Stream: implementers
Topic: prescription with "stop date"
Josh Mandel (Apr 27 2016 at 15:12):
If I want to represent a prescription that a patient would take for a month, do I put the end date in MedicationOrder.dosageInstruction[].timing.repeat.boundsPeriod.end rather than MedicationOrder.dateEnded ?
Ewout Kramer (Apr 27 2016 at 15:14):
Seems "dateEnded" is the date it was actually stopped, which is different from the datetime you have prescribed for it to be stopped (which is the timing).
Josh Mandel (Apr 27 2016 at 15:15):
Fair enough!
Grahame Grieve (Apr 27 2016 at 15:32):
(deleted)
Lloyd McKenzie (Apr 27 2016 at 17:42):
Feel free to submit a change request for this to be clarified in the spec
Michelle (Moseman) Miller (Apr 29 2016 at 17:11):
FWIW, our system can capture both a duration (take for 30 days) and a period (where end date = start date + duration), which is a bit of a challenge using timing.repeat.bounds since we can only choose either boundsQuantity or boundsPeriod.
In our implementation, we opted to prioritize the boundsQuantity (=30 days) for outpatient prescriptions medication orders since we don't know when the patient will actually get the prescription filled and start taking it. For inpatient orders, we opted for the period since the start date is within a more controlled environment.
Last updated: Apr 12 2022 at 19:14 UTC
