Does “Medication, not Administered” imply placement of a medication order?
No. "Medication, not Administered" does not imply that a medication order was placed. In QDM, it represents a medication administration that did not occur and includes a documented reason (negation rationale) for why the action was not performed. Because medications can be administered without a medication order, a medication order should not be inferred from "Medication, not Administered."