Difference between revisions of "Medication Administration FHIR Resource Proposal"
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*PHER (Immunizations) | *PHER (Immunizations) | ||
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==FHIR Resource Development Project Insight ID== | ==FHIR Resource Development Project Insight ID== | ||
Revision as of 11:29, 19 May 2013
This page documents a Pending FHIR Resource Proposal
Contents
medicationAdministration
Owning committee name
Interested Work Groups
- PHER (Immunizations)
- Patient Care
FHIR Resource Development Project Insight ID
855
Scope of coverage
Administration of Medicines to Humans across All Healthcare Disciplines in All Care Settings and All Regions.
The scope of "Medicines" is as defined by the medicines resource and at it's simplest can be taken to be an identified product. This allows very broad interpretation and can cover non-prescribed medication, herbal products, diet supplements, illicit drugs, and even some products that may be classified as devices. The key distinguishing characteristic is that the product is consumed during the process of medicationAdministration and cannot be reused.
An administration may be a single event or may be a series of events over a period of time. As such it is the end point of a process of:
- prescription or ordering
- dispensing or supply
- administration or consumption
Separate resources have been created for medicationPrescription and medicationDispense.
medicationAdministration should not be used to record reports that a patient is taking or has taken a particular medicine. Use the medicationStatement resource for this.
RIM scope
medicationAdministration corresponds to the RIM Act of Substance Administration (SBADM) as constrained in the Pharmacy Domain model PORX_ST040110UV
Resource appropriateness
Administration is one of the three core steps of use of medicines, the other two being Prescribing (or Ordering) and Dispensing (or Supply). In many settings Administration is performed by a separate person from those doing Ordering and Dispensing, and the recording of the administration is frequently recorded by a separate software system. Administration records are a core part of knowing what medication a patient has actually received - having a standard format for this is essential. There is a well established set of attributes that are always required. The pharmacy grpoup spent some time discussing the extent to which the attributes overlapped with those inthe Prescription and Dispensing resources and came to the conclusion that there is a need to express these attributes as part of an Administration resource, not as part of some more abstrtact "Medicines Processing" resource.
Expected implementations
This is a key resource required by almost all Healthcare systems. As such it is key for any system scoped by CCDA. Orion Health (new Zealand) intend to use these resources.
Content sources
- Existing normative V3 Pharmacy RMIMs
- HL7 v2 specifications
- Existing specifications in Canada, The Netherlands and UK
- NCPDP specifications
- Developing specifications in Australia
- Some commercial systems
Resource Relationships
medicationAdministration is one of a set of three (along with medicationPrescription and medicationDispense) that describe the normal business lifecycle for point of care systems dealing with Medication. EHR systems typically additionally require the closely related MedicationStatement resource to be able to complete a full record. The business lifecycle will frequently be managed by the Order resource. medicationAdministration will frequently be referred to by a carePlan resource.
Timelines
Ready for first ballot January 2013
gForge Users
hugh_glover, Jean-Henri Duteau
