Drug Orders
The following information needs to be recorded for each drug order
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These indicate the treatment plans as they would be entered up front for a patient. Throughout the course of treatment the drugs and dosages may be customized for the patient due to side effects.
Regimen Templates
Due to the complicated nature of oncology regimens, rather than forcing the user to add all drugs individually to the patient record we will allow for the creation of regimen templates. It is common for the standard oncology regimens to be customized to meet individual patients needs, therefore we will need to allow for the individual components of the regimen to be changed once a regimen template has been applied to the patient.
Screen design for the creation of a regimen template
Notes:
- Each regimen template will be assigned a display name.
- The user can also opt to denote the template as being cyclical in nature (for example the CHOP is generally administered for 6 cycles). If the cycle option is ticked the user will need to specify the length of the cycle in days.
- Functionality will exist to edit exiting regimen templates.
- A Regimen template will consist of one or more drugs.
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Frequency – this frequency in which the drug should be taken on the days that it is to be administered. These will be optional fields that should be filled out when it makes sense for the drug. There will also be an optional check box to indicate that the drug should be taken as needed rather than on a regular schedule.
Cycles
Oncology regimens tend to be cyclical in nature. For example the CHOP protocol is generally administered in six cycles to a patient. In order to group drug order into a distinct cycle and to also to allow for helper methods to manipulate all drug orders within a cycle, a drug order cycle object will be created. The cycle reference on a drug order will be an optional relationship.
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Field | Description |
Start Date | The date the cycle started on |
End Date | The date the cycle is considered finished on |
Regimen Template | So we have a way of linking all the cycles of the same treatment plan together |
Cycle number | The number of the cycle (for example cycle 2 out of 6) |
Patient Dashboard Regimen Tab
Currently the patient dashboard regimen tab catergorises drug orders into current and completed (divided into standard regimens and other regimens). For the new Regimen tab we also want to categorise drug orders based on the cycles and classifications.
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The patient dashboard will also offer a calendar view. The calendar view will display all completed, current and future drug orders in the system in calendar format. Different colors will be used to denote current and continuing drug orders, completed drug orders and future drug orders.
Concept Drug Screen
The Concept Drug Management screen will need to be altered to allow for the Route field to be configurable for Concept Drugs.
Global properties Additions
Global properties (or other configuration mechanisms) will need to be added to store the following.
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