Figure 4.

Screenshots of the subcutaneous (SQ) Insulin clinical decision support (CDS) tool recommendations (see Figure 2 for branching logic). SQ Insulin CDS tool is accessed from a “SQ Insulin” tab under Orders shown at top of screen. SQ CST tool window can be minimized. Example shown here is for a patient with type 2 diabetes not on insulin at home who is eating regular meals. Step 1: User selects indication for insulin therapy. Step 2: Weight-based insulin total daily dose (TDD) is automatically calculated from weight (in this case 63 kg), with recommended dose shown in green based on the BMI (in this case 27 kg/m²). Step 3: User reviews TDD recommendations from Step 2 to determine an insulin TDD, which is manually entered. Step 4: User selects nutritional source (in this case, “eating meals or receiving bolus tube feedings”) and specifies whether patient uses carbohydrate counting at home (default selected to “no”). Step 5: Insulin recommendations are provided and may be reviewed by user here on in the order summary report in the corresponding insulin order (ie, recommendations carry forward). Step 6: User opens insulin order set (see Figure 5 for remaining steps).