QI-Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 7.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-qi-core/ and changes regularly. See the Directory of published versions
<!--
This example MedicationAdministration models QDM Medication, Administered. Cooking with CQL session 53 discusses how to calculate cumulative medication duration:
https://github.com/cqframework/CQL-Formatting-and-Usage-Wiki/blob/master/Source/Cooking%20With%20CQL/53/CumulativeMedicationDurationFHIR.cql
The cumulative medication duration in this example would be calculated as:
startDate + therapeuticDuration
startDate + 14 days
The therapeuticDuration is likely measure specific, though could potentially be established for
any drug and distributed as a CodeSystem supplement.
It is defaulted to 14 days in the CumulativeMedicationDurationFHIR4.cql library
See the QDM to QI-Core mapping for details regarding QDM data attribute representation in FHIR.
http://hl7.org/fhir/us/qicore/qdm-to-qicore.html
-->
<MedicationAdministration xmlns="http://hl7.org/fhir">
<id value="cmd-example"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationAdministration cmd-example</b></p><a name="cmd-example"> </a><a name="hccmd-example"> </a><a name="cmd-example-en-US"> </a><p><b>status</b>: Completed</p><p><b>medication</b>: <a href="Medication-example.html">Medication alemtuzumab 10 MG/ML [Lemtrada]</a></p><p><b>subject</b>: <a href="Patient-example.html">Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a></p><p><b>context</b>: <a href="Encounter-example.html">Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP); type = Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.</a></p><p><b>supportingInformation</b>: <a href="Condition-example.html">Condition Burn of ear</a></p><p><b>effective</b>: 2015-01-15 14:30:00+0100 --> 2015-01-29 14:30:00+0100</p><p><b>request</b>: <a href="MedicationRequest-example.html">MedicationRequest: status = active; intent = order; medication[x] = ->Medication alemtuzumab 10 MG/ML [Lemtrada]; authoredOn = 2015-03-25 19:32:52-0500</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 47625008}">Intravenous route (qualifier value)</span></td><td>3 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemg = 'mg')</span></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.recorded">
<valueDateTime value="2015-01-15"/>
</extension>
<status value="completed"/>
<medicationReference>🔗
<reference value="Medication/example"/>
</medicationReference>
<subject>🔗
<reference value="Patient/example"/>
</subject>
<context>🔗
<reference value="Encounter/example"/>
</context>
<supportingInformation>🔗
<reference value="Condition/example"/>
</supportingInformation>
<effectivePeriod>
<start value="2015-01-15T14:30:00+01:00"/>
<end value="2015-01-29T14:30:00+01:00"/>
</effectivePeriod>
<request>🔗
<reference value="MedicationRequest/example"/>
</request>
<dosage>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="47625008"/>
<display value="Intravenous route (qualifier value)"/>
</coding>
</route>
<dose>
<value value="3"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</dose>
</dosage>
</MedicationAdministration>