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<ul class="toc">
<li class="level1"><div class="li"><span class="li"><a href="#prescribing_with_freediams" class="toc">Prescribing with FreeDiams</a></span></div>
<ul class="toc">
<li class="level2"><div class="li"><span class="li"><a href="#dosage_creator_overview_zones_1-5" class="toc">Dosage creator overview (Zones 1-5)</a></span></div></li>
<li class="level2"><div class="li"><span class="li"><a href="#zone_1drug_identification" class="toc">Zone 1: Drug identification</a></span></div></li>
<li class="level2"><div class="li"><span class="li"><a href="#zone_2available_personal_protocols" class="toc">Zone 2: Available personal protocols</a></span></div></li>
<li class="level2"><div class="li"><span class="li"><a href="#zone_3prescription_detail" class="toc">Zone 3: Prescription detail</a></span></div>
<ul class="toc">
<li class="level3"><div class="li"><span class="li"><a href="#basics" class="toc">Basics</a></span></div></li>
<li class="level3"><div class="li"><span class="li"><a href="#schemes" class="toc">Schemes</a></span></div></li>
<li class="level3"><div class="li"><span class="li"><a href="#limits_links_monitoring" class="toc">Limits, Links, Monitoring</a></span></div></li>
<li class="level3"><div class="li"><span class="li"><a href="#note" class="toc">Note</a></span></div></li>
<li class="level3"><div class="li"><span class="li"><a href="#prescribing_in_inn_mode" class="toc">Prescribing in INN mode</a></span></div></li>
</ul>
</li>
<li class="level2"><div class="li"><span class="li"><a href="#zone_4help_and_action_dialog_buttons" class="toc">Zone 4: Help and Action dialog buttons</a></span></div>
<ul class="toc">
<li class="level3"><div class="li"><span class="li"><a href="#help_infos" class="toc">Help / infos</a></span></div></li>
<li class="level3"><div class="li"><span class="li"><a href="#actionscancel_buttons" class="toc">Actions/Cancel buttons</a></span></div></li>
</ul>
</li>
<li class="level2"><div class="li"><span class="li"><a href="#zone_5interactions_icons" class="toc">Zone 5: Interactions icons</a></span></div></li>
</ul>
</li>
<li class="level1"><div class="li"><span class="li"><a href="#prescribe_textually" class="toc">Prescribe textually</a></span></div></li></ul>
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<div class="plugin_include_content" id="plugin_include__en:manuals:drugswidget:prescribe">
<h1><a name="prescribing_with_freediams" id="prescribing_with_freediams">Prescribing with FreeDiams</a></h1>
<div class="level1">
<p>
<p><div class="notedoc">This page is up-to-date.
</div></p>
</p>
<p>
Prescribing with FreeDiams is amazingly simple. Drug database selections can be adapted and saved as reusable and future-standardizable “personal protocols”. Database listings can also be ignored, by using “pure text” mode. Multi-drug prescriptions can be saved into “templates”. Even before the prescription is final, FreeDiams will use available information to warn of interactions.
</p>
</div>
<h2><a name="dosage_creator_overview_zones_1-5" id="dosage_creator_overview_zones_1-5">Dosage creator overview (Zones 1-5)</a></h2>
<div class="level2">
<p>
With the dosage creator you can create standard dosages, you can lookup information, and / or you can simply prescribe.
</p>
<p>
From top to bottom, the parts are:
</p>
<ol>
<li class="level1"><div class="li"> Drug identification (commercial name, form, strength)</div>
<ul>
<li class="level3"><div class="li"> hover over drug identification to show yellow tooltip additional information (1a)</div>
</li>
</ul>
</li>
<li class="level1"><div class="li"> “Available Personal Protocols” showing</div>
<ul>
<li class="level2"><div class="li"> list of existing protocols, with the top (oldest) protocol pre-selected by default</div>
</li>
<li class="level2"><div class="li"> ”+” and ”-” tools for creating new (and deleting) protocols</div>
</li>
<li class="level2"><div class="li"> “Protocol name” label (editable)</div>
</li>
</ul>
</li>
<li class="level1"><div class="li"> Drug protocol dosage details</div>
<ul>
<li class="level2"><div class="li"> repeat of drug identification (hover will show same 3a tooltip as 1a)</div>
</li>
<li class="level2"><div class="li"> prescription details, organized into panes: Basics, Schemes, Limits, Links, Monitoring, Note</div>
</li>
<li class="level2"><div class="li"> option to express this protocol using the International Nonproprietary Name (INN) drug name</div>
</li>
</ul>
</li>
<li class="level1"><div class="li"> Help/reference, Prescribe/Save and Cancel buttons</div>
</li>
<li class="level1"><div class="li"> Interaction icon</div>
<ul>
<li class="level2"><div class="li"> here shown in two places as a green checkmark, could be question or warning icons</div>
</li>
<li class="level2"><div class="li"> hover to show tooltip of interactions (not shown)</div>
</li>
</ul>
</li>
</ol>
<p>
Note that while it is entirely possible to skip protocols (Zone 2), you should try them. You will then experience how they can help save you time and errors!
