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  1. eCQM Issue Tracker
  2. CQM-540

Guidance on Time Duration of Medication Order

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    • Icon: Intent/Governance affecting more than 1 eCQM Intent/Governance affecting more than 1 eCQM
    • Resolution: Answered
    • Icon: Minor Minor
    • Guidance
    • Sasha Termaat
    • Epic
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      Paraphrasing input from NQF:
      A medication order is a point in time event. Start/Stop time should be the same. In practice an order (in an EHR) may contain metadata about duration of therapy, but within the eMeasures the intent is simply the time time that the order was placed.
      From Saul:
      I hope there are no measures that depend on the duration of an order. If there are, please bring them to my attention.
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      Paraphrasing input from NQF: A medication order is a point in time event. Start/Stop time should be the same. In practice an order (in an EHR) may contain metadata about duration of therapy, but within the eMeasures the intent is simply the time time that the order was placed. From Saul: I hope there are no measures that depend on the duration of an order. If there are, please bring them to my attention.

      From Sasha Termaat (Epic):
      Tagging on to Saul's comment, I would also be interested in guidance from NQF on the concept of "medication-ordered" having a time duration. Given that logic indicates that the order is usually a single moment in time, I'm curious what is intended when the medication order has a start and end time. Is that referencing a duration between the placing of an order and it's dispense or administration? A time period between when it is signed by a clinician and when it expires or is canceled? Or is the expectation that the start and end time of a medication order will generally be the same because it is a single point in time? Is there further guidance on questions like this that I can refer to?

            julia.skapik Julia Skapik (Inactive)
            saul.kravitz Saul Kravitz (Inactive)
            Deborah Krauss (Inactive), Kevin Larsen (Inactive), Kimberly Schwartz (Inactive), Minet Javellana (Inactive)
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