Worked Examples
Example A
VTM = Oxytetracycline | 22969001
Dose = 250 milligram
Step 1: Get child products (VMPs and AMPs) of the VTM
There are five valid and available VMPs. None are flagged in a way that require additional AMPs to be listed.
| dm+d concept | Product |
|---|---|
| VMP | Oxytetracycline 100mg/5ml oral suspension |
| VMP | Oxytetracycline 125mg/5ml oral suspension |
| VMP | Oxytetracycline 250mg tablets |
| VMP | Oxytetracycline 250mg/5ml oral suspension |
| VMP | Oxytetracycline 500mg/5ml oral suspension |
Step 2: Calculate the required quantity of each VMP to fulfil the requested dose
| dm+d concept | Product | Quantity Calculation | Unit of Measure |
|---|---|---|---|
| VMP | Oxytetracycline 100mg/5ml oral suspension | 250 / (20/1) = 12.5 |
ml |
| VMP | Oxytetracycline 125mg/5ml oral suspension | 250 / (25/1) = 10 |
ml |
| VMP | Oxytetracycline 250mg tablets | 250 / (250) = 1 |
tablet |
| VMP | Oxytetracycline 250mg/5ml oral suspension | 250 / (50) = 5 |
ml |
| VMP | Oxytetracycline 500mg/5ml oral suspension | 250 / (100/1) = 2.5 |
ml |
Step 3: Order the list of products in a clinically suitable order
| Product | Quantity (to fulfil 250 milligrams) |
|---|---|
| Oxytetracycline 250mg tablets | 1 tablet |
| Oxytetracycline 250mg/5ml oral suspension | 5 ml |
| Oxytetracycline 125mg/5ml oral suspension | 10 ml |
| Oxytetracycline 500mg/5ml oral suspension | 2.5 ml |
| Oxytetracycline 100mg/5ml oral suspension | 12.5 ml |
Example B
VTM = Salbutamol | 91143003
Dose = 200 micrograms
Route = Inhalation | 18679011000001101
Step 1: Get child products (VMPs and AMPs) of the VTM
There are two valid and available VMPs, but both are flagged as Caution - AMP level prescribing advised so we also query for valid and available AMPs.
| dm+d concept | Product |
|---|---|
| VMP | Salbutamol 100micrograms/dose breath actuated inhaler CFC free |
| -- AMP | Airomir 100micrograms/dose Autohaler (Teva UK Ltd) |
| -- AMP | Salamol 100micrograms/dose Easi-Breathe inhaler (CST Pharma Ltd) |
| -- AMP | Salamol 100micrograms/dose Easi-Breathe inhaler (Teva UK Ltd) |
| VMP | Salbutamol 100micrograms/dose inhaler CFC free |
| -- AMP | Airomir 100micrograms/dose inhaler (Teva UK Ltd) |
| -- AMP | Salamol 100micrograms/dose inhaler CFC free (Teva UK Ltd) |
| --AMP | Ventolin 100micrograms/dose Evohaler (GlaxoSmithKline UK Ltd) |
Step 2: Calculate the required quantity of each VMP to fulfil the requested dose
| dm+d concept | Product | Quantity Calculation | Unit of Measure |
|---|---|---|---|
| VMP | Salbutamol 100micrograms/dose breath actuated inhaler CFC free | 200 / (100) = 2 |
dose |
| -- AMP | Airomir 100micrograms/dose Autohaler (Teva UK Ltd) | 200 / (100) = 2 |
dose |
| -- AMP | Salamol 100micrograms/dose Easi-Breathe inhaler (CST Pharma Ltd) | 200 / (100) = 2 |
dose |
| -- AMP | Salamol 100micrograms/dose Easi-Breathe inhaler (Teva UK Ltd) | 200 / (100) = 2 |
dose |
| VMP | Salbutamol 100micrograms/dose inhaler CFC free | 200 / (100) = 2 |
dose |
| -- AMP | Airomir 100micrograms/dose inhaler (Teva UK Ltd) | 200 / (100) = 2 |
dose |
| -- AMP | Salamol 100micrograms/dose inhaler CFC free (Teva UK Ltd) | 200 / (100) = 2 |
dose |
| --AMP | Ventolin 100micrograms/dose Evohaler (GlaxoSmithKline UK Ltd) | 200 / (100) = 2 |
dose |
Step 3: Order the list of products in a clinically suitable order
As all products can be used with the same quantity, the order could be alphabetical or ordered as per any local formulary.
| Product | Quantity (to fulfil 200 micrograms) |
|---|---|
| Salbutamol 100micrograms/dose breath actuated inhaler CFC free Note: Caution - AMP level prescribing advised |
2 dose |
| Airomir 100micrograms/dose Autohaler (Teva UK Ltd) | 2 dose |
| Salamol 100micrograms/dose Easi-Breathe inhaler (CST Pharma Ltd) | 2 dose |
| Salamol 100micrograms/dose Easi-Breathe inhaler (Teva UK Ltd) | 2 dose |
| Salbutamol 100micrograms/dose inhaler CFC free Note: Caution - AMP level prescribing advised |
2 dose |
| Airomir 100micrograms/dose inhaler (Teva UK Ltd) | 2 dose |
| Salamol 100micrograms/dose inhaler CFC free (Teva UK Ltd) | 2 dose |
| Ventolin 100micrograms/dose Evohaler (GlaxoSmithKline UK Ltd) | 2 dose |