Requirements
The NexMed Application is a new independent software module within RDCP. This module aims to deliver personalized therapy recommendations to HCPs for Type 2 Diabetes Mellitus (T2DM) patients by suggesting the most suitable medications based on ADA-EASD guidelines and individual patient characteristics.
Scope for FHIRSTACK
Model the data elements needed to support NexMed so that they can stored and retrieved by NexMed
The output of NexMed needed to be modeled, stored and retrieved. This output comes in the form of a document that contains the medication class level (chemical/therapeutic/pharmacological subgroup ATC code level = 4).
Data Points
| Data Point | Description | FHIR Resource & Element | Remarks | FHIR Sample |
|---|---|---|---|---|
| Diagnostics -> Diabetes Type | Patient list of diabetes type | Condition | Sample | |
| Diagnostics -> Albuminuria | Indicates if the Albuminuria Disease is present | Condition | Sample | |
| Diagnostics -> ASCVD (Atherosclerotic Cardiovascular Disease) | Boolean which identifies if Atherosclerotic Cardiovascular Disease predominates over other comorbidities | Condition | Sample | |
| Diagnostics -> CKD (Chronic Kidney Disease) | Boolean which identifies if Chronic Kidney Disease predominates over other comorbidities | Condition | Sample | |
| Diagnostics -> DKD (Diabetic Kidney Disease) | Boolean which identifies if Diabetic Kidney Disease predominates over other comorbidities | Condition | Sample | |
| Diagnostics -> HF (Heart Failure) | Boolean which identifies if Heart Failure predominates over other comorbidities | Condition | Sample | |
| Diagnostics -> Pregnancy | Boolean which identifies if Pregnancy predominates over other comorbidities | Condition | Sample | |
| Medications -> Current Drug Class name | Indicates the class of the current medications which is currently beeing taken by the patient (GLP-1, SGLT2i, etc) | Substance | Sample | |
| Diagnostics -> HbA1C (current) | Indicates the glycated haemoglobin average blood glucose levels for the last 2-3 months | Laboratory_Observation | Sample | |
| Diagnostics -> Serum Creatinine | Indicates the measurement of this chemical compound (creatinine) in blood (serum) | Laboratory_Observation | Sample | |
| Diagnostics -> Albumin | Indicates the measurement of the amount of protein in the urine | Laboratory_Observation | Sample | |
| Diagnostics -> eGFR* | eGFR is short for estimated glomerular filtration rate | Laboratory_Observation | Sample | |
| Diagnostics -> Height | Patient Height | Vital signs Observation | Sample | |
| Diagnostics -> Weight | Patient weight measured | Vital signs Observation | Sample | |
| Diagnostics -> BMI | Patient BMI | Vital signs Observation | Sample | |
| Careplan -> HbA1c target | Indicates the individual target for the glycated heamoglobin average blood glucose levels | Goal (referenced in CarePlan) | Sample |
Assumptions:
- eGFR is a calculated value based on the age, gender, race and creatinine value.
- No comorbidities does not need to be modeled or stored