</p>
<p>
Screenshot:
</p>
<p>
<a href="_detail/shots/freediams/v050/protocol_creator_dialog-en.png/en_manuals_freediams_prescribe.html" class="media" title="shots:freediams:v050:protocol_creator_dialog-en.png"><img src="shots/freediams/v050/protocol_creator_dialog-en.png" class="media" title="Zones of the Drug Dosage Creator" alt="Zones of the Drug Dosage Creator" /></a>
</p>
</div>
<h2><a name="zone_1drug_identification" id="zone_1drug_identification">Zone 1: Drug identification</a></h2>
<div class="level2">
<p>
Basic information as defined in the database. More information can be exposed by hovering on this identification (see 1a). This same yellow tooltip is also exposed when hovering on the drug identification at 3a.
</p>
</div>
<h2><a name="zone_2available_personal_protocols" id="zone_2available_personal_protocols">Zone 2: Available personal protocols</a></h2>
<div class="level2">
<p>
Personal protocols can be created and saved in a way to be accessed only under the selected Zone 1 drug or to be accessible inside any drug which has a matching International Normalized Name (INN) and strength. Example: Clamoxyl 1g ↔ AMOXICILLIN 1g. (See Zone 3 “Used for INN…”).
</p>
<p>
Inputting text into the “Protocol name” will automatically adjust the main action button to save the protocol. This behaviour can be changed in the Drugs > Protocols preference, as can the background color for drugs with available protocols.
</p>
<p>
Each time you next open the Drug Dosage Creator, the first protocol on the list will be in focus and will auto-load its values. To create additional protocols, click the ”+” control. New protocols, after being saved, will live at the bottom of the list.
</p>
<p>
Personal protocols permit
</p>
<ul>
<li class="level1"><div class="li"> to speed up the process of prescribing,</div>
</li>
<li class="level1"><div class="li"> to create prescriptions that use INN in place of commercial names</div>
</li>
<li class="level1"><div class="li"> (future) to automate limit-checking (age, weight, height, creatinine clearance, limits ICD10 …)</div>
</li>
<li class="level1"><div class="li"> </div>
</li>
</ul>
<p>
<strong>Standardizing dosages</strong>
</p>
<p>
FreeDiams will enable its users to pool their personal protocols into a shared, comprehensive database. In order for these to serve as a reference, a clinical scientific committee would need to advise on standardized dosages. We would welcome volunteers → please write to us on our mailing list: <a href="mailto:freemedforms@googlegroups.com" class="mail JSnocheck" title="freemedforms@googlegroups.com">freemedforms@googlegroups.com</a>.
</p>
</div>
<h2><a name="zone_3prescription_detail" id="zone_3prescription_detail">Zone 3: Prescription detail</a></h2>
<div class="level2">
</div>
<h3><a name="basics" id="basics">Basics</a></h3>
<div class="level3">
<ul>
<li class="level1"><div class="li"> Intake instruction statements</div>
<ul>
<li class="level2"><div class="li"> dosage amount or range (x to y divided doses): numeric combined with textual “form”</div>
<ul>
<li class="level3"><div class="li"> textual form default is configurable</div>
</li>
<li class="level3"><div class="li"> free text will auto-filter existing values or you can click on the <em> personnal </em> icon located next to the combo (see picture) or create a new value</div>
</li>
</ul>
</li>
<li class="level2"><div class="li"> frequency: numeric combined with textual “time unit”</div>
</li>
<li class="level2"><div class="li"> duration or range of durations (x to y): numeric combined with textual “time unit”</div>
</li>
</ul>
</li>
<li class="level1"><div class="li"> Use INN format in the prescription and in the protocol</div>
<ul>
<li class="level3"><div class="li"> option makes this protocol available to all other drugs with a matching INN and strength</div>
</li>
<li class="level3"><div class="li"> note some substances do not have an INN and so cannot be linked this way</div>
</li>
</ul>
</li>
<li class="level1"><div class="li"> Approve “100%” of prescription for full drug reimbursement</div>
<ul>
<li class="level2"><div class="li"> option to communicate eligibility for full or chronic medication authorization</div>
</li>
<li class="level2"><div class="li"> not applicable to all countries or regions, whose policies vary</div>
</li>
</ul>
</li>
</ul>
<p>
Screenshot:
</p>
<p>
<a href="_detail/shots/freediams/v042/protocolsbasis-en.png/en_manuals_freediams_prescribe.html" class="media" title="shots:freediams:v042:protocolsbasis-en.png"><img src="shots/freediams/v042/protocolsbasis-en.png" class="media" title="Basics of the prescription" alt="Basics of the prescription" /></a>
</p>
</div>
<h3><a name="schemes" id="schemes">Schemes</a></h3>
<div class="level3">
<p>
The particulars: time of day to catch, hours (not working), interval between intakes, relationship with food.
