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J Am Med Inform Assoc 2007;14:489-496 doi:10.1197/jamia.M2364
  • Original Investigation

A Description and Functional Taxonomy of Rule-based Decision Support Content at a Large Integrated Delivery Network

Table 6

Offered Choices as Part of Notification Interventions

Offered Choice Rule Types Rules Example Rule
Write order 63 2,059 Change a ranitidine order to famotidine
Defer warning 47 94 Allow the user to defer a warning for 24 hours
Override rule/keep order 47 3,014 Keep an order that triggered a low-severity drug interaction rule
Cancel existing order 30 240 Discontinue an existing order for fluoxetine when it is flagged as duplicating a new order for paclitaxel
Cancel current order 29 3,110 Cancel an order for furosemide in a patient with a sulfa drug allergy
Edit current order 26 1,538 Change the dose of an order for 16 g acetaminophen
Edit existing order 23 42 Reduce digoxin when patient is hyponatremic
Set allergies 14 20 Decline a suggestion to order atenolol because the patient is allergic
Write letter 7 86 Send a letter to a patient with a normal mammogram
Write note 4 23 Provide default text for a note on a patient with an elevated low-density lipoprotein level
Edit problem list 4 4 Remove hypertension from the problem list in response to a suggestion for antihypertensive therapy
Enter weight, height, or age 3 787 Allow user to enter weight when ordering a drug with weight-based dosing

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