Stream: Medication
Topic: Associate MedicationAdministration with MedicationStatement
Tim Blake (Apr 21 2020 at 21:04):
Wondering if it is possible to associate a MedicationAdministration with a specific MedicationStatement, i.e. associating recently administered doses with a medication list stored as a series of MedicationStatements? Thanks
Jean Duteau (Apr 21 2020 at 22:52):
It's not possible right now other than as an extension (probably on the request attribute). We have had others ask about that requirement, so we should create a change request to look into it.
Richard Townley-O'Neill (Apr 22 2020 at 05:39):
If the list of medications is not any sort of authority or plan to take the medication, just a report of activity or intent, putting the extension on MedicationAdministration.request seems quite wrong.
Richard Townley-O'Neill (Apr 22 2020 at 05:42):
I think in that case it should be on MedicationAdministration.
Tim Blake (Apr 22 2020 at 22:41):
@Richard Townley-O'Neill I have a medication list, where I'd like to also record the most recent administration alongside each MedicationStatement in the list. Do you think I should reference from MedicationStatement to the MedicationAdministration or the other way round?
Lloyd McKenzie (Apr 23 2020 at 00:05):
It's somewhat odd to link from an administration to a statement rather than to a MedicationRequest. MedicationRequest is the order. MedicationStatement is just a summary statement of what the patient is believed to be taking (or in some cases not taking). Having to update the MedicationStatement every time there's an administration seems painful. You could link each MedicationAdministration to the MedicationStatement with an extension and then query to find the most recent one, though that's not super pleasant either.
Last updated: Apr 12 2022 at 19:14 UTC
