Hello All,

We are currently working on an oncology project in which medication 
regimens are used.  I would appreciate some guidance on the preferred 
way to model regimens using openEHR.  Here is an example of a regimen I 
am modeling:

Regimen Name: CAF
Step 1: Cyclophosphamide 100 mg/m2/day po days 1-14
Step 2: Doxorubicin 30 mg/m2/day iv days 1 and 8
Step 3: 5FU 500 mg/m2/day iv on days 1 and 8 repeat q 4 weeks

As I see it, there are two possible models:

1.  One INSTRUCTION with an ITEM_TABLE data structure that has each step 
in a different column.

OR

2.  Three INSTRUCTIONs with LINKs between them (i.e. a "concurrent 
medication order").  This would be very similar to the "chained 
medication order" described in the EHR Information Model (Figure 27). 
However in this case, the LINKs' meaning would be "concurrent actions" 
rather than "next action".

Does anyone have a preference or another way to model this?

Thanks,

Matias

-- 
============
Matias Klein
Ethidium Health Systems
3993 Huntingdon Pike - Suite 108
Huntingdon Valley, PA 19006-1927
USA
Office: (215)938-8630
Fax: (866)583-8018
http://www.ethidium.com
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