MedicationAdvisoryHistory
This table contains general history information for each type of medication warning or advisory. Since each warning could be triggered in different activities at different times, it contains general warning information for each time the warning was triggered. To get patient information, link this table to the table and then link the table to the or table. To get order related information for each medication warning or advisory, link this table to. To get specific medication or condition information for each medication warning type, link this table to specific medication warning related tables, such as the table for drug-allergy warnings; the table for drug-drug, drug-food, and drug-alcohol warnings; the and tables for duplicate therapy warnings; the and tables for IV warnings; and the and tables for pregnancy warnings.
| Column Name | Type | Description |
|---|---|---|
| Lactation | INTEGER | Displays the Medi-Span Breast-Feeding Excreted Code lactation warning data for an ALT record |
| AlertDrugInteractionType | INTEGER | This item contains the specific type of drug-drug warning based on data from the ATAH decision support service. |
| ActionTakenInstant | DATETIME | This item records the instant that a BPA follow-up action was taken. |
| HealthMaintenanceLoggedActionReasonCode | INTEGER | This is the manual completion reason for the logged Health Maintenance action. |
| WarningVendorExternalIdentifier | VARCHAR | Indicates the corresponding vendor external ID of the warning. |
| WasBestPracticeAdvisoryForcedScroll | VARCHAR | This item stores whether the user was forced to scroll to be able to address the BestPractice Advisory. |
| GSt | INTEGER | This indicates seriousness of potential effect of this warning. This only applies if your vendor is G-Standaard. |
| SpecificOverrideReasonCode | INTEGER | The specific override reason given for an overridden medication interaction. Link to ZC_ALRT_SP_OVR_RSN.ALRT_SP_OVR_RSN_C to get the name, title, and abbreviation for the override reason. |
| AlertIntravenous | INTEGER | The testing result for components for NDDF Plus (FDB). |
| HeightRecordedInstant | DATETIME | The instant at which the height was recorded. |
| PatientConditionWarningSeverity | INTEGER | This contains the severity of patient condition related medication warnings. It is currently used by Multilex in the UK. |
| HealthMaintenanceLoggedActionCategory | INTEGER | This is the Health Maintenance action to be logged. |
| LactationWarningMedbaseSeverityLevel | INTEGER | The severity level of a lactation warning from Medbase. |
| AlertDuplicateTherapyWarningType | INTEGER | This item contains the specific type of duplicate therapy warning based on data from the ATAH decision support service. |
| ClinicalDecisionSupportHooksFeedbackStatus | INTEGER | This item tracks the CDS Hooks feedback status for a given BPA ALT contact. |
| NationalDrugCodeContactSerialNumber | VARCHAR | CSN for the NDC in the scanned barcode |
| NextBestActionEventLocalTime | DATETIME | The instant of a next best action event in local time. |
| NextBestActionDeferralDays | INTEGER | The defer days correlated with this next best action event. |
| GeriatricPrecautionSeverityLevel | INTEGER | This column stores the severity level for the fired geriatric drug-age warning. |
| TotalParenteralNutritionComponentCategory | INTEGER | TPN Component for which other data in SI ALT 820 applies |
| MedicationInteractionSeverityFromMedbase | INTEGER | This column contains data for records that represent drug-drug interactions that are based on data from Medbase in Finland. It shows the severity level of the interaction. |
| PatientDosingWeightKilograms | NUMERIC | Weight used for dose checking. Always stored in kilograms. |
| AlertContactSerialNumber | NUMERIC | A unique serial number for this contact. This number is unique across all warnings in the system. |
| AlertMedicationAllergenClassIdentifier | NUMERIC | Contains the allergen class of the medication for a cross-sensitive warning. |
| AlertPlatform | INTEGER | The platform in use when the BestPractice Advisory was encountered. |
| WarningSignOffDateTime | DATETIME | The date and time when the user signed off on the warning. This is used in an EpicEurope workflow where pharmacists need to sign off on warnings that were reviewed by a pharmacy technician. |
| DeploymentOwnerIdentifier | VARCHAR | ID of the deployment owner for this contact. |
| MedbaseInteractionDocumentationLevel | INTEGER | This column contains data for records that represent drug-drug interactions that are based on data from Medbase in Finland. It shows the documentation level of the interaction. |
