health-dev
[Top][All Lists]
Advanced

[Date Prev][Date Next][Thread Prev][Thread Next][Date Index][Thread Index]

Re: [Health-dev] Fw: Medication product strength.


From: Luis Falcon
Subject: Re: [Health-dev] Fw: Medication product strength.
Date: Sun, 1 Mar 2015 13:30:48 -0500

Hi Brenton !
On Sun, 1 Mar 2015 07:42:08 -0600
Brenton Chamberland <address@hidden> wrote:

> Hi Andrew, Luis -
> 
> An EHR product I worked on (commercial) did something very similar to
> Andrew's suggestion.  We set it up so that when the administrator
> added a med 'resource', they would define the "units per dose" and
> "strength per dose" for the med.
> 
> Examples:
> Advil 200mg Tablets: units per dose = 1 tab and strength per dose =
> 200 mg ADENOSINE 6MG/2ML SYR: units per dose = 2ml and strength per
> dose = 6 mg
> 
> This allowed us to easily calculate things like orders for 400 mg
> advil - 400/200 = 2 tabs for display in the eMAR.
> 
> As I recall, where we struggled was in creating compounds, such as
> IVs or powders, though I'm failing to remember at the moment what the
> specific scenarios were.
> 
Thanks a lot for your great suggestions !

I think it goes along with Andrew idea, and it makes sense to me. If we
make those attributes part of the medicament (drug) model, then we
should ok when medicating or prescribing. This concept will also apply
to the trickier scenarios with solutions / suspension concentration.

As I said before, we can also take advantage of the person information
(weight, age, condition ... ) to pick and suggest the right dose,
amount, ...

Of course, this approach needs to have a specific drug (and product)
associated to it, with the strength info already loaded. In WHO list of
essential medicines, we have information about dosages for generic
drugs, which now should be specific.


What do you think Andrew ?

Thanks again !
Luis



> Regards,
> Brenton
> 
> 
> 
> 
> On Sun, Mar 1, 2015 at 7:12 AM, address@hidden <
> address@hidden> wrote:
> 
> > Thanks Luis for the insightful reply.
> >
> > We need to somehow develop the idea of
> > "Product Strength" (how much active ingredient is contained in an
> > actual dose
> > unit) and how we can create a medication product database/dataset
> > which will
> > allow interchangable calculations of dose in g/mg/microgram or
> > capsules/tablets/ml/doses.
> >
> > Prescribers need the flexibility to prescribe in mg
> > or capsules so GNU Health will need some sort of conversion
> > table/calculation
> > which will need to be configured for each medication product by a
> > clinical administrator.
> >
> > I attach a spreadsheet to illustrate what I mean.
> >
> > Over to you
> > to work out how best to do this computationally :-)
> >
> > Regards
> >
> > Andrew
> >
> >
> >
> >




reply via email to

[Prev in Thread] Current Thread [Next in Thread]