Knowledge base » General » List of Clinical Alerts in epi-me and what triggers them

List of Clinical Alerts in epi-me and what triggers them

Name	Trigger Criteria	Alert Details (what appears in the Alert Worklist tooltip or on the PDF printouts)
80 + years	A patient who is over 80 years old measured at Admission Date	Displays exact age in years
Blood and Bleeding Disorders	If patient says yes to blood or bleeding disorders or any other blood disorder or paediatric tendency to bruise easily	Displays the blood and bleeding disorders, and any provided detail
Blood clots	If patient answers yes to having had previous blood clots or on current treatment for cancer.	Displays location of blood clot, and any provided details
BMI < 18	BMI as calculated and displayed on the Lifestyle & Diet page	Displays the exact BMI
BMI > 35	BMI as calculated and displayed on the Lifestyle & Diet page	Displays the exact BMI
BMI > 40	BMI as calculated and displayed on the Lifestyle & Diet page	Displays the exact BMI
Cancer	Patient has or previously had cancer	Displays cancer diagnosis date, location of cancer and whether treatment is current or complete.
Cardiac	Yes to any current or historical patient heart condition (excludes family history of cardiac disease), any history of cardiac surgery and blood clots. Excludes blood pressure and cholesterol issues.	Displays what question/s triggered the alert
Chronic pain	Patient has chronic pain.	Displays patient specified detail about chronic pain
Cognitive risk (>65 years or memory loss)	If patient answers yes to memory loss/confusion/dementia OR is > 65 years measured at Admission Date	Displays questions which triggered the alert.
COVID	Yes to recent COVID diagnosis (within 30 days of admission only if reported within main eAdmission). Also, Yes to any clinical indicators of infection on the Current Infection Screening follow up form.	Includes COVID diagnosis date, any COVID-like symptoms or whether they are a close contact in past 7 days
Diabetic	Yes to Diabetes, regardless of diabetes type	Displays diabetes type, how it is managed and how it is monitored.
Discuss needs before admission	If patient answers yes to this question on the discharge planning page	Displays preferred contact number
Falls risk	If patient answers yes to recent falls or impairment of mobility	Displays whether fallen in last 12 months, and how many times.
Has Allergies	Any allergy entered in the Allergies & Details page.	Displays 'Patient has listed allergies' if they have allergies entered into the grid / lookup as well as specific prompted allergy questions (Latex, Adhesive tape, Medication, , Food, Adrenaline autoinjector and Allergy action plan). If Patient User reports 'Patient has allergies' but then doesn't report any of the above, text will be 'Patient has allergies (details not recorded)'
High Risk Medications	Yes to Diabetes or Weight-loss medications on the Allergy & Medications page	Displays what medications the patient has reported, if their Admitting Dr is aware and if they have been instructed to cease (and if so, what is the cessation date).
Hospital/ACF admissions o/s or local last 12 (or 3) MO	Yes to admitted to hospital outside WA in last 12 months, or admitted to overseas hospital in last 12 months	Displays detail of overseas or interstate admission including location, reason and what type of facility
Infection risk	Yes to any questions on the Infection Screening page (bar overseas and/or interstate hospital/ACF admissions and COVID questions) or No to Immunisations up to date	Displays questions which triggered the alert eg. CJD, MRO, travel to infectious areas.
Latex allergy	If patient answers yes to specific latex allergy question and/or add latex allergy to their allergy list	Displays reaction to latex (if applicable).
Med Review (Low risk)	NOTE: Custom alert for one hospital pharmacy company – not available for general use. Patients meeting criteria for low risk of medication adverse event
Med Review (Moderate risk)	NOTE: Custom alert for one hospital pharmacy company – not available for general use. Patients meeting criteria for moderate risk of medication adverse event
Med Review (High risk)	NOTE: Custom alert for one hospital pharmacy company – not available for general use. Patients meeting criteria for high risk medication adverse event
Nutritional risk	Yes to lost weight without trying and/or eating less because of decreased appetite
Nutritional risk (weight loss > 5kg)	Optionally subscribe to nutritional risk based on this tighter criteria for unexplained weight loss - select one nutritional risk alert not multiple	Displays what triggered the alert.
Polypharmacy (>= 5 medications)	Five or more medications on the medication list (both prescription and non-prescription)
Premature Baby	Patient was born at or earlier than 34 weeks gestation	Displays the number of weeks gestation
Previous anaesthetic problem/s	Yes to malignant hyperthermia (self or family) and/or Yes to any other anaesthetic problem/s	Displays detail of self or blood-relative malignant hyperthermia (where and when), as well as self or blood-relative anaesthetic reactions or problems (who and short description)
Respiratory Illness	Yes to asthma, emphysema, pneumonia, bronchitis, COAD, COPD or any other obstructive breathing disease	Displays patient’s history of asthma or other obstructive breathing disease, including any asthma hospitalisation dates and how asthma is managed.
Skin Integrity	Yes to any skin problems, leg ulcers or pressure ulcers, mobility issues as a result of respiratory or bone & joint issues, lost weight without trying, kidney disease or renal failure, bladder problems.	Displays skin problems and description of skin ulcer, bladder or kidney issues, as well as describes any impairment of general mobility or impairment of mobility caused by respiratory issues.
Sleep Apnoea	Yes to sleep apnoea, snoring, interrupted / obstructive breathing problems and/or use of a CPAP / other breathing device.	Displays detail of patient’s breathing issues during sleep, and whether they use or have ever used a CPAP / or other breathing device.
Weight > 100 kg	If patient reports a weight over 100kg on the Lifestyle & Diet page	Displays exact weight (kg)
Weight > 120 kg	If patient reports a weight over 120kg on the Lifestyle & Diet page	Displays exact weight (kg)
Weight > 130 kg	If patient reports a weight over 130kg on the Lifestyle & Diet page	Displays exact weight (kg)

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