| AlertInvestigationalMedicationContainerIdentifier | NUMERIC | The unique ID of the container used for investigational medications that is associated with alert record. |
| WarningDisplayLocationCategory | INTEGER | The place where you see the warning. You could link it to ZC_SHOWN_PLACE.SHOWN_PLACE_C to get name, title, and abbreviation for shown place. |
| OverallOverrideComment | VARCHAR | For medication interactions, when you override & accept the warning pop-up form, if an overall override comment is given at the bottom of the form, it will be saved here. We only extract the first 255 characters. |
| HciWarningSeverityLevel | INTEGER | Severity level for the triggered warning from HCI. |
| DuplicateTherapyWarningAllowance | INTEGER | The duplicate allowance for duplicate therapy warning. |
| IntravenousCheckContactSerialNumber | NUMERIC | The corresponding Contact Serial Number for IVC. |
| DuplicateTherapyAlertClass | INTEGER | The therapy class for duplicate therapy warning. |
| MedicationWarningIdentifier | VARCHAR | This item stores the warning ID for a medication warning that appeared based on warning response data from the ATAH decision support service provided by Trifork. |
| NextBestActionDeclineReason | INTEGER | The decline reason correlated with this next best action event. |
| DosingHeightInInches | NUMERIC | Height used for dosing warning. Always stored in inches. |
| AlertSecondarySeverityCode | INTEGER | This item contains the secondary severity for a medication warning from Trifork's medication decision support service. |
| IntravenousCheckSolutionLineNumber | INTEGER | The corresponding solution line of IVC record for Medispan IV warning. |
| DosingWeightSourceCategory | INTEGER | The weight source. |
| SpecificOverrideComment | VARCHAR | For medication interactions, when you override & accept the warning pop-up form, if a specific override comment is given on the right of the form, it will be saved here. We only extract the first 1000 characters. |
| ScannedOrderBarcodeIdentification | NUMERIC | When an ORD ID barcode is scanned, this is the order ID. |
| DecisionSupportMessageIdentifier | VARCHAR | The message ID that was passed to the decision support service to check for medication warnings. |
| WarningStatusCategory | INTEGER | The status category number for the warning after it was viewed in Hyperspace. This describes any actions the user took on the warning. Link it to ZC_ALT_STATUS.ALT_STATUS_C to get the name, title, and abbreviation information for the warning status. |
| AlertHistoryLactationTypeCode | INTEGER | This item contains the specific type of lactation warning based on data from the ATAH decision support service. |
| ThirdPartyAcknowledgementReasonCode | VARCHAR | For an acknowledgement reason generated dynamically from a third party system, this item stores the code for the reason returned by the third party. |
| NextBestActionDepartmentIdentifier | NUMERIC | The department correlated with this next best action event. |
| MediSpanLactationWarningRating | INTEGER | Displays the Medi-Span Breast-Feeding Rating lactation warning data for an ALT record |
| BestPracticeAdvisoryEstimatedNetSavings | NUMERIC | The estimated net savings to the organization for this BestPractice Advisory. |
| AlertContactDate | DATETIME | The date of this contact in calendar format. |
| AlertContactSerialNumber | NUMERIC | A unique serial number for this contact. This number is unique across all alerts in the system. |
| FiredWarningActionIdentifier | INTEGER | Action ID for the warning that fired. |
| DrugInteractionSeverityCode | INTEGER | The severity level for drug-drug/food/alcohol if vendor is DTMS. |
| IsWarningAccordingToDutchDrugInformationSystem | VARCHAR | This tells if the warning is according to WFG. This only applies if your vendor is G-Standaard. |
| DoseWarningPopupSavedIndicator | VARCHAR | Indicates whether or not a dose warning was saved from the critical dose warning popup. |
| WarningGroupIdentifier | VARCHAR | The unique value to group all warnings in the same group. For medication interactions, it will be the same for all warnings on the same warning pop-up form. You could use this column to find out all medication interactions shown at the same time. |
| DosingBodySurfaceArea | NUMERIC | The body surface area used for dosing checking. Always stored in m2. |
| AllergyRiskCertaintyValue | INTEGER | This column contains that Certainty of Risk value that was recorded on a patient's allergy that caused a drug-allergy warning to appear. |
| DuplicateTherapyActionGroupIdentifier | INTEGER | This item stores an action group (drug class) identifier in a duplicate therapy warning that appears based on medications that are in the same group. This item will only contain data if you use Multilex or Denmark as your medication data vendor. |
