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U.S. Data Access Framework (DAF) Medication Administration Profile (Profile)

Scope and Usage

This profile sets expectations for use of the MedicationAdministration resource to record summary of administered medications for a patient within the Data Access Framework (DAF) Implementation Guide. This profile identifies which core elements,extensions,vocabularies and value sets must be Supported by DAF actors. For the definition of Supported please refer to DAF FHIR IG. The data elements identified by the profile are based on ONC 2014 Edition S&CC and DAF use cases. The mappings between the ONC 2014 Edition S&CC data elements and DAF data elements are captured in the table below, where the first column identifies the ONC 2014 Edition S&CC data element name, the second column maps the ONC 2014 Edition S&CC data elements to DAF data elements which are derived from ONC 2014 Edition S&CC standards and DAF use cases and lastly the third column identifies the mapping to FHIR resources and attributes.

Meaningful Use Data Element Mapping

The DAFMedicationAdministration profile mapping to Meaningful Use data elements and FHIR Resources are as shown below.

Meaningful Use Data Element Name	Mapping to Priority DAF Data Elements	FHIR Resource Mapping
Medications
	Medication Material	MedicationAdministration.medication.code
	Medication Start and End Time	MedicationAdministration.effectiveTime[x]
	Medication Dosage units	MedicationAdministration.dosage.quantity
	Medication Schedule(when/how often)	MedicationStatement.dosage.timing[x] and MedicationAdministration.dosage.asNeeded[x]
	Medication Administration Route	MedicationAdministration.dosage.route
	Medication Administration Body site	MedicationAdministration.dosage.site
	Medication Dosage Rate	MedicationAdministration.dosage.rate
	Max Medication Dosage quantity	MedicationAdministration.dosage.maxDosePerPeriod
	Medication Administration Encounter	MedicationAdministration.encounter

Meaningful Use Data Element Name

Mapping to Priority DAF Data Elements

FHIR Resource Mapping

Medications

Medication Material

MedicationAdministration.medication.code

Medication Start and End Time

MedicationAdministration.effectiveTime[x]

Medication Dosage units

MedicationAdministration.dosage.quantity

Medication Schedule(when/how often)

MedicationStatement.dosage.timing[x] and MedicationAdministration.dosage.asNeeded[x]

Medication Administration Route

MedicationAdministration.dosage.route

Medication Administration Body site

MedicationAdministration.dosage.site

Medication Dosage Rate

MedicationAdministration.dosage.rate

Max Medication Dosage quantity

MedicationAdministration.dosage.maxDosePerPeriod

Medication Administration Encounter

MedicationAdministration.encounter

Boundaries and Relationships

This profile relies on the following other profiles:

DAFPatient which defines DAF Patient profile is used by DAFMedicationAdministration profile to refer to patients.
DAFMedication is used by the this profile to code the medication material(e.g drug).
FHIR Extensibility defines how extensions can be applied to FHIR resources and data types. Specifically the data-absent-reason extension can be used to code data elements with missing information when appropriate. See DAF FHIR IG for additional guidance.

Profile Details

Profiles:
DAFMedicationAdministration	Defines constraints and extensions on the MedicationAdministration resource for use in querying and retrieving patient's medication information that was administered.

Search Parameters

The full list of supported search parameters are can be accessed at DAF Requestor conformance expectations and DAF Responder conformance expectations.

Example Usage Scenarios

The following are example usage scenarios for the DAFMedicationAdministration profile:

Query for medications that have been administered to a particular patient
Query for all patients who have been administered a particular medication
Query for all medications administered during an encounter
Query for all medications which were not administered during an encounter
Query for all patients who were administered a particular medication within a particular time period

Profile specific implementation guidance

Implementers need to be mindful of the following during their implementation

Representing No Known MedicationsAdministered: No Known Medications will be represented using the DAFMedicationAdministeredList profile with no entries.

See DAF FHIR IG for implementation guidance common to all profiles.