FHIR Chat · Medication treatment identifier · implementers

Stream: implementers

Topic: Medication treatment identifier


view this post on Zulip Jose Costa Teixeira (Sep 23 2019 at 15:10):

To identify a medication treatment (a medication line that spans across prescriptions and dispenses etc), I can use a CarePlan. It does match my requirements.
Question: the indication (reason for the drug to be planned and eventually prescribed) is:
- careplan.addresses
- careplan.activity.detail.reason
?

view this post on Zulip Jose Costa Teixeira (Sep 23 2019 at 15:11):

@Stephen Chu @Michelle (Moseman) Miller ?

view this post on Zulip Jean Duteau (Sep 23 2019 at 15:12):

I would use careplan.addresses as that is what the treatment is about.

view this post on Zulip Jose Costa Teixeira (Sep 23 2019 at 15:15):

thanks, that makes sense.

view this post on Zulip Jose Costa Teixeira (Sep 23 2019 at 15:16):

the reason i want to double check is that the product identification is in activity.detail, so does it make sense to have these at different levels?

view this post on Zulip Jean Duteau (Sep 23 2019 at 15:22):

hmm, I'm not sure that I'd put the product in activity at all. The problem is that detail is 0..1, so each prescription/dispense/administration/usage would go in a separate activity block. So I wouldn't put the drug identification as a separate activity. But I get that there really isn't any other place to put it

view this post on Zulip Jean Duteau (Sep 23 2019 at 15:23):

You could put the drug as an extension on description. But it seems silly to use CarePlan for this specific purpose and then put the important detail in an extension

view this post on Zulip Jose Costa Teixeira (Sep 23 2019 at 15:27):

The problem is that detail is 0..1, so each prescription/dispense/administration/usage would go in a separate activity block.

A plan's prescriptions and dispenses etc are different activities, that I don't see as an issue that we can only have one detail. The issue is those different levels, kind of forcing us to re-specify the medication which is actually the common thing across those activities.

view this post on Zulip Jose Costa Teixeira (Sep 23 2019 at 15:28):

we should be able to say "this is the medication" and then put some activities and details underneath - is that what you mean, @Jean Duteau ?

view this post on Zulip Jean Duteau (Sep 23 2019 at 15:33):

yes, exactly.

view this post on Zulip Jose Costa Teixeira (Sep 23 2019 at 15:38):

ok I was thinking the carePlan could be a bit more "self-similar" - it has three levels, but those levels could be a bit more similar so that we could nest... thoughts?


Last updated: Apr 12 2022 at 19:14 UTC