Stream: argonaut
Topic: MedicationRequest Intent R4 and US Core
Marshall Shortledge (Aug 24 2020 at 17:14):
I was reviewing the MedicationRequest intent element and it seems like there are some differences between R4 and the US Core that I'm confused about.
R4 added several new codes for the intent element including 'reflex-order'. STU3 for reference
US Core states that to obtain all active medications the intent should be 'order'.
If the medication request is for a reflex order / medication, should the intent be 'reflex-order' to match R4 or should it be 'order' to match US Core?
Eric Haas (Aug 24 2020 at 17:17):
reflex-order is lab thing, I am not aware of its use in meds?
Marshall Shortledge (Aug 24 2020 at 17:21):
From my understanding, a medication could be placed in response to a lab result which would make it a reflex order. If that's not correct I can recheck. If it is a lab specific thing then why would it be included in the MedicationRequest-intent R4 code system? The code system is different from the ServiceRequest
Brett Marquard (Aug 25 2020 at 13:00):
Any EHRs/Lab systems cod e medication as a 'reflex order'? I haven't heard the term before for meds.
Rob Hausam (Aug 25 2020 at 21:48):
Neither have I.
Lloyd McKenzie (Aug 25 2020 at 23:15):
I can think of situations where ordering a med might auto-trigger a repeating lab order, but not a situation where ordering a lab test (or even getting back a particular result) would automatically trigger ordering a drug order without human review
Last updated: Apr 12 2022 at 19:14 UTC
