Understanding Dose Variation in Healthcare
Explore the importance of distinguishing between dose instructions in healthcare settings, illustrated by examples such as hospital versus general practice dosing for Furosemide. Learn about dosage models, dose-to-product translation, and the critical role of accurate dose syntax in patient safety. Dr. Paul Miller provides insights into the complexities of dose instructions, highlighting potential risks of human error in interpreting and transcribing dosage information.
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Presentation Transcript
Vive la diffrence? Dose Vs Product Dose instructions syntax Dr Paul Miller paulmiller@nhs.net
La diffrence Dose Based Hospital / Secondary Care Furosemide 80mg oral at 8am Product based General Practice / Primary Care Furosemide 40mg tablets , take 2 at 8am
Interface Furosemide 80mg oral at 8am Furosemide 40mg tablets, take 2 at 8am
dm+d VTM Virtual Therapeutic Moiety Atenolol Furosemide 80mg oral at 8am Furosemide 40mg tablets Virtual Product Ingredient Actual Product Excipient Virtual Product Form Product Availability Atenolol 50mg tablets VMP Virtual Medicinal Product AMP Actual Medicinal Product (Cox) Atenolol 50mg tablets Virtual Product Route Supplier Controlled Drug Prescribing Licensed Route Furosemide Atenolol 50mg tablets Furosemide 40mg tablets take 2 at 8am Atenolol 50mg tablets x28 VMPP Virtual Medicinal Product Pack AMPP Actual Medicinal Product Pack (Cox) x28 Combination Pack Content Pack Price Drug Tariff Category Product Prescribing Appliance Product Information Reimbursement Information
Solve this with? Models of dose & directions dose syntax Would allow calculation of e.g. Daily quantities Compliance Safety Dose comparison Translation of Dose to Product Product to Dose
Model of dose and frequency Dose 40mg 0.5mcg 5ml 2 tablets Thinly 2 puffs qds If Systolic >160 take 80mg Frequency Daily Three times a day Once daily at 18:00 Every Wednesday Reducing by 1 tab a week to zero
Work to date 2005 2008
Dose Syntax Project all dosage instructions require human reading and interpretation and transcription between different systems, both of which offer a variety of opportunity for patient critical error to enter
Dose Syntax Project Therefore, having a representation of dosage instructions in a format to support electronic use is a key requirement to move forward in such areas as automated data entry into prescription Many systems have local vocabularies to produce dosage instructions ; however these are non -standard in both content and structure
Dose Syntax Project Core Components dose quantity timing of the dosage route, site and method of administration rate of administration additional information (e.g. swallow whole, on an empty stomach).
Issues Dose / Quantity Reducing doses mg/kg Timing Issues during waking hours except Mondays and Fridays Modelling issues 0.5 initially. If no joy, take 1 next time. Again if not successful take 2 next time
NHS CFH Dose Syntax Abstract Model The Dose Syntax Abstract Model is intended to be independent of any technology standard or software platform and has been developed with the aim of specifying the necessary clinical requirements precisely and unambiguously
NHS CFH Dose Syntax Abstract Model Dose Comparison Dose Conversion Dose/Volume Calculations Dose Range Checking Ward Medicines Management Usage within Primary Care Dosage Presentation
Medication Administration EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version class Medication Administration Package EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Described Medication Medication Administration EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Medication +medication Medication Administration Procedure EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version - description: String - administrationSite: Coded [0..*] - excludedAdministrationSite: Coded [0..*] - method: Coded [0..*] Additional Instructions +additionalInstructions - route: Coded [0..1] 0..1 0..* EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version +administrationProcedure 0..* Dose Quantities EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version 1..1 Medication Dose Quantity EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Precondition Medication Administration Instruction - goalType: Coded 0..1 0..* +doseQuantity Goal - - preconditionType: Coded offset: DurationInterval [0..1] EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version 1..1 0..* - administrationDetails: String [0..1] 1..1 0..* 1..1 EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Medication Dose Rate 1..