Stream: implementers
Topic: preferred pharmacy
Brad Becker (Jan 04 2019 at 17:39):
Hello does anyone know if V4 of FHIR provides access to the patient's preferred pharmacy field?
René Spronk (Jan 05 2019 at 10:48):
Well, either you'd use http://build.fhir.org/patient-definitions.html#Patient.generalPractitioner (but that's a bit of stretch given the definition of the element), or an extension on Patient like the one used in the UK: https://simplifier.net/search?text=nominated|pharmacy
Lloyd McKenzie (Jan 05 2019 at 23:59):
@Melva Peters ?
Melva Peters (Jan 06 2019 at 21:00):
If you wish to add the pharmacy to a MedicationRequest, there is an attribute MedicationRequest.dispenseRequest.performer which is a reference to the intended dispenser Organization. On a patient record, I don't believe there is a way to designate the preferred pharmacy, just primary care provider.
Lloyd McKenzie (Jan 06 2019 at 21:02):
I thought that primary care provider was generalized from Practitioner to allow Organization and be 0..* to allow for pharmacies. @Brian Postlethwaite ?
Melva Peters (Jan 07 2019 at 00:11):
The spec reads "generalPractitioner" but the definition is "patient's nominated care provider" and there is a reference to Organization. I guess you could include Pharmacy here, but I wouldn't automatically assume that from the definition.
Ardon Toonstra (Jan 07 2019 at 08:27):
We use an extension on Patient in STU3 for the preferred pharmacy (https://simplifier.net/nictizstu3-zib2017/nl-core-preferred-pharmacy)
Brian Postlethwaite (Jan 08 2019 at 03:06):
I'll check with the others in PA, I don't recall where we landed, but I don't think it was to support pharmacies. This would be in the CareTeam for the patient.
Melva Peters (Jan 12 2019 at 15:35):
I would think that having a preferred pharmacy identified for a patient is needed in other places than in the context of a care plan. For example, a prescriber system may note a preferred pharmacy for the purpose of prescribing.
Jenni Syed (Jan 12 2019 at 17:47):
In our system, we allow a list of possible pharmacies, and one is typically chosen when the patient visits so that prescriptions can be routed there
Last updated: Apr 12 2022 at 19:14 UTC
