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  1. FHIR Specification Feedback
  2. FHIR-41539

Update QI-Core Medication profile to align with US Core 6.1.0

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • US QI Core (FHIR)
    • 5.0.0
    • Clinical Quality Information
    • QICore Medication
    • QI-Core Profiles
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      Update QI-Core Medication Profile to align with US Core 6.1.0 with the following changes:

      QICore Profile Element Keep Include in QI-Core 6.0 Justification
      Medication.implicitRules Keep Yes Present in US Core 6.1.0
      Medication.modifierExtension Keep YES Present in US Core 6.1.0
      Medication.code Keep YES USCDI (US Core 6.1.0) with same binding Extensible binding to MedicationClinicalDrug
      Medication.status Keep YES USCDI (US Core 6.1.0) with same Required binding to MedicationStatusCodes
      Medication.Manufacturer REMOVE NO Not present in US Core 6.1.0 – no active eCQM use case
      Reference QICoreOrganization
      Medication.ingredient REMOVE NO NOT present in US Core 6.1.0 – no active eCQM use case
      Required binding to LocationMode (instance, kind) i.e., specific location or class of locations
      Medication.ingredient.modifierExtension REMOVE NO NOT present in US Core 6.1.0 – no active eCQM use case
      Extensible binding to ServiceDeliveryLocationRoleType
      Medication.ingredient.[item[x] https://build.fhir.org/ig/HL7/fhir-qi-core/StructureDefinition-qicore-medication-definitions.html#key_Medication.ingredient.item[x]] REMOVE NO NOT present in US Core 6.1.0 – no active eCQM use case
      itemCodeableConcept, and itemReference to QICore Substance and QICoreMedicaiton
      Medication.ingredient.isActive REMOVE NO NOT present in US Core 6.1.0 – no active eCQM use case
      Boolean
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      Update QI-Core Medication Profile to align with US Core 6.1.0 with the following changes: QICore Profile Element Keep Include in QI-Core 6.0 Justification Medication. implicitRules Keep Yes Present in US Core 6.1.0 Medication. modifierExtension Keep YES Present in US Core 6.1.0 Medication. code Keep YES USCDI (US Core 6.1.0) with same binding Extensible binding to MedicationClinicalDrug Medication. status Keep YES USCDI (US Core 6.1.0) with same Required binding to MedicationStatusCodes Medication. Manufacturer REMOVE NO Not present in US Core 6.1.0 – no active eCQM use case Reference QICoreOrganization Medication. ingredient REMOVE NO NOT present in US Core 6.1.0 – no active eCQM use case Required binding to LocationMode (instance, kind) i.e., specific location or class of locations Medication.ingredient. modifierExtension REMOVE NO NOT present in US Core 6.1.0 – no active eCQM use case Extensible binding to ServiceDeliveryLocationRoleType Medication.ingredient.[item [x] https://build.fhir.org/ig/HL7/fhir-qi-core/StructureDefinition-qicore-medication-definitions.html#key_Medication.ingredient.item[x]] REMOVE NO NOT present in US Core 6.1.0 – no active eCQM use case itemCodeableConcept, and itemReference to QICore Substance and QICoreMedicaiton Medication.ingredient. isActive REMOVE NO NOT present in US Core 6.1.0 – no active eCQM use case Boolean
    • Floyd Eisenberg/Michelle Curie: 24-0-0
    • Enhancement
    • Non-compatible

    Description

      Update QI-Core Medication Profile to align with US Core 6.1.0 with the following changes:

      QICore Profile Element Keep Include in QI-Core 6.0 Justification
      Medication.implicitRules Keep Yes Present in US Core 6.1.0
      Medication.modifierExtension Keep YES Present in US Core 6.1.0
      Medication.code Keep YES USCDI (US Core 6.1.0) with same binding Extensible binding to MedicationClinicalDrug
      Medication.status Keep YES USCDI (US Core 6.1.0) with same Required binding to MedicationStatusCodes
      Medication.Manufacturer REMOVE NO Not present in US Core 6.1.0 – no active eCQM use case
      Reference QICoreOrganization
      Medication.ingredient REMOVE NO NOT present in US Core 6.1.0 – no active eCQM use case
      Required binding to LocationMode (instance, kind) i.e., specific location or class of locations
      Medication.ingredient.modifierExtension REMOVE NO NOT present in US Core 6.1.0 – no active eCQM use case
      Extensible binding to ServiceDeliveryLocationRoleType
      Medication.ingredient.[item[x] https://build.fhir.org/ig/HL7/fhir-qi-core/StructureDefinition-qicore-medication-definitions.html#key_Medication.ingredient.item[x]] REMOVE NO NOT present in US Core 6.1.0 – no active eCQM use case
      itemCodeableConcept, and itemReference to QICore Substance and QICoreMedicaiton
      Medication.ingredient.isActive REMOVE NO NOT present in US Core 6.1.0 – no active eCQM use case
      Boolean

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            jen_seeman Jennifer Seeman
            feisenberg Floyd Eisenberg
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            Dates

              Created:
              Updated:
              Resolved: