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  1. FHIR Specification Feedback
  2. FHIR-34559

Consider adding MS on medicationrequest.requester choice type of Practitioner

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US QI Core (FHIR)
    • 4.1.0 [deprecated]
    • Clinical Quality Information
    • QICore MedicationRequest
    • Hide

      Given the intent, we will remove the Organization type from requester
      In accordance with current US Core Guidance (in both 4.1.0 and 5.0.0) for medication list requires patient be able to report a medication and to make a request for a medication (I.e., self-prescribed).  Based on this guidance, QI Core will maintain:

      • MedicationRequest.requester (Must Support) with reference to QI-CorePractitioner, QI-CorePatient, ADD QI-CorePractionerRole, REMOVE QI-CoreOrganization
      • Medicationrequest.reported.reportedReference (MustSupport) with reference to QI-CorePractitioner, QI-CorePatient, ADD QI-CoreRelatedPerson, ADD QI-CorePractionerRole, REMOVE QI-CoreOrganization
      • Add 3 examples with explanation:
        • Practitioner ordered medication (I.e., Intent = order)
        • Patient reported medication (reporting a MedicationRequest with requester is still a practitioner so the Intent = order)
        • Patient self-prescribed (reporting a MedicationRequest with requester is the patient - and that means the intent = plan)
      Show
      Given the intent, we will remove the Organization type from requester In accordance with current US Core Guidance (in both 4.1.0 and 5.0.0) for medication list requires patient be able to report a medication and to make a request for a medication (I.e., self-prescribed).  Based on this guidance, QI Core will maintain: MedicationRequest.requester (Must Support) with reference to QI-CorePractitioner, QI-CorePatient, ADD QI-CorePractionerRole, REMOVE QI-CoreOrganization Medicationrequest.reported.reportedReference (MustSupport) with reference to QI-CorePractitioner, QI-CorePatient, ADD QI-CoreRelatedPerson, ADD QI-CorePractionerRole, REMOVE QI-CoreOrganization Add 3 examples with explanation: Practitioner ordered medication (I.e., Intent = order) Patient reported medication (reporting a MedicationRequest with requester is still a practitioner so the Intent = order) Patient self-prescribed (reporting a MedicationRequest with requester is the patient - and that means the intent = plan)
    • Stan Rankins/Jen Seeman: 16-0-0
    • Enhancement
    • Non-compatible

      US Core v4 has made this change based on legal prescription writing rules.  Reference ticket FHIR 28382

            feisenberg Floyd Eisenberg
            jrubini Juliet K. Rubini
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              Created:
              Updated:
              Resolved: