2015May core #226 - Clarify purpose of MedicationStatement

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    • Type: Change Request
    • Resolution: Persuasive with Modification
    • Priority: Low
    • FHIR Core (FHIR)
    • DSTU1 [deprecated]
    • Pharmacy
    • MedicationStatement
    • 4.16.6
    • Hide

      Add clarifying text to Medication Statement resource to describe the meaning and the intended use of MS resource and provide context when relating MS resources with other resources.

      August 28, 2015 - These changes address issues raised in this Tracker item as well as 5916 and 5941.

      change Definition to:

      This is a record of a medication that is being consumed by a patient. A medication statements may indicate that the patient may be taking the medication now, or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from e.g. the patients' memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains.

      The primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the Medication Statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication Administration is more formal and is not missing detailed information.

      Change Common Usage to:

      The recording of reported medication history upon admission to a health care setting e.g. hospital, clinic, ER.

      The recording of non-prescription and / or recreational drugs.

      This resource does not produce a medication list, but it does produce individual medication statements that may be used in the List resource to construct various types of medication lists. Note that other medication lists can also be constructed from the other Pharmacy resources e.g. Medication Order, Medication Administration.

      A medication statement is not a part of the prescribe -> dispense -> administer sequence, but is a report by a patient, significant other or a clinician that one or more of the prescribe, dispense or administer actions has occurred, resulting is a belief that the patient is, has, or will be using a particular medication.

      Show
      Add clarifying text to Medication Statement resource to describe the meaning and the intended use of MS resource and provide context when relating MS resources with other resources. August 28, 2015 - These changes address issues raised in this Tracker item as well as 5916 and 5941. change Definition to: This is a record of a medication that is being consumed by a patient. A medication statements may indicate that the patient may be taking the medication now, or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from e.g. the patients' memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains. The primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the Medication Statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication Administration is more formal and is not missing detailed information. Change Common Usage to: The recording of reported medication history upon admission to a health care setting e.g. hospital, clinic, ER. The recording of non-prescription and / or recreational drugs. This resource does not produce a medication list, but it does produce individual medication statements that may be used in the List resource to construct various types of medication lists. Note that other medication lists can also be constructed from the other Pharmacy resources e.g. Medication Order, Medication Administration. A medication statement is not a part of the prescribe -> dispense -> administer sequence, but is a report by a patient, significant other or a clinician that one or more of the prescribe, dispense or administer actions has occurred, resulting is a belief that the patient is, has, or will be using a particular medication.
    • Tom/Rik: 4-0-0
    • Clarification
    • Non-substantive
    • DSTU1 [deprecated]

      Comment:

      overview.

      I had assumed this would be the record used to define the patients active (or past) medication profile. In many cases the information would come from a hospital discharge record (e.g.. from cCDA, or possibly exchange with a pharmacy. A list of these things would end up being the reconciled medication list.

      However nothing in the text makes it clear that my assumed purpose is the intended purpose. So need some clarification about where such information would go

      If this is intend to be the mediation profile then I worry that it is too focused on patient delivery of that information. It could actually come from the EMR of the prescriber, or other sources named above.

      But I see no reason to constrain it to records obtained from the patient or another clinician. Open that up to any source- but then need a bit more information on the source

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

              Created:
              Updated:
              Resolved: