Stream: CCDA / FHIR mapping stream
Topic: MedicationRequest.reportedBoolean
Tushar Nair (Aug 05 2020 at 00:16):
If MedicationRequest.reportedBoolean = true, then it would imply that this Medication was reported by a third party and not the author-practitioner? If so then in C-CDA in a medication supply order if the author is present then it automatically implies MedicationRequest.reportedBoolean ='false'. Does that make sense?
Lloyd McKenzie (Aug 05 2020 at 00:50):
I'm not sure that's necessarily true. A patient could, in principle, report a prescription and indicate that it was prescribed by Dr. Smith. I believe CDA allows a 'reporter' participation which, if present, and other than the author would correspond to reported=true. I'm not sure you can necessarily always know that the absence of a reporter in CDA means "reportedBoolean=false". However, I think you'd typically make that assumption.
Tushar Nair (Aug 05 2020 at 00:59):
Lloyd McKenzie said:
I'm not sure that's necessarily true. A patient could, in principle, report a prescription and indicate that it was prescribed by Dr. Smith. I believe CDA allows a 'reporter' participation which, if present, and other than the author would correspond to reported=true. I'm not sure you can necessarily always know that the absence of a reporter in CDA means "reportedBoolean=false". However, I think you'd typically make that assumption.
@Lloyd McKenzie ...thank you for the quick response. I guess you were referring to the base model CDA specs. My apologies for not quoting the exact CDA spec I was refering to. I am referring to the CDA R2.1 (US Realm) -where they have a constrained set of elements specified and the reporter is not present in it. However, another point that came to my mind is that -What-if the author is NOT a provider. Hence , it would be essential to constrain the rule to be such that Author.id SHALL be a provider identifier like NPI (National Provider Identifier - as used in US)
Last updated: Apr 12 2022 at 19:14 UTC
