Update the language for 9.18.1 Medication, Active to: This QDM context correlates with a medication on a patient’s active medication list. In QI-Core STU3, Medication, Active was mapped to MedicationStatement. However, consistent with US Core R4 and subsequent versions , medication list should use MedicationRequest and not MedicationStatement. The mapping table provides guidance about how to use MedicationRequest.requester to specify medications ordered directly, those reported by a physician and those reported by the patient for a medication list. Include all MedicationRequest resources with an intent = “order” representing authorized medication orders directly derived from the system’s orders. The MedicationRequest SHALL include all practitioner-reported and “self- reported ” 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-reported” or “self-prescribed” medications  SHALL  use intent = “plan” When recording “self-prescribed” orders,  SHOULD  use the requester to indicate the Patient or RelatedPerson as the prescriber And in row 5 of the table: [ MedicationRequest.reported [x] http://hl7.org/fhir/us/qicore/2023Sep/StructureDefinition-qicore-medicationrequest-definitions.html#MedicationRequest.reported%5Bx%5D] When recording “self-reported” or   “self-prescribed” medications 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 ; “self-prescribed” medication should indicate the MedicationRequest.requester as the patient or related person.