QI-Core Implementation Guide
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This page is part of the Quality Improvement Core Framework (v7.0.0-ballot: STU7 (v7.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 6.0.0. For a full list of available versions, see the Directory of published versions

: MedicationAdministration Cumulative Duration example - JSON Representation

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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

{
  "resourceType" : "MedicationAdministration",
  "id" : "cmd-example",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&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>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.recorded",
      "valueDateTime" : "2015-01-15"
    }
  ],
  "status" : "completed",
  "medicationReference" : {
    🔗 "reference" : "Medication/example"
  },
  "subject" : {
    🔗 "reference" : "Patient/example"
  },
  "context" : {
    🔗 "reference" : "Encounter/example"
  },
  "supportingInformation" : [
    {
      🔗 "reference" : "Condition/example"
    }
  ],
  "effectivePeriod" : {
    "start" : "2015-01-15T14:30:00+01:00",
    "end" : "2015-01-29T14:30:00+01:00"
  },
  "request" : {
    🔗 "reference" : "MedicationRequest/example"
  },
  "dosage" : {
    "route" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "47625008",
          "display" : "Intravenous route (qualifier value)"
        }
      ]
    },
    "dose" : {
      "value" : 3,
      "unit" : "mg",
      "system" : "http://unitsofmeasure.org",
      "code" : "mg"
    }
  }
}