2026 US Quality Core Implementation Guide
0.5.0 - cibuild US

2026 US Quality Core Implementation Guide, published by Office of the National Coordinator for Health Information Technology (ONC). This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/us-quality-core/ and changes regularly. See the Directory of published versions

## : MedicationRequest example - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix sct: <http://snomed.info/id/> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:MedicationRequest ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "example"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationrequest"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationrequest>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-us-quality-core-medicationrequest.html\">US Quality Core MedicationRequest</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 alemtuzumab 10 MG/ML [Lemtrada]</a></p><p><b>subject</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Social Security 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><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 24700007}\">Multiple sclerosis requiring disease-modifying therapy</span></p><p><b>reasonReference</b>: Multiple sclerosis requiring disease-modifying therapy</p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Infuse alemtuzumab 12 mg intravenously once daily for 5 days.</p><p><b>timing</b>: 1-1 per 1-1 day</p><p><b>asNeeded</b>: false</p><p><b>route</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration IV}\">Infusion, intravenous</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type ordered}\">Ordered</span></td><td>12 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-03-25 --&gt; 2015-04-01</p><p><b>numberOfRepeatsAllowed</b>: 0</p><p><b>quantity</b>: 6 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span></p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>5</td><td>days</td><td><a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ucum.html\">http://unitsofmeasure.org</a></td><td>d</td></tr></table></blockquote></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:intent [ fhir:v "order"] ; #
      fhir:medication [
    a fhir:Reference ;
    fhir:l fhir:Medication/example ;
    fhir:reference [ fhir:v "Medication/example" ]
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ]
      ] ; #
      fhir:authoredOn [ fhir:v "2015-03-25T19:32:52-05:00"^^xsd:dateTime] ; #
      fhir:requester [
    fhir:l fhir:Practitioner/example ;
    fhir:reference [ fhir:v "Practitioner/example" ]
      ] ; #
      fhir:reasonCode ( [
        ( fhir:coding [
    a sct:24700007 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "24700007" ] ;
    fhir:display [ fhir:v "Multiple sclerosis (disorder)" ]     ] ) ;
    fhir:text [ fhir:v "Multiple sclerosis requiring disease-modifying therapy" ]
      ] ) ; #
      fhir:reasonReference ( [
    fhir:display [ fhir:v "Multiple sclerosis requiring disease-modifying therapy" ]
      ] ) ; #
      fhir:dosageInstruction ( [
    fhir:text [ fhir:v "Infuse alemtuzumab 12 mg intravenously once daily for 5 days." ] ;
    fhir:timing [
    fhir:repeat [
    fhir:bounds [
    a fhir:Period ;
    fhir:start [ fhir:v "2015-03-26"^^xsd:date ] ;
    fhir:end [ fhir:v "2015-03-30"^^xsd:date ]         ] ;
    fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
    fhir:frequencyMax [ fhir:v "1"^^xsd:positiveInteger ] ;
    fhir:period [ fhir:v "1"^^xsd:decimal ] ;
    fhir:periodMax [ fhir:v "1"^^xsd:decimal ] ;
    fhir:periodUnit [ fhir:v "d" ]       ]     ] ;
    fhir:asNeeded [
    a fhir:Boolean ;
    fhir:v false     ] ;
    fhir:route [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration>         ] ;
    fhir:code [ fhir:v "IV" ] ;
    fhir:display [ fhir:v "Infusion, intravenous" ]       ] )     ] ;
        ( fhir:doseAndRate [
    fhir:type [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/dose-rate-type"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/dose-rate-type>           ] ;
    fhir:code [ fhir:v "ordered" ] ;
    fhir:display [ fhir:v "Ordered" ]         ] )       ] ;
    fhir:dose [
    a fhir:Quantity ;
    fhir:value [ fhir:v "12"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "mg" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>         ] ;
    fhir:code [ fhir:v "mg" ]       ]     ] )
      ] ) ; #
      fhir:dispenseRequest [
    fhir:validityPeriod [
    fhir:start [ fhir:v "2015-03-25"^^xsd:date ] ;
    fhir:end [ fhir:v "2015-04-01"^^xsd:date ]     ] ;
    fhir:numberOfRepeatsAllowed [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:quantity [
    fhir:value [ fhir:v "6"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "mL" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>       ] ;
    fhir:code [ fhir:v "mL" ]     ] ;
    fhir:expectedSupplyDuration [
    fhir:value [ fhir:v "5"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "days" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>       ] ;
    fhir:code [ fhir:v "d" ]     ]
      ] . #