Stream: implementers
Topic: Medication statement
Philip Scott (Sep 28 2016 at 12:23):
How/where would 'patient not to be given medication XYZ' be represented in FHIR? (patient wishes, not allergy)
Would 'hospital doctor recommends that GP prescribes drug ABC' be represented as CarePlan in FHIR? (e.g. referenced in a discharge summary Composition)
John Moehrke (Sep 28 2016 at 14:06):
It is possible that this would fall to the Consent resource (record of patient wishes regarding handling). But that resource today has focused on Privacy-Consent, so you won't find anything specific there (e.g. advanced directives). That workgroup (CBCC) would like to get your input, and involvement.
Lloyd McKenzie (Sep 28 2016 at 20:37):
@Philip Scott There's been a bunch of discussion around how to capture "do not do", but that hasn't necessarily landed yet. For now, it would probably be MedicationOrder with a modifier extension
Lloyd McKenzie (Sep 28 2016 at 20:37):
You might also want to raise it on the pharmacy list server
Philip Scott (Sep 28 2016 at 21:28):
Thanks @Lloyd McKenzie do you mean Pharmacy on here or general HL7 list?
Melva Peters (Sep 28 2016 at 21:44):
@Philip Scott I'd send it to the general pharmacy list
Grahame Grieve (Sep 29 2016 at 03:21):
I'm sure that this is not a Consent issue; The patient may not consent to - say, tranfusions - and than these are contra-indicated
Grahame Grieve (Sep 29 2016 at 03:21):
but if a clinician says not to do something.. that's not a consent issue
Grahame Grieve (Sep 29 2016 at 03:22):
I thought we had a contra-indication resource once?
John Moehrke (Sep 29 2016 at 14:46):
I brought consent up for the specific part of the use-case where the patient expresses a 'wish'... I understand that a patient expressing a 'wish' is something that is assigned to the Consent resource to solve (e.g. DNR). I am not saying that it is a general solution for instructions, surely not about medication dispensing instructions.
rekha (May 13 2019 at 10:04):
Hi all,
Which resource is replaced with Medicationsatement in R4??
Thanks in advance.
Stefan Lang (May 13 2019 at 10:32):
MedicationStatement (up to R4) is now MedicationUsage in current build
rekha (May 13 2019 at 10:40):
Thank you @Stefan Lang
Last updated: Apr 12 2022 at 19:14 UTC
