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  1. FHIR Specification Feedback
  2. FHIR-41471

Adjust QI-Core Medication Administration must supports

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US QI Core (FHIR)
    • current
    • Clinical Quality Information
    • QICore MedicationAdministration
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      Update QI-Core 6.0 as follows:

      QI-Core Profile-based path Action Include in QI-Core 6.0 Justification
      QICoreMedicationAdministration.status Keep YES Maintain required binding to Non-Negative MedicationAdministration Status
      QICoreMedicationAdministration.statusReason REMOVE NO  Currently MustSupport with preferred binding to SNOMEDCTReasonMedicationNotGivenCodes. However, QICoreMedicationAdministrationNotDone.statusReason uses an extensible binding to QICore Negation Reason Codes.  Therefore, MedicationAdministration.statusReason is not used in eCQMs, only the not done profile uses this element. 
      QICoreMedicationAdministration.medication[x] Keep YES preferred binding to Medication Clinical Drug; Medication reference QICore Medication
      QICoreMedicationAdministration.context Keep YES  References QICore Encounter; EpisodeOfCare. eCQMs generally identify the relationship of administration to and encounter using CQL expression timing. However, relationship to the encounter is valuable.
      QICoreMedicationAdministration.subject Keep YES Reference QICorePatient
      QICoreMedicationAdministration.effective[x] Keep YES Keep effectiveDateTime and EffectivePeriod
      QICoreMedicationAdministration.performer Remove No QM do not use performer to address attribution
      QICoreMedicationAdministration.performer.actor Remove No Reference to a specific type of actor Practitioner, Patient, RelatedPerson, Device, ImplantableDevice has no existing eCQM use case.
      QICoreMedicationAdministration.reasonCode Remove NO Not currently used in eCQMs 
      QICoreMedicationAdministration.request Keep YES adds ability to reference MedicationRequest that generated the administration action
      QICoreMedicationAdministration.device Remove NO No existing eCQM use case
      QICoreMedicationAdministration.category DO NOT ADD NO No existing use case - category is used for MedicationRequest to specify a medication order (prescription) written for dispensing and administration in the ambulatory setting. However, that is a limited use case for MedicationRequest, not for administration.
      QICoreMedicationAdministration.dosage Add YES Add dose - simple quantity - to consider use cases requiring the amount of medication administered in a hospital setting. 
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      Update QI-Core 6.0 as follows: QI-Core Profile-based path Action Include in QI-Core 6.0 Justification QICoreMedicationAdministration. status Keep YES Maintain required binding to Non-Negative MedicationAdministration Status QICoreMedicationAdministration. statusReason REMOVE NO  Currently MustSupport with preferred binding to SNOMEDCTReasonMedicationNotGivenCodes . However, QICoreMedicationAdministrationNotDone.statusReason uses an extensible binding to QICore Negation Reason Codes .  Therefore, MedicationAdministration.statusReason is not used in eCQMs, only the  not done profile uses this element.  QICoreMedicationAdministration. medication[x] Keep YES preferred binding to Medication Clinical Drug ; Medication reference QICore Medication QICoreMedicationAdministration. context Keep YES  References QICore Encounter ; EpisodeOfCare . eCQMs generally identify the relationship of administration to and encounter using CQL expression timing. However, relationship to the encounter is valuable. QICoreMedicationAdministration. subject Keep YES Reference QICorePatient QICoreMedicationAdministration. effective[x] Keep YES Keep effectiveDateTime and EffectivePeriod QICoreMedicationAdministration. performer Remove No QM do not use performer to address attribution QICoreMedicationAdministration.performer. actor Remove No Reference to a specific type of actor Practitioner, Patient, RelatedPerson, Device, ImplantableDevice has no existing eCQM use case. QICoreMedicationAdministration. reasonCode Remove NO Not currently used in eCQMs  QICoreMedicationAdministration. request Keep YES adds ability to reference MedicationRequest that generated the administration action QICoreMedicationAdministration. device Remove NO No existing eCQM use case QICoreMedicationAdministration.category DO NOT ADD NO No existing use case - category is used for MedicationRequest to specify a medication order (prescription) written for dispensing and administration in the ambulatory setting. However, that is a limited use case for MedicationRequest, not for administration. QICoreMedicationAdministration. dosage Add YES Add dose - simple quantity - to consider use cases requiring the amount of medication administered in a hospital setting. 
    • Floyd Eisenberg/Abdullah Rafiqi: 23-0-1
    • Enhancement
    • Non-compatible

    Description

      Adjust the set of Must Support elements for this profile based on the rationale in tracker FHIR-41340

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            jen_seeman Jennifer Seeman
            karlnaden Karl Naden
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              Created:
              Updated:
              Resolved: