Igor Sirkovich, 2008
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
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 [1] 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
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)
