Re: Top 10 of Detailed Clinical Models

[Williamtfgoossen@cs.com]

Hi Thomas,

The Netherlands is implementing the exchange of medication messages in order to achieve the full list of a patient of current and past medications and prescriptions. 
Current pharmacy and gp systems have a DSS system in place that tackles interactions. 

It is probably not perfect, but coming in the direction you suggest. 

I agree that this is an interesting topic to tackle further and harmonize.
A lot is already put into the HL7 CEN ISO CDISC and IHTSDO harmonization work, where pharmacy is now a priority topic.  

William

In a message dated 22-11-2008 12:20:57 W. Europe Standard Time, thomas.beale@oceaninformatics.com writes: 
> Gerard Freriks wrote:
> >When medication is considered be aware that there is already a huge 
> >amount of requirements collection in HL7v2, HL7v3 space and in 
> >European standards.
> >I think that with a limited amount of work the Clinical Models can be 
> >produced and discussed.
> >In addition we need this all over the world and there is one European 
> >project needing it : epSOS.
> >
> *
> I would suggest that the 2 key requirements today are:
> a) being able to merge medication lists for a given patient from 
> multiple sources
> b) being able to handle entries in the list that were prescribed (and 
> that are recorded in some structured, standard way) and medications that 
> the patient says they are on already, including non-prescription and 
> herbal etc.
>
> Being able to do this would generate a list that can actually be used 
> for decision support (interactions testing) for a new prescription.
>
> I don't think either of these is dealt with directly by any of the 
> current standards.
>
> - thomas beale


Sincerely yours,

dr. William TF Goossen
director 
Results 4 Care b.v.
De Stinse 15
3823 VM Amersfoort
the Netherlands
email: Results4Care@cs.com
phone + 31654614458
fax +3133 2570169
www.results4care.nl
Dutch Chamber of Commerce number: 32133713