FHIR Chat · Using Medication with code only · implementers

Stream: implementers

Topic: Using Medication with code only


view this post on Zulip Yunwei Wang (Jun 05 2019 at 18:01):

I am working on a project that need to transport a list of prescription with prescription ID and RxNorm code only. Both MedicationRequest and MedicationUsage have more required field such as subject and status which are not relevant (and sometimes unknown) in this use case. Is there a way to skip those required field while still make the resource valid?

view this post on Zulip Jean Duteau (Jun 05 2019 at 18:05):

Not with the resource as defined. But if all you have is an ID and a RxNorm code, you don't really have a MedRequest as the request pattern defines the subject, status, intent all to be required. If you truly don't know those other items, then I would suggest that you can't use the Request resources.

view this post on Zulip Lloyd McKenzie (Jun 05 2019 at 18:07):

You could fill things like 'subject' with a data-absent-reason extension indicating that it's not known. The MedicationRequest has a status of unknown as well.

view this post on Zulip Yunwei Wang (Jun 05 2019 at 18:15):

@Lloyd McKenzie That's good idea. Thanks.
@Jean Duteau I agree this is not real request. I am trying to find some resource that can fit this situation. My plan B is to create a customized resource but really don't want to go that route.

view this post on Zulip Jose Costa Teixeira (Jun 05 2019 at 18:34):

can you tell more about your use case? I agree with Jean, doesn't seem like a request resource.

view this post on Zulip Lloyd McKenzie (Jun 05 2019 at 19:19):

If it's summarizing prescriptions, it could still be a MedicationRequst, though obviously not an actionable one

view this post on Zulip Yunwei Wang (Jun 05 2019 at 20:05):

@Jose Costa Teixeira This is a data analysis service. It has two components. The data collector queries different clinical data source to collect prescriptions for a patient, then the data collector removes not needed data element (to reduce the payload) and send collected data to analysis service. The data comes in at the step 1 are either MedicationRequest or MedicationUsage. I am considering what data schema I should use for the step 2.

view this post on Zulip Jose Costa Teixeira (Jun 05 2019 at 20:06):

ah ok, if this were after the analysis i could point at measure or something else.

view this post on Zulip John Moehrke (Jun 05 2019 at 20:08):

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Last updated: Apr 12 2022 at 19:14 UTC