</p>
<p>
Screenshot:
</p>
<p>
<a href="_detail/shots/freediams/v042/protocolsschemes-en.png/en_manuals_freediams_prescribe.html" class="media" title="shots:freediams:v042:protocolsschemes-en.png"><img src="shots/freediams/v042/protocolsschemes-en.png" class="media" title="Scheme of delivery" alt="Scheme of delivery" /></a>
</p>
</div>
<h3><a name="limits_links_monitoring" id="limits_links_monitoring">Limits, Links, Monitoring</a></h3>
<div class="level3">
<p>
Currently under development
</p>
<ul>
<li class="level1"><div class="li"> Limits by age</div>
</li>
<li class="level1"><div class="li"> Limits by diagnosis (ICD10 coding, EDRC - currently under development))</div>
</li>
<li class="level1"><div class="li"> Limits by weight, height, body surface area, creatinine clearance …</div>
</li>
<li class="level1"><div class="li"> Limits for pregnant and lactating</div>
</li>
<li class="level1"><div class="li"> Links</div>
</li>
<li class="level1"><div class="li"> Monitoring program: biology, clinical …</div>
</li>
</ul>
<p>
Screenshot of Limits:
</p>
<p>
<a href="_detail/shots/freediams/v042/protocolslimits-en.png/en_manuals_freediams_prescribe.html" class="media" title="shots:freediams:v042:protocolslimits-en.png"><img src="shots/freediams/v042/protocolslimits-en.png" class="media" title="Limits" alt="Limits" /></a>
</p>
</div>
<h3><a name="note" id="note">Note</a></h3>
<div class="level3">
<p>
A free-text note (that is intended to appear on the prescription)
</p>
<p>
Screenshot:
</p>
<p>
<a href="_detail/shots/freediams/v042/protocolsnote-en.png/en_manuals_freediams_prescribe.html" class="media" title="shots:freediams:v042:protocolsnote-en.png"><img src="shots/freediams/v042/protocolsnote-en.png" class="media" title="Note" alt="Note" /></a>
</p>
</div>
<h3><a name="prescribing_in_inn_mode" id="prescribing_in_inn_mode">Prescribing in INN mode</a></h3>
<div class="level3">
</div>
<h4><a name="create_and_save_a_personal_protocol_dosage_in_inn_mode" id="create_and_save_a_personal_protocol_dosage_in_inn_mode">Create and save a personal protocol dosage in INN mode</a></h4>
<div class="level4">
<p>
Select “AMLOR 5 mg” as medicine. <br/>
Complete the following standard dosage: Hypertension - Monthly ”: 1 intake 1 day for 1 month. <br/>
Click on <b>Transform to INN prescription</b>, the INN wording appears below: amlodipine 5 mg. What
means that the dosage will be accessible to all drugs containing only as INN \e amlodipine
at a dosage of 5 milligrams. <br/>
Verify that the icon INN is now before the label of the dosagee in the top frame. <br/>
Save without prescribing. <br/>
</p>
</div>
<h4><a name="inn_prescribing_on_the_basis_of_your_personnal_dosages" id="inn_prescribing_on_the_basis_of_your_personnal_dosages">INN prescribing on the basis of your personnal dosages</a></h4>
<div class="level4">
<p>
Select “AMLODIP * 5 * mg” as medicine. <br/>
All will have access to the newly created dosage.
