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. |