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Reason for change of medication #21

Open danka74 opened 2 months ago

danka74 commented 2 months ago

HDR guideline has A.2.8.2.2 Reason for change with description "Reason for change of medication".

rlindstrm commented 2 months ago

Estonian prescription also has an extension for reason for change. FHIR MedicationRequest has a reason for status change, but the status might not change. In our case, Dosage may be changed, and then the reason for changing it is provided. https://build.fhir.org/ig/TEHIK-EE/ig-ee-medication-scheme/StructureDefinition-ee-tis-prescription-change.html

danka74 commented 1 month ago

T6.2 call 2024-09-27:

danka74 commented 1 month ago

When using "reason for change", is it obvious what the change is from? Is it necessary to (sometimes) pinpoint which previous (version of) prescription is the one this change refers to? Is it always the previous version of the same prescription instance?

rlindstrm commented 1 month ago

I think when a new prescription is created, you would not have status change reason. You would have cancelling reason for the old one. If content in the prescription is being changed, it would be for the changes that appeared in this version. And I suppose it's up to the business logic to decide if it stays there forever or until the next change. In Estonia, we only keep the latest change reason on the prescription (earlier versions would be available anyway if history tracing is needed).