BEMedicationLine - make effectivePeriod mandatory like done in BEModelMedicationLine ?

[smals-jy]

Hello,

Currently, BEMedicationLine has this choice :

Which means that it is either effectivePeriod or effectiveDateTime as stated :

In BEModelMedicationLine, it seems that effectivePeriod is the way to go.

Can something be done in BEMedicationLine so that implementers know only effectivePeriod is going to be used ?

Thanks in advance

[costateixeira]

I think there's some guidance that when only start date is known, a dateTime should be used instead (which I personally think is a complicated guidance). I will confirm and get back to this issue

[wernerdm]

What's the intent to make this mandatory? Is this info not captured in MedicationAdministration?

[smals-jy]

When moving to FHIR, it is important to respect existing requirements in KMEHR. For instance, in Vitalink PDF medication scheme, there is a requirement somewhere to have a period for each line of medication (the effectivePeriod I was speaking about - which could be different of dosage information by design ) :

MedicationAdministration and MedicationStatement meets different purposes as you can see

The example I have in mind : a healthcare somehow will give a given medication to a patient but doesn't create any MedicationAdministration records (multiple reason : s(he) doesn't know when it was taken, not a medication that requires external help, unbound treatment, ... ) so how do you know how long the medication should be taken ?

[smals-jy]

Looks like that the business document in #216 took into account this feedback 👍
This issue could live on until the change is made in BEMedicationLine