| BpaAcknowledgementApplyOption | INTEGER | The apply acknowledgement option that is related to an acknowledge reason that users choose in the BPA message. |
| AlertMonitoringWarningSubtype | INTEGER | The subtype of the monitoring warning returned by the ATAH decision support service |
| MedicationAlertIdentifier | NUMERIC | The unique identifier for the med alert record. |
| IsCombinedDuplicateMedicationAndTherapyAlert | VARCHAR | Indicates whether this row represents a combined duplicate medication and duplicate therapy warning. Y indicates that the row was a combined duplicate medication and duplicate therapy warnings. A null value indicates that this was not a combined warning. An N will not be populated for this column. |
| WarningImportanceLevel | VARCHAR | Stores the importance level of a warning, a value that is used to determine which warnings are displayed at the top of the interactions popup. Can be used to compare the importance of different warning types. |
| GStandardPharmacyTechnicianFollowUpActionRequiredIndicator | VARCHAR | Tells if this warning needs follow up action by the pharmacy technician. This only applies if your vendor is G-Standaard. |
| DrugDrugInteractionNumericSeverity | INTEGER | Stores the numeric severity level of the interaction at the time it fired. |
| DuplicateTherapySignificanceLevel | INTEGER | The signicifance level for duplicate therapy warning. |
| LactationPrecautionSeverityLevel | INTEGER | The severity for a lactation warning if the Medication Data Vendor is NDDF Plus (FDB) in System Definitions. Link it to ZC_NDDF_LACT_SEV.NDDF_LACT_SEV_C to get name,title,abbreviation. |
| WarningTriggeringUserIdentifier | VARCHAR | The unique ID of the user who triggered the warning. This column is frequently used to link to the CLARITY_EMP table. |
| AlertActionInstant | DATETIME | The instant when the warning is gone after some actions. For medication interactions, it is the instant after you click Override & Accept or Cancel button on the warning pop-up form. |
| PregnancyFdaRiskFactorCode | INTEGER | Displays the Medi-Span FDA Risk Factor pregnancy warning data for an ALT record |
| OverriddenInteractionIdentifier | NUMERIC | It stores customer record ID that overrides drug-drug, drug-food, or drug-alcohol (Medi-Span). |
| MedicationWarningFilterReason | INTEGER | Save the reason that the medication warning is filtered. |
| PregnancyBriggsRatingCode | INTEGER | Displays the Medi-Span Briggs Rating pregnancy warning data for an ALT record |
| RootCauseAllergenIdentifier | NUMERIC | This column stores the allergen ID of the allergen that caused the warning to fire. |
| WeightCommentText | VARCHAR | Generated comment for weight. |
| WarningTriggeringScannedBarcode | VARCHAR | The barcode that was scanned to cause the warning |
| DrugInteractionManagementCode | INTEGER | It stores the management code for drug-drug interaction checking for Medi-Span. |
| DosingHeightSource | INTEGER | The height source. |
| LoggedHealthMaintenanceEditReasonCode | INTEGER | This is the edited topic reason for the logged stored Health Maintenance action. |
| DenmarkLactationAlertSeverity | INTEGER | Severity of Denmark lactation alert |
| BodySurfaceAreaSource | INTEGER | The body surface area source. |
| TpnComponentValue | NUMERIC | Value for a TPN component or compatibility calculation. |
| BestPracticeAdvisoryDisplayMode | INTEGER | How was the BestPractice Advisory displayed? |
| AlertPediatricWarningSubtype | INTEGER | This item contains the specific type of pediatric warning based on data from the ATAH decision support service. |
| NextBestActionCommunicationIdentifier | VARCHAR | The contact correlated with this next best action event. |
| PregnancyPlacentalTransferCode | INTEGER | Displays the Medi-Span Placental Transfer Code pregnancy warning data for an ALT record |
| NextBestActionUserIdentifier | VARCHAR | The user correlated with this next best action event. |
| LoggedHealthMaintenancePostponeReason | INTEGER | This is the postpone reason for the logged Health Maintenance action. |
| BodySurfaceAreaCalculationDetail | VARCHAR | The body surface area calculation details with weight, height and recorded instants. |
| AlertWarningErrorMessage | VARCHAR | Error message, if any, that is associated with the warning. |
| RequiresPharmacistFollowupGStandaardIndicator | VARCHAR | Tells if this warning needs follow up action by the pharmacist. This only applies if your vendor is G-Standaard. |
| PrecautionManagementLevelCategory | INTEGER | This column stores the precaution management level for Medi-Span age/gender warnings. |
| InteractionMedispanIdentifier | NUMERIC | The interaction record ID for drug-drug/food/alcohol if the vendor is Medispan or NDDF Plus. |
