Hello DEUSG,
We are looking for group opinions and feedback on the use of |Administration of drug (procedure)| versus |Drug therapy (procedure)| concepts.
Please see original post and previous comments here.
DEUSG Summary:
Concepts such as Antibiotic therapy vs Administration of antibiotic overlap and cause inconsistent modeling.
Consensus: Distinction is difficult to apply consistently. SI suggestion for discussion is to consolidate under the Administration hierarchy,
From @mvandorp
This is in regard to a thread from the Drug Extension User Support Group on ‘Drug Therapy’ v ‘Administration of Drug’ – a few months back I presented to the group on New Zealand’s intended approach for route of administration and this flowed into this topic.
Just pitching in with our use case:
Our Standards organisation and National Medicines Collaboration group have been undergoing a standardisation exercise looking at route of administration within our inpatient medication application.
Recently 7-8 local instances have undergone harmonisation, and we have a large list of ‘route terms’.
Whilst consolidating the terms it was found that many of the routes were composite terms. Additionally, that the application doesn’t have the ability to split the concepts out into routes, sites, methods and devices (where applicable). To solve for this we are looking to use descendants of ‘1285465008 |Administration via specific route (procedure)|’ procedure concepts.
New Zealand utilises a National Medicines Terminology and as a result we are not looking to get more specific than ‘drug or medicament’ as that is specified in our information model separately.
We also have taken the same approach for our ambulance care summary coding, using the ‘administration via specific route’ procedure concepts - they did get more specific with some substances specifying oxygen for example.
As our inpatient medication application records each individual administration, I’d argue that administration of drug is most appropriate for our purposes.
I see the argument for the prescription that this could be indicating a longevity and therefore drift into the realm of regime therapy, but my personal inclination is that will introduce difficulty with analytics. It would mean for our case even if administration didn’t differ from the prescription you’d be using two separate concept identifiers.
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