Stream: implementers
Topic: Medication Schedule
Yashit Kumar Singh (Nov 27 2016 at 23:52):
Query on Patient Medication Schedule. See below.
Yashit Kumar Singh (Nov 27 2016 at 23:54):
Hi Guys
I am currently looking into the Timing datatype in FHIR. We want to represent a patient medication schedule in FHIR MedicationStatement in the dosage element. We have a requirement of displaying medication schedule for specific times of day for a period of days/weeks.
For example - Take 1 tablet three times daily( 1 at breakfast, 1 at noon, 1 before dinner ) starting November 23, 2016
Looking at the repeat section in the Timing datatype, It looks like representing something like this is not possible at the moment. Has anyone represented schedule into a MedicationStatement or MedicationOrder? Would an extension be good for this?
We want something along these lines? (see below)
"dosageInstruction": [{
"text": "Take 1 tablet three times daily( 1 at breakfast, 1 at noon, 1 before dinner ) starting November 23, 2016",
"timing": {
"repeat": {
"boundsPeriod": {
"start": "2016-11-23"
}
"eventOccurence":{
"breakfast",
"noon",
"before-dinner"
}
}
I have noticed a bunch of questions in the same lines on stackoverflow - Is it something in the pipeline for STU3?
http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12352
Thanks
Melva Peters (Nov 28 2016 at 15:31):
The Pharmacy WG has had a couple of requests for similar changes. We are taking the change to the Modelling and Methodology WG to talk to them about a change to the data type. It would be great if you would add your use case to that tracker item.
Grahame Grieve (Nov 28 2016 at 18:48):
@Melva Peters I think we might consider that in just over 24 hours time - who have you talked to?
Melva Peters (Nov 28 2016 at 18:51):
John Hatem had talked to Lloyd - who said this needed to go to MnM. He followed up with Jean Duteau.Not sure of the current status of the requested change. We have a couple of items that needed to be referred - TR#12201 - days of week on Timing and TR#10478 - Add morning, aftrnoon, evening and night to Timing. Also a request around the Occurence element.
Grahame Grieve (Nov 28 2016 at 18:53):
well, would some one from Pharmacy be available to join us 4pm eastern tomorrow (Tues) to take up GF#12201, GF#10478, and GF#12352?
Melva Peters (Nov 28 2016 at 19:05):
I'm sure one of us can do that.
Grahame Grieve (Nov 28 2016 at 19:05):
that would be great
Melva Peters (Nov 28 2016 at 19:13):
I'll check with John around the changes to Occurence in the mapping to the Request Logical model - I believe the issue is that you can't say currently say "1 tablet three times daily for 10 days started on Nov 3, 2016".
Michelle (Moseman) Miller (Nov 28 2016 at 23:17):
I am planning to join the call on Tuesday, too. The Pharmacy discussion relates back to our prior chat
https://chat.fhir.org/#narrow/stream/implementers/topic/Timing.20Offset
Last updated: Apr 12 2022 at 19:14 UTC
