Provision of Critical Laboratory Value Alert to a Physician on Call
Scenario Details: Towards Toward the end of the day, David orders a CBC for Henry, a ward patient admitted from the clinic with new onset GI bleeding. He then proceeds with his other duties before finally checking out and going home. Shortly thereafter, the laboratory results the CBC. The system identifies several knowledge modules to evaluate the results. One module requires analysis of the 10 most recent hematocrit tests, which it then requests and subsequently obtains. This module is able to conclude that the hematocrit has been decreasing steadily, and that while still normal, has decreased sufficiently from baseline to be worrisome. Given this evaluation, the DSS system checks the hospital duty roster, determines that Provider Kathy is now on call and covering David’s patients. The system pages Kathy with an alert regarding Henry’s hematocrit.
Actors: Physician (provider)/Covering Physician, Patient (Henry)
Requirements:
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Requirement |
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# | Description |
| 1.4.1 | The System shall have access to relevant patient medical data including diagnoses, medications, adverse events, radiology, labs, appointments, etc. required to evaluate new patient data. |
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1.4. |
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2 | The System shall allow rules to conduct complex statistical analysis (mean, mode, standard deviation, etc) on available data, in addition to basic logical operations. |
1.4.3 | The System shall be able to identify and call appropriate knowledge modules upon analysis of results. |
| 1.4.4 | The System shall have access to human resource and other demographic data. |
| 1.4.5 | The System shall have the ability to use staffing schedules to identify recipients of notification alerts. |
| 1.4.6 | The System shall have the ability to dynamically route alerts to recipients based on schedule, other routing rules, |
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1.4.7
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| etc. |