RouteOfAdministration Expansion Proposal Meeting Deck and Follow-up

Hello,

We have consulted with our domain experts and they are very supportive of expanding this subset. It will be much more complete and will be able to respond to different use cases. Requests for additions or modifications will be submitted to you later, if necessary.

Thank you!

Greetings folks,
Many thanks to those who were able to make the meeting today. I have posted the slide deck to the documents folder of the HTC forum, which can be accessed here .

As discussed, please provide all feedback before April 13. If you have no concerns about the proposed definition and membership, please let us know as well: Cette adresse courriel est protégée contre les robots spammeurs. Vous devez activer le JavaScript pour la visualiser.. A summary of the proposal is provided below:

RouteOfAdministration – Enhanced Definition Proposed on the April 11 call
This describes which path the administered medication or immunization takes to get into the body or into contact with the body; the route of entry or the course the medication or immunization must take to get to its destination. For example, an oral antibiotic may be used to treat a severe infection on a toe; the oral route is used to get the medicine to be able to reach and treat the infection in the toe. Examples: intravenous (IV), subcutaneous (SC), intramuscular (IM). The route of administration of a medicine should only be a description of the path taken and not the form.
This subset is intensionally defined using the set of subtypes of 284009009 | Route of administration value (qualifier value)| and a set of pan-Canadian members. This is a broad data exchange subset that supports interoperability and conformance testing, and can be constrained to meet local use cases.

Proposed Membership:
Total of 164 concepts. New members presented in bold font.

