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  1. FHIR Specification Feedback
  2. FHIR-32307

Medication termination reasons are not routinely documented at mCODE level of granularity

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    • Icon: Comment Comment
    • Resolution: Considered - No action required
    • Icon: Medium Medium
    • US Minimal Common Oncology Data Elements (mCODE) (FHIR)
    • 1.16.0 [deprecated]
    • Clinical Interoperability Council
    • Cancer-Related Medication Administration Profile
      Cancer-Related Medication Request Profile
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      Termination reason is 0..* MS on both medicationadministration and medicationrequest profiles.   Based on the http://build.fhir.org/ig/HL7/fhir-mCODE-ig/conformance-profiles.html termination reason is thus not required.

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      Termination reason is 0..* MS on both medicationadministration and medicationrequest profiles.   Based on the http://build.fhir.org/ig/HL7/fhir-mCODE-ig/conformance-profiles.html  termination reason is thus not required.

    Description

      For medication administration and request profiles, we would not expect the reason for termination to be discretely documented in the chart as part of the medication data. Termination reason is routinely documented at the level of treatment plan, but not for individual medications within the plan. Requiring termination reason at the granularity of individual requests and administrations would be an obstacle to Epic EMRs sending data to mCODE requestors.

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            Unassigned Unassigned
            samsahakian Sam Sahakian (Inactive)
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              Updated:
              Resolved: