Re: [Op-torch-general] drug reference,

[TMaynard <ru...@ma...>]

Hello List,

I noticed this thread would be a good time to ask Tim about
incorporation of the VA formulary as a first level picklist 
for populating either individual prescription forms or for 
plucking out a more efficient subset (populating a secondary 
picklist)
   Here is a thread from the topica.com archive:
http://lists.topica.com/lists/torch/read/message.html?mid=1713534719

  If you go to the VA site, note that the formulary has just 
been updated in March 04 so it is an excellent time to get 
this into TORCH2
http://www.vapbm.org/PBM/natform.htm

I want to emphasize that a picklist that treats every 
medication package unit as a separate object (name,unit of 
measure, unit amount, dose type) is a safety measure. I 
guess in RDBMS terms this means you pick the row and get 
everything on that row ...you don't get to pick from the 
columns.
  It would be good to have the large first level picklist 
available as sorted on name and on drug class, using the VA 
class structure.

   I am not yet as involved as I would like to be with 
TORCH2, and I sure need to go thru ZPT boot camp.

RustyMaynard


Tim Cook wrote:
> On Sun, 2004-03-28 at 14:17, Michael A Rowley wrote:
> 
>>Hey,
>>
>>has anyone thought much about a drug reference?  I found 
>>http://www.drugref.org a sight with a free, peer reviewed drug 
>>reference database, with interactions, in a postgres format.  Would 
>>appreciate some opinions on the site.
> 
> 
> There was extensive input from list members regarding this last Summer.
> Especially from Rusty Maynard and Sam Bowen.  Look in the archives
> around August/September.  Rusty also did an extensive paper on
> medication management and formularies.
> See the NewsItem at:
> http://www.openparadigms.com/News_Item.2003-08-05.1151  for the link to
> the paper.
> 
> DrugRef is a great project.  I am just not certain of it's long term (or
> near term for that matter) viability. I have an interface to the DrugRef
> database but I would not rule out recommending a pay subscription to the
> Cerner interactions system as well.  Some things just are ready for open
> source / open content licensing yet.
> 
> 
>>Also, looking for thoughts on the format for prescriptions.  In the 
>>last office I worked at where we had an EMR, the prescriptions were 
>>printed 4 to a page,on special paper.  Now, I am looking into a 
>>background that will do the "COPY" thing when photocopied.  It is 
>>required for Rx's for Medicaid in Florida.  I would like to skip the 
>>special paper if I can, but I think the background watermark will have 
>>to be produced with a high quality color printer.   More research is 
>>needed I think ;)
> 
> 
> In FreePM and TORCH1.x I used ReportLab for printing 1 - 4 prescriptions
> per page.  With the capabilities in ReportLab there is no reason that
> the watermark can't be printed as well.  I'll add ReportLab code back
> into TORCH2.
> 
> 
>>figure out how meds will be stored on the system... Keeping them with 
>>the encounter makes sense, but makes a chronologic medication record 
>>more difficult. 
> 
> 
> The same code from TORCH1.x will maintain a chronological medication
> list. For speed I maintain the medication objects in a catalog so we
> only have to look at the cataloged info (medname, date, status) until
> you want the details of a specific prescription.  But you can easily
> dive into any encounter in an EHR to grab a script. 
> 
> 
>> Otherwise, they need an "encounter" field where the 
>>generating encounter will be recorded, so to trace back Rx's to 
>>encoutners.  There is some logic to figure out here.
> 
> 
> This is that RDBMS thinking again. ;-) 
> 
> Cheers,
> Tim
> 
> 
> 
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