Details
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Change Request
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Resolution: Persuasive with Modification
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Medium
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US Core (FHIR)
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7.0.0-ballot
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Cross-Group Projects
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STU
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US Core Medication Adherence Extension
US Core MedicationRequest Profile -
13.136.1.2,13.168.1
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Brett Marquard/Eric Haas: 17-0-0
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Enhancement
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Compatible, substantive
Description
The values for medication adherence are unclear: values could refer both to the quantity of doses taken, and whether the timing and amount of those doses matches prescribed instructions. Non-compliance could refer to frequent missed doses, or could refer to a patient deviating from instructions in some other way.
It's not fully clear which of these situations would fall into "Drugs - partial non-compliance," "Medication therapy compliance variable," or "Complies with drug therapy":
-Patient is supposed to take 30 mg twice daily and has reported they're only taking their morning dose
-Patient is supposed to take 30 mg twice daily and has reported they're taking 20 mg twice daily
-Patient is supposed to take 30 mg twice daily. They are following the prescribed instructions, but data from a pill tracker indicates they're regularly forgetting doses.
-Patient is supposed to take 30 mg twice daily. They are very compliant when they have supply, but can't always afford to refill the medication on time.
-Patient received adherence coaching a few months ago and is currently complying with their medications. Their PDC score for the year hasn't fully caught up and is under 50%.
Recommendation:
To ensure clear communication between systems that may be using different measures of adherence, it would be helpful if guidelines were provided on how the different values are intended to be used. A field for the method used to measure adherence may also be helpful (see FHIR-43756)
Attachments
Issue Links
- is voted on by
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BALLOT-58516 Negative - Christopher Schaut : 2024-Jan-FHIR US CORE E7 STU
- Balloted
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BALLOT-60171 Negative - Vassil Peytchev : 2024-Jan-FHIR US CORE E7 STU
- Balloted
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BALLOT-60181 Negative - Kimberly Herman : 2024-Jan-FHIR US CORE E7 STU
- Balloted
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BALLOT-60188 Negative - Daniel Rutz : 2024-Jan-FHIR US CORE E7 STU
- Balloted
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BALLOT-60195 Negative - David Sundaram-Stukel : 2024-Jan-FHIR US CORE E7 STU
- Balloted
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BALLOT-60205 Negative - Danielle Friend : 2024-Jan-FHIR US CORE E7 STU
- Balloted
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BALLOT-60212 Negative - Cooper Thompson : 2024-Jan-FHIR US CORE E7 STU
- Balloted
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BALLOT-60262 Negative - Amit Popat : 2024-Jan-FHIR US CORE E7 STU
- Balloted
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BALLOT-60269 Negative - Chris Courville : 2024-Jan-FHIR US CORE E7 STU
- Balloted