We intend to introduce the drug administration feature on Bahmni so that a user can capture and get the details of medicines administered to a patient. As part of this, we want to provide the user the capability to indicate whether a drug was administered to a patient. Also we would want to capture details like the drug, dosage, route, duration, time at which the drug was given etc. In addition to this, if a drug that was prescribed was not given, then the reason for that would also need to be captured.
Another use case that we have is to capture the immunisation given to a person over a period of time.
OpenMRS contains prescriptions (MedicationPrescription) as a drug order. Dispensing (MedicationDispense) and administration (MedicationAdministration) would be up to a module. See this post.
There are several implementations that have made pharmacy and/or inventory modules. For example, we hope to hear about Bahmni’s use of OpenERP on next week’s Dev Forum. I’m not sure how many have created medication administration modules. You could google around github and/or ask Implementers.
Hi Burke,
We couldn’t find any OpenMRS module that implements data-model and service api for medication administration. Looked at the post you linked, does the post imply that it is left to the implementers to decide how to capture administration data? We were thinking that it perhaps belongs in OpenMRS core and just hasn’t been implemented yet. If not, then I guess we would look at the HL7 documentation and implement one. Any other pointers which might help?
Thanks
I would expect that we should implement med administration in a common
module. I can see Burke’s point that there are external systems that can
implement this in a hospital setting, but I think that the 80% solution for
OpenMRS installations is to handle this internally.
And if you all are ready to implement this we can definitely spend a couple
of design calls hashing out a commonly agreed to approach. As a starting
point we should use the FHIR resource.
Yes we would like this to happen too.
We have 2-3 months in which we have to create this solution for one of our
clients. So sooner we start it would be better, we are more confident that
it would not go the Condition List way (which got pushed out to next
release).
Yes (what @darius said). We’d love to have a medication administration module that was widely useful (the same goes for a pharmacy module & a dispensing module) and would be happy to have design discussions to help ensure that any effort put into one of these areas is likely to become widely useful.
As you are doing already, I would look to FHIR to drive the model, since it benefits everyone for us to be FHIR-compatible. It would help if you created a “Medication Administration Module (Design Page)” page project page under our Active Projects page. See In-Page Localization (Design Page) and OCL Subscription Module (Design Page) as examples (you don’t need mentor/intern names at top, obviously, but it’s good to give brief description, interested parties, goals, etc. in a way others can understand). That will give a common place for people to follow and add design suggestions/comments.
@jthomas – let’s get “Medication Administration” on an upcoming design forum with @vsingh.
We were intending to talk about Clinical Decision Support on Monday, but we
haven’t heard back from Shruthi to confirm. Vivek and Shruthi are on the
same team, so they can decide together how to prioritize…
It would be great to get a (short) preview of what the Clinical Decision
Support topic will cover. Just a one-paragraph email to get people’s minds
thinking about the specific scope you’re interested in.
I may just be out of the loop here but have you had a chance to send over a (short) preview of what the Clinical Decision Support topic will cover on Monday? I would like to send out a notice to the community about this topic in case anyone would like to join and your thoughts around the topic would really help.
For tonight’s call we’d like to talk about the DSS use cases we have in Bahmni. We’d also like to touch upon Arden and exiting implementations using them. Overall, we want to talk about what we have in mind for implementing DSS in Bahmni.
Hi Vivek, I am working on developing a drug order module in OpenMRS 2.2 . I have gone through the discussions about this and taken a look at the Bahmni medication (drug order) page which is what I need to implement to begin with. Could you give me some details regarding the starting point and the data model? I am presently working on the tables related to drugs but I am a little confused about the implementation of other classes (Concept/Users). Btw, this is implemented as a separate module and plugged into the main system, right?