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  1. FHIR Specification Feedback
  2. FHIR-25035

MedicationRequest can not be used for conveying "Patient-Reported medications"

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    Details

    • Type: Change Request
    • Status: Applied (View Workflow)
    • Priority: Medium
    • Resolution: Persuasive
    • Specification:
      US Core (FHIR)
    • Work Group:
      Structured Documents
    • Related Page(s):
      (many)
    • Grouping:
    • Resolution Description:
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      Do everything in the previous resolution except for point #3.3 where the SHALL is replaced with SHOULD:

      1. When recording “self-prescribed” medications-orders-, *SHALL*SHOULD use the requester to indicate the Patient or RelatedPerson as the prescriber.
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      Do everything in the previous resolution except for point #3.3 where the SHALL is replaced with SHOULD: When recording “self-prescribed” medications-orders-, * SHALL * SHOULD use the requester to indicate the Patient or RelatedPerson as the prescriber.
    • Resolution Vote:
      Eric Haas / Floyd Eisenberg: 9-0-0
    • Change Category:
      Correction
    • Change Impact:
      Non-substantive

      Description

      In the recent US-Core ballot, there was an issue raised about the use of the MedicationRequest and MedicationStatement. The resolution to that issue effectively changed the scope of the MedicationRequest resource.

      The MedicationRequest resource is an Order resource and represents an actual order for a medication for a patient. It can be "patient-reported" but that is just the patient reporting that they received an order for a medication that might not have been formally ordered in a clinician's system.

      It definitely can not be used to represent what is more commonly understood as a "Patient-reported medication" which is when a patient wants to communicate "I am taking/plan to take/did take this medication". That is the scope of the MedicationStatement resource which is an Event resource.

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              Assignee:
              Unassigned Unassigned
              Reporter:
              jduteau Jean Duteau
              Request in-person:
              Jean Duteau
              Watchers:
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                Updated:
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