Agreed, add a check-immediate step that directly invokes the eicr-report action to send a report if the triggering code is in the Suspected Disorder value set, compared against conditions, or the suspected disorders from lab or medication orders. Subsequent processing for suspected disorder reportable events occurs as normal. In addition, support the capability of implementing systems to limit reportability checking other than immediate to off hours timeframes. Use the Quantity.comparator element for the offset times to indicate the event should occur "at most X" hours after, and provide guidance that that flexibility can be used by implementations to ensure that subsequent reportability checking occurs during an "off-hours" timeframe.