Stream: Medication
Topic: What is the code used in EU?
Yunwei Wang (Jul 17 2019 at 15:49):
I know RxNorm code is used in US Core MedicationRequest. Do EU use the RxNorm too?
Jean Duteau (Jul 17 2019 at 16:19):
No, that's a US-only CodeSystem so it is not generally used outside of the US.
Yunwei Wang (Jul 17 2019 at 17:06):
then what code system does EU use?
Jose Costa Teixeira (Jul 17 2019 at 18:25):
Each of the EU countries have their own sets of codes.
Jose Costa Teixeira (Jul 17 2019 at 18:27):
There is no common code set yet. And there is no mapping between the code sets
Yunwei Wang (Jul 18 2019 at 15:20):
Thanks @Jose Costa Teixeira Do you have an example of MedicaitonRequest from Germany? Thanks again
Jose Costa Teixeira (Jul 18 2019 at 17:18):
I believe that Germany is using a code set they call PZN
Jose Costa Teixeira (Jul 18 2019 at 17:18):
https://simplifier.net/basisprofilde/pzn
Jose Costa Teixeira (Jul 18 2019 at 18:32):
They have another code called PPN, not sure if this is a more granular code, or just a re-encoding. @Yunwei Wang If you are looking specifically for Germany, best to ask @Simone Heckmann
Brendan Keeler (Jul 18 2019 at 23:47):
The Netherlands uses G-Standaard
Yunwei Wang (Jul 19 2019 at 14:11):
@Brendan Keeler Can you point me to some example of MedicationRequest using G-Standard?
Brendan Keeler (Jul 19 2019 at 14:19):
@Michael Tan @Alexander Henket @Irma Jongeneel I've been out of the NL game for a bit, so deferring to you if G-Standaard + FHIR has been seen in the wild
Jose Costa Teixeira (Jul 19 2019 at 14:48):
@Yunwei Wang are you looking for a country specifically, or looking at the EU scene, or checking if there is some commonality (ther i sn't), or...? perhaps i could give more info.
Jose Costa Teixeira (Jul 19 2019 at 14:49):
if you want to know the codes used, I know a few from the top of my head, but depends on what you want.
Jose Costa Teixeira (Jul 19 2019 at 14:51):
If you want to see how that is mess is being bridged, I can tell this is complex and complicated.
That is million dollar question (not literally, sadly)
Jose Costa Teixeira (Jul 19 2019 at 14:55):
You may want to look at IDMP which is trying to bring a global solution for that (the 28th standard that will fix all the other standards)..
Jose Costa Teixeira (Jul 19 2019 at 14:56):
normally, each of these agencies define their national codes.
Jose Costa Teixeira (Jul 19 2019 at 14:56):
Yunwei Wang (Jul 19 2019 at 18:13):
I am preparing FHIR data for a mocked use case for transferring clinical data from EU to US. My goal is to show some data difference between EU and US. I know that Germany does not use SNOMED nor RxNorm. That why I pick Germany.
Jose Costa Teixeira (Jul 19 2019 at 21:37):
identification of ,edicinal products across countries (e.g. US tu EU) is way IDMP is being implemented.
Previous initiatives have relied on identification via ATC codes which is not ok.
Jose Costa Teixeira (Jul 19 2019 at 21:39):
three initiatives in EU around that that I can remember:
1. epSOS project made a first hit (via ATC, learning that ATC is not good)
2. openMedicine exposed that it is possible to do better
3. International Patient Summary has a medication section, not sure if they point at a solution - i think they rely on IDMP's expected arrival
Last updated: Apr 12 2022 at 19:14 UTC