Code Concept
6064005 Topical route (qualifier value)
10547007 Otic route (qualifier value)
12130007 Intra-articular route (qualifier value)
16857009 Vaginal route (qualifier value)
26643006 Oral route (qualifier value)
34206005 Subcutaneous route (qualifier value)
37161004 Rectal route (qualifier value)
37737002 Intraluminal route (qualifier value)
37839007 Sublingual route (qualifier value)
38239002 Intraperitoneal route (qualifier value)
45890007 Transdermal route (qualifier value)
46713006 Nasal route (qualifier value)
47625008 Intravenous route (qualifier value)
54471007 Buccal route (qualifier value)
54485002 Ophthalmic route (qualifier value)
58100008 Intra-arterial route (qualifier value)
60213007 Intramedullary route (qualifier value)
62226000 Intrauterine route (qualifier value)
72607000 Intrathecal route (qualifier value)
78421000 Intramuscular route (qualifier value)
90028008 Urethral route (qualifier value)
127490009 Gastrostomy route (qualifier value)
127491008 Jejunostomy route (qualifier value)
127492001 Nasogastric route (qualifier value)
372449004 Dental route (qualifier value)
372450004 Endocervical route (qualifier value)
372451000 Endosinusial route (qualifier value)
372452007 Endotracheopulmonary route (qualifier value)
372453002 Extra-amniotic route (qualifier value)
372454008 Gastroenteral route (qualifier value)
372457001 Gingival route (qualifier value)
372458006 Intraamniotic route (qualifier value)
372459003 Intrabursal route (qualifier value)
372460008 Intracardiac route (qualifier value)
372461007 Intracavernous route (qualifier value)
372462000 Intracervical route (qualifier value)
372463005 Intracoronary route (qualifier value)
372464004 Intradermal route (qualifier value)
372465003 Intradiscal route (qualifier value)
372466002 Intralesional route (qualifier value)
372467006 Intralymphatic route (qualifier value)
372468001 Intraocular route (qualifier value)
372469009 Intrapleural route (qualifier value)
372470005 Intrasternal route (qualifier value)
372471009 Intravesical route (qualifier value)
372472002 Ocular route (qualifier value)
372473007 Oromucosal route (qualifier value)
372474001 Periarticular route (qualifier value)
372475000 Perineural route (qualifier value)
372476004 Subconjunctival route (qualifier value)
404815008 Transmucosal route (qualifier value)
404818005 Intratracheal route (qualifier value)
404819002 Intrabiliary route (qualifier value)
404820008 Epidural route (qualifier value)
416174007 Suborbital route (qualifier value)
417070009 Caudal route (qualifier value)
417255000 Intraosseous route (qualifier value)
417950001 Intrathoracic route (qualifier value)
417985001 Enteral route (qualifier value)
417989007 Intraductal route (qualifier value)
418091004 Intratympanic route (qualifier value)
418114005 Intravenous central route (qualifier value)
418133000 Intramyometrial route (qualifier value)
418136008 Gastro-intestinal stoma route (qualifier value)
418162004 Colostomy route (qualifier value)
418204005 Periurethral route (qualifier value)
418287000 Intracoronal route (qualifier value)
418321004 Retrobulbar route (qualifier value)
418331006 Intracartilaginous route (qualifier value)
418401004 Intravitreal route (qualifier value)
418418000 Intraspinal route (qualifier value)
418441008 Orogastric route (qualifier value)
418511008 Transurethral route (qualifier value)
418586008 Intratendinous route (qualifier value)
418608002 Intracorneal route (qualifier value)
418664002 Oropharyngeal route (qualifier value)
418722009 Peribulbar route (qualifier value)
418730005 Nasojejunal route (qualifier value)
418743005 Fistula route (qualifier value)
418813001 Surgical drain route (qualifier value)
418821007 Intracameral route (qualifier value)
418851001 Paracervical route (qualifier value)
418877009 Intrasynovial route (qualifier value)
418887008 Intraduodenal route (qualifier value)
418892005 Intracisternal route (qualifier value)
418947002 Intratesticular route (qualifier value)
418987007 Intracranial route (qualifier value)
419021003 Tumor cavity route (qualifier value)
419165009 Paravertebral route (qualifier value)
419231003 Intrasinal route (qualifier value)
419243002 Transcervical route (qualifier value)
419320008 Subtendinous route (qualifier value)
419396008 Intraabdominal route (qualifier value)
419601003 Subgingival route (qualifier value)
419631009 Intraovarian route (qualifier value)
419684008 Ureteral route (qualifier value)
419762003 Peritendinous route (qualifier value)
419778001 Intrabronchial route (qualifier value)
419810008 Intraprostatic route (qualifier value)
419874009 Submucosal route (qualifier value)
419894000 Surgical cavity route (qualifier value)
419954003 Ileostomy route (qualifier value)
419993007 Intravenous peripheral route (qualifier value)
420047004 Periosteal route (qualifier value)
420163009 Esophagostomy route (qualifier value)
420168000 Urostomy route (qualifier value)
420185003 Laryngeal route (qualifier value)
420201002 Intrapulmonary route (qualifier value)
420204005 Mucous fistula route (qualifier value)
420218003 Nasoduodenal route (qualifier value)
420254004 Body cavity route (qualifier value)
420287000 Intraventricular route - cardiac (qualifier value)
420719007 Intracerebroventricular route (qualifier value)
428191002 Percutaneous route (qualifier value)
429817007 Interstitial route (qualifier value)
445752009 Intraesophageal route (qualifier value)
445754005 Intragingival route (qualifier value)
445755006 Intravascular route (qualifier value)
445756007 Intradural route (qualifier value)
445767008 Intrameningeal route (qualifier value)
445768003 Intragastric route (qualifier value)
445769006 Intracorporus cavernosum route (qualifier value)
445771006 Intrapericardial route (qualifier value)
445913005 Intralingual route (qualifier value)
445941009 Intrahepatic route (qualifier value)
446105004 Conjunctival route (qualifier value)
446407004 Intraepicardial route (qualifier value)
446435000 Transendocardial route (qualifier value)
446442000 Transplacental route (qualifier value)
446540005 Intracerebral route (qualifier value)
447026006 Intraileal route (qualifier value)
447052000 Periodontal route (qualifier value)
447080003 Peridural route (qualifier value)
447081004 Lower respiratory tract route (qualifier value)
447121004 Intramammary route (qualifier value)
447122006 Intratumor route (qualifier value)
447227007 Transtympanic route (qualifier value)
447229005 Transtracheal route (qualifier value)
447694001 Respiratory tract route (qualifier value)
447964005 Digestive tract route (qualifier value)
448077001 Intraepidermal route (qualifier value)
448491004 Intrajejunal route (qualifier value)
448492006 Intracolonic route (qualifier value)
448598008 Cutaneous route (qualifier value)
697971008 Arteriovenous fistula route (qualifier value)
711360002 Intraneural route (qualifier value)
711378007 Intramural route (qualifier value)
714743009 Extracorporeal route (qualifier value)
718329006 Infiltration route (qualifier value)
764723001 Epilesional route (qualifier value)
766790006 Extracorporeal hemodialysis route (qualifier value)
876824003 Intradialytic route (qualifier value)
1078280005 Intracatheter instillation route (qualifier value)
1611000175109 Sublesional route (qualifier value)
58731000052100 Intestinal route (qualifier value)
58751000052109 Intraglandular route (qualifier value)
58761000052107 Intracholangiopancreatic route (qualifier value)
58771000052103 Intraportal route (qualifier value)
58811000052103 Peritumoral route (qualifier value)
58821000052106 Posterior juxtascleral route (qualifier value)
58831000052108 Subretinal route (qualifier value)
66621000052103 Sublabial route (qualifier value)
180677251000087104 Intraventricular (qualifier value)
461657851000087101 Translingual (qualifier value)


Thank you.
Kelly Davison, CTSS
Senior Specialist, Standards
Canada Health Infoway