Table 1

 Clinical decision support categories

CategoryDescription
Therapeutic duplicationTherapeutic overlap with another new or active order; may be same drug, same drug class, or components of combination products
Single and cumulative dose limitsSpecified dose that exceeds recommended dose ranges; will result in a cumulative dose that exceeds recommended ranges; can also include dose limits for each component of a combination product
Allergies and cross allergiesAllergy has been documented or allergy to other drug in same category exists
Contraindicated route of administrationOrder specifying a route of administration that is not appropriate for the identified medication
Drug–drug and drug–food interactionsResults in known dangerous interaction when administered together with a different medication or results in an interaction in combination with a drug or food group
Contraindications/dose limits based on patient diagnosisContraindication based on patient diagnosis or diagnosis affects recommended dosing
Contraindications/dose limits based on patient age or weightContraindication based on age or weight
Contraindications/dose limits based laboratory studiesContraindication based on laboratory studies or for which laboratory studies must be considered for dosing
Contraindications/dose limits based radiology studiesContraindication for this patient based on interaction with contrast medium (in ordered radiology study)
CorollaryIntervention that requires an associated or secondary order to meet the standard of care (prompt to order drug levels during medication ordering)
Cost of careTest that duplicates a service within a time frame in which there is typically minimal benefits from repeating the test
NuisanceOrder with such a slight or inconsequential interaction that clinicians typically ignore the advice/prompt