FHIR Chat · Medication Side Effects

Stream: implementers

Topic: Medication Side Effects

Nathan Hall (Dec 17 2018 at 20:05):

A medication can return an array of side effects. What is the best way to categorize these in the fhir world? Is it ValueSet resource, condition, detected issue, or something else?

Nathan Hall (Dec 17 2018 at 20:08):

e.g., I have something along the lines of

[
  {
    DXID: 2114,
    ConditionID: "2114",
    ConditionDesc: "constipation",
    ConditionType: "07",
    ConditionTypeDesc: "DXID",
    DrugID: "00603017932",
    DrugConceptType: "PackagedDrug",
    DrugDesc: "FERROUS SULFATE 325 MG TABLET",
    FrequencyOfOccurrenceCode: "0",
    FrequencyOfOccurrenceCodeDesc: "Incidence more frequent",
    VisibilityCode: "1",
    VisibilityCodeDesc: "\"May be communicated by patient.\" In these cases, it is assumed that the patient is responsive and communicative (for example, nausea).",
    Severity: "0",
    SeverityDesc: "less severe",
    LabTestCode: "0",
    LabTestCodeDesc: "No Lab or Diagnostic Test Recommended",
    ContactPhysicianCode: "0",
    ContactPhysicianCodeDesc: "Contact MD only if becomes bothersome",
    HypersensitivityIndicator: false,
    HitConditionDesc: "constipation",
    HitConditionID: 2114,
    HitConditionNavCode: "01",
    HitConditionNavCodeDesc: "Equal",
    HitDrugDesc: "IRON SUPPLEMENTS (ORAL)"
  },
  {
    DXID: 3223,
    ConditionID: "3223",
    ConditionDesc: "Nausea",
    ConditionType: "07",
    ConditionTypeDesc: "DXID",
    DrugID: "00603017932",
    DrugConceptType: "PackagedDrug",
    DrugDesc: "FERROUS SULFATE 325 MG TABLET",
    FrequencyOfOccurrenceCode: "0",
    FrequencyOfOccurrenceCodeDesc: "Incidence more frequent",
    VisibilityCode: "1",
    VisibilityCodeDesc: "\"May be communicated by patient.\" In these cases, it is assumed that the patient is responsive and communicative (for example, nausea).",
    Severity: "0",
    SeverityDesc: "less severe",
    LabTestCode: "0",
    LabTestCodeDesc: "No Lab or Diagnostic Test Recommended",
    ContactPhysicianCode: "0",
    ContactPhysicianCodeDesc: "Contact MD only if becomes bothersome",
    HypersensitivityIndicator: false,
    HitConditionDesc: "Nausea",
    HitConditionID: 3223,
    HitConditionNavCode: "01",
    HitConditionNavCodeDesc: "Equal",
    HitDrugDesc: "IRON SUPPLEMENTS (ORAL)"
  }

What's the best way to represent this in relation to a Medication in STU3

Lloyd McKenzie (Dec 17 2018 at 20:15):

This sort of definitional information is expected to be covered by MedicinalProductInteraction, though that's just draft right now and may evolve/change.

Nathan Hall (Dec 17 2018 at 20:16):

what would be bests besides MPI for stu3

Lloyd McKenzie (Dec 17 2018 at 20:35):

Can you clarify your question?

Nathan Hall (Dec 17 2018 at 20:39):

sure, since MedicinalProductInteraction is draft, is there something that is not in draft for showing a list of side effects and severities for a given drug?

Lloyd McKenzie (Dec 17 2018 at 21:07):

If a resource exists as draft, that's pretty much a guarantee that nothing else exists. We try very hard to not have resources that overlap.

Lloyd McKenzie (Dec 17 2018 at 21:08):

If you're interested in patient-specific records, you can also take a look at DetectedIssue

Jose Costa Teixeira (Dec 17 2018 at 21:13):

or AdverseEvent? But AdverseEvent would be only to say "this patient is having drowsiness, may be from this medication". Not "this medication may cause drowsiness or tachicardia".

Nathan Hall (Dec 17 2018 at 21:43):

alright. thanks!

Last updated: Apr 12 2022 at 19:14 UTC

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FHIR Chat · Medication Side Effects · implementers