This page is part of the Quality Improvement Core Framework (v7.0.0-ballot: STU7 (v7.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 6.0.0. For a full list of available versions, see the Directory of published versions
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This example MedicationRequest models QDM Medication, Order. Cooking with CQL session 49 discusses how to calculate cumulative medication duration:
https://github.com/cqframework/CQL-Formatting-and-Usage-Wiki/blob/master/Source/Cooking%20With%20CQL/49/36_CumulativeMedicationDuration.cql
The cumulative medication duration in this example would be calculated as:
(supply * (1 + refills )) / (dosage * frequency)
(100 * (1 + 2)) / (5 * 3) = 20 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
{
"resourceType" : "MedicationRequest",
"id" : "cmd-example",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest cmd-example</b></p><a name=\"cmd-example\"> </a><a name=\"hccmd-example\"> </a><a name=\"cmd-example-en-US\"> </a><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href=\"Medication-example.html\">Medication alemtuzumab 10 MG/ML [Lemtrada]</a></p><p><b>subject</b>: <a href=\"Patient-example.html\">Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --> (ongoing)))</a></p><p><b>authoredOn</b>: 2015-03-25 19:32:52-0500</p><p><b>requester</b>: <a href=\"Practitioner-example.html\">Practitioner Adam Careful </a></p><blockquote><p><b>dosageInstruction</b></p></blockquote><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>2</td><td>100 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeml = 'ml')</span></td></tr></table></div>"
},
"status" : "active",
"intent" : "order",
"medicationReference" : {
🔗 "reference" : "Medication/example"
},
"subject" : {
🔗 "reference" : "Patient/example"
},
"authoredOn" : "2015-03-25T19:32:52-05:00",
"requester" : {
🔗 "reference" : "Practitioner/example"
},
"dosageInstruction" : [
{
"timing" : {
"repeat" : {
"frequency" : 3,
"period" : 1,
"periodUnit" : "d"
}
},
"site" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "447964005"
}
]
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394899003",
"display" : "oral administration of treatment"
}
]
},
"doseAndRate" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}
]
},
"doseQuantity" : {
"value" : 5,
"unit" : "ml",
"system" : "http://unitsofmeasure.org",
"code" : "ml"
}
}
]
}
],
"dispenseRequest" : {
"numberOfRepeatsAllowed" : 2,
"quantity" : {
"value" : 100,
"unit" : "ml",
"system" : "http://unitsofmeasure.org",
"code" : "ml"
}
}
}