In the Netherlands we use the G-Standard where a lot of these topics have been covered.
http://www.knmp.nl/over-de-knmp/algemeen/the-g-standaard-the-medicines-standard-in-healthcare Gerard -- <private> -- Gerard Freriks, MD Huigsloterdijk 378 2158 LR Buitenkaag The Netherlands T: +31 252544896 M: +31 620347088 E: gfrer at luna.nl Those who would give up essential Liberty, to purchase a little temporary Safety, deserve neither Liberty nor Safety. Benjamin Franklin 11 Nov 1755 On 25, Nov, 2008, at 12:55 , <steve.bentley at nhs.net> wrote: > Dear All, > > The Medication work in NHS CFH uses a model that can be found in the > following document (page 10 has the overview diagram) > > http://www.connectingforhealth.nhs.uk/systemsandservices/data/scg/publications/SCG0002.pdf > > The other issues mentioned see in line comments > > The issues that are outstanding at the moment from my perspective are: > ? How to allow concatenation of Drug, form and dose at > varying degrees of granularity. I.e. Ibuprofen; tablet; 400mg as > three items, Ibuprofen tablet; 400mg as two items, Ibuprofen 400mg; > tablet as two items, Ibuprofen tablet 400mg as one item. There is > ongoing work to look at this and come up with a means that all are > equivalent - not sure how far this has got - will chase up > ? What to record in terms of the drug name ? do we include > the trade and generic ? either or both. We also need to allow in > many jurisdictions for the fact that the pharmacist may be able to > substitute another brand even if the trade name is given. In my > opinion you must record the actual drug which is given to the > patient so in dm+d terms (dictionary of medical devices and drug) a > pharmacist states the AMPP (actual medical product pack - > antipressan 50mg (Tera UK Ltd) 28 tablet (2x14 tablets)) that is > dispensed. When prescribing it is reasonable for this to be done by > stating VTM (Virtual therapeutic moeity - e.g. atenolol), VMP > (virtual medicinal product - atentolol 50mg tablets) or AMP (Actual > medicinal product - antipressan 50mg (Tera UK Ltd) > ? How comprehensive to make it in regard to all the possible > complexities of drug administration. I think we should start with > the root that will allow growth to immunisations, formulations and > more complex orders (specifically medications in infustions) > > > Regards > > Steve -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.openehr.org/mailman/private/openehr-clinical_lists.openehr.org/attachments/20081125/b44af747/attachment.html>
