FHIR Chat · Medication Reference in MedicationRequest · inferno

Stream: inferno

Topic: Medication Reference in MedicationRequest


view this post on Zulip Lakshmi Bhamidipati (Feb 22 2021 at 20:03):

Hello,

Is it required to display a reference to Medication resource in MedicationRequest instance? We are displaying a medication using the CodeableConcept. This is what the resource is like
{
"resourceType": "MedicationRequest",
....
"medicationCodeableConcept": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "211874",
"display": "aspirin 325 mg tablet"
}
],
"text": "aspirin 325 mg tablet"
},
...
}
This is according to the specification -
18. MedicationRequest.medication[x]
Definition
Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.

However, I am getting this message in the Inferno tool -
USCMR-11: Medication resources returned conform to US Core v3.1.1 profiles results...
MedicationRequests did not reference any Medication resources.

Am we required to implement "Medication" resource and add a reference to it in MedicationRequest?

Thank you!

view this post on Zulip Robert Scanlon (Feb 22 2021 at 20:10):

The status on this test result should be 'omit', which means that you have not 'opted into' the test by providing a reference to a Medication. By providing a medication as a CodeableConcept, we do not need to validate Medication resources because none exist. You can think of an 'omit' as a pass.

view this post on Zulip Lakshmi Bhamidipati (Feb 22 2021 at 20:51):

Thank you @Robert Scanlon . It is good to know the concept of 'omit' .

view this post on Zulip Robert Scanlon (Feb 22 2021 at 20:52):

I think there is an opportunity for us to make this more obvious for new users, thanks for the question. Just to verify, if you hover over the icon in the result on the left side, does the flyover say 'omit'? We definitely should make it so the result shows up when you copy/paste!

view this post on Zulip Lakshmi Bhamidipati (Feb 23 2021 at 20:44):

Yes, it does. When I hover over it, the message is "Test was omitted and does not affect passing or failed scores".


Last updated: Apr 12 2022 at 19:14 UTC