Re: [Health-dev] Creating a local formulary / medicines product list for Tryton / GNU Health

[Alvin Marcelo]

http://www.nlm.nih.gov/research/umls/rxnorm/overview.html

Conditions of use

You must have a UMLS Terminology Services (UTS) account to access the RxNorm release files. NLM does not charge for licensing RxNorm; however, the use of some non-SAB=RXNORM data may require additional licensing from those source providers. Read the UMLS Metathesaurus License Agreement for more information. Visit the UTS to sign up for an account.

RxNORM has non-proprietary and proprietary components. 

When installing RxNORM make sure you do not include its proprietary components.

Although hospitals will have different medication lists, their underlying metamodel will be similar. For each drug they would have a name, strength, dose, form, active ingredient, etc. The drug codes area also not just for use by hospitals. They are used for registration, procurement, distribution, prescription, dispensing, clinical administration, and reporting of adverse events. The different use cases which demonstrate the lifecycle of medicines and its multi-sector domain makes for a good case for having a shared drug coding mechanism across the whole health sector...

My opinion is that a GNU Health installation that has preloaded RxNORM (non-proprietary) will be very powerful to the facility...

------

Alvin B. Marcelo

69:c3:58:b9:43:60:af:6b:96:d5:87:11:2a:6d:28:01 

On Fri, Aug 29, 2014 at 4:03 PM, Emilien Klein <address@hidden> wrote:

I can confirm that each country has it's own medication list (cf
Medication meeting I attended at a new hospital in Belgium yesterday,
compared to the hospitals I know in The Netherlands and the US).

Under what license is RxNORM released?

2014-08-29 4:49 GMT+02:00 Alvin Marcelo <address@hidden>:

> Dear all,
>
> Would it help pre-loading RxNORM in GNU Health and just let the end users
> toggle on/off the subset they need/use in their locale? This has an
> advantage of convenience (there's a standard codeset pre-loaded so no need
> to load) but also the customization capability to select just those that are
> locally relevant..
>
> In addition, RxNORM has a lot of other features that can be useful in the
> long run for other use cases beyond inventory..(such as adverse drug
> reaction)..
>
> My two cents :)
>
> alvin
>
>
>
>
>
>
>
> ------
> Alvin B. Marcelo
> 69:c3:58:b9:43:60:af:6b:96:d5:87:11:2a:6d:28:01
>
>
>
> On Thu, Aug 28, 2014 at 8:49 PM, address@hidden
> <address@hidden> wrote:
>>
>> Thanks for your thoughts Emilien, I think I might have the answer at last!
>>
>> It
>> has become apparent to me that each country - and sub-regions of countries
>> -
>> has its own local prescribing list/medicines formulary. So that every
>> clinic /
>> hospital that uses GNU Health will need to build their own individual list
>> of
>> medication products.
>>
>> This could be made easier by supplying them with the
>> medicament data table from GNU Health - see attached ODS spreadsheet. The
>> product would need to be entered in the "Name" column.
>>
>> If Luis could add extra
>> columns to this database table then we could also include the default
>> prescribing fields for each product.
>>
>> Amoxicillin 500 mg capsules | 500 | mg |
>> oral | every 8 hours | for 7 days | 21 | capsules
>>
>> Also, the medication
>> products will first need setting up in the main "Tryton" product section
>> of GNU
>> Health before they can be "imported" into GNU Health. This could also be
>> done
>> by up loading a pre-configured spreadsheet = CSV file.
>>
>> Do you agree Luis?
>>
>>
>> Regards
>>
>> Andrew
>>
>>
>>
>>
>>
>>
>>
>