["Medication, Administered": "Thrombolytic (t-PA) Therapy"]

Data elements that meet criteria using this datatype should document that the medication indicated by the QDM category and its corresponding value set was actually administered to the patient.

Timing:

• relevant dateTime references the time the medication is administered if it was given or taken at a single point in time.
• relevantPeriod references a start and stop time for medication administration if the administration event occurred over a time interval (e.g., an intravenous infusion). The relevantPeriod addresses:
  • startTime - when a single medication administration event starts (e.g., the initiation of an intravenous infusion).
  • stopTime - when a single medication administration event ends (e.g., the end time of the intravenous infusion).
• author dateTime references the time the action was recorded.
• Refer to the eCQM expression to determine allowable timings to meet measure criterion.

Notes:

• Measure developers should address multiple administrations over a period of time using CQL logic.
• negation rationale indicates a one-time documentation of a reason an activity is not performed. Negation of QDM datatype-related actions for a reason always use the author dateTime attribute to reference timing and must not use relevantPeriod.

Refer to Special Cases in Appendix A (Section 5.7) for scenarios to consider in calculating cumulative medication duration.