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  1. FHIR Specification Feedback
  2. FHIR-24905

Provide guidance on prescriptions with several items

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

      A MedicationRequest maps to IHE's Prescription Item. The MedicationRequest page does indicate how to handle the IHE concept of a Prescription by referring to the Request Pattern section 12.3.10. The Shared Requisition ID (groupIdentifier) (section 12.3.10.1) is what is needed to convey IHE's Prescription.

      We do not believe that anything else needs to be added to the MedicationRequest page at this time.

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      A MedicationRequest maps to IHE's Prescription Item. The MedicationRequest page does indicate how to handle the IHE concept of a Prescription by referring to the Request Pattern section 12.3.10. The Shared Requisition ID (groupIdentifier) (section 12.3.10.1) is what is needed to convey IHE's Prescription. We do not believe that anything else needs to be added to the MedicationRequest page at this time.
    • Peter Sergent/John Hatem: 7-0-0
    • Enhancement

    Description

      Implementers will commonly need to define requests for several medications in one "order".

      These may be processed separately, or they may belong together, as the act of prescribing entails a clinical responsibility for a given set of medications, and any change to that set's integrity has potential clinical impact.

      In several (most?) countries in EU, the prescription contains one or several "items" or "lines". See for example

      http://www.ihe.net/uploadedFiles/Documents/Pharmacy/IHE_Pharmacy_Suppl_PRE.pdf?#page=12

      The MedicationRequest resource corresponds to one medication line. What is the equivalent to a "prescription" in this vocabulary?

      Can we provide guidance on how to make a simple/common prescription with several items?

      Example: an antiemetic or PPI to minimize discomfort and protect the patient from other medications - in which case, none of the drugs should be considered in isolation and the clinician is responsible for the integrity of the treatment.

      This is a request to disambiguate concepts, not to force a definition of "prescription" (which is usually defined already in legal frameworks).

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            costateixeira Jose Costa-Teixeira
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              Updated:
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