>Horst said: Since I am not aware of any need to include brand names into a
>drug interaction database, using international non-proprietary names as
>"unique keys" stands to reason, doesn't it?

It does make sense.

But are all the drug lists in vendor software mapped to ATC correctly given
that it is not just generic compound but drug form that determines ATC code
as you point out?

Are they or will they be mapped the same way and validated against an
independent standard?

What will happen with drug/chemical allergies (eg. penicillin, gluten,
lactose, etc) and warnings (eg. pregnancy, sport) in regards to how the
implementation will work with systems that already have these as part of
their product?

Will this be a limiting factor when vendors are using alternate drug systems
that may or may not be mapped to ATC or have extensive allergies and warning
systems in place as part of a total system?

Will any additional work on the vendor side be made available as part of the
existing software license, or will an additional charge be required?

I am sure NPS will be kept busy sorting these types of things out as part of
the project.

Geoff

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Horst Herb
Sent: Tuesday, 20 June 2006 10:42 a.m.
To: General Practice Computing Group Talk
Subject: Re: [GPCG_TALK] NPS drug interaction project

On Tuesday 20 June 2006 10:14, Geoff Sayer wrote:
> How will the medications be coded and classified in the knowledge base and
> how will the clinical systems talk to this knowledge base? There is no
> standard medication code set at the product level that is then classified
> at generic, therapeutic class etc. that all vendors are using. NEHTA and
> others are obviously keen to get this sorted.

There are at least two standardized drug "coding" systems:
a) ATC codes
b) INN

option a) is suffering from duplicity / non-uniqueness, but that is a
problem 
not too hard to overcome
option b) has no class hierarchy, just names

Since I am not aware of any need to include brand names into a drug 
interaction database, using international non-proprietary names as "unique 
keys" stands to reason, doesn't it?

In the (now sadly almost defunct) drugref project we constructed an "ATC 
dictionary" where we (that is me and Jay Gallagher from the OSCAR project) 
mapped a huge number of terms from various sources (e.g. Acetaminophen / 
Paracetamol, Frusemide / Furosemide, Lignocaine/Xylocaine,  or composite 
drugs like Co-Trimoxazole) - it is far from complete but might be a starting

point for something usable. This "dictionary" could include brandnames too, 
mapped to one or more ATC codes each.

The initial work we did is available via CVS 
(http://cvs.savannah.nongnu.org/viewcvs/php-drugref/atcdict/?root=php-drugre
f), 
including a browser based interface to facilitate manual mapping of missing 
terms

Horst
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