I'm not prescribing necessarily ... I'm documenting. There's a difference. And I prefer to use branded drugs .. and not some generic where the bioavailability differs by 10% from batch to batch. Jerry, would you do a movie to show us how quick your favs work for you?
I don't think it's feasible to remember hundreds of shortcuts .. so maybe it's best to just use the drug name as the shortcut. Currently if Synapse can't find the typed name in the shortcuts, it then looks in the other database eg. RxTerms or whatever. If it finds the shortcut, you then have a selection of prescriptions to choose from.
I know it sounds a good idea to match a drug to a diagnosis, but it's an extra step that I don't think is worthwhile. Do you really want to indicate which drug you prescribe is for what diagnosis??
It isn't feasible. It's not an extra step if the shortcut for the drug includes the predominant use for it. I think it is good for the patients to know what the drugs are for. I want a medication list on the portal. For insurance purposes, don't American MDs have to tie a drug to a ICD diagnosis ?
if the drugs were categorized, you might be able to have an ORDER to the medication List ... such as: group all the cardiac drugs group all the diabetes drugs group all the mood drugs etc.
http://en.wikipedia.org/wiki/Anatomical_Therapeutic_Chemical_Classification_System The Anatomical Therapeutic Chemical (ATC) Classification System is used for the classification of drugs. It is controlled by the WHO Collaborating Centre for Drug Statistics Methodology (WHOCC), and was first published in 1976.[1] The classification system divides drugs into different groups according to the organ or system on which they act and/or their therapeutic and chemical characteristics. Each bottom-level ATC code stands for a pharmaceutically used substance in a single indication (or use). This means that one drug can have more than one code: acetylsalicylic acid (aspirin), for example, has A01AD05 as a drug for local oral treatment, B01AC06 as a platelet inhibitor, and N02BA01 as an analgesic and antipyretic. On the other hand, several different brands share the same code if they have the same active substance and indications.
Do the RXCUIs map automatically to the ATC classification ? Is that readily available ? Prescribing fast and codified is priority #1. Having some LOGICAL grouping sure would add some icing on the cake.
Categories ... More common for Primary Care. Common: C Cardiovascular system M Musculo-skeletal system (NSAIDS, N Nervous system J Antiinfectives for systemic use G Genito-urinary system and sex hormones A Alimentary tract and metabolism Less Common: D Dermatologicals R Respiratory system H Systemic hormonal preparations, excluding sex hormones and insulins S Sensory organs Not as often: B Blood and blood forming organs L Antineoplastic and immunomodulating agents P Antiparasitic products, insecticides and repellents V Various Gastrointestinal tract/metabolism (A) stomach acid (Antacids, H2 antagonists, Proton pump inhibitors) • Antiemetics • Laxatives • Antidiarrhoeals/Antipropulsives • Anti-obesity drugs • Anti-diabetics • Vitamins • Dietary minerals Blood and blood forming organs (B) Antithrombotics (Antiplatelets, Anticoagulants, Thrombolytics/fibrinolytics) • Antihemorrhagics (Platelets, Coagulants, Antifibrinolytics) Cardiovascular system (C) cardiac therapy/antianginals (Cardiac glycosides, Antiarrhythmics, Cardiac stimulants) Antihypertensives • Diuretics • Vasodilators • Beta blockers • Calcium channel blockers • renin-angiotensin system (ACE inhibitors, Angiotensin II receptor antagonists, Renin inhibitors) Antihyperlipidemics (Statins, Fibrates, Bile acid sequestrants) Skin (D) Emollients • Cicatrizants • Antipruritics • Antipsoriatics • Medicated dressings Genitourinary system (G) Hormonal contraception • Fertility agents • SERMs • Sex hormones Endocrine system (H) Hypothalamic-pituitary hormones • Corticosteroids (Glucocorticoids, Mineralocorticoids) • Sex hormones • Thyroid hormones/Antithyroid agents Infections and infestations (J, P, QI) Antimicrobials: Antibacterials (Antimycobacterials) • Antifungals • Antivirals • Antiparasitics (Antiprotozoals, Anthelmintics, Ectoparasiticides) • IVIG • Vaccines Malignant disease (L01-L02) Anticancer agents (Antimetabolites, Alkylating, Spindle poisons, Antineoplastic, Topoisomerase inhibitors) Immune disease (L03-L04) Immunomodulators (Immunostimulants, Immunosuppressants) Muscles, bones, and joints (M) Anabolic steroids • Anti-inflammatories (NSAIDs) • Antirheumatics • Corticosteroids • Muscle relaxants • Bisphosphonates Brain and nervous system (N) Analgesics • Anesthetics (General, Local) • Anorectics • Anti-ADHD Agents • Antiaddictives • Anticonvulsants • Antidementia Agents • Antidepressants • Antimigraine Agents • Antiparkinson's Agents • Antipsychotics • Anxiolytics • Depressants • Entactogens • Entheogens • Euphoriants • Hallucinogens (Psychedelics, Dissociatives, Deliriants) • Hypnotics/Sedatives • Mood Stabilizers • Neuroprotectives • Nootropics • Neurotoxins • Orexigenics • Serenics • Stimulants • Wakefulness-Promoting Agents Respiratory system (R) Decongestants • Bronchodilators • Cough medicines • H1 antagonists Sensory organs (S) Ophthalmologicals • Otologicals Other ATC (V) Antidotes • Contrast media • Radiopharmaceuticals • Dressings
Part of the work I did for drug interactions was to map RxCUI to ATC. Eventually that work will find its way across.
It would have to be a web service I think ... In the meantime I have sped up the adding of medications by using F2 to save drug choices ...
http://screencast.com/t/lzUgnzURNSf Shows shortcuts being triggered now by a space and not using ! and other goodies.
