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Each MedicationStatement must have:
 
Each MedicationStatement must have:
  
#One Identification of the condition, problem or diagnosis in '''Condition.code'''.
+
#One patient reference in '''MedicationStatement.patient'''
#* Condition.code is bound to '''[http://hl7.org/fhir/DSTU2/daf/valueset-daf-problem.html Problem Value Set]''' Value set (Code Set)
+
#One status in '''MedicationStatement.status'''
#One patient reference in '''Condition.patient'''
+
#One medication in '''medicationCodeableConcept vs medicationReference?'''.
#One clinical status in '''Condition.clnicalStatus'''
+
#* Medication... is bound to '''[http://hl7.org/fhir/daf/valueset-daf-medication-codes.html Medication Codes]''' Value set (Code Set)
#* Condition.clnicalStatus is bound to '''[http://hl7.org/fhir/DSTU2/valueset-condition-clinical.html Condition Clinical Status Codes]''' Value set (Code set)
 
  
Additional elements from http://hl7.org/fhir/daf/medicationstatement-daf.html DAF MedicationStatement Profile] or [http://hl7.org/fhir/daf/medicationorder-daf.html DAF MedicationOrder Profile]] may be present.
+
Each MedicationOrder must have:
 +
 
 +
#One patient reference in '''MedicationStatement.patient'''
 +
#One medication in '''medicationCodeableConcept vs medicationReference?'''.
 +
#* Medication... is bound to '''[http://hl7.org/fhir/daf/valueset-daf-medication-codes.html Medication Codes]''' Value set (Code Set)
 +
Additional elements from [http://hl7.org/fhir/daf/medicationstatement-daf.html DAF MedicationStatement Profile] or [http://hl7.org/fhir/daf/medicationorder-daf.html DAF MedicationOrder Profile] may be present.
  
 
NEED TO ADD:
 
NEED TO ADD:

Revision as of 13:38, 12 April 2016

Back to Argonaut Implementation Guide

Introduction

The Argonaut Medications IG provides the API documentation for searching for and fetching a patient's medications. It is based on the Data Access Framework (DAF) MedicationStatement Profile, DAF MedicationOrder Profile, and draws requirements from Argonaut Sprint 4. The search criteria provided in the Quick Start are intended to support the 2015 Edition ONC Certification criterion Data Category Request 170.315(g)(8).

Argonaut Success Criteria

Clients

Servers

  • A server is capable of returning a patient's medications GET /MedicationStatement?patient=[id].
  • A server is capable of returning a patient's medication orders GET /MedicationOrder?patient=[id].
  • A server has ensured that every API request includes a valid Authorization token, supplied via:Authorization: Bearer {server-specific-token-here}
  • A server has rejected any unauthorized requests by returning an HTTP 401 Unauthorized response code.

Mandatory Data Elements

The following data-elements are mandatory (i.e data MUST be present). These are presented below in simple human-readable explanations along with sample data to demonstrate the requirements.

Each MedicationStatement must have:

  1. One patient reference in MedicationStatement.patient
  2. One status in MedicationStatement.status
  3. One medication in medicationCodeableConcept vs medicationReference?.

Each MedicationOrder must have:

  1. One patient reference in MedicationStatement.patient
  2. One medication in medicationCodeableConcept vs medicationReference?.

Additional elements from DAF MedicationStatement Profile or DAF MedicationOrder Profile may be present.

NEED TO ADD:

MedicationStatement Example
MedicationOrder Example

Quick Start

Below is a quick overview of the required search and read operations.


GET /MedicationStatement?patient={id}

Support: Mandatory to support search by patient.

Implementation Notes: Search for all MedicationStatement resources for a patient. Fetches a bundle of all MedicationStatement resources for the specified patient (how to search by reference).

Response Class:

  • (Status 200): successful operation
  • (Status 400): invalid parameter
  • (Status 401/4xx): unauthorized request
  • (Status 403): insufficient scope

Example:

[GET http://fhirtest.uhn.ca/baseDstu2/MedicationStatement?patient=14676]

GET /MedicationOrder?patient={id}

Support: Mandatory to support search by patient.

Implementation Notes: Search for all MedicationOrder resources for a patient. Fetches a bundle of all MedicationOrder resources for the specified patient (how to search by reference).

Response Class:

  • (Status 200): successful operation
  • (Status 400): invalid parameter
  • (Status 401/4xx): unauthorized request
  • (Status 403): insufficient scope

Example:

[GET https://fhir-open-api-dstu2.smarthealthit.org/MedicationOrder?patient=1137192]

Open Issues

The following issues have been identified:

  • Status based search

Resources

Formalized testing with test scripts and objective results reporting is available through the participation of AEGIS and MITRE (Crucible). The testscript provided can be used to test servers: [todo]

References


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