costateixeira
commented
2 years ago - What database? The FHIR server?
- FHIR exchange persists the order of repeated items. So if we enter Paracetamol as the first ingredient and Codeine as the second, that will always be shown as such. Is this something that the users can handle, or do we need to enforce (especially if it is not easy to decide)?
On Fri, Nov 11, 2022 at 8:59 PM Rutt Lindström @.***> wrote:
Something we're currently struggling with in our national implementation. Maybe a useful warning for you. Maybe you will come up with a wonderful solution. :)
There are no hints about the order of active ingredients in ISO IDMP model or EMA IG or FHIR spec or anywhere else. However, for medications with multiple active ingredients, users expect to see the main ingredient first and the co-ingredients after. And this should be consistent across products with the same composition, as otherwise it would be difficult to compare them on the screen. Alphabetical order will not help you. For example: over-the-counter paracetamol+codeine product. [image: image] https://user-images.githubusercontent.com/112903984/201421443-3b9b053e-42c4-4efc-a535-a95bd902c38b.png
It should always be Paracetamol 500mg first and Codeine 30mg second. Codeine is an opiate and if it was the main (or significant) ingredient in this product, the product would be something completely different.
This is something to consider when creating the database. However, it's not very straightforward to decide what is first and what is second. You can get an indication of it from the ATC code, but again, it will only help you half way there.
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rlindstrm
Censacrof
Something we're currently struggling with in our national implementation. Maybe a useful warning for you. Maybe you will come up with a wonderful solution. :)
There are no hints about the order of active ingredients in ISO IDMP model or EMA IG or FHIR spec or anywhere else. However, for medications with multiple active ingredients, users expect to see the main ingredient first and the co-ingredients after. And this should be consistent across products with the same composition, as otherwise it would be difficult to compare them on the screen. Alphabetical order will not help you. For example: over-the-counter paracetamol+codeine product.
It should always be Paracetamol 500mg first and Codeine 30mg second. Codeine is an opiate and if it was the main (or significant) ingredient in this product, the product would be something completely different.
This is something to consider when creating the database. However, it's not very straightforward to decide what is first and what is second. You can get an indication of it from the ATC code, but again, it will only help you half way there.