How Acute/Repeat and Repeat-Reauthrization is mapped to MedicationRequest resource of CDS Hooks

[jitendrasahu007]

I posted the same question on Julip and got the answer as below

It's new for R4. For R3, we'll be defining a standard extension for those who want to pre-adopt. You can find the R4 preview here: http://build.fhir.org/medicationrequest.html
The solution is courseTherapyType property which is introduced in R4 version.

However, I am bit confused about the repeat-authorization. I shared the information that Renewal and repeat-re authorization both are same.
Lloyd McKenzie** replied that

Not in course of therapy because they're separate things. A prescription might be accute or long-term. But "accute" doesn't mean it might not require renewals. So you could have original accute and long-term prescriptions and renewal accute and long-term prescriptions. courseOfTherapy deals with accute vs. longterm. Whether something is a renewal or not is determined by whether there's a pointer back to a prior prescription.

So I think for repeat-authorization, medication request prescription should be repeated ?

Can you please share your views on this.

[isaacvetter]

Hi @jitendrasahu007 ,

A couple of points:

1. Some housekeeping - This is really a specification question, not a question about the sandbox, right? It would be best to move your question to the spec repo: https://github.com/cds-hooks/docs/issues/
2. Ultimately, FHIR defines the content of FHIR resources, not CDS Hooks. CDS Hooks just wraps FHIR resources and uses them as the clinical content. So, in a very literal way, there's no "MedicationRequest resource of CDS Hooks". Once r4 is released, we'll add documentation to the hooks describing their use of r4 FHIR resources.
3. I think your question is this sentence:

So I think for repeat-authorization, medication request prescription should be repeated ?

Looking at r4 MedicationRequest's valueset, I don't see "repeat" or "repeat-reauthorization". I'm guessing that you're trying to figure out how to map the medication-prescribe hook to authorization requests. Does the proposed medication-refill hook help?

Isaac

References:

• Zulip conversation with Lloyd
• r4 MedicationRequest

[jitendrasahu007]

thanks @isaacvetter , its specification question, I got the answer from Zulip.
https://chat.fhir.org/#narrow/stream/4-implementers/topic/MedicationRequestIntent.20on.20Fhir