* +doseRate +criterion 0..1 +objective 0..1 contains the set of classes, and their relationships and constraints required to describe the administration of a medication EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Event Criterion 1..1 0..1 +doseString 1..1 EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Dose String Medication Dose Timing +doseTiming EA 7.1 Unregistered Trial Version EA 7.1 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Dose Quantities class Dose Quantities Package EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Dose Quantities EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version - value: RealInterval - unitOfMeasure: Coded - unitOfMeasureType: Coded Medication Unit Dose Quantity EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version +numerator 1..1 +denominator 1..1 Medication Dose Quantity EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version 0..1 +doseQuantity 0..1 0..1 EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Medication Dose Quantity Ratio Medication Administration EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Medication Dose Rate EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version - value: RealInterval - unitOfRate: Coded - unitOfMeasureType: Coded Medication Dose Occurrence 1..* +numberOfDoses represent the key physical quantity attributes of dose quantity, dose timing and, for continuously administered medications, dose duration and dose rate Medication Administration Instruction 1..1 +doseRate 1..1 0..1 EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial 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Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version
Together class NHS Dose Syntax Model EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Described Medication EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Medication Ingredient +medication +/ingredient EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Medication Administration 0..1 1..1 0..* EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version 1..1 1..1 1..1 Additional Instructions +additionalInstructions +doseFormSize 0..1 +strengthNumerator 1..1 +strengthDenominator 0..1 EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Ingredient Strength Component Dose Form Size Medication Administration Procedure 0..* EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version +administrationProcedure 0..* 1..1 EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Precondition Goal EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Dose Quantities Medication Administration Instruction 0..* 1..1 EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version 1..1 1..1 0..* 0..* Medication Unit Dose Quantity EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version 1..* +criterion 0..1 +objective 0..1 Event Criterion 1..1 EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Medication Dose Quantity +doseQuantity +numerator 1..1 +denominator 1..1 +doseString 1..1 EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version 0..1 Dose String 0..1 0..1 EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Medication Dose Quantity Ratio Coded Event Criterion Event Criterion Reference EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Medication Dose Rate 0..1 +doseRate EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Medication Dose Occurrence EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version +numberOfDoses 1..1 0..1 Simple Dose Frequency EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Medication Dose Timing Medication Dose Frequency +doseTiming EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version 1..1 Complex Dose Frequency EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version 1..1 1..1 1..1 Medication Dose Interval EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version +courseDuration 0..1 +doseDuration 0..* +periodicInterval 1..1 EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version 1..1 1..1 Time Period +dosePeriod +innerTiming 1..* EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version Inner Timing +doseInterval 1..1 +dosePeriod 1..1 1..1 EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version 1..1 1..1 EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 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Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version EA 7.1 Unregistered Trial Version
Dosage Calculations Dose Syntax Model: dose conversion calculations; dose / volume calculations; and dose rate calculations to be able to convertVTM or product-based dose quantities into equivalent product-based quantities handling medications and prescriptions between primary and secondary care. Discharge medication instructions converted into product-based quantities.
Example 45: During an in-patient stay, a patient is given Atenolol 75 mg daily basis. When the patient is discharged, the discharge instructions to the GP ask for the patient to remain on Atenolol 75 mg daily until the GP is satisfied with the patient s condition. If the GP wants to prescribe 318434003|Atenolol 25mg tablets|, how many tablets should be taken daily?
Example 45 doseInstruction medication medicationId form doseQuantity 87652004|Atenolol| 3319411000001109|tablet| value unitOfMeasure unitOfMeasureType administrationProcedure 75 258684004|mg| IQU (ingredient qty unit) route 26643006|oral|
So.. why not? Still some issues 29 noted Basic problems to solve first Implementation challenges Complexity User interfaces Safety Terminologies But one day soon
Summary My tds is not your 8:00; 14:00; 18:00 Patients swallow products Prescribers advise doses The interface needs a brain Solvable problem But Complex!
