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  1. Other Specification Feedback
  2. OTHER-2356

5.2 Pharmacist consultation note - Medication Section - suggest change to Required

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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive with Modification
    • Icon: Medium Medium
    • Pharmacist Consultation Note (OTHER)
    • 1.0
    • Pharmacy
    • Consultation note sections
    • Hide

      There are some examples where a pharmacist can be requested on a consult without medications needing to be included in the note.

      We will leave the section as SHOULD but will include some examples of a Consultation Note that would not include a Medications section.

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      There are some examples where a pharmacist can be requested on a consult without medications needing to be included in the note. We will leave the section as SHOULD but will include some examples of a Consultation Note that would not include a Medications section.
    • Scott Robertson / John Hatem: 9-0-0
    • Clarification
    • Non-substantive

    Description

      C-CDA
      Medication Section (entries SHALL) (v2)
      = Should
      FHIR Composition
      medication_section
      = Optional
      = Must Support

      Is there any use case in which pharmacist would generate and send a Pharmacist Consultation Note with no Medication information?

      The Plan of Treatment section details the pharmacist's recommendations related to a patient's modifications or medication orders.
      It is assumed (based on information included in this balloted specification) that the Plan of Treatment section is not used to contain patient's medication list known after a pharmacist consultation and medication review encounter

      The Medications section serves a specific purpose - to contain a list of patient's known medications
      It does not appear to be logical | clinically sufficient to allow omission of Medications information in Pharmacist Consult Note

      Suggest:
      Change strong text*Medication Section*strong text in both C-CDA and FHIR composition to strong text*Required*strong text

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            smrobertson Scott M. Robertson
            chuscmi Stephen Chu
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              Updated:
              Resolved: