Stream: implementers
Topic: medicine details free text
Mithilesh gupta (Mar 14 2018 at 11:05):
we have a field in which doctor prescribes a medicine in free text like " Tab paracetamol 1-1-1 * 5 days".
There a quite a lot of variations to be able to actually break into parts and make the medication and dosage resources separately.
In such a case what is the best way to record this info? Can we still use MedicationRequest to record this free text?
Lloyd McKenzie (Mar 14 2018 at 14:11):
If they're filling in the whole prescription as free text, that can be captured as MedicationRequest.narrative
Eric Haas (Mar 14 2018 at 16:36):
To Clarify, the dosageInstruction.Dosage.text element is where the SIG gos. @Melva Peters can confirm this.
Lloyd McKenzie (Mar 14 2018 at 16:40):
Yes, but that's not intended to convey the medication too.
Eric Haas (Mar 14 2018 at 16:43):
that is my understanding of a SIG . When I write an RX I write something like "tramadol 50 mg 1 PO BID #30"
Eric Haas (Mar 14 2018 at 16:43):
I never split them so would not expect them to be separate in the resource either.
Eric Haas (Mar 14 2018 at 16:44):
but I'm just a solo veterinary practitioner - lets see what pharmacy has to say.
Eric Haas (Mar 14 2018 at 16:46):
....and I am always impressed that the pharmacist can read my writing :-)
Melva Peters (Mar 14 2018 at 17:54):
The sig is just the 1 tablet twice daily, it doesn't include the drug. I agree with @Lloyd McKenzie , if they want to put it all together, use Narrative.
Eric Haas (Mar 14 2018 at 17:55):
thanks for that. I learn something new all the time even after writing these things for 20 yrs :-)
Last updated: Apr 12 2022 at 19:14 UTC
