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The milestone template system lets you define the surgical workflow steps tracked for each case. Templates group milestones into phases and support surgeon-level overrides.

Five-tab layout

The milestone settings page is organized into five tabs:

Tab 1: Milestones

Manage the facility’s milestone library — the individual workflow steps that can be added to templates.
  • Create new facility-specific milestones with name and validation ranges (min/max minutes)
  • Pair milestones using click-to-pair mode (e.g., “Anesthesia Start” paired with “Anesthesia End”)
  • Archive/Restore milestones with soft delete
  • Global milestones (synced from admin templates) are shown with a lock icon and cannot be edited at the facility level
The table shows milestone name, pair status (color-coded badges), validation range, and action buttons.

Tab 2: Phases

Define the phase library for your facility. Phases group milestones into logical stages of the surgical workflow (e.g., Pre-Op, Surgical, Closing, Post-Op). Each phase specifies boundary milestones that define when the phase begins and ends.

Tab 3: Templates

The template builder is a 3-column drag-and-drop interface:
  1. Available milestones — drag from here to add to the template
  2. Template canvas — vertical phase-grouped flow showing the milestone sequence
  3. Preview — live timeline preview of the template

Required milestones

Every template must include 4 phases and 8 milestone placements:
PhaseRequired milestones
Pre-OpPatient In Room
SurgicalPrep & Drape Start, Prep & Drape Complete, Incision
ClosingClosing (shared boundary), Closing Complete (shared boundary)
Post-OpPatient Out
Required items are shown with a lock icon and cannot be removed. You can add additional milestones around the required ones.
The “grandfather” rule: required milestone enforcement only applies to templates that already contain all 8 required milestones. Legacy templates with fewer milestones are not retroactively enforced.

Tab 4: Procedures

A 2-column layout for assigning templates to procedure types:
  • Left — procedure type list with search and filter
  • Right — template assignment dropdown and timeline preview
Each procedure can use a custom template or inherit the facility default.

Tab 5: Surgeons

A 3-column layout for surgeon-specific template overrides:
  • Left — surgeon list with specialty filter
  • Center — override configuration form
  • Right — template timeline preview
When a surgeon has a custom override, an amber “Override” badge appears next to their name.

Template cascade

When a case is created, ORbit resolves which template to use:
1

Check surgeon override

Does this surgeon have a template override for this procedure type?
2

Check procedure template

Does this procedure type have a specific template assigned?
3

Use facility default

Fall back to the facility’s default template.
The resolved template is stamped on the case at creation time, so subsequent template changes don’t affect existing cases.

Next steps