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Table 1 Drug alerting rule types

From: A concise drug alerting rule set for Chinese hospitals and its application in computerized physician order entry (CPOE)

Rule type

Description

Example

Dosage

Defines maximum dosage for one medical order

Maximum dosage of Ambroxol injection is 2 doses

[Dosage] ≤ 2 doses

Daily dosage

Defines maximum daily accumulated dosage

Maximum daily dosage of ShuXueNing injection (Ginkgo biloba extract) is 4 doses

[DailyDosage] ≤ 4 doses

Administration route

Defines allowed administration route

Cobamamide injection should be administrated by intramuscular injection

[AdministrationRoute] = {intramuscular}

Frequency

Defines allowed frequency

Ceftriaxone injection frequency should be qd. (1/day)

[Frequency] = {qd}

skin test

Defines whether skin test flag should be specified in the medication order, so as to remind the nurses

Lidocaine hydrochloride injection needs skin test

[SkinTest] = true

Dissolvent

Defines allowed dissolvent

Dissolvent for pHGF injection can only be 10% glucose injection

[Dissolvent] = {10% glucose}

Dissolvent dosage

Defines maximum dissolvent dosage

Dissolvent dosage for iron sucrose injection is 100 ml

100 ml ≤ [DissolventDosage] ≤ 100 ml

Pregnancy risk

Assigns each drug to FDA pregnancy category, which contains five categories: ABCDX. Category X should never be applied to pregnant patients

FDA pregnancy category of Ribavirin is X

[PregancyRiskLevel] = X

Drug-drug interaction (DDI)

Defines synergistic, antagonistic, etc. interactions between drugs

Warfarin and Vitamin K have antagonistic interaction

Interaction (Warfarin, Vitamin K)

Contra-indication

Defines drug-disease and drug-symptom conflicts

Clopidogrel cannot be used against patients with active peptic ulcer

[Contra-indication] = ”[active peptic ulcer] == false && [gastrointestinal hemorrhage] == false”, check passed if result is true

prescription restriction

Restricts the prescription of certain drugs for some departments or physicians

For third-line antibiotics such as Vancomycin, only chief physicians have prescription rights. Pediatrics departments cannot prescribe Vancomycin

[RestrictedDeptment] = {pediatrics}, [RestrictedPhyscian] = {ID1, ID2,…}