Stream: Medication
Topic: DEA Schedule
Brendan Keeler (Mar 17 2022 at 14:41):
What's the best way to include this information in FHIR? Would love to put it on Medication, but it seems like MedicationKnowledge is the "right" place.
Brendan Keeler (Mar 17 2022 at 14:41):
MedicationKnowledge is pretty non-normative (why isn't all that info just in Medication)?
Lloyd McKenzie (Mar 17 2022 at 15:40):
Medication reflects the set of information typically passed around (and stored) when prescribing/dispensing/administering. "Registry" type information lives in MedicationKnowledge.
Melva Peters (Mar 17 2022 at 20:38):
This information would go in MedicationKnowledge.regulatory.schedule
Brendan Keeler (Mar 17 2022 at 22:28):
Isn't the schedule of the drug an important aspect of prescribing?
Brendan Keeler (Mar 17 2022 at 22:34):
I'm still confused on why MedicationKnowledge is a separate thing. Is it just that Medication is MedicationKnowledge lite? Keep Medication nice and fit and sleek and offload the rest to the meatier resource?
Brendan Keeler (Mar 17 2022 at 22:35):
All the things in MedicationKnowledge seem like characteristics of a Medication so I can't think of another reason
Brendan Keeler (Mar 17 2022 at 22:36):
The reason I ask - we are parsing NCPDP into FHIR. We have the DEA Schedule as a data element in NCPDP. We don't want to generate a whole MedicationKnowledge just to store this info.
Jean Duteau (Mar 17 2022 at 22:37):
The scope of the Medication resource is to identify a particular Medication for the purposes of prescribing, dispensing, or administering. Although you may need to know the DEA schedule when you are prescribing, you do not need to convey that information when you are sending the prescription/dispense/administration details from one system to the other. That is why it is not included in Medication.
Brendan Keeler (Mar 17 2022 at 22:41):
It's odd that the NCPDP does just that, then
Jean Duteau (Mar 17 2022 at 22:52):
you are the first to bring it up as an implementation need when identifying a medication.
Lloyd McKenzie (Mar 17 2022 at 23:13):
In Canada we also had a requirement to flag a prescription as a "triplicate" prescription. I think the resolution was to use MedicationRequest.category?
Jean Duteau (Mar 17 2022 at 23:18):
yes, that would be a good use of category in identifying the prescription. We have a Jira issue to add some more example codes to the current med request category value set to give more ideas of what the category could be used for.
Jose Costa Teixeira (Mar 24 2022 at 04:44):
We also have this requirement in Europe. Drug classification (of which schedule is an example) is an element that is needed in prescriptions.
Jose Costa Teixeira (Mar 24 2022 at 04:44):
There was already some discussion on adding classification on Medication. The requirement remains open.
Jose Costa Teixeira (Mar 24 2022 at 04:46):
@Lloyd McKenzie triplicate prescription seems a category of the request, while this seems about category of the drug itself. Most pressing example is ATC code
Jose Costa Teixeira (Mar 24 2022 at 04:55):
https://chat.fhir.org/#narrow/stream/179249-Medication/topic/Controlled.20Substance.20Schedule
Last updated: Apr 12 2022 at 19:14 UTC
