Podcast
Questions and Answers
What is the primary objective of EudraVigilance?
What is the primary objective of EudraVigilance?
Why is MedDRA considered a key component of EudraVigilance?
Why is MedDRA considered a key component of EudraVigilance?
Which of the following is NOT a primary objective of pharmacovigilance?
Which of the following is NOT a primary objective of pharmacovigilance?
What is a defining characteristic of 'current' drug information?
What is a defining characteristic of 'current' drug information?
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What is 'relevant' drug information?
What is 'relevant' drug information?
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Which type of information source typically provides the most in-depth and comprehensive analysis of a specific medical topic?
Which type of information source typically provides the most in-depth and comprehensive analysis of a specific medical topic?
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What is a distinguishing feature of tertiary resources in drug information?
What is a distinguishing feature of tertiary resources in drug information?
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Which of the following is NOT a component of EudraVigilance's core functionality?
Which of the following is NOT a component of EudraVigilance's core functionality?
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What does the Anatomical Therapeutic Chemical (ATC) classification primarily consider for drug classification?
What does the Anatomical Therapeutic Chemical (ATC) classification primarily consider for drug classification?
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What is the Defined Daily Dose (DDD) in pharmacovigilance?
What is the Defined Daily Dose (DDD) in pharmacovigilance?
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Why is the ATC/DDD methodology recommended for drug utilization research?
Why is the ATC/DDD methodology recommended for drug utilization research?
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According to the general principles for ATC classification, how many ATC codes can a drug have for one route of administration?
According to the general principles for ATC classification, how many ATC codes can a drug have for one route of administration?
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What kind of information does WHO's drug dictionary provide?
What kind of information does WHO's drug dictionary provide?
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How does the ATC/DDD methodology benefit drug utilization monitoring?
How does the ATC/DDD methodology benefit drug utilization monitoring?
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What does the Standardised MedDRA Queries (SMQs) focus on in pharmacovigilance?
What does the Standardised MedDRA Queries (SMQs) focus on in pharmacovigilance?
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What role do Contract Research Organizations (CROs) typically play in pharmacovigilance?
What role do Contract Research Organizations (CROs) typically play in pharmacovigilance?
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What is the primary purpose of the Anatomical Therapeutic Chemical (ATC) classification system?
What is the primary purpose of the Anatomical Therapeutic Chemical (ATC) classification system?
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Which of the following is a key benefit of using the International Nonproprietary Name (INN) for drugs?
Which of the following is a key benefit of using the International Nonproprietary Name (INN) for drugs?
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Who is responsible for revising and publishing the International Classification of Diseases (ICD) every ten years?
Who is responsible for revising and publishing the International Classification of Diseases (ICD) every ten years?
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The WHO Drug Dictionary primarily serves what function?
The WHO Drug Dictionary primarily serves what function?
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What was the first model of systematic collection of hospital data created by Florence Nightingale in 1860 intended to improve?
What was the first model of systematic collection of hospital data created by Florence Nightingale in 1860 intended to improve?
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What does the acronym MedDRA stand for?
What does the acronym MedDRA stand for?
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Which of the following is NOT a user of the International Classification of Diseases (ICD)?
Which of the following is NOT a user of the International Classification of Diseases (ICD)?
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How often does the Maintenance and Support Service Organization (MSSO) release updated versions of MedDRA?
How often does the Maintenance and Support Service Organization (MSSO) release updated versions of MedDRA?
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What is a major responsibility of the International Council for Harmonization (ICH) concerning MedDRA?
What is a major responsibility of the International Council for Harmonization (ICH) concerning MedDRA?
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What type of information does the Eudravigilance database analyze?
What type of information does the Eudravigilance database analyze?
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What historical contribution did Jacques Bertillon make to the ICD in 1893?
What historical contribution did Jacques Bertillon make to the ICD in 1893?
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What is the role of the Eudravigilance Clinical Trials Module (EVCTM)?
What is the role of the Eudravigilance Clinical Trials Module (EVCTM)?
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Which of the following is a unique characteristic of International Nonproprietary Names (INN)?
Which of the following is a unique characteristic of International Nonproprietary Names (INN)?
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Study Notes
Drug and Disease Classification
- ATC (Anatomical Therapeutic Chemical) Classification: Organ/system and therapeutic, pharmacological, and chemical properties define drug groups.
- ATC/DDD Methodology: Uses ATC for classification and DDD (Defined Daily Dose) as a measurement unit; average daily maintenance dose in adults for primary indications.
- DDD Importance: Facilitates comparing drug consumption data internationally despite varying nomenclature, packaging, pricing, and dosages.
- ATC Classification Principles: Drugs are classified by primary therapeutic use, having single ATC codes per route of administration (ROA), multiple codes for distinct therapeutic uses with different ROAs or strengths.
- International Classification of Diseases (ICD): Provides a global language for disease reporting and monitoring, enabling consistent data comparison across hospitals, regions, and time periods.
- ICD History: Evolved from initial models, with ongoing revisions every decade. Florence Nightingale pioneered early data collection, Jacques Bertillon developed cause-of-death classifications, and the American Public Health Association recommended periodic revisions.
- ICD Use: Used by physicians, nurses, researchers, health information professionals, policymakers, insurance companies, and patient groups. Translated into 43 languages, primarily for mortality data reporting.
Drug Dictionaries and Coding in Pharmacovigilance
- International Nonproprietary Names (INN): Globally recognized, unique names for pharmaceutical substances (active pharmaceutical ingredients) for clear identification, safe prescription, and communication among health professionals. Introduced in the 1950s.
- MedDRA (Medical Dictionary for Regulatory Activities): Clinically validated international medical terminology developed by ICH (International Council for Harmonization) for regulatory authorities. Used for drug safety data entry, retrieval, evaluation, and presentations during pre- and post-authorization phases. Maintained by MedDRA's Maintenance and Support Services Organization (MSSO), with bi-annual updates.
- WHO Drug Dictionary: International classification of medicines created by WHO for drug monitoring, detailed information on all medical products, providing standardized information and data groupings. Regularly updated.
- EudraVigilance Medicinal Product Dictionary (EVMPD): Standard method for collecting, reporting, coding, and evaluating data on authorized and investigational medical products in the EU, considering data source uncertainties; supports data analysis. Provides multiple dictionaries within the EudraVigilance system for diverse applications.
Information Resources in Pharmacovigilance
- Pharmacovigilance: Science of detecting, evaluating, understanding, and preventing adverse effects or drug-related problems.
- Drug Information Resources: Current, critically evaluated, relevant data on drugs and their uses in specific patient situations; using primary, secondary, and tertiary resources to gather appropriate information. Using the most recent and critically examined information is important for relevance.
- Basic Drug Information Resources: Current data examining drug use; data must be relevant to the patient parameters, objectives, and alternative approaches.
- Specialized Resources for Adverse Drug Reactions (ADRs): Focus on specific ADRs within broader drug information.
Establishing Pharmacovigilance Programmes
- Hospital Programs: Focused on establishing procedures, structures, and protocols for monitoring and reporting ADRs.
- Industry Drug Safety Departments: Establishing structure and function for adverse event surveillance.
- Contract Research Organizations (CROs): Offering support and services for the establishment and operation of programs, including data analysis.
- National Programs: Ensuring that national-level programs are established to support the overall public health strategy.
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Description
This quiz covers the ATC classification system for drugs and the ICD for diseases. It explores the methodology behind drug classification and the importance of DDD for international comparisons. Gain insights into therapeutic use and the evolution of disease classification.