Stream: implementers
Topic: Documenting wastage of medication
Michael Donnelly (Nov 01 2019 at 17:35):
How would you document MedicationAdministration for a compound that was mixed but not administered and was then discarded?
Lloyd McKenzie (Nov 01 2019 at 17:52):
@Melva Peters
Melva Peters (Nov 04 2019 at 18:59):
We haven't had that use case so currently you can't record this. Pharmacy WG has created a tracker to discuss.
It would be good if you could add your use case details in this tracker item. https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=24937&start=0
Melva Peters (Nov 04 2019 at 21:26):
@Danielle Friend @Jenni Syed @Michelle (Moseman) Miller Any input into how this is done?
Jenni Syed (Nov 04 2019 at 22:26):
I can get more information to confirm this hasn't changed, but waste was recorded as an inventory or charge related operation since it's not always associated with "missed" admins. For example, most unit based cabinets would allow you to pull a vial of insulin, administer half of it (and record that amount on the admin) and then come back to the cabinet and record the waste (and put it in a waste "drawer" sometimes)
Jenni Syed (Nov 04 2019 at 22:28):
IIRC, if the admin itself wasn't completed, the admin would be recorded separately (eg: patient spit it out, vomited, with a not-done or stopped status + reason). Then the waste (if there is any) is also recorded.
Lloyd McKenzie (Nov 04 2019 at 22:54):
What resource would be used?
Jenni Syed (Nov 05 2019 at 18:57):
I'm not sure if there's an equivalent today in FHIR. Looking at some old interface doc, it looks like there was a "waste" transaction (specific to unit based cabinet machine interfaces) that use to come over via older HL7 v2
Jenni Syed (Nov 05 2019 at 18:57):
Trying to see what that actually was
Jenni Syed (Nov 08 2019 at 14:47):
I spoke to a few people internally and right now it's very tied to a "waste" dispense type - which has impact on what is charged to the patient (why it's wasted)
Jenni Syed (Nov 08 2019 at 14:47):
@Melva Peters @Lloyd McKenzie
Last updated: Apr 12 2022 at 19:14 UTC
