Hi David,

We're moving through prototyping med_admin for PCORnet to incorporate infusions 
and other administrations.  The sites are loading data but noting variability 
in terms of how healthsystems document "given", "infused", "new bag", 
"completed", etc.

https://informatics.gpcnetwork.org/trac/Project/ticket/651 

For example from the ticket above, our MAR records in Kansas have 
  'MedObs|MAR:New Bag'
   'MedObs|MAR:Downtime Given - New Bag'
   'MedObs|MAR:Given -  Without Order'
   'MedObs|MAR:Downtime Given'
   'MedObs|MAR:Given - Without Order'
   'MedObs|MAR:Given by another Provider'
   'MedObs|MAR:Given by Patient/Family'
   'MedObs|MAR:Given'
   'MedObs|MAR:Clinic Administered - Patient Supplied'
   'MedObs|MAR:Bolus'
   'MedObs|MAR:Per Protocol'
   'MedObs|MAR:Infusion Home with Patient'
   'MedObs|MAR:ED-Infusing Upon Admit'
   'MedObs|MAR:Push'
   'MedObs|MAR:Restarted'
   'MedObs|MAR:PCA Check/Change'
   'MedObs|MAR:NPO'
   'MedObs|MAR:See OR/Proc Flowsheet'
   'MedObs|MAR:Patch Applied'
   'MedObs|MAR:Bolus from Syringe'
   'MedObs|MAR:Bolus.'

Which may suggested the drug was given while other elements such as "Not Given" 
are clearly not given. 

Do you (KP and CRN) have any documentation of best practices for which events 
should be used to denote infusions or administrations as given/started?  We're 
looking to see if we can best align PCORnet work and your prior work.   

Ccing others who may be looking at this also from pediatric and other 
perspectives.   
  
Sincerely,


Russ Waitman, PhD
Director, Center for Medical Informatics and Enterprise Analytics
Associate Vice Chancellor for Enterprise Analytics
Professor, Department of Internal Medicine
University of Kansas Medical Center, Kansas City, Kansas 
913-945-7087 (office) 
rwait...@kumc.edu
http://www.kumc.edu/ea-mi/
http://informatics.kumc.edu
http://www.gpcnetwork.org – a PCORnet collaborative www.pcornet.org 






-----Original Message-----
From: GPC Informatics [mailto:d...@madmode.com] 
Sent: Monday, February 26, 2018 11:32 AM
To: brian-gryz...@uiowa.edu; Dan Connolly <dconno...@kumc.edu>; Russ Waitman 
<rwait...@kumc.edu>; campb...@unmc.edu; astodd...@mcw.edu; 
verhagen.lau...@mcrf.mfldclin.edu; James Gaupp <catec...@kumc.edu>
Cc: ryan-carna...@uiowa.edu; phillip.ree...@utsouthwestern.edu; tchis...@ufl.edu
Subject: Re: [gpc-informatics] #651: Load infusion data to CDM v 4.0 med_admin 
table and submit

#651: Load infusion data to CDM v 4.0 med_admin table and submit
-----------------------+---------------------------
 Reporter:  bgryzlak   |       Owner:  bgryzlak
     Type:  task       |      Status:  assigned
 Priority:  major      |   Milestone:  cancer-rcr-1
Component:  data-stds  |  Resolution:
 Keywords:  all-sites  |  Blocked By:  650
 Blocking:  663        |
-----------------------+---------------------------

Comment (by bgryzlak):

 Thanks Dan.  Vanderbilt submitted 2/21 and UMN submitted 2/23.  Checking  on 
UIOWA's status.

--
Ticket URL: 
<http://informatics.gpcnetwork.org/trac/Project/ticket/651#comment:19>
gpc-informatics <http://informatics.gpcnetwork.org/>
Greater Plains Network - Informatics
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