QI-Core Implementation Guide
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This page is part of the Quality Improvement Core Framework (v5.0.0: STU5 (v5.0.0)) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

: MedicationDispense cumulative dose example - XML Representation

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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
 -->
<MedicationDispense xmlns="http://hl7.org/fhir">
  <id value="cmd-example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispense"/>
  </meta>
  <text>
    <status value="generated"/>
    <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 &quot;cmd-example&quot; </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> &quot; CHALMERS&quot;</p><h3>Performers</h3><table class="grid"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href="Practitioner-example.html">Practitioner/example</a> &quot; CAREFUL&quot;</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> &quot;South Wing, second floor&quot;</p><p><b>receiver</b>: <a href="Patient-example.html">Patient/example</a> &quot; CHALMERS&quot;</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>
  </text>
  <status value="completed"/>
  <medicationReference>
    <reference value="Medication/example"/>
  </medicationReference>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <performer>
    <actor>
      <reference value="Practitioner/example"/>
    </actor>
  </performer>
  <authorizingPrescription>
    <reference value="MedicationRequest/example"/>
  </authorizingPrescription>
  <quantity>
    <value value="450"/>
    <unit value="ml"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="ml"/>
  </quantity>
  <daysSupply>
    <value value="30"/>
    <unit value="Day"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="d"/>
  </daysSupply>
  <whenPrepared value="2012-05-30T16:20:00+00:00"/>
  <whenHandedOver value="2012-05-31T10:20:00+00:00"/>
  <destination>
    <reference value="Location/example"/>
  </destination>
  <receiver>
    <reference value="Patient/example"/>
  </receiver>
  <dosageInstruction>
    <timing>
      <repeat>
        <frequency value="3"/>
        <period value="1"/>
        <periodUnit value="d"/>
      </repeat>
    </timing>
    <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>
</MedicationDispense>