RE: Top 10 of Detailed Clinical Models

["Sam Heard" <sam.heard@oceaninformatics.com>]

Thanks William.

 

So lets do a medication archetype that contains all the standard information constructs required to do this, and CCD and CCR. We can include Microsoft if we want as well just to have the world reasonably covered off.

 

The point here is there are a plethora of specifications being developed and no one knows quite what they mean or how to use them. Lets do it in openEHR and try to nail it down.

 

Cheers, Sam

 

From: openehr-clinical-bounces@openehr.org [mailto:openehr-clinical-bounces@openehr.org] On Behalf Of Williamtfgoossen@cs.com
Sent: Sunday, 23 November 2008 7:15 AM
To: openehr-clinical@openehr.org
Subject: Re: Top 10 of Detailed Clinical Models

 

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