CMSCAT doesn't seem to fit value set

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    • Type: Change Request
    • Resolution: Not Persuasive
    • Priority: Highest
    • CDISC Mappings (FHIR)
    • 0.1.0
    • Biomedical Research & Regulation
    • Concomitant Medications
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      MedicationAdministration, MedicationDispense and the equivalent of MedicaitonStatement (MedicationUsage) repeat in R5 but don't in R4. We'll update the mapping to indicate that a standard extension will need to be used if multiple categories are specified. The intention is that there can be a wide variety of categories covering different axes of categorization. As well, the binding in the HL7 specification is 'example', which means that there are no constraints on what can be used.

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      MedicationAdministration, MedicationDispense and the equivalent of MedicaitonStatement (MedicationUsage) repeat in R5 but don't in R4. We'll update the mapping to indicate that a standard extension will need to be used if multiple categories are specified. The intention is that there can be a wide variety of categories covering different axes of categorization. As well, the binding in the HL7 specification is 'example', which means that there are no constraints on what can be used.
    • Clarification

      CMSCAT in CDISC is a grouping that further delineates the CMCAT, e.g. ANTI-CANCER MEDICATION for CMCAT is subcategorized as CMSCAT CHEMOTHERAPY. This is mapped to FHIR “MedicationStatement.category”, "MedicationRequest.category", “MedicationDispense.category” and so forth. MedicationStatement.category codes to the context of the medication (usage category), similar to MedicationStatement.category and MedicationDispense.category. Thus, CMSCAT is further categorizing the medication (CMCAT) by therapy type, but the FHIR mapping is specifying the usage setting. These are not the same conceptually.

      Existing Wording:

      Subcategory for Medication

      (Comment 50 - imported by: Lloyd McKenzie)

            Assignee:
            Unassigned
            Reporter:
            mrocca
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved: