QI-Core Implementation Guide
8.0.0-ballot - STU 8 - ballot

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 8.0.0-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

## : MedicationAdministration Cumulative Duration example

Page standards status: Informative

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      <!--
    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>
      <language value="en"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><p class="res-header-id"><b>Generated Narrative: MedicationAdministration cmd-example</b></p><a name="cmd-example"> </a><a name="hccmd-example"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: en</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-qicore-medicationadministration.html">QICore MedicationAdministration</a></p></div><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 --&gt; (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 --&gt; 2015-01-29 14:30:00+0100</p><p><b>request</b>: <a href="MedicationRequest-example.html">MedicationRequest: status = active; intent = order; medication[x] = -&gt;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>
      <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>