1. A method comprising: processing a free-form narration, of an encounter with a patient, narrated by a clinician, using a natural language understanding engine implemented by one or more processors, to extract at least one clinical fact corresponding to a mention of an orderable item from the free-form narration, wherein the processing comprises distinguishing between whether the at least one clinical fact indicates an intent to order the orderable item or does not indicate an intent to order the orderable item; and in response to determining that the at least one clinical fact indicates an intent to order the orderable item, generating an order for the orderable item.