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Dosage Instructions #18

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juergenbrandstaetter opened this issue Apr 3, 2023 · 5 comments
Open

Dosage Instructions #18

juergenbrandstaetter opened this issue Apr 3, 2023 · 5 comments
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@juergenbrandstaetter
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@juergenbrandstaetter juergenbrandstaetter changed the title MDP work-item "Dosage Instructions" Dosage Instructions Apr 3, 2023
@rlindstrm
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The same issue is in medication overview as well (see here).
The same Dosaging model/profile will be used by both IGs and in all the appropriate FHIR profiles.
Let's discuss next meeting in the context of prescription and dispense.

@rlindstrm rlindstrm self-assigned this Aug 8, 2023
@rlindstrm
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rlindstrm commented Sep 4, 2023

@costateixeira
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We will add narrative here, and then we will see if there's a dedicated page or not.

@rlindstrm
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Input from Norway (as response to Xt-EHR meeting):
Dosing
In connection with the Medication list project in Norway, there have been some attemps on using FHIR to represent dosage in the prescription and medication list. There are a lot of extentions in these profiles, and it also includes a propriatary system for dosage used in Norway (kortdose):

R4 Medication | sfm-MedicationStatement - SIMPLIFIER.NET
And the "ereseptdosing" in this extension: R4 Medication | sfm-reseptamendment - SIMPLIFIER.NET

I'm not sure how detailed the European formats should be when it comes to dosage. Nevertheless, I think this illustrates that we need guidence on how to express simple and more complex dosages in fhir (and guidance on which elements should be captured by using other resources/profiles). Our overall goal is to have an easier transfer of dosage information between GPs, pharmacies, hospitals, multidose pharmacies, secondary use of data etc

@rlindstrm
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Finnish model described here by Kari: #43 (comment)

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