This page is part of the Quality Improvement Core Framework (v6.0.0-ballot: STU6 (v6.0.0) Ballot 1) based on FHIR R4. The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
: MedicationDispense cumulative dose example - TTL Representation
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
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This example MedicationDispense models QDM Medication, Dispensed. Cooking with CQL session 53 discusses how to calculate cumulative medication duration:
https://github.com/cqframework/CQL-Formatting-and-Usage-Wiki/blob/master/Source/Cooking%20With%20CQL/53/CumulativeMedicationDurationFHIR.cql
The cumulative medication duration in this example would be calculated as:
supply or (quantity / (dose * dosesPerDay))
30 or (450 / (5 * 3)) = 30 days
See the QDM to QI-Core mapping for details regarding QDM data attribute representation in FHIR.
http://hl7.org/fhir/us/qicore/qdm-to-qicore.html
a fhir:MedicationDispense ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "cmd-example"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispense"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispense> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense</b><a name=\"cmd-example\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationDispense "cmd-example" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-qicore-medicationdispense.html\">QICore MedicationDispense</a></p></div><p><b>status</b>: completed</p><p><b>medication</b>: <a href=\"Medication-example.html\">Medication/example</a></p><p><b>subject</b>: <a href=\"Patient-example.html\">Patient/example</a> " CHALMERS"</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-example.html\">Practitioner/example</a> " CAREFUL"</td></tr></table><p><b>authorizingPrescription</b>: <a href=\"MedicationRequest-example.html\">MedicationRequest/example</a></p><p><b>quantity</b>: 450 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code ml = 'ml')</span></p><p><b>daysSupply</b>: 30 Day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2012-05-30 16:20:00+0000</p><p><b>whenHandedOver</b>: 2012-05-31 10:20:00+0000</p><p><b>destination</b>: <a href=\"Location-example.html\">Location/example</a> "South Wing, second floor"</p><p><b>receiver</b>: <a href=\"Patient-example.html\">Patient/example</a> " CHALMERS"</p><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: 3 per 1 days</p><p><b>route</b>: oral administration of treatment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#394899003)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></div>"
] ; #
fhir:status [ fhir:v "completed"] ; #
fhir:medication [
a fhir:Reference ;
fhir:reference [ fhir:v "Medication/example" ]
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/example" ]
] ; #
fhir:performer ( [
fhir:actor [
fhir:reference [ fhir:v "Practitioner/example" ] ]
] ) ; #
fhir:authorizingPrescription ( [
fhir:reference [ fhir:v "MedicationRequest/example" ]
] ) ; #
fhir:quantity [
fhir:value [ fhir:v "450"^^xsd:decimal ] ;
fhir:unit [ fhir:v "ml" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ml" ]
] ; #
fhir:daysSupply [
fhir:value [ fhir:v "30"^^xsd:decimal ] ;
fhir:unit [ fhir:v "Day" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "d" ]
] ; #
fhir:whenPrepared [ fhir:v "2012-05-30T16:20:00+00:00"^^xsd:dateTime] ; #
fhir:whenHandedOver [ fhir:v "2012-05-31T10:20:00+00:00"^^xsd:dateTime] ; #
fhir:destination [
fhir:reference [ fhir:v "Location/example" ]
] ; #
fhir:receiver ( [
fhir:reference [ fhir:v "Patient/example" ]
] ) ; #
fhir:dosageInstruction ( [
fhir:timing [
fhir:repeat [
fhir:frequency [ fhir:v "3"^^xsd:positiveInteger ] ;
fhir:period [ fhir:v "1"^^xsd:decimal ] ;
fhir:periodUnit [ fhir:v "d" ] ] ] ;
fhir:route [
( fhir:coding [
a sct:394899003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "394899003" ] ;
fhir:display [ fhir:v "oral administration of treatment" ] ] ) ] ;
( fhir:doseAndRate [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/dose-rate-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ordered" ] ;
fhir:display [ fhir:v "Ordered" ] ] ) ] ;
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "5"^^xsd:decimal ] ;
fhir:unit [ fhir:v "ml" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ml" ] ] ] )
] ) . #
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