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 - TTL Representation
Raw ttl | Download
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
#
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
a fhir:MedicationAdministration ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "cmd-example"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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 (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>"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.recorded"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2015-01-15"^^xsd:date ]
] ) ; #
fhir:status [ fhir:v "completed"] ; #
fhir:medication [
a fhir:Reference ;
fhir:reference [ fhir:v "Medication/example" ]
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/example" ]
] ; #
fhir:context [
fhir:reference [ fhir:v "Encounter/example" ]
] ; #
fhir:supportingInformation ( [
fhir:reference [ fhir:v "Condition/example" ]
] ) ; #
fhir:effective [
a fhir:Period ;
fhir:start [ fhir:v "2015-01-15T14:30:00+01:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2015-01-29T14:30:00+01:00"^^xsd:dateTime ]
] ; #
fhir:request [
fhir:reference [ fhir:v "MedicationRequest/example" ]
] ; #
fhir:dosage [
fhir:route [
( fhir:coding [
a sct:47625008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "47625008" ] ;
fhir:display [ fhir:v "Intravenous route (qualifier value)" ] ] ) ] ;
fhir:dose [
fhir:value [ fhir:v "3"^^xsd:decimal ] ;
fhir:unit [ fhir:v "mg" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg" ] ]
] . #
|
Propose a change