Was This Dose Given Inside the CMS Administration Window?

Whether a scheduled dose was given inside the CMS administration window.

Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Scheduled time
2026-10-12T09:00
Time the dose was given
2026-10-12T10:20
Frequency of the order
More often than daily, but no more often than every 4 hours
Class under the hospital's policy
Not time-critical under the hospital's policy

Result: Outside the window: given 1 h 20 min late; the window is 1 h before or after (2026-10-12 08:00 to 2026-10-12 10:00).

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Scheduled time (YYYY-MM-DDTHH:MM)
  • Time the dose was given (YYYY-MM-DDTHH:MM)
  • Frequency of the order
  • Class under the hospital's policy
  • A tighter hospital window, each side (optional)
How this is calculated

Citation

CMS State Operations Manual, Appendix A (Rev. 248, issued September 18, 2026), tag A-0405, interpretive guidelines for 42 CFR 482.23(c): total windows of 1 hour (time-critical), 2 hours (more often than daily, up to every 4 hours) and 4 hours (daily or longer). Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.