QI-Core Implementation Guide
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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

: MedicationRequest Cumulative Duration - XML Representation

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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
 -->
<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="cmd-example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest"/>
  </meta>
  <text>
    <status value="generated"/>
    <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 (use: usual, period: 2001-05-06 --&gt; (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>
  </text>
  <status value="active"/>
  <intent value="order"/>
  <medicationReference>🔗 
    <reference value="Medication/example"/>
  </medicationReference>
  <subject>🔗 
    <reference value="Patient/example"/>
  </subject>
  <authoredOn value="2015-03-25T19:32:52-05:00"/>
  <requester>🔗 
    <reference value="Practitioner/example"/>
  </requester>
  <dosageInstruction>
    <timing>
      <repeat>
        <frequency value="3"/>
        <period value="1"/>
        <periodUnit value="d"/>
      </repeat>
    </timing>
    <site>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="447964005"/>
      </coding>
    </site>
    <route>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="394899003"/>
        <display value="oral administration of treatment"/>
      </coding>
    </route>
    <doseAndRate>
      <type>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
          <code value="ordered"/>
          <display value="Ordered"/>
        </coding>
      </type>
      <doseQuantity>
        <value value="5"/>
        <unit value="ml"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="ml"/>
      </doseQuantity>
    </doseAndRate>
  </dosageInstruction>
  <dispenseRequest>
    <numberOfRepeatsAllowed value="2"/>
    <quantity>
      <value value="100"/>
      <unit value="ml"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="ml"/>
    </quantity>
  </dispenseRequest>
</MedicationRequest>