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Type:
Change Request
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Resolution: Persuasive
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Priority:
Highest
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US Core (FHIR)
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3.1.1
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Cross-Group Projects
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US Core MedicationRequest Profile
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Doug Pratt/Drew Torres:12-0-0
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Enhancement
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Compatible, substantive
In context of https://jira.hl7.org/browse/FHIR-28375 we propose that the data type list be limited to Boolean and all other base standard choices be optional.
Current systems would at least know whether it was reported, but not necessarily also who reported it. We also note that for FHIR R5 the field is planned to be split to enable capture of both rather just one, where the reportedReference becomes .informationSource (see https://jira.hl7.org/browse/FHIR-19640).
As the FHIR US Core profile is used for accessing and exchanging data based on what the source system has, this should not require the data source system to add functionality to capture a patient as part of the medication request. Additionally, C-CDA does not impose this requirement either.
Links to pages:
http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-medicationrequest.html
https://build.fhir.org/ig/HL7/US-Core-R4/StructureDefinition-us-core-medicationrequest.html