I did find two entries that were close, but not exactly the same.: NOVOLOG MIX 70 30 INSULIN ASPART SUSPENSION 30;70UNT;UNT 00169-3685-12 1 VIAL SUBCUTANEOUS R
NOVOLOG MIX 70 30 INSULIN ASPART SUSPENSION 30;70UNT;UNT 00169-3685-92 1 VIAL SUBCUTANEOUS R Kevin On 3/25/06, Bill Walton <[EMAIL PROTECTED]> wrote: > Hi Kevin, > > Just an FYI about the FDA database: it's not complete. I took a look at it > about a week or so ago and entered one of my meds. It wasn't there. The > manufacturer was. A whole bunch of their meds were. But not the one I use. > I sent an email letting them know and asking "why?" No reply received to > date. The info from the prescription is included below so you can see for > yourself. > > Best regards, > Bill > > Drug name: Novolin Insulin 70/30 Human > Mfg: Novo Nordisk > NDC: 00169-1837-11 > > ----- Original Message ----- > From: "Kevin Toppenberg" <[EMAIL PROTECTED]> > To: "Hardhats Sourceforge" <hardhats-members@lists.sourceforge.net> > Sent: 2006-03-25 7:36 AM > Subject: [Hardhats-members] Pharmacy question: matching ingredients > > > I have a question for the pharmacists on the message board: > > As I am processing the 280,000 entries in the FDA database, I am > matching first by NDC. If that fails, I then have a drug that > potentially needs to be added to the VA PRODUCT file. > > In order for the drug to work with drug-interaction testing later, the > drug INGREDIENTS of the new addtion need to match with existing VistA > ingredients. But here lies my problem. A great many drugs fail to > match ingredients. > > Here is one example: > > FDA: ceftazidime pentahydride > VistA: ceftazidime > > In this example, I feel fairly comfortable matching these. But if I > make a rule that says, "if simple comparison doesn't match, then allow > matching based on FIRST word only", then I worry that I will create a > match between two ingredients that shouldn't be matched. > > So my question is: Is this worry valid? Are there ingredients where > the second or third words DO MAKE A DIFFERENCE? > > Next, there are going to be new substances/ingredients that have been > released by the FDA that have not previously been put into the VA > PRODUCT file, or the INGREDIENTS file. For example, Spiriva > (tiotropium), I don't know if this is in my VA PRODUCT file or not, > but let's assume it is new enough that it is not already there. To > add this as a new drug, I will need to add a new ingredient, > TIOTROPIUM. > > But then what about the DRUG INTERACTIONS functionality? I haven't > studied this part yet, but I assume there is a file somewhere that > lists drug interactions and ingredients that cause them. If I don't > have drug interaction data for new drugs, but do have it for old > drugs, then providers will have a system that only works some of the > time --> dangerous. In the VA system, I assume that new drugs are > added one at a time by a pharmacist, on an as-needed basis. > > Question: Where do they get their information about drug interactions? > There must be some database that they access, which should be > continually updated. If so, is this a commercial product, or is it > public and I could download it somewhere? > > I guess another option would be to simply add the new ingredients and > then shut off the drug interaction system so that no warnings are > generated (rather than just some of the time), and we would have the > same situation as we do now, where doctors write prescriptions on > paper and the pharmacist at the pharmacy fills the order (and *might* > do some interaction checking). This is not a bad solution... > > Perhaps my work to automatically add missing drugs from the FDA > database has been doomed from the start because there is not enough > data there. (Other missing data is the maximum and minum doses, > though I think our site can get by without this.) But frankly, the > pharmacy system can't work if the doctors can't order ANY drug. And I > feel I have established that we are not going to be able to tap into > the up-to-date VA PRODUCT file maintained by the VA somewhere. And > even this will not likely contain ALL the drugs (i.e. pediatric drugs, > birth control tablets, labor & delivery drugs etc etc.) > > Your thoughts would be appreciated > > Kevin > > > ------------------------------------------------------- > This SF.Net email is sponsored by xPML, a groundbreaking scripting language > that extends applications into web and mobile media. Attend the live webcast > and join the prime developer group breaking into this new coding territory! > http://sel.as-us.falkag.net/sel?cmd=k&kid0944&bid$1720&dat1642 > _______________________________________________ > Hardhats-members mailing list > Hardhats-members@lists.sourceforge.net > https://lists.sourceforge.net/lists/listinfo/hardhats-members > > > ------------------------------------------------------- > This SF.Net email is sponsored by xPML, a groundbreaking scripting language > that extends applications into web and mobile media. Attend the live webcast > and join the prime developer group breaking into this new coding territory! > http://sel.as-us.falkag.net/sel?cmd=lnk&kid=110944&bid=241720&dat=121642 > _______________________________________________ > Hardhats-members mailing list > Hardhats-members@lists.sourceforge.net > https://lists.sourceforge.net/lists/listinfo/hardhats-members > ------------------------------------------------------- This SF.Net email is sponsored by xPML, a groundbreaking scripting language that extends applications into web and mobile media. Attend the live webcast and join the prime developer group breaking into this new coding territory! http://sel.as-us.falkag.net/sel?cmd=lnk&kid0944&bid$1720&dat1642 _______________________________________________ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
