Stream: implementers
Topic: MedicationStatement
Jayashree Surnar (May 03 2017 at 04:15):
hello all, in MedicationStatement.category (base resource)we have options like inpatient, outpatient, community, patient specified. but in our appln we want to create medicationstatement like reconcilation MS, dicharge MS also, so how to do this please any suggestions?Thank you.
Eric Haas (May 03 2017 at 07:19):
I'm not sure what you are asking, But if you are asking about using other codes that those listed in the spec - the binding to the codes for MedicationStatemnt.category is "preferred" so you can use your own category codes.
Michelle (Moseman) Miller (May 03 2017 at 13:36):
+1 that the binding is only preferred, but I am also curious to learn more about your use case.. A few different thoughts come to mind, such as:
- If you have a prescription written at discharge, then that could fit into the community category, which is defined as including orders for medications to be administered or consumed by the patient in their home
- By contrast, if you want to represent that reconciliation took place and what corresponding actions were taken on each medication order/request during that reconciliation process, then you might consider using List to represent the meds list as a snapshot in time.
Eric Haas (May 03 2017 at 15:58):
What about making category 0..* to be able to filter by "discharge" or "yellow pills" or whatever you want?.... We do that in other resources ( Making @Rob Hausam cringe as I type this)
Rob Hausam (May 03 2017 at 18:52):
Maybe not, @Eric Haas :) I think we've slowly migrated the understanding 'category' in many of the resources to an element which conveys multiple 'tag' values, which is probably a more useful approach to implementing it (hence why we're doing it). And with that new understanding, I don't tend to cringe as much anymore. :)
Jayashree Surnar (May 04 2017 at 09:07):
in MedicationRequest if we use medicationCodeableConcept(we want to use rxNorms codes) rather than Medication reference, in this scenario how to specify the form like whether it is tablet or capsule etc.
(here i want to supply the medication code, dosage and form separately).any suggestions please.
thank you.
Lloyd McKenzie (May 04 2017 at 10:29):
If you want to capture Form as a separate element (or Lot or ingredients or any other medication characteristics), you have to use the Medication resource. You can however choose to send it as a contained resource if you don't have enough information (or the technical capability) to store it as an independent instance.
Michelle (Moseman) Miller (May 04 2017 at 13:28):
@Jayashree Surnar Regarding the comment to supply dosage (and form) separately, MedicationStatement.dosage is available (which I would argue is always needed with medicationCodeableConcept because the RxNorm code, at best, is only conveying drug strength, not dose quantity). In some cases, MedicationStatement.dosage.doseQuantity.code may imply form (e.g. doseQuantity could be something like 2 tablets or 3 capsules). That said, there are a lot of variations to consider, so that won't always work....
Jayashree Surnar (May 05 2017 at 03:55):
@Michelle (Moseman) Miller , there is no MedicationStatement.dosage.doseQuantity.code or MedicationRequest.dosage.doseQuantity.code. In base resource we have only MedicationStatement.dosage.doseQuantity and MedicationRequest.dosageInstruction.doseQuantity right.
Jayashree Surnar (May 05 2017 at 05:10):
i think we can use dosage.text to provides more info like tylenol 500mg tab etc. right?
Yunwei Wang (May 05 2017 at 12:13):
@Jayashree Surnar doseQuantity is a type of SimpleQuantity which has property code.
Michelle (Moseman) Miller (May 05 2017 at 16:09):
@Jayashree Surnar yes, you can certainly use dosage.text for the textual representation of the SIG (e.g. dose, route, frequency, etc.)
Richard Townley-O'Neill (May 08 2017 at 00:34):
@Jayashree Surnar
The Dose resource describes the use of a medication described somewhere else. The text "tylenol 500mg tab" includes medication, amount, and form. Medication and form belong elsewhere. I suggest that, in this case, dosage.text should be "500mg".
Jayashree Surnar (May 08 2017 at 03:59):
@Richard Townley-O'Neill , then what about the form like capsul/tablet etc.? where should i declare without using Medication Resource?
Richard Townley-O'Neill (May 08 2017 at 05:00):
dosage.text = "500mg tab" ?
Jayashree Surnar (May 08 2017 at 05:02):
@Richard Townley-O'Neill , can we use dosage.text to specify tylenol 500mg tablet?
Richard Townley-O'Neill (May 08 2017 at 06:05):
@Jayashree Surnar
I do not know. I do not like doing it that way. But it might be your only way.
@Michelle (Moseman) Miller , what do you think?
Lloyd McKenzie (May 08 2017 at 06:24):
You can also specify "tablet" as the dose.unit if the strength is implicit in the identified medication.
Richard Townley-O'Neill (May 08 2017 at 06:32):
Thanks @Lloyd McKenzie After looking at dose.unit and re-looking at dosage.text, I think that dosage.text = "500mg tablet" is fine as a starting point.
abhishek gupta (Nov 29 2017 at 13:26):
Hi All,
I have one doubt while creating the MedicationStatement Profile one field is there which is mapped from the another resource Medication,whose field name will be form so how can i map this form field in my MedicationStatement profile?
Thank you
Lloyd McKenzie (Nov 29 2017 at 15:43):
If the Medication resource instance has enough information to stand alone, then you don't include "form" in your MedicationStatement - you just reference the Medication and the client queries for it if it needs to. If the Medication instance doesn't have enough information to stand alone, you can embed the Medication in the "contains" element of the MedicationStatement.
Mounika (Dec 04 2017 at 10:24):
Hello all, I want to capture group of medications using MedicationStatement resource. Can you tell me which element shall I use to bind the medication group?
Melva Peters (Dec 04 2017 at 15:47):
Can you explain what you mean by group? Is this a set of medications that are prescribed together or a classification group?
Mounika (Dec 06 2017 at 09:45):
@Melva Peters I mean it's a group of medication classification.
Simone Heckmann (Dec 06 2017 at 09:47):
Sounds like a List of MedicationStatements, e.g. for a list of all regularly taken medication vs. a list of medication that is taken as needed...?
Yunwei Wang (Dec 06 2017 at 15:14):
Agree with @Simone Heckmann
Last updated: Apr 12 2022 at 19:14 UTC
