Contents
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PutProposedResourceNameHere
MedicationKnowledge
Owning work group
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name
Committee Approval Date:
March 11, 2019
- see minutes on Confluence
Pharmacy Minutes 11-03-2019
Contributing or Reviewing Work Groups
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- BR&R
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- O&O
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- Patient Care
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- CDS
FHIR Resource Development Project Insight ID
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- Project Insight
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- ID: 1409
Scope of coverage
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- Identification and
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- characteristics
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- of a product consumed by patients
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- The scope
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- of a MedicationKnowledge
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- resource encompasses all the products that
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- are
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- conventionally understood to be medications or products consumed by patients including
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- non-prescribed medication, herbal products, diet supplements, illicit
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- drugs,
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- and
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- even
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- some products
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- that
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- may be classified as devices. This
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- resource is intended to include
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- attributes that
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- describe the medication including, but not limited to type, colour, image,
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- cost, formulary coverage,
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- etc.
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- This resource may
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- be a kind of product
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- as well as a specific
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- instance of a product.
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- The following diagram describes the scope of
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- the various resources related to medication
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- content. The Pharmacy
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- Work Group has worked with Biomedical Research and
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- Regulation (BR&R) Work
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- Group to develop
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- the diagram to describe the relationship
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- between the various resources.
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- These include:
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- Medication
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- MedicationKnowledge
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- MedicinalProduct (expect to be renamed)
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- MedicinalProductPackaged (expect
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- to be renamed)
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- MedicinalProductPharmaceutical
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- (expect to be renamed)
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- Common Medication Model
Model
The scope and boundary for each resource will be
updated to clearly describe to implementers
where the resources apply.
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- The MedicationKnowledge resource:
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- is related to Medication, but contains additional attributes to
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- fully describe
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- a
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- medication for different contexts
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- - clinical decision
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- support, payment/coverage,
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- drug information.
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- contains
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- a subset of the attributes
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- in MedicinalProduct
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- contains
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- additional
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- attributes that are not in scope for MedicinalProduct
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- Will be used in multiple environment
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- including community pharmacies, hospital
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- pharmacies, hospitals, prescriber offices, etc
RIM scope
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- MedicationKnowledge corresponds to a manufactured product (MANU) role
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- played
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- by a
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- manufactured material MMAT entity. The
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- Common Product
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- Model
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- in
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- the V3 ballot
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- encompasses
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- this scope but also provides much
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- more.
Resource appropriateness
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- Products cannot be used if they cannot be identified and
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- systems to establish
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- and
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- maintain queryable lists
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- of
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- products are widespread. For systems to
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- interoperate they
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- must have
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- a shared basis for product
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- identification as
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- well as the characteristics of a
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- medication. Characteristics can
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- include
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- attributes
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- such
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- as
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- colour, markings, an
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- image,
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- as
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- well as cost and formulary
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- coverage. It may also
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- be as broad as the clinical knowledge
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- about a medication such
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- as
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- drug-drug interactions, dosing recommendations, and drug-
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- allergy interactions.
Expected implementations
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- This resource is likely
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- to
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- be
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- implemented
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- by applications:
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- Pharmacy Practice Management Systems
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- Electronic Medical
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- Records
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- Clinical Decision Support systems
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- Hospital
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- Information Systems/EHRs
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- Drug Knowledge Bases
Content sources
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- Existing normative V3 CPM RMIMs
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- Existing specifications in
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- Canada, The Netherlands and
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- UK
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- Some commercial systems
Example Scenarios
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- A prescriber or dispenser wants to query
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- to get information about the coverage and cost
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- of a particular drug. This resource
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- can be used to query for a drug or set
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- of drugs
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- coverage details in a particular formulary
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- A prescriber or dispenser wants to query
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- to get potential equivalent products
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- – for
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- example, they can search using the ingredient(s) and strength to return branded products
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- that contain the same set of ingredient(s)
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- and
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- strength(s)
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- A patient wants to query to determine if a
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- drug is covered by an insurer
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- and its' cost
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- A patient wants to query to get information (side effects, etc)
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- about
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- a drug he or she is
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- taking or
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- has been prescribed).
Resource Relationships
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- MedicationKnowledge is expected to reference Substance, Organization, Medication,
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- DocumentReference, Media.
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- It will also
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- reference
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- draft resources: Contraindication, Indication, Interaction,
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- UndesirableEffect -
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- currently under development by BR&R but
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- will be
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- working
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- with
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- other WorkGroups (CDS, Patient Care)
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- to fully
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- define
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- This resource may
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- be referenced by other
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- resources such as CatalogEntry in the future
Timelines
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- Expect to be ready for Comment only ballot
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- – September 2019 Ballot Cycle
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- Maturity level
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- 1 (or higher)
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- in
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- R5
gForge Users
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- Melva Peters
When Resource Proposal
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Is
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Complete
When you have completed your proposal,
please send an email to FMGcontact@HL7.org