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Type:
Other
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Resolution: Answered
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Priority:
Moderate
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Component/s: None
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None
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CMS0072v14, CMS0108v14, CMS0190v14, CMS0816v5, CMS0819v4, CMS0871v5
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Impacts what needs to be included in the QRDA file for submission.
We need guidance on how to represent medication administration dosage in the QRDA submission file. For example, if a patient is prescribed 5 mg of warfarin during hospitalization, but the pharmacy only has 1 mg capsules available, resulting in the patient receiving five 1 mg capsules, how should this be recorded in the QRDA file?
Should we report a total administered dose of 5 mg, or should we report one administration with a 1 mg product and either a dose of '5 mg' or '5 tabs'?
We would also like guidance on IV doses. For example, the product is 1000 UNT/mL heparin with 1 mL. Only .9 mL is administered. Do we submit .9 mL, 900 UNT, or just .9 (as in 9/10ths of the product).