Table 2.
Results table.
Mercaptopurine (MP) | Azathioprine | Thioguanine (TG) | |
---|---|---|---|
| |||
Result | |||
Case 1: DMET test has not been ordered. | |||
What message do we provide to the user? | Dose reductions are recommended in patients who have at least one dysfunctional TPMT-deficient allele. Testing for TPMT genotype is recommended. | Dose reductions are recommended in patients have at least one dysfunctional TPMT-deficient allele. Testing for TPMT genotype is recommended. | Dose reductions are recommended in patients who have at least one dysfunctional TPMT-deficient allele. Testing for TPMT genotype is recommended. |
Do we allow medication to be ordered? (override reason required for “Yes”) |
Yes | Yes | Yes |
What are the override reasons? | Override reasons
|
Override reasons
|
Override reasons
|
Do we automatically pre-check the box for the DMET genotype test? | Yes – if not overridden | Yes – if not overridden | Yes – if not overridden |
Case 2: DMET has been ordered but result has not been provided. | |||
What message do we provide to the user? | A TPMT genotype test has been ordered but not yet resulted. | A TPMT genotype test has been ordered but not yet resulted. | A TPMT genotype test has been ordered but not yet resulted. |
Do we allow medication to be ordered? (over-ride reason required for “Yes”) |
Yes | Yes | Yes |
What are the override reasons? | 1. Clinical justification documented in CRIS | 1. Clinical justification documented in CRIS | 1. Clinical justification documented in CRIS |
| |||
Case 3: DMET has been ordered and results are available | See message to prescriber in table below. | See message to prescriber in table below. | See message to prescriber in table below. |