About MyTotalMix

MyTotalMix helps you compose a parenteral nutrition bag (TPN) within the dose limits set out in the ESPGHAN guidelines. It is built for hospital pharmacies. Day to day it is used by pharmacists, physicians ordering nutrition therapy, and technicians who compound 2-in-1 and 3-in-1 bags, mostly in intensive care, neonatology, and paediatrics.

A slip in a macronutrient or electrolyte dose can harm a patient. So the whole path of an order, from the physician's prescription through the pharmacist's check to release for compounding, is watched by rules that flag an over-limit g/kg/day the moment it appears. The software decides for no one. It carries the arithmetic and the layered checks, so they can be repeated, documented, and reconstructed later. The pharmacist has the final word.

The system runs two separate dosing paths: one for adults and older children (above age 12), and a separate one, with tighter limits, for neonates and younger children. Formulas can be complete, partial, or immunomodulating, and admixtures are compounded as 2-in-1 or 3-in-1 bags, depending on the order and ward procedures.

We have been developing MyTotalMix for 15 years, carrying forward the same domain experience gathered in hospital pharmacies and intensive care units. The current version is a full rewrite of the codebase on a modern stack: the same clinical rules and the same functional scope, without the weight of older technical choices.

The clinical basis is the ESPGHAN/ESPEN/ESPR/CSPEN guidelines on paediatric parenteral nutrition (2018). They set the safe dose ranges we check at every prescription review.

Every order keeps a full version history: V1, then V2, then V3. A physician's or pharmacist's change is confirmed with an e-signature, and all of it lands in an immutable audit trail, ready to inspect during a review or an incident. Roles split the access (RBAC). A physician, a pharmacist, and a technician each see only their part of the process, and can only do what that part allows.