Details
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Change Request
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Resolution: Persuasive
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Medium
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US QI Core (FHIR)
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2.0 [deprecated]
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Clinical Quality Information
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QICore MedicationRequest
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MedicationRequest
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Peter Muir/Rob Samples: 16-0-0
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Correction
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Non-substantive
Description
US Core received feedback that guidance in the newest US Core medication list guidance (http://hl7.org/fhir/us/core/STU3.1/all-meds.html) specifically states:
The MedicationRequest SHALL include all prescribed and “self-prescribed” medications reported by the Provider, Patient or Related Person.
- SHALL use reported[x] to indicate the MedicationRequest record was captured as a secondary “reported” record rather than an original primary source-of-truth record. It may also indicate the source of the report.
- When recording “self-prescribed” medications SHALL use intent = “order”
- When recording “self-prescribed” orders, SHOULD use the requester to indicate the Patient or RelatedPerson as the prescriber.
US Core received feedback from the Pharmacy WG that the 2nd bullet is inconsistent with Pharmacy specifications; it should be "When recording 'self-prescribed' medications SHALL use intent = "plan". - the 3rd bullet is correct (SHOULD use the requested to indicate the Patient or RelatedPerson as the prescriber).
US Core plans to publish an errata to correct this issue. QI-Core R4 guidance follows the original US Core STU 3.1 guidance. The only reference for this detail is in the QDM mapping section referenced (http://hl7.org/fhir/us/qicore/qdm-to-qicore.html#8171-medication-active). QI-Core will need to publish an errata to address this issue for quality measures or CDS artifacts using the QI-Core MedicationRequest profile for patient-reported medications.