| LoggedHealthMaintenanceCompletionType | INTEGER | This is the completion type for the logged Health Maintenance action. |
| AlertContactDateNumeric | FLOAT | This is a numeric representation of the date of the contact. The integer portion of the number specifies the date of the encounter. The digits after the decimal point indicate multiple times on one day. |
| DrugDiseaseSeverityLevelNationalDrugDataFile | INTEGER | The severity level for the fired drug-disease warnings for FDB. |
| NorwayFestInteractionRelevance | INTEGER | This contains the relevance of the triggered FEST drug-drug interaction for Norway. |
| NextBestActionResult | INTEGER | The result of this next best action event. |
| BestPracticeAdvisoryFeedbackInBasketMessageIdentification | VARCHAR | The EOW ID of the feedback type In Basket message sent for this BPA's feedback. |
| OrderModeContextCategory | INTEGER | The ordering mode category ID for the orders associated with this medication alert. If the ordering mode of all orders is Outpatient the order context is 1. If the ordering mode of all orders is Inpatient the order context is 2. If there are orders of both types then the order context is 3. |
| UniqueContactDateDecimal | FLOAT | A unique contact date in decimal format. The integer portion of the number indicates the date of contact. The digits after the decimal distinguish different contacts on the same date and are unique for each contact on that date. For example, .00 is the first/only contact, .01 is the second contact, etc. |
| BpaAcknowledgeLockoutTime | FLOAT | The lockout time associated with the acknowledge reason chosen in the BPA. |
| LastDeferredAdvisoryTriggerCode | INTEGER | Stores the most recent trigger that displayed an advisory that the user deferred earlier. |
| AllergyWarningSeverityLevel | INTEGER | The severity level of drug-allergy warning. |
| ThirdPartyAcknowledgementReasonCodeSystem | VARCHAR | For an acknowledgement reason generated dynamically from a third party system, this item stores the code system for the reason returned by the third party. |
| IsLocatorEvaluationFailed | VARCHAR | Indicates whether this locator failed BPA evaluation. Y indicates that the locator failed. An N indicates that the locator passed evaluation. A null value also indicates that the locator passed evaluation. |
| ComprehensiveSuccessStatus | INTEGER | This item stores if this BestPractice Advisory passed the comprehensive success method (I LGL 4513) check. If the BestPractice Advisory is configured to opt out (I LGL 4530), then this item will be empty. If the evaluation has not run yet, this item will be "Pending". |
| ProblemListAllergenRecordIdentifier | NUMERIC | The problem list record that contains the allergen for a drug-allergy warning. |
| SystemInteractionSettingContactSerialNumber | NUMERIC | A unique serial number for the profile or system level interaction setting contact used during interaction checking. Interaction Setting could be set up at user, profile, and system levels. No matter if user level is released, we always use whole or part of information from profile or system level during interaction checking. |
| WarningTriggeringUserProviderType | VARCHAR | Stores a provider type for the user who triggered the warning. |
| AdvisoryContactNumber | INTEGER | The number of the ALT contacts for the given ALT record. |
| GStandaardPrescriberFollowUpRequired | VARCHAR | Tells if this warning needs follow up action by the prescriber. This only applies if your vendor is G-Standaard. |
| AlertDrugAllergyWarningType | INTEGER | This item contains the specific type of allergy warning based on data from the ATAH decision support service. |
| DuplicateTherapyIngredientIdentifier | INTEGER | This item stores an ingredient identifier in a duplicate therapy warning that appears based on medications that contain the same ingredient. This item will only contain data if you use Multilex as your medication data vendor. |
| AllergyContraindicationGroupIdentifier | INTEGER | It stores the allergy contraindication group as of when the drug-allergy warning is fired. |
| ImmunizationProblemListIdentifier | NUMERIC | The patient’s immunization problem list ID for a specific immunization-allergy interaction. |
| OrderValidationAlertWorkflow | INTEGER | The workflow that checked the order validation |
| WeightRecordDateTime | DATETIME | The instant at which the weight was recorded. |
| AlertAllergenIdentification | NUMERIC | The allergen ID of drug-allergy warning. |
| BestPracticeAdvisoryTriggerActivity | INTEGER | Displays the activity from which the BPA fired. |
| OverallOverrideReasonCode | INTEGER | For medication interactions, when you override & accept them, if an overall override reason is given at the bottom of the warning pop-up form, it will be saved here. You could link it to ZC_ALRT_SP_OVR_RSN.ALRT_SP_OVR_RSN_C to get name, title, and abbreviation for the reason. |
