Stream: implementers
Topic: MedicationRequest and text
Arianne van de Wetering (Jul 02 2018 at 14:39):
A MedicationRequest [https://www.hl7.org/fhir/medicationrequest.html] has 1..1 medication and may have 0..* dosageInstructions. The dosageInstruction contains text, so there is a textual representation per dosageInstruction. This was also the case in V3.
In The Netherlands we experienced, already in our V3-implementations, that vendors seldomly support a textual representation per dosage instruction, but always support one textual representation per medication request (because concatenating individual instructions is simpler than the other way around). In our V3-implementation guide this resulted in a description for organizations receiving a V3-message: "if the texts in the different medicationAdministrationRequest's are identical, then make a distinct selection, otherwise concatenate all texts in the correct order". Ouch.
A comprehensive text is also what is usually needed on the label on the product itself (which is dispensed to the patient) and in the communication with patients / administrators and other partners in the medication process.
The Dutch datamodel therefore defines a textual representation on MedicationRequest level and not on dosageInstruction level.
What are the experiences in other countries?
Last updated: Apr 12 2022 at 19:14 UTC
