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  1. FHIR Specification Feedback
  2. FHIR-34628

reportedReference to other resources are not must supported

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    • Change Request
    • Status: Published (View Workflow)
    • Highest
    • Resolution: Persuasive with Modification
    • US Core (FHIR)
    • 4.1.0
    • Cross-Group Projects
    • STU
    • US Core MedicationRequest Profile
    • 10.118.1.1
    • Hide

      Background:

      See the commenter Description

      The Section that the commenters is referencing is (highlighted text for emphasis):

      Resource Profile: US Core MedicationRequest Profile

      ...  

      Mandatory and Must Support Data Elements

      The following data-elements must always be present (Mandatory definition]) or must be supported if the data is present in the sending system (Must Support definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The Formal Profile Definition below provides the formal summary, definitions, and terminology requirements.

      Each MedicationRequest must have:

      1. ...

      Each MedicationRequest must support:

      1. ...
      2. the reported flag or reference signaling that information is from a secondary source such as a patient
      3. ...

      ...

      • The MedicationRequest resource can represent that information is from a secondary source using either a boolean flag or reference in MedicationRequest.reportedBoolean, or a reference using MedicationRequest.reportedReference to Practitioner or other resource.  [There is however a typo in the guidance addressed by FHIR-35935 as a technical correction.]
        • Although both are marked as must support, the server system is not required to support both a boolean and a reference, but SHALL support at least one of these elements.
        • The client application SHALL support both elements.
      • ...

       

       and the StructureDefinition tree view :

      Regarding providing guidance to non must support items, see the Resolution Description for FHIR-34971

      Reasoning:

      We agree that the guidance could be clarified

      Proposed Changes:

      change :

      "The MedicationRequest resource can represent that information is from a secondary source using either a boolean flag  or a reference using MedicationRequest.reportedReference to Practitioner or other resource."

       

      to:

      "The MedicationRequest resource can represent that information is from a secondary source using either a boolean flag  or a reference using MedicationRequest.reportedReference"

       

      Show
      Background: See the commenter Description The Section that the commenters is referencing is (highlighted text for emphasis): Resource Profile: US Core MedicationRequest Profile ...   Mandatory and Must Support Data Elements The following data-elements must always be present ( Mandatory  definition]) or must be supported if the data is present in the sending system ( Must Support  definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The  Formal Profile Definition  below provides the formal summary, definitions, and terminology requirements. Each MedicationRequest must have: ... Each MedicationRequest must support: ... the  reported  flag or reference signaling that information is from a secondary source such as a patient ... ... The MedicationRequest resource can represent that information is from a secondary source using either a boolean flag or reference in  MedicationRequest.reportedBoolean , or a reference using  MedicationRequest.reportedReference  to Practitioner or other resource.  [There is however a typo in the guidance addressed by  FHIR-35935  as a technical correction.] Although both are marked as must support, the server system is not required to support both a boolean and a reference, but  SHALL  support at least one of these elements. The client application  SHALL  support both elements. ...    and the StructureDefinition tree view : Regarding providing guidance to non must support items, see the Resolution Description for FHIR-34971 Reasoning: We agree that the guidance could be clarified Proposed Changes: change : "The MedicationRequest resource can represent that information is from a secondary source using either a boolean flag  or a reference using MedicationRequest.reportedReference to Practitioner  or other resource ."   to: "The MedicationRequest resource can represent that information is from a secondary source using either a boolean flag  or a reference using MedicationRequest.reportedReference"  
    • Eric Haas / Floyd Eisenberg: 14-0-0
    • Correction
    • Non-substantive

    Description

      Under "Profile specific implementation guidance:"

      The MedicationRequest resource can represent that information is from a secondary source using either a boolean flag or reference in MedicationRequest.reportedBoolean, or a reference using MedicationRequest.reportedReference to Practitioner or other resource.

      But in the StructureDefinition table view, only the Reference of US Core Practitioner Profile is MustSupport for reportedReference.

      I think what you mean here is

      The MedicationRequest resource can represent that information is from a secondary source using either a boolean flag or reference in MedicationRequest.reportedBoolean, or a reference using MedicationRequest.reportedReference to Practitioner

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              yunwwang Yunwei Wang
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                Updated:
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