CCHIT - prescription linked to health issues

[Sebastian Hilbert]

Another gem:


requirement:

Prescription for Amoxicillin is created to make up the dose at 250 mg/5 mL
Sig will be one teaspoon three times per day for 10 days.

Associate prescription with problem “right otitis media.”

Medication information must be stored as discrete data; at a minimum, there
must be one field for each of the following:
1.Medication name, form and strength;
2.Dispense quantity;
3.Refills; and
4.Sig.

explanation:

AM 03.07 The system shall provide the ability to associate orders,
medications, and notes with one or more problems / diagnoses.
FN 09.04 The system shall provide the ability to capture and maintain, as
discrete data, a diagnosis/problem code or description associated with an
order of any (type including prescriptions and medications ordered for
administration).


See attached screenshot :-) Suprise, surprise ...

Sebastian


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[Karsten Hilbert]

On Sat, Nov 07, 2009 at 05:43:51PM +0100, Hilbert, Sebastian wrote:

> requirement:
>
> Prescription for Amoxicillin is created to make up the dose at 250 mg/5 mL
> Sig will be one teaspoon three times per day for 10 days.
>
> Associate prescription with problem “right otitis media.”
>
> Medication information must be stored as discrete data; at a minimum, there
> must be one field for each of the following:
> 1.Medication name, form and strength;
> 2.Dispense quantity;
> 3.Refills; and
> 4.Sig.

We don't, at this stage, support the Dispense quantity and
Refills items as they are non-clinical entities. Once we do
prescription handling, we will, of course.

Karsten
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[Liz-25]

On Sun, 8 Nov 2009, Sebastian Hilbert wrote:
> Another gem:
>
>
> requirement:
>
> Prescription for Amoxicillin is created to make up the dose at 250 mg/5 mL
> Sig will be one teaspoon three times per day for 10 days.

One teaspoon??
They go for all this accuracy and recording and then provide a prescription
using a nonsense value?


--
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I'm not sure.  Try calling the Internet's head office -- it's in the book.



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[Sebastian Hilbert]

Am Samstag 07 November 2009 22:57:17 schrieb Elizabeth Dodd:

> On Sun, 8 Nov 2009, Sebastian Hilbert wrote:
> > Another gem:
> >
> >
> > requirement:
> >
> > Prescription for Amoxicillin is created to make up the dose at 250 mg/5
> > mL Sig will be one teaspoon three times per day for 10 days.
>
> One teaspoon??
> They go for all this accuracy and recording and then provide a prescription
> using a nonsense value?
>

You made my day :-)

Sebastian


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[Sebastian Hilbert]

Am Samstag 07 November 2009 22:57:17 schrieb Elizabeth Dodd:

> On Sun, 8 Nov 2009, Sebastian Hilbert wrote:
> > Another gem:
> >
> >
> > requirement:
> >
> > Prescription for Amoxicillin is created to make up the dose at 250 mg/5
> > mL Sig will be one teaspoon three times per day for 10 days.
>
> One teaspoon??
> They go for all this accuracy and recording and then provide a prescription
> using a nonsense value?
>

By the way they explicetly state that the values they want you to demonstrate
might make no sense clinically.

Sebastian


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[Karsten Hilbert]

On Sat, Nov 07, 2009 at 11:07:22PM +0100, Hilbert, Sebastian wrote:

> > > requirement:
> > >
> > > Prescription for Amoxicillin is created to make up the dose at 250 mg/5
> > > mL Sig will be one teaspoon three times per day for 10 days.
> >
> > One teaspoon??
> > They go for all this accuracy and recording and then provide a prescription
> > using a nonsense value?
> >
> By the way they explicetly state that the values they want you to demonstrate
> might make no sense clinically.

Which, in itself, might make it hard to comply for a
*really* smart system !

Karsten
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[Karsten Hilbert]

On Sat, Nov 07, 2009 at 11:03:17PM +0100, Hilbert, Sebastian wrote:

> > > Prescription for Amoxicillin is created to make up the dose at 250 mg/5
> > > mL Sig will be one teaspoon three times per day for 10 days.
> >
> > One teaspoon??
> > They go for all this accuracy and recording and then provide a prescription
> > using a nonsense value?
> >
> You made my day :-)

:-))

Karsten
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[Karsten Hilbert]

On Sun, Nov 08, 2009 at 08:57:17AM +1100, Elizabeth Dodd wrote:

> > Prescription for Amoxicillin is created to make up the dose at 250 mg/5 mL
> > Sig will be one teaspoon three times per day for 10 days.
>
> One teaspoon??
> They go for all this accuracy and recording and then provide a prescription
> using a nonsense value?

In Germany childhood antibiotics delivered as a liquid
typically come with either a measurement spoon or a
syringe-like device for exact intake. I then *do* tell the
patient "take half a spoon twice a day".

But not teaspoons. That would only work if you could know
the amount of patient in said teaspoons :-)

Karsten
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