Methods Inf Med 1995; 34(04): 310-317
DOI: 10.1055/s-0038-1634606
Original Article

A General Model of Drug Prescription

B. Séné
1   Département de Biostatistiques et Infonnatique Médicale et IRT-ECLIMED, Hôpital Cochin (Université René Descartes – Paris V), Paris Cedex 14, France
,
A. Venot
1   Département de Biostatistiques et Infonnatique Médicale et IRT-ECLIMED, Hôpital Cochin (Université René Descartes – Paris V), Paris Cedex 14, France
,
I. de Zegher
2   BIM, Everberg, Belgium, Italy
,
C. Milstein
1   Département de Biostatistiques et Infonnatique Médicale et IRT-ECLIMED, Hôpital Cochin (Université René Descartes – Paris V), Paris Cedex 14, France
,
S. Errore
3   Dipartimento di Informatico-University of Bari, Italy
,
F de Rosis
3   Dipartimento di Informatico-University of Bari, Italy
,
G. Strauch
1   Département de Biostatistiques et Infonnatique Médicale et IRT-ECLIMED, Hôpital Cochin (Université René Descartes – Paris V), Paris Cedex 14, France
› Author Affiliations

Abstract:

Currently, there is no widely accepted structured representation of drug prescription. Nevertheless, a structured representation is required for entering and storing drug prescriptions avoiding free text in computerized systems, and for drug prescription reviews. Derived from part of the work of the European OPADE project, we describe an object-oriented model of drug prescription which incorporates important concepts such as the phase and triggering event concepts. This model can be used to record all drug prescriptions, including infusions, in a structured way avoiding free text. The phase concept allows the storage of sequentially ordered dosage regimens for a drug within the same prescription. The prescription triggering event concept allows recording of the administration of a drug conditional to dates, symptoms and clinical signs, medical procedures, and everyday life events. This model has been implemented within the OPADE project; the corresponding aspects of the user interface are presented to show how this model can be used in practice. Even if other new attributes may be added to the described objects, the structure of this model is suitable for general use in software which requires the entry, storage and processing of drug prescriptions.



Publication History

Article published online:
16 February 2018

Schattauer GmbH

 
  • References

  • 1 Venot A, Kostrewski B, Harding N. et al. Deliverable 1: Study of computerized drug prescription systems. AIM project A2027: OPADE. Public report. 1992
  • 2 Blaschke TF. Hospital information systems and the quality of therapeutics. Meth Inform Med 1990; 29: 163-6.
  • 3 Evans RS, Pestotnik SL, Classen DC. et al. Development of a computerized adverse drug event monitor. Proceedings SCAMC 1991; 15: 23-7.
  • 4 Linnarson R. Decision support for drug prescription integrated with computer-based patient’s record in primary care. Med Inform 1993; 18 (02) 131-42.
  • 5 De Zegher I, Milstein C, Séné B. et al. OPADE: Development of a European computerized drug prescription system. Proceedings SCAMC 1993; 17: 144-8.
  • 6 Erwin WG. The definition of drug utilization review: statement of issues. Clin Pharmacol Ther 1991; 50: 596-9.
  • 7 Pryor TA. The HELP medical record system. MD Computing 1988; 5 (05) 22-33.
  • 8 Van der Lei J, Musen MA. A model for critiquing based on automated medical records. Comput Biomed Res 1991; 24: 344-78.
  • 9 Stead WW, Hammond WE. Computerbased medical records: the centerpiece of TMT. MD Computing 1988; 5: 48-62.
  • 10 Coad P, Yourdon E. Object-Oriented Analysis. Prentice-Hall; Internat Ed. 1991