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Were doing more than just administering a treatment

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This condition primarily affects the dorsal surfaces of the hands and feet, especially areas subject to pressure, such as the terminal phalanges, knees, and elbows

In LUKE Health, this is implemented with dual-layer PostgreSQL triggers: Layer 1: A database trigger on the orders table checks for an active, non-expired prescription matching the compound being ordered Layer 2: A constraint trigger verifies the prescribing provider's license is valid for the patient's state This isn't application logic that a developer might accidentally bypass during a feature update