View source for Igor Sirkovich, 2008 use of MaterialKind and MaterialKind2


Hi Igor,

I suggest you direct your request to the INM (Infrastructure & Messaging)
Technical Committee. They are responsible for all CMETs and Shared messages.

Regards,

John Kufuor-Boakye
Gordon Point Informatics
780-439-3066 (desk phone)
780-951-4376 (cell)

-----Original Message-----
From: Sirkovich, Igor (MOH) [mailto:Igor.Sirkovich@ontario.ca]
Sent: Wednesday, July 30, 2008 2:19 PM
To: John Kufuor-Boakye; Hugh_Glover; patientcare@lists.hl7.org
Subject: RE: AdministerableMaterialKind - REPC_HD000200UV - A_CarePlan


Thanks John!

I agree that replication of the way the device is used in substance
administration, as modeled in Pharmacy DMIM, in the Care Plan RMIM would
be the best solution. However we have found one issue with the
AssignedDevice universal (COCT_RM090300UV) CMET that is used in the
Pharmacy DMIM - there is no Entity Code defined for Device. Thus, there
is no way to indicate what kind of device was used for substance
administration, e.g. Syringe, Pen, AutoInjector, etc...

I suggest we need to submit a request to include the Device codeEntity
in COCT_RM090300UV. Do you know which working committee is responsible
for this CMET?

Thanks,
Igor

-----Original Message-----
From: John Kufuor-Boakye [mailto:kufuor@telusplanet.net]
Sent: Wednesday, July 30, 2008 2:57 PM
To: Sirkovich, Igor (MOH); 'Hugh_Glover'; patientcare@lists.hl7.org
Subject: RE: AdministerableMaterialKind - REPC_HD000200UV - A_CarePlan

Igor,

What Hugh is referring to on the Pharmacy DMIM separates the
participation of a consumable (as depicted on the Patient Care's Care
Plan RMIM) from the participation of a device in
SubstanceAdministrationProcess (either as the dispensed item or as the
device use in administration).

I did exchange notes with the Patient Care co-chairs last night on your
comment/issue, and indicated that we would take up your comment as a
normal Care Plan DSTU comment and deal with it in Vancouver.

Meanwhile, the thing to do is not to abstract the codeEntity upward to
MaterialEntityEntityClassType (that would include Devices as consumable
AdministrableMaterial). The way forward would be to replicate in the
Care Plan RMIM, the device structure as modeled in Pharmacy DMIM. That
way, the dispensing of a device or the use of a device in substance
administration can be clearly identified in the Care Plan (if
necessary).

Regards,

John Kufuor-Boakye
780-439-3066 (desk phone)
780-951-4376 (cell)

-----Original Message-----
From: owner-patientcare@lists.hl7.org
[mailto:owner-patientcare@lists.hl7.org] On Behalf Of Sirkovich, Igor
(MOH)
Sent: Wednesday, July 30, 2008 12:11 PM
To: Hugh_Glover; patientcare@lists.hl7.org
Subject: RE: AdministerableMaterialKind - REPC_HD000200UV - A_CarePlan


Thanks Hugh!

We did have a look at the pharmacy DMIM PORX_DM000000 and the way it
links a Device to a Substance Administration would work well for us, but
unfortunately this link is not part of the CarePlan, which we are using
for our e-Referrals.

Why aren't you sure widening codeEntity of the MaterialKind to allow any
MaterialEntityClassType is right? I think it would make the Care Plan
model flexible enough to meet various business needs.

Regards,
Igor

-----Original Message-----
From: Hugh_Glover [mailto:hugh_glover@bluewaveinformatics.co.uk]
Sent: Tuesday, July 29, 2008 7:24 PM
To: Sirkovich, Igor (MOH); "'patientcare'"
Subject: RE: AdministerableMaterialKind - REPC_HD000200UV - A_CarePlan

I've not got any of this in front of me, but ExposureAgent sounds wrong;
but I'm not sure widening it to cover anything is right either.  If you
look at the pharmacy DMIM PORX_DM000000 you will see a device
represented somewhere at the top of one of the acts (sorry - from
memory).  This is specifically there to represent the device in the case
you are talking about.  This is a good place to start to see if the
PatientCare model covers what you need.
Regards
Hugh

-----Original Message-----
From: owner-patientcare@lists.hl7.org
[mailto:owner-patientcare@lists.hl7.org] On Behalf Of Sirkovich, Igor
Sent: 30 July 2008 00:19
To: patientcare
Subject: AdministerableMaterialKind - REPC_HD000200UV - A_CarePlan

Hello,

Does anyone why codeEntity of the MaterialKind and MaterialKind2 in
REPC_HD000200UV - A_CarePlan is bounded to ExposureAgentEntityType?
Wouldn't it make more sense to bound it to a broader
MaterialEntityClassType?

ExposureAgentEntityType indicates the material to which the patient was
exposed which is believed to be related to the adverse reaction. We have
a business requirement to indicate a Medical Device that was used for
the substance administration.

Thanks,

Igor Sirkovich

Information Architect, HL7 & Integration CC e-Health Standards Team
Continuing Care e-Health