| DefaultGestationalAgeInWeeks | INTEGER | Save the default gestational age in weeks if default gestational age is used for dose checking. |
| NextBestActionDeferralReasonCode | INTEGER | The defer reason correlated with this next best action event. |
| UserInteractionSettingContactSerialNumber | NUMERIC | A unique serial number for the user level interaction setting contact used during interaction checking. Interaction Setting could be set up at user, profile, and system levels. If user level is released, we will use it here during interaction checking. |
| AlertWarningSeveritySubtypeFreeText | VARCHAR | This item contains a free-text representation of the severity subtype of a medication warning from Trifork's medication decision support service. It contains text when the "free text" value is set in the corresponding discrete severity subtype item. |
| AlertAcknowledgeReasonButtonCaption | VARCHAR | The acknowledge reason button caption. This item is populated from LGL 4015 at the time the ALT contact is created. |
| OriginalBestPracticeAdvisoryContactSerialNumber | NUMERIC | When completing a BPA in In Basket, this column stores the CSN of the BPA firing that originally sent the In Basket message. |
| GStandaardDuplicateMedicationSignificanceLevel | INTEGER | This item stores the double medication warning level, which we use as the significance level of the warning (DM1~DM9), if your vendor is G-Standaard. This item tells in what level, such as PRK or GPK, the medications are duplicated. |
| MedicationWarningSeverityFreeText | VARCHAR | This item contains a free-text representation of the severity of a medication warning from Trifork's medication decision support service. It contains text when the "free text" value is set in the corresponding discrete severity item. |
| IsWarningHardStopIndicator | VARCHAR | Indicates whether or not a warning is a hard stop. |
| InactiveIngredientVendorReviewIndicator | VARCHAR | It indicates whether the warning is fired because the medication is not 100% reviewed by vendor for inactive ingredient. |
| DeprecatedBpaAcknowledgeLockoutTime | INTEGER | NOTE: Use column BPA_ACK_LOCKOUT_TM_FLOAT in ALT_HISTORY_2 instead for higher precision. That column is a floating point type, so it can also represent minutes instead of only hours. The lockout time associated with the acknowledge reason chosen in the BPA. |
| AlertPregnancySeverityCode | INTEGER | The severity level of a pregnancy warning from Medbase. |
| AlertDrugDiseaseWarningSubtype | INTEGER | This item contains the specific type of drug-disease warning based on data from the ATAH decision support service. |
| IsWarningUnfilteredIndicator | VARCHAR | Indicate whether the warning is non-filtered. |
| AlertDecisionSupportSpecificWarningIdentifier | VARCHAR | This item contains the specific portion of the warning ID from a warning provided by the ATAH decision support that represents the nature of the specific warning. It does not contain the information from the full warning ID that describes the module type, specific warning type, and API version, and can be used to identify a specific warning and assist with managing medication warnings. |
| DeprecatedBasicDrugInteractionIdentifier | NUMERIC | The interaction ID for drug-drug/food/alcohol if vendor is Basic. This column is no longer in use as Basic is no longer supported as a vendor. |
| FinlandGeriatricWarningSeverityLevel | INTEGER | Severity level of the LTK ERX-based geriatric warning. |
| BestPracticeAdvisoryAdditionalFactorsCreationInstant | DATETIME | The instant that the additional contributing factors text (I ALT 2200) was created. |
| AlertDoseSubtypeCode | INTEGER | The subtype of the dose warning returned by Trifork's medication decision support service. |
| IsInactiveIngredientWarning | VARCHAR | It indicates whether the warning is fired because of inactive ingredient. |
| DrugInteractionNddfSeverityCode | VARCHAR | The interaction severity for drug-drug warnings if the Medication Data Vendor is set to NDDF Plus (FDB) in System Definitions. |
| BestPracticeAdvisoryFeedbackValue | INTEGER | Captures the discrete positive/negative BPA feedback value. |
| WarningSignOffEmployeeIdentifier | VARCHAR | The unique ID of the user who signed off on the warning. This is used in an EpicEurope workflow where pharmacists need to sign off on warnings that were reviewed by a pharmacy technician. |
| PregnancyAlertSignificanceLevelCode | INTEGER | The significance for a pregnancy warning if the Medication Data Vendor is NDDF Plus (FDB) in System Definitions. Link it to ZC_NDDF_PREG_SIGN.NDDF_PREG_SIGN_C to get name,title,abbreviation. |