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 - XML 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
 -->
<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 --&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>
  <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>