UnitCode valueset mapping problems about ch-emed-epr HOT 9 CLOSED

Check whether the second solution (using unit of drug administration for the dosage) would work for the integrators:

• Check with PRESCO
• Check with HCI
• Check with Proactive
• Check with Cerner

from ch-emed-epr.

After the PMP specs meeting today present integrators (or representatives) for HCI and Cerner stated that the proposed use of https://browser.ihtsdotools.org/?perspective=full&conceptId1=408103002&edition=MAIN&release=&languages=en (or rather the Unit dose child) is also OK for them. Cerner is not even filling the medication amount (packaging, unit of presentation) at the moment.

Next step is to present the proposal and provide some JSON examples in hl7ch/ch-emed#234 as related to the UCUM changes to the same value set.

from ch-emed-epr.

Added issue to CH EMED repo: hl7ch/ch-emed#250

from ch-emed-epr.

After yet another round of feedback with S. Spahni, L-Z. Kaestli and F. Mesia, it was decided that:

• For now, for application dosages, the generic Dose code should be used.
• For next CH EMED release, we should try to get a code for Application added to the UnitCode value set. The option of two value sets would need also codes to be added to the SNOMED set of units of administration anyway. Having to add units to both, if adding a unit to the current UnitCode is feasible, this would just be easier for everybody.
• Integrators should provide a small analysis result providing the units they use in their GUIs and that they would need mapping and/or support for. This has been already commented in the weekly coordination meeting. A more formal communication should also be sent forward to the integrators' contacts.

from ch-emed-epr.

Integrators contacted (again) for providing units feedback:

• SwissMeds (HUG)
• HCI (include a reminder about the proposal to use whatever mapping they already have also for emediplan)
• Oracle/Cerner/CHUV
• Proactive (include a question about how is it going with the integration of the indexes)
• Presco (HUG)

Feedback received:

• SwissMeds (HUG)
• HCI
• Oracle/Cerner/CHUV
• Proactive (include a question about how is it going with the integration of the indexes)
• Presco (HUG)

from ch-emed-epr.

Feedbacks:

• SwissMeds: provided a table with mapping between the galenic forms retrieved from medindex and the corresponding dosing display unit they use.
  • From their table I can see the following units are missing in UnitCode:
    • inhalation -> should use actuation for now
    • anneau (vaginal ring) -> ?
    • application -> should use dose for now
    • injection -> ?
    • dragée -> ?
    • spray -> actuation ?
• HCI:
  • Units used internally are the INDEX CODE type 9. Mapping provided between these codes and CH-EMED UnitCode valueset. Note this mapping was done by the developer and not subject to professional validation.
  • INDEX codes missing from mapping:
    • E Einheit Unité -> should be 767525000 Unit
    • kg -> should be kg
    • L Liter litre -> should be L
    • mcl Mikroliter microlitre -> should be uL
    • mol -> mol
    • MU Millionen Einheiten -> 396186001
    • ng -> ng
    • nmol
    • Patr Patrone cartouche -> should be 732988008 cartridge
    • Pfl Pflaster patch -> 733010002 pflaster|plaster|emplâtre or 733005001 patch|patch|patch ?
    • Teilpck Teilpackung emballage individuel -> 1681000175101 package ?
  • Particular attention to N/A code, i.e. unknown that can be used for mapping from unsupported fhir units (if any) to index based.
• Oracle/Cerner:
  • An excel file with inbound and outbound unit mapping is provided to CHUV for them to keep up to date. This can then be uploaded to a Vocabulary mapping table. Local units used by Soarian are the units specified by a 3rd party medication provider.
    • Outbound (local -> fhir) mapping, units without mapping:
      • {BR} {BR}
      • DB db
      • {H.B.} {H.B.}
      • AMPSER amp ser
      • APP applications
      • APPAREIL appareil(s) -> could be mapped to System?
      • BANDEL bandelettes
      • BILLES bille(s)
      • BIT bit (?)
      • BOITES boite(s) -> could be mapped to Package???
      • BREATH INSPIRATION -> use Actuation for now?
      • CLYST clystère(s)
      • COMPR compresse(s) -> normally mapped to Dressing
      • CONC conc (??)
      • COTONS cotons
      • CPREFF cpr eff -> normally mapped to Tablet?
      • DOSESUPP doses (supp)
      • DRAG drag (dragée?)
      • DRAGRET drag ret
      • EACH chaque
      • FL fl
      • FLEX flex -> Presco mapped to Bag
      • G/UI g/UI
      • INST instillation
      • LAVEMENT lavement(s)
      • MCG/24H mcg/24h
      • MECHE mèche(s)
      • MG/CM2 mg/cm2
      • MG/UI mg/UI
      • MMOL/KG/DAY mMol/kg/j
      • MMOL/KG/DOSE mMol/kg/dose
      • NDEFC N Def (créé)
      • OVLU ovule(s) -> should be mapped to Pessary
      • pce pce -> '{Piece}' ?
      • PFC PFC
      • PRESS pression -> Actuation?
      • PUFF pulvéris. -> Actuation ?
      • SANGSUE sangsue(s)
      • SETS set(s)
      • SPRAY VAPORISATEUR -> Actuation?
      • STYLOINJ stylo inject
      • TESTS test(s)
      • UI ui -> [iU] ?
      • UNIDOSE unidose(s)
      • UNITPLAQ _Unité_plaqu.
      • UNITS Unités -> Unit
    • Inbound provided, no analysis made yet.
    • When an inbound unit cannot be mapped, the dose fields are not filled: dose quantity is blank and the default unit for the drug is used.
    • When an outbound unit cannot be mapped, the doseAndRate fields are not filled, but the dosage information is added to the patientInstructions as narrative (as well as to dosage.text same as when mapped).
• Proactive: no progress, no mapping. Tablet is used for everything as hardcoded unit.
• Presco: list of units provided. Mapping agreed in meeting.
  • Application unit is needed but missing, adding it to current value set (and not having two) is the preferred solution. In the meantime, Dose will be used instead of Application.

from ch-emed-epr.

nmol (UCUM) and application (SNOMED) will be added to CH EMED's UnitCode value set, this should complete the set of values needed for a mapping of HCI's Code type 9 and Presco's units in their enterity.

from ch-emed-epr.

nmol (UCUM) and application (SNOMED) will be added to CH EMED's UnitCode value set, this should complete the set of values needed for a mapping of HCI's Code type 9 and Presco's units in their enterity.

done.

from ch-emed-epr.

Follow-up of unit code value set concerns taken by CARA.

from ch-emed-epr.