Medication table

[mit-lcp]

Medication table

[alistairewj]

That seems to be an example of the expected case: the drug is started after it is ordered. Do you mean you've seen cases where the drug is ordered after it is started? That's still possible, as medications is via pharmacy. That is, in emergency situations, drugs may be started and then later on "ordered". @obadawi may have further insight into this and how frequent it may be.

EDIT: not the expected case above, but the unusual one with order occurring after drug start.

[muthukrp]

Thanks for the reply. In this, can it be assumed that started is same as administered ? Since it is mentioned that 'The medications table reflects the active medication orders for patients. These are orders but do not necessarily reflect administration to the patient'.

[alistairewj]

Since this information is usually sourced from an interaction with a pharmacy, you know that the drug was ordered and scheduled to start, but you can't say 100% that it was delivered. That being said the number of medications which are ordered but not delivered is by far the minority.

[muthukrp]

Thank you for the information.

[jasonlee-apl]

That seems to be an example of the expected case: the drug is started after it is ordered. Do you mean you've seen cases where the drug is ordered after it is started? That's still possible, as medications is via pharmacy. That is, in emergency situations, drugs may be started and then later on "ordered". @obadawi may have further insight into this and how frequent it may be.

@alistairewj This looks to me like the unexpected case listed here - drug start is before drug order. What am i missing?

[obadawi]

agree, it's not unusual for certain items to be administered prior to the order being formally verified. I think the examples above of glucose, fluids and glucagon could fit that situation.

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On Fri, Dec 20, 2019 at 12:01 PM jasonlee-apl ***@***.***> wrote: That seems to be an example of the expected case: the drug is started after it is ordered. Do you mean you've seen cases where the drug is ordered *after* it is started? That's still possible, as medications is via pharmacy. That is, in emergency situations, drugs may be started and then later on "ordered". @obadawi <https://github.com/obadawi> may have further insight into this and how frequent it may be. @alistairewj <https://github.com/alistairewj> This looks to me like the unexpected case listed here - drug start is *before* drug order. What am i missing? — You are receiving this because you were mentioned. Reply to this email directly, view it on GitHub <#58?email_source=notifications&email_token=AD6USVC55NZQTA3TJVVA7FLQZT267A5CNFSM4F3C5L3KYY3PNVWWK3TUL52HS4DFVREXG43VMVBW63LNMVXHJKTDN5WW2ZLOORPWSZGOEHNQHPQ#issuecomment-568001470>, or unsubscribe <https://github.com/notifications/unsubscribe-auth/AD6USVCSIMRSGTUC4XYM7A3QZT267ANCNFSM4F3C5L3A> .

[alistairewj]

@jasonlee-apl Yep, I clearly misspoke above!

[jasonlee-apl]

@alistairewj all good! Is it safe to assume then, that the drug administration is at the time of "drugstartoffset" in these cases where start is before order? (I believe that's what you're saying above, just want to be crystal clear.)

[obadawi]

yes, I would go with that assumption. If it's a continuous infusion medication, you may find a more exact time of administration in the infusion table

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On Fri, Dec 20, 2019 at 12:20 PM jasonlee-apl ***@***.***> wrote: @alistairewj <https://github.com/alistairewj> all good! Is it safe to assume then, that the drug administration is at the time of "drugstartoffset" in these cases where start is before order? (I believe that's what you're saying above, just want to be crystal clear.) — You are receiving this because you were mentioned. Reply to this email directly, view it on GitHub <#58?email_source=notifications&email_token=AD6USVBAFV6FKLYXW7NF6YTQZT5GFA5CNFSM4F3C5L3KYY3PNVWWK3TUL52HS4DFVREXG43VMVBW63LNMVXHJKTDN5WW2ZLOORPWSZGOEHNRWRQ#issuecomment-568007494>, or unsubscribe <https://github.com/notifications/unsubscribe-auth/AD6USVDD3TQC6TOK4UFVFTDQZT5GFANCNFSM4F3C5L3A> .