Potential Drug-Drug Interaction (PDDI) Clinical Decision Support
1.0.0 - STU 1 International flag

Potential Drug-Drug Interaction (PDDI) Clinical Decision Support, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/PDDI-CDS/ and changes regularly. See the Directory of published versions

Test data defined as part of the PDDI CDS Implementation Guide

Page standards status: Informative

To facilitate testing and verification, this guide includes test requests for a number of sample scenarios.

Warfarin + NSAID

All scenarios invoke the CDS service – so prefetch warfarin resources overlap a new NSAID order in each scenario below.

order-select without coordination

order-sign without coordination

order-select with coordination

order-sign with coordination

Multiple updates to the draft orders

**Scenario 1: context: topical diclofenac – MedicationRequest; prefetch: warfarin – MedicationRequest **

Scenario 2: context: systemic NSAID – MedicationRequest; prefetch: warfarin – MedicationRequest, proton pump inhibitor – MedicationRequest,

Scenario 3: context: systemic NSAID – MedicationRequest; prefetch: wafarin – MedicationDispense, >65 years old – Patient, systemic corticosteroid – MedicationRequest

Scenario 4: context systemic NSAID – MedicationRequest; prefetch: wafarin – MedicationAdministration, <65 years old – Patient, history of upper gastrointestinal bleed – Condition, NSAID – MedicationRequest

Scenario 5: context: systemic NSAID – MedicationRequest; prefetch: wafarin – MedicationStatement, <65 years old – Patient, aldosterone antagonist – MedicationRequest

Digoxin + Cyclosporine

order-select without coordination

order-sign without coordination

order-select with coordination

order-sign with coordination

Scenario 1: context: cyclosporine – MedicationRequest; prefetch: digoxin – MedicationDispense, digoxin level – Observation, furosemide – MedicationDispense

Scenario 2: context: cyclosporine – MedicationRequest; prefetch: digoxin – MedicationDispense, cyclosporine - MedicationRequest, potassium – Observation,

Scenario 3: context: digoxin – MedicationRequest; prefetch: cyclosporine – MedicationRequest, renal – Observation

Scenario 4: context: digoxin – MedicationRequest; prefetch: cyclosporine – MedicationRequest, digoxin – MedicationDispense, digoxin level – Observation