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  1. FHIR Specification Feedback
  2. FHIR-29633

IG needs to include dosage, route are required for CDS hook.

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Highest Highest
    • Potential Drug-Drug Interaction (PDDI) (FHIR)
    • 0.2.0 [deprecated]
    • Clinical Decision Support
    • Use Case [deprecated]
    • 2 Min Info Model 2.1 Definitions of Core Info Items
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      Add a clarification statement that says "The IG use case for Warfarin + NSAIDs shows that the potential interactions often need to consider route and formulation. The minimal information model specifies  Contextual  Information/modifying factors which these would fall under."

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      Add a clarification statement that says "The IG use case for Warfarin + NSAIDs shows that the potential interactions often need to consider route and formulation. The minimal information model specifies  Contextual  Information/modifying factors which these would fall under."
    • Richard Boyce/Isaac Vetter: 9-0-0
    • Enhancement
    • Non-substantive

    Description

      IG needs to include dosage, route are required for CDS hook. For example, if a drug is given topically, the metabolism route will be different and different organs will be doing the metabolism. This is key to certain circumstances. An example is local application of NSAIDS in patients with cirrhosis due to impaired metabolism/excretion and leads to undertreatment of pain in this population. (https://aasldpubs.onlinelibrary.wiley.com/doi/full/10.1002/cld.711)

      Existing Wording:

      Drugs Involved Two or more drugs considered to be possible participants in a potential drug-drug interaction\. Drugs may be specified as drug classes, specific chemicals, products, or in any other appropriate level of granularity\. Specification of each drug involved in a PDDI may include the use of a single drug identifier (http://purl\.obolibrary\.org/obo/APOLLO_SV_00000461) from a medical terminology, or a drug concept set identifier (http://purl\.obolibrary\.org/obo/DIDEO_00000128) that identifies two or more relevant drug identifiers\.

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            s_mitchell Sandi Mitchell (Inactive)
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              Created:
              Updated:
              Resolved: