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Medicatietoediening - variabele toedieningssnelheid niet ondersteund in FHIR

Description

This issue is raised from ---MM-159---

  • On Simplifier, dosage > rate[x] has no attribute rateRange. However, in a zib such as InstructionsForUse this attribute does appear. Should this attribute not be present in MedicationAdministration as well?

  • On zibs.nl, the attribute AdministeringSpeed::Range (NL-CM:9.13.23159) and, on Simplifier, the attribute dosage > rate[x] seems like it should either have type Ratio, or the attribute should include another attribute named rateRange.

The zib nor the FHIR profile refer to InstructionsForUse from MedicationAdministration/Medicatietoediening, so that is not applicable here.

However, in the zib a variable rate is permitted. This is currently not obviously possible in the FHIR profile (it can still be done, but only using it in a single UCUM code, however since we need to use the G-standaard unit in The Netherlands, UCUM does not satisfie our requirements). 

Proposed solution (NL)

Variabele toedieningssnelheid niet gebruiken in medicatietoediening.

Proposed solution (EN)

None

Release notes (NL)

In de bouwsteen Medicatietoediening (MTD) zijn in het data-element "Toedieningssnelheid/aantal" de volgende data-elementen verwijderd: "minimumWaarde"en "maximumWaarde". In een toediening wordt alleen de daadwerkelijke snelheid vastgelegd.

Release notes (EN)

None

Attachments

2

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Activity

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Hernany Silva Costa Melo March 28, 2022 at 3:17 PM
Edited

In de bouwsteen MTD zijn in het data-element "Toedieningssnelheid" de volgende data-elementen verwijderd: "minimumWaarde"en "maximumWaarde".

Ardon Toonstra March 14, 2019 at 2:25 PM

Ticket bij Zib centrum aangemaakt:  

Ardon Toonstra March 5, 2019 at 4:01 PM

Antwoord van Lloyd:

"When you're ordering a dosage, it's common to indicate a min and max rate.  When you're actually administering, the rate recorded is the rate actually used.  If the rate changes, then multiple administrations are recorded.  In what situations would you not have an exact range when recording a specific period of administration?"

Daar heeft Lloyd misschien wel een punt. Bij een medicatietoediening weet je wat de hoeveelheid is. Wellicht dat dit aan de Zib kant niet goed staat. Former user, zou jij de use case willen checken aan de Zib kant?

Ardon Toonstra March 5, 2019 at 12:24 PM

Added FHIR GForge tracker item voor het toevoegen van rateRange aan MedicationAdministration.dosage.rate[x]: 

https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=20501

Ardon Toonstra March 5, 2019 at 12:09 PM

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Details

Assignee

Reporter

Concerns version

Classification

Patch (Z)

Transactions

Medicatiegegevens (9)

Parties involved

Nictiz Informatie analist
Nictiz HL7-specialist

Dataset

9.1

Bouwsteen

MedicatieToediening uitgevoerd

Components

Fix versions

Priority

Parent

Better Excel Exporter

Created February 27, 2019 at 1:40 PM
Updated December 6, 2023 at 4:38 PM
Resolved June 29, 2022 at 7:51 AM