logo MyTotalMix
Hospital pharmacy · Parenteral nutrition

Nutrition prescriptions
calculated to the last drop.

MyTotalMix is a tool in the hands of medical professionals - supporting planning, calculation, and ordering of parenteral nutrition mixtures for adults, older children, infants, and neonates.

ICD-10 and hospital procedure compliancePrescriptions for adults, older and younger childrenSign-in with identity provider discovery
In use at hospital pharmacies in Poland
Features

Everything a hospital pharmacy needs for parenteral nutrition.

Prescriptions, production, ingredient management, organization structure, users. One portal, aligned with hospital procedures and naming.

Nutrition prescriptions

Issue, edit, clone, cancel, and version individual or standard prescriptions.

Bag production

Pharmacist workflow - a prescription becomes one or more compounded bags, with label and batch number.

Master data

Ingredients, manufacturers, groups, mixtures, templates, milks, and routes - all masters in one place.

Multi-level structure

Tree of cost centers (departments) with groups and roles managed via Keycloak SSO.

Versioning and audit

Every prescription change leaves a trace. Versions are numbered, signed, and comparable.

Labels and printing

Configurable label formats, PDF export, integration with hospital thermal printers.

Two dosing paths

Different rules for an adult, different for a neonate.

MyTotalMix runs separate paths for neonates and younger children, and for adults and older children - with distinct forms, limits, and validations based on ESPGHAN guidelines and configurable per organization.

Adults and older children (above age 12)

Individual prescriptions and standard ward templates.

A full range of mixtures: complete, partial, and immunomodulating. Dosing limits configurable per organization, with support for oncology and long-term therapies.

  • Individual prescriptions and standard ward templates
  • Three nutrition types: complete, partial, immuno
  • Real-time dose and osmolarity validation
Neonates and younger children (below age 12)

Safe dosing for the youngest patients.

A separate form with stricter limits aligned with ESPGHAN guidelines. Accounts for gestational age, birth weight, days of life, and daily requirements - critical for preterm infants.

  • g/kg/d limits per ESPGHAN, configurable per organization
  • Support for preterm and full-term neonates
  • Visual warnings when limits are exceeded
Workflow

From the physician's decision to the bag - in four steps.

A deterministic flow, supported by validations and a full audit trail at every step.

  1. 01

    Physician writes the prescription

    Selects the patient type (neonate/younger child or adult/older child), the ward, and a specific patient from the ward's list. Fills out the form (doses and ingredients) and issues the prescription.

  2. 02

    Pharmacist verifies and accepts

    Three tabs: prescription, verification, summary. The system automatically highlights exceeded dose limits (per ESPGHAN guidelines and ward-level configurable limits), osmolarity, and ingredient incompatibilities. Decision: accept, reject, or request correction.

  3. 03

    Pharmacist creates the bags

    From an accepted prescription, one or more 3-in-1 or 2-in-1 bags are created.

  4. 04

    Compounder and label

    The label prints on a thermal printer. The compounder scans the barcode and automatically loads the order from the system - with no manual data entry.

Important

The application does not replace a physician.

The application must be treated as a tool in the hands of a medical professional, providing support in planning, calculating, and ordering parenteral nutrition mixtures. The application does not replace a physician, does not make decisions on their behalf, does not provide healthcare services on their behalf, and does not autonomously assess health status.

FAQ

Frequently asked questions

Short answers to the questions we hear most often from clinical pharmacists, neonatologists, pediatricians, and hospital IT teams. Anything missing? Get in touch

What is MyTotalMix?

MyTotalMix is an application for hospital pharmacies that comprehensively handles the process of preparing parenteral nutrition mixtures.

It drives the full workflow: a physician writes a prescription for a neonate, younger child, older child, or adult; a pharmacist verifies it across three tabs with automatic highlighting of exceeded limits; then composes 3-in-1 or 2-in-1 bags. Labels and reports print through printing services, and the compounder loads the order after scanning a barcode - with no manual data entry.

Who is MyTotalMix for?

For clinical pharmacists and hospital pharmacy directors, and for physicians who order parenteral nutrition - neonatologists, pediatricians, intensivists, and oncologists.

It proves itself in large hospitals, oncology centers, and pediatric and neonatal clinics, where the daily volume of individual PN mixtures makes manual calculations risky.

How does MyTotalMix improve patient safety?

Through automatic requirement calculations, validations aligned with ESPGHAN guidelines, and a complete audit trail.

Dose limits (g/kg/d), configurable per organization, are compared with the values in the prescription - exceedances are visually highlighted in the pharmacist's verification tab. The compounder pulls data directly from the system, eliminating transcription errors.

How do audit and change tracking work?

In this application, data is never deleted - all records are archived, preserving full history.

Every prescription keeps a complete version history (V1 → V2 → V3) with digital signatures and timestamps. The same applies to users, permission groups, and organizational units. Archived records can be restored at any time - key to compliance with pharmaceutical regulators.

What systems does it integrate with?

With thermal printers (labels, reports), compounders, and potentially with hospital HIS systems.

The compounder scans a barcode from the label and automatically loads the order from the system. Printers connect via printing services authenticated with OAuth. Master data (milks, mixtures, ingredients) is exchanged through CSV import/export. HIS integrations are possible via API.

How does access control work?

Users are assigned to groups, and groups have permissions (create, read, update, delete) per system function.

Permissions are inherited along the organizational hierarchy (wards, cost centers). Sign-in identifies the organization by email domain - the user enters their address and the system routes them to the correct identity provider.

Let's deploy MyTotalMix in your hospital pharmacy.

A 15-minute demo where we show how to issue a prescription, compound a bag, and print a label.