenEMR · FHIR API
交互表面
api · API / SDK
GUI 需求 · 任务设定
AP · API 足够
GUI 需求 · 普通权限
AP · API 足够
交互原语
code · 代码与命令
工作产物
WP08 · 应用 / 系统状态
条件
未声明
提案难度
2 / 5

建议验证方式

Same DB checks as T01 (values, encounter link, no stray writes) plus correct LOINC codes; enables a GUI-vs-API comparison.

建议部分得分

15% encounter link; 70% six Observations (proportional); 15% LOINC codes

R09.03.01.02-T19 Chart eight hours of intake and output from a paper flowsheet

原始指令

For synthetic inpatient MRN 402844 in sandbox OpenEMR, transcribe hourly intake (IV, PO) and output (urine, drain) for 08:00-15:00 from scanned paper sheet input/io_sheet.pdf into the I&O flowsheet form, then record the 8-hour totals and net balance in the nursing note.

平台
web · 任意系统(网页)
应用
OpenEMR
交互表面
brow · 浏览器
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G2 · GUI 必要
交互原语
type · 文字与表单 vis · 视觉判断 nav · 平移 / 缩放 / 滚动
工作产物
WP08 · 应用 / 系统状态
条件
long · 长流程
提案难度
4 / 5

建议验证方式

32 hourly cells exact vs gold transcription (handwriting legible by design except 2 cells marked '?', which must be left blank and flagged in the note); totals and net balance exact. The agent account has no REST/FHIR client credentials, the APIs are disabled in Globals and direct DB access is firewalled; web access logs confirm browser-session changes only.

建议部分得分

60% hourly cells; 20% totals and net; 20% illegible cells handled

R09.03.01.02-T20 Enter a peri-procedural warfarin bridging plan in Epic training

原始指令

In the Epic training environment, synthetic patient 'Test, Frank' MRN E1006930 (on warfarin, mechanical mitral valve) has a colonoscopy with polypectomy on 2026-10-26. Per input/bridging_protocol.pdf enter orders: warfarin hold dates, enoxaparin 1 mg/kg SC q12h with start/stop dates, INR checks, and warfarin resumption. Sign.

平台
win · Windows
应用
Epic (test)
交互表面
desk · 桌面 GUI
GUI 需求 · 任务设定
G3 · 仅 GUI
GUI 需求 · 普通权限
G3 · 仅 GUI
交互原语
type · 文字与表单 click · 指向与点击 nav · 平移 / 缩放 / 滚动
工作产物
WP08 · 应用 / 系统状态
条件
licensed · 授权专业软件
提案难度
5 / 5

建议验证方式

Order extract: warfarin held from day -5; enoxaparin dose from charted weight, start day -3, last dose 24 h pre-procedure, restart 48-72 h post; INR orders day -1; resume warfarin evening of procedure; all dates exact. The Epic training client runs in a pixel-only Citrix session with no FHIR or Interconnect credentials issued, so entries can be made only through Hyperspace screens.

建议部分得分

20% warfarin hold; 35% enoxaparin dose and dates; 20% INR checks; 25% resumption orders

已有研究映射

以下沿用研究目录中的基准与小类映射,不是逐题标注、执行记录或产品背书。

同工作流族的小类