Stream: Medication
Topic: Morphine PCA
Bob Dolin (Aug 06 2019 at 01:01):
Hi, I was wondering if anyone could point me to any examples of a representation of Morphine PCA in FHIR? Thanks.
Lloyd McKenzie (Aug 06 2019 at 01:21):
Pca=?
Bob Dolin (Aug 06 2019 at 01:30):
patient controlled analgesia - the patient has a morphine IV, possibly with a continuous infusion, but they can also push a button and get an additional bolus. I wasn't sure if each bolus would be treated as a separate SubstanceAdministration, or if it still is likely to vary across sites.
Lloyd McKenzie (Aug 06 2019 at 02:18):
@Melva Peters @Scott Robertson ?
Melva Peters (Aug 06 2019 at 02:33):
I'm not sure we have any specific examples in the specification, but I can try to create one.
Jose Costa Teixeira (Aug 06 2019 at 17:38):
i would treat each bolus as a separate MedicationAdministration (personal preference). But we had some discussion in IHE and we did not feel comfortable to always enforce that. Sometimes you just want the total amount in a given period.
Jose Costa Teixeira (Aug 06 2019 at 17:40):
i guess the easiest would be to have one admin for the continuous infusion and one for each bolus. Should be easier to implement and provides best information.
Bob Dolin (Aug 07 2019 at 19:45):
Thank you for responses.
Last updated: Apr 12 2022 at 19:14 UTC