</p>
</div>
<h4><a name="transform_a_prescription_into_inn_prescription" id="transform_a_prescription_into_inn_prescription">Transform a prescription into INN prescription</a></h4>
<div class="level4">
<p>
All medications can be prescribed in INN mode. The limitations are:
- The database itself (the INN is not known for all chemical molecules)
- Medicines: single specialty only one INN may be prescribed in INN.
</p>
<p>
Double-click on the prescribed medication in the prescription area. <br/>
If the button “INN” is clickable, the specialty may be prescribed in INN. <br/>
Click the “INN” which is located beside the drug name and click OK. <br/>
Check the name of the INN will be required (it replaces the name of specialty).
</p>
</div>
<h2><a name="zone_4help_and_action_dialog_buttons" id="zone_4help_and_action_dialog_buttons">Zone 4: Help and Action dialog buttons</a></h2>
<div class="level2">
</div>
<h3><a name="help_infos" id="help_infos">Help / infos</a></h3>
<div class="level3">
<p>
Help and links to other information are available under “Help / Infos”.
</p>
</div>
<h3><a name="actionscancel_buttons" id="actionscancel_buttons">Actions/Cancel buttons</a></h3>
<div class="level3">
<p>
The action button offers four choices:
</p>
<ul>
<li class="level1"><div class="li"> Save protocol and Prescribe</div>
</li>
<li class="level1"><div class="li"> Prescribe only (protocol adjustments will not be kept)</div>
</li>
<li class="level1"><div class="li"> Save protocol only</div>
</li>
<li class="level1"><div class="li"> Test interactions only: add medication for testing, but omit it from the prescription</div>
</li>
</ul>
<p>
The default action is <strong>Prescribe only</strong>. However, changing any values will also change the button action to <strong>Save protocol and Prescribe</strong> unless you change the button setting back. You can alter this behaviour in <a href="en/manuals/drugswidget/preferences.html" class="wikilink1" title="en:manuals:drugswidget:preferences">application preferences</a>.
</p>
<p>
<a href="_detail/shots/freediams/v050/protocoldialogbuttons-en.png/en_manuals_freediams_prescribe.html" class="media" title="shots:freediams:v050:protocoldialogbuttons-en.png"><img src="shots/freediams/v050/protocoldialogbuttons-en.png" class="media" title="Using the dialog buttons" alt="Using the dialog buttons" /></a>
</p>
</div>
<h2><a name="zone_5interactions_icons" id="zone_5interactions_icons">Zone 5: Interactions icons</a></h2>
<div class="level2">
<p>
In this screenshot, they are shown as a green checkmark to indicate absence of known interactions. Other icons include information, question marks, and caution and warning icons.
</p>
<p>
Hover over either icon to show the tooltip of interactions (tooltip not shown).
</p>
</div>
<h1><a name="prescribe_textually" id="prescribe_textually">Prescribe textually</a></h1>
<div class="level1">
<p>
From time to time, it is necessary to add a prescription using free text, which FreeDiams calls “pure text”. To add a prescription using “pure text”, you exit Drug Dosage Creator and work from the main FreeDiams window.
</p>
<p>
Click on the pencil icon to the right of the search box. A window will appear. You just have to provide the name of the medication, and instructions. When you confirm your entry, the pencil icon will be displayed to the left of the pure text prescription, in the prescription list.
</p>
<p>
Future versions of FreeDiams you will save these textual prescriptions into your personal database so that you can reuse these, too. Presently, they <em>can</em> stored in a template.
</p>
<table class="inline">
<tr class="row0">
<td class="col0"><a href="_detail/icons/bctango/48x48/actions/pencil.png/en_manuals_freediams_prescribe.html" class="media" title="icons:bctango:48x48:actions:pencil.png"><img src="icons/bctango/48x48/actions/pencil.png" class="media" title="Pure text prescription" alt="Pure text prescription" /></a></td><td class="col1"><strong>Textual Prescription</strong></td>
</tr>
</table>
</div>
<div class="inclmeta level1">
<abbr class="published" title="2010-09-27T13:56:50Z">2010/09/27 13:56</abbr><div class="tags"><span>
<a href="en/freediams?tag=en:freediams" class="wikilink1" title="en:freediams" rel="tag">freediams</a>,
<a href="en/usermanual?tag=en:usermanual" class="wikilink1" title="en:usermanual" rel="tag">usermanual</a>
</span></div>
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en/manuals/freediams/prescribe.txt · Dernière modification: 2010/10/09 22:57 par Eric Maeker, MD </div>
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