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Table 1 Implementation of 50 features* in 7 prescribing systems

From: Evaluation of features to support safety and quality in general practice clinical software

  Feature Clinical software system
   1 2 3 4 5 6 7
  Patient data
1 Create patient management plans
2 Record and display allergies and drug intolerance
3 Record and display clinical information
4 Record and display pregnancy and breast-feeding status
5 Record, display and sort current and past medicines (other than complementary medicines)
6 Record and display patient identifying information
7 Record complementary medicines
8 Record medicine changes
9 Record preventive and non-pharmacological management in a specified format
  Medicine selection
10 Easily select correct problem or diagnosis from a list
11 Access to regulator-approved product information
12 Provide drug strength and form information
13 Provide adult and child dosing information
14 Display active ingredient/s when a branded product selected
15 Access to (other) evidence-based drug information at the time of prescribing
16 Access to dose calculators
17 Differentiate between similar name medicines on a list
18 Record indication for medicine prior to prescribing
19 Provide pre-defined dosage regimens for selection
  Decision support
20 Alerts for drug-drug interactions
21 Alerts for drugs in pregnancy
22 Alert for same patient name (on opening or creating record)
23 Alerts for drug allergy or intolerance
24 Preview and confirm correct patient details prior to electronic transmission of data
25 Alerts for drugs in breastfeeding
26 Alerts for therapeutic duplication
27 Alerts for drug-condition contraindications
28 Alerts for drug use in patients with renal impairment
29 Alerts prioritised by importance
30 Access to patient data related to alert
31 Alerts for harmful dose, dosage regimen or quantity
32 Alerts for safety issues related to specific products
  Patient education and information
33 Provide patient clinical information and tools
34 Produce current medicine list--patient version
35 Provide patient medicine information
  Monitoring, reminders and recalls
36 Reminder--action test results
37 Reminder--overdue tests
38 Displays laboratory results usefully
39 Recalls--manually flagged for individual patients
40 Produce reports--individual and practice level
41 Display medicine information with relevant outcomes
42 Produce reports--predefined
43 Produce reports--user defined
44 Recalls and reminders--preventive care and public health programs
45 Reminder--routine or recommended tests
  Interoperability and communication
46 Import/export of a range of file formats
47 Generate standard patient medicine chart
  Security and administration
48 System back-up and restore process is straightforward and secure
49 System and content updates are reliable and easy to install
50 Exclude all advertising Advertising was present in 2 systems**
  1. fully implemented (all test criteria met)
  2. partially implemented (some test criteria met)
  3. not implemented (no test criteria met)
  4. Notes
  5. * There were 7 other features that were classified as high impact on safety and/or quality but are not included in this table because they were either (a) tested but not able to be scored (knowledge base--content quality; use of standard messaging protocol; import/export patient clinical data) or (b) were considered 'aspirational' at the time of the study and were not tested (alerts for best practice therapy; use of standard clinical terminologies and coding; support for selection of therapeutic options; use of a national unique patient identifier).
  6. ** Not shown as this would enable identification of these systems.