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CDR Engine

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Introduction

Clinical Decision Rule engine is the engine for the Clinical & Patient Reminders.

Essentially, this is an engine that allows for the incorporation of rule sets to check, monitor and report clinical information (vitals, history information, medications, procedures, labs, etc.) in real time. It has been built in a fashion to be very flexible and to support internationalization.

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Getting to the Module

Access the CDR Engine by clicking the icon on the top left side of the screen and find the CDR engine in the drop down box as shown.

This brings you to the page with the CDR engine, with an already predefined set of clinical reminders. You also have the option to Add New Rule.

When you click Add new rule, a window opens under the headings.

  • Basic Details.
  • Demographics Filter Criteria.
  • Target /Action Groups.

In the Basic Details, Reminders can be set as Active, Passive and Patient.

Active Reminder – Shows as an Alert screen on the patient’s page as shown below.

Passive Reminder – (N) Pending alerts show many alerts for the patient when the Pending Alerts button as shown below, is clicked.

Patient Reminder – A reminder is sent to the patient either as a text message or via email.

When you click Add new rule, the following window opens under the headings:

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Basic Details

Under the Basic Details you can enter the definition under:

Clone: to take the clone of existing rule.

Title: Name of the new rule.

Type: Active, Passive & Patient.

Display: – This shows where you want to display it under – Demographics or Encounter Screen.

Admin Lock :- Only the privileged users can edit or delete the rule if admin lock is checked. Privileges can be set from module installer screen.

 

The Clinical Warning and the Patient Warning options can be found under “Reminder” as shown below .Once you are done entering all the details, you can click SAVE to save your work.

 

Reminder Settings: In the reminder settings, there are three priority levels.

Clinical Warning: The clinical warning date can be set either as year, week, month or day.

Priority 3, 2 & 1: Priority dates can be set and serve as reminder after the set date if no action is taken.

Message: This is where you can enter the message you want to display.

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Demographics Filter Criteria

The Demographics Filter Criteria enables you to filter your criteria based on your preferences under the following headings.

You can also edit the Demographics Filter Criteria by clicking the Edit option next to the “Default” drop down menu.

  • Sex.
  • Age.
  • Custom table.
  • Diagnosis.
  • Lifestyle.
  • Medical Issue.
  • Medication.
  • Allergy.
  • Patient.

 

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Target Action Groups

Under the target action modules, you can set a target and the action corresponding to that particular target.

Target can be set under Lifestyle and Custom with the frequency and interval corresponding to that action.

The Custom input Yes/No option formulates the screen that is shown as below, this will appear as a reminder on the patient screen and when clicked on it gives you the drop down option where in you can enter if the necessary action has been taken or not.

If you want to Add more than one Target and action to a particular Rule you can click the “Add new” Target/Action and enter the respective details and click save.

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