Hi Sam,

We modelled that as minor change (Active) / major change (Aborted) ,
without closely defining, what constiuted either...

Major change to order
Careflow step
A major change to the order was required, resulting in this order being
stopped and a replacement order being started.
Current state: aborted

Minor change to order
Careflow step
The medication order has been changed in a manner which does not require a
new instruction/order to be issued, according to local clinical rules.
Current state: active

Ian

Dr Ian McNicoll
mobile +44 (0)775 209 7859
office +44 (0)1536 414994
skype: ianmcnicoll
email: [email protected]
twitter: @ianmcnicoll


Co-Chair, openEHR Foundation [email protected]
Director, freshEHR Clinical Informatics Ltd.
Director, HANDIHealth CIC
Hon. Senior Research Associate, CHIME, UCL


On Mon, 13 Aug 2018 at 13:45, Sam Heard <[email protected]>
wrote:

> Hi All
>
>
>
> There is the interesting situation as to what constitutes a stop/start and
> an amend for medication. Generally, if it is the same generic substance
> people will want to see it as an amend. This means they do not have to go
> through all the warnings and search again in the database. This is probably
> of no consequence from a data point of view, apart from the fact that you
> do not want to be warned that a patient has previously been on this
> medication (happens in our system).
>
>
>
> Cheers, Sam
>
>
>
> Sent from Mail <https://go.microsoft.com/fwlink/?LinkId=550986> for
> Windows 10
>
>
> ------------------------------
> *From:* openEHR-technical <[email protected]>
> on behalf of Thomas Beale <[email protected]>
> *Sent:* Monday, August 13, 2018 9:07:18 PM
> *To:* [email protected]
> *Subject:* Re: Drug dispense entry class question
>
>
>
> On 11/08/2018 20:50, Karsten Hilbert wrote:
> > On Sat, Aug 11, 2018 at 04:24:47PM -0300, Pablo Pazos wrote:
> >
> > I meant to say that some treatments will not end until the
> > patient dies meaning that the COMPLETED state will never be
> > reached if we take into account
>
> certainly true in theory, and maybe in reality. But drug treatments
> change and different variants may be tried over time - true even for
> basics like insulin - so at least for some chronic medication
> situations, it probably will be the case that one treatment finishes and
> another starts, based on a (?slightly) different order, with this
> repeating over time.
>
> - thomas
>
>
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