Stream: implementers
Topic: Location of medication administration
Floyd Eisenberg (Mar 25 2022 at 15:16):
If I were to request retrieval of all medication administration events occurring in the operating room (as compared to another location in the hospital), would I model it as MedicationAdministration.supportingInformation (and reference Encounter.location referencing Location.type? I do understand that EHRs may have difficulty finding specificity of the specific encounter.location and that medications administered in the operating room will likely not be present in the medication administration record in the EHR - most likely in the anesthesia record. I am seeking to understand the proper modeling and any comments about feasibility are very welcome. Thank you
Jose Costa Teixeira (Mar 25 2022 at 17:54):
Question: Why specifically the administrations?
David Pyke (Mar 25 2022 at 18:32):
It's an issue I'm looking at as well. Trying to isolate pre-, intra- and post-procedure medication administrations. Using location might help with that
Mike Lohmeier (Mar 25 2022 at 20:09):
Ditto, we have remote monitoring use cases where the medication administration can actually be a geo location. E.G. An asthmatic uses their SABA medications during an asthma attack at home. We went down the path of a custom extension here but am interested to see if a more native fhir solution could work.
Jose Costa Teixeira (Mar 26 2022 at 13:10):
Right, but why do you want to track administrations? The answer to that may influence the solution. Is it for tracking stock / consumption?
Lloyd McKenzie (Mar 27 2022 at 04:30):
supportingInformation is definitely not the correct place. supportingInformation is for things like weight, height, blood pressure, or other information that helps to justify the dose administered or the trigger that caused the medication to be administered. If you want to capture the location, for now, that'd be a custom extension. That said, it seems like the sort of thing that should be a standard element, or at least a standard extension. Suggest submitting a change request.
Jean Duteau (Mar 27 2022 at 23:42):
MedicationAdministration.context -> Encounter.location
Lloyd McKenzie (Mar 28 2022 at 05:06):
Encounter.location is a 0..*, so you'd have to cross-reference the time of the administration with the time of the location.
John Silva (Mar 29 2022 at 14:38):
And are meds always administered in the context of an Encounter? For example, if you get a vaccine at a 'chain drugstore' I suspect there isn't an Encounter associated with that? (or is this use case only about inpatient med admins?)
Daniel Venton (Mar 29 2022 at 14:40):
There might not be an encounter resource stored in the pharmacy "EMR" system about your encounter with the pharmacist (provider) but it wouldn't surprise me to learn that there is.
Last updated: Apr 12 2022 at 19:14 UTC
