Appendix 7 Document Banks – Medication Data
The different types of document databases Document banks have been developed for many years. Their initial purpose was to provide reference knowledge on the topics that they addressed. A long tradition has thereby seen the development of this kind of databases in the field of medicine. However, this is not the only area to benefit from this type of initiative. Many national agencies have developed similar tools depending on their field of competence. The AFSSAPS, which has since become the Agence Nationale de Sécurité du Médicament et des Produits de Santé (ANSM – National Agency for the Safety of Medication and Health Products), has developed a database for putting summaries of the characteristics and specialties of products online. Good clinical practice guidelines have also been published on the Internet in order to facilitate their dissemination. There are two kinds of document databases: – Internet databases that are intended to be accessible only directly by the user or the general public. Here, the information and documentation function is sought after. These are “passive” decision support systems. These systems provide knowledge that is not contextualized by the patient’s condition; – the bases that are accessible on the Internet or downloadable and which are intended to be integrated in information systems where they are an accessible component in the business process for information and decision support. They aim to directly intervene in decisions concerning the patient, taking into account his/her situation. These systems, called “asset” systems, help by providing contextualized knowledge.
Health Data Processing
Some examples of medication data banks The Vidal base This is accessible on the Internet1 and provides various services related to drugs, medical devices and parapharmacy: notices, interactions and equivalences, as well as therapeutic recommendations from the ANSM, the HAS and French and international learned societies (VIDAL Recos). The Claude Bernard base This is accessible on the Internet2 to the general public and healthcare professionals. It provides comprehensive information on drugs, and functions to assist prescriptions (searching for therapeutic equivalents, assistance in determining dosage and access to technical and regulatory data). The functions and integration of these bases in information systems In the field of medication, two main functions are relevant to the care process: – the detection of drug interactions integrated in the business software makes it possible to warn the professional by alerting him/her to a combination of drugs which poses a problem; – information management concerning counter-indications (pregnancy, allergies, pathologies, etc.). This is more demanding and requires access to patient data. The integration of these functions into the processes of professionals requires the adequate urbanization of information systems. In particular, it requires the use of shared reference systems (for pathologies, laboratory examinations and the designation of medicinal products) to ensure interoperability with the other components of information systems.
1 https://www.vidal.fr. 2 https://www.bcbdexther.fr/base-de-donnees-medicaments.jsp.