Stream: implementers
Topic: prescriber for MedicationStatement
Aleksandra Pavlyshina (Jun 07 2016 at 13:45):
Hi All,
we are implementing home medications list using MedicationStatement resource. In our system, we need to record Medication Name, Dose, and Prescriber. Please advise what is the best way to record a medication prescriber? Should we use an extension here, or there is a better way?
Yunwei Wang (Jun 07 2016 at 15:01):
Hello Alexandra: I think instead of MedicationStatement you should use MedicationOrder.
Michelle (Moseman) Miller (Jun 08 2016 at 15:36):
Some medications taken at home are truly MedicationStatements (not MedicationOrders), such as an over the counter medication that the patient states they are taking at home. In other cases, when a prescription order is present, the MedicationStatement.supportingInformation can reference the MedicationOrder, which contains the prescriber.
Erich Schulz (Jun 09 2016 at 11:24):
it is occassionally of intereset when taking a medication history to know who the prescriber is
Lloyd McKenzie (Jun 09 2016 at 13:08):
It might be appropriate to define "prescriber" as an extension on MedicationStatement, but I think making it core would cause confusion about the respective purpose of MedicationStatement vs. MedicationOrder.
Michelle (Moseman) Miller (Jun 09 2016 at 13:09):
@Erich Schulz I agree. There has been some recent pharmacy listserv discussions on how to represent "knowledge of a prescription from an external system" (e.g. whether that should be a MedicationStatement or MedicationOrder).
http://lists.hl7.org/read/messages?id=295356
Patrick Werner (Jun 09 2016 at 13:48):
+1 for prescriber as an extension. Sometime you just want to know the prescriber without the need of a MedicatonOrder. Could this be a HL7 core extension?
Lloyd McKenzie (Jun 09 2016 at 14:45):
@Patrick Werner That's my proposal
Michelle (Moseman) Miller (Jun 09 2016 at 22:38):
Has someone logged a gForge for the requested prescriber core extension? If not, I can do so.
Lloyd McKenzie (Jun 09 2016 at 23:22):
Please
Michelle (Moseman) Miller (Jun 10 2016 at 12:25):
GF#10164 has been logged requesting the prescriber extension for MedicationStatement
Aleksandra Pavlyshina (Jun 13 2016 at 12:19):
Thank you all for the feedback!
Last updated: Apr 12 2022 at 19:14 UTC
