Clarify definition of "context" metadata element to "when the medication requested should be administered" or create a new metadata element for MedicationRequest to address when administration is expected. - 2018-Jan Core #94

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    • Type: Change Request
    • Resolution: Not Persuasive
    • Priority: Medium
    • FHIR Core (FHIR)
    • STU3
    • Pharmacy
    • MedicationRequest
    • Hide

      The category attributes provides the ability to specify inpatient, outpatient, community and discharge. This will meet your use case.

      Motion: find this item non-persuasive

      Show
      The category attributes provides the ability to specify inpatient, outpatient, community and discharge. This will meet your use case. Motion: find this item non-persuasive
    • JohnH/PatrickW: 5-0-0
    • Correction

      Existing Wording: A link to an encounter, or episode of care, that identifies the particular occurrence or set occurrences of contact between patient and health care provider.

      Comment:

      The definition of MedicationRequest.context is confusing and potentially ambiguous. Epic has a field "mode" that indicates when a requested medication should be administered/given. The field is often used in the inpatient setting for medication eprescriptions sent to the outpatient pharmacy for patients to pick up after hospital discharge. The MedicationRequest.context field seems to indicate the Encounter during which the request occurs, but it should be addressed when the request should reflect administration of the requested medication. If that assumption is incorrect, the context description should be clarified and a new metadata element should address when the medication requested should be administered.

      Summary:

      Clarify definition of "context" metadata element to "when the medication requested should be administered" or create a new metadata element for MedicationRequest to address when administration is expected.

            Assignee:
            Unassigned
            Reporter:
            Floyd Eisenberg
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved: