An order management system that employs profile locking is provided for managing clinical orders in patient profiles. The system allows users to initiate lockable order actions (e.g., order actions requiring a profile lock for conflict checking) in a profile locked by another user. When a user attempts to initiate a lockable order action, the system provides a notification to the user indicating that the patient profile is locked by another user. The user may elect to continue initiating the lockable order action. When the profile becomes available, the system provides a notification to the user, who may then obtain the profile lock and process the lockable order action, including having the system perform conflict checking. The system may also provide for the initiation of an instant messaging session between the user attempting to enter a lockable order action in a locked profile and another user who has the profile lock.
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