QI-Core Implementation Guide
4.1.1 - STU 4.1.1
US
This page is part of the Quality Improvement Core Framework (v4.1.1: STU 4) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
<!--
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><b>Generated Narrative</b></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 "cmd-example" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-qicore-medicationrequest.html">QICoreMedicationRequest</a></p></div><p><b>status</b>: active</p><p><b>intent</b>: order</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><p><b>authoredOn</b>: 2015-03-25 07:32:52-0500</p><p><b>requester</b>: <a href="Practitioner-example.html">Practitioner/example</a> " CAREFUL"</p><h3>DispenseRequests</h3><table class="grid"><tr><td>-</td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td></tr><tr><td>*</td><td>2</td><td>100 ml<span style="background: LightGoldenRodYellow"> (Details: UCUM code ml = '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>