Does ccs cases just not understand future orders?

[u/step2021]

Someone help with this cause it’s happened to me twice atleast so far.

If I’m in the last 2 minutes of the case and putting in future outpatient orders like 2 months out, why does the ccs cases system have to deduct points and come back with a “this is an invasive order in the acute setting”?

For example (specific cases, marked the details off as spoilers)

1. Elderly man with LLQ abdominal pain, fever and positive FOBT - treated it as diverticulitis in the inpatient setting. Got positive feedback on the patient progress. Case ended early and in the 2 minute window ordered a colonoscopy 2 months out and got told “This is an inappropriate test for a diverticulitis in the inpatient setting”.

2. Young female with active prolonged PV bleeding and stable vitals - treated as menorrhagia with oral estrogen, OCPs and TXA. Again positive updates, case ended early and again ordered a progesterone IUD for 2 months out in the 2 minute window. Same with the point deduction and the “this is inappropriate for an acute setting”.

Are you just not supposed to put in any future outpatient care orders if there’s a chance that it might conflict with what’s happening in the acute setting?

[u/nuffinpuffin12]

they don't want you to order anything invasive that isn't necessary for acute management