# US Quality Core MedicationDispense - 2026 US Quality Core Implementation Guide v0.5.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **US Quality Core MedicationDispense**

## Resource Profile: US Quality Core MedicationDispense 

| | |
| :--- | :--- |
| *Official URL*:http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationdispense | *Version*:0.5.0 |
| Active as of 2026-05-15 | *Computable Name*:USQualityCoreMedicationDispense |

 
Profile of MedicationDispense for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors. 

**Usage**
To create an expression specifically requesting information that a MedicationDispense intentionally did not occur for a medical, patient or system reason, use the profile [USQualityCore-medicationnotdispensed](StructureDefinition-us-quality-core-medicationdispensedeclined.md).

The following example illustrates the use of the MedicationDispense profile

```
define "Dementia Medication Dispensed":
  ["MedicationDispense": "Dementia Medications"] MedicationDispense
    where MedicationDispense.status in { 'active', 'completed', 'on-hold' }
```

  See the [patterns](patterns.md) page for implementation and usage patterns.  

### Examples

 

| |
| :--- |
| [Alemtuzumab MedicationDispense Example](MedicationDispense-example.md) |
| [Alemtuzumab MedicationDispense Course Example](MedicationDispense-cmd-example.md) |

 

**USCDI+ Quality Elements:**

* status: (USCDI+ Quality) (USCDI) preparation​ | in-progress​ | cancelled​ | on-hold​ | completed​ | entered-in-error​ | stopped​ | unknown
* medication[x]: (USCDI+ Quality) (USCDI) What medication was supplied
* quantity: (USCDI+ Quality) (USCDI) Amount dispensed
* daysSupply: (USCDI+ Quality) Amount of medication expressed as a timing amount
* dosageInstruction: (USCDI+ Quality) (USCDI) How the medication is to be used by the patient or administered by the caregiver
* dosageInstruction.text: (USCDI+ Quality) (USCDI) Free text dosage instructions e.g. SIG
* dosageInstruction.timing: (USCDI+ Quality) (USCDI) When medication should be administered
* dosageInstruction.route: (USCDI+ Quality) How drug should enter body
* dosageInstruction.doseAndRate: (USCDI+ Quality) (USCDI) Amount of medication administered
* dosageInstruction.doseAndRate.dose[x]: (USCDI+ Quality) (USCDI) Amount of medication per dose

**Usages:**

* Examples for this Profile: [MedicationDispense/cmd-example](MedicationDispense-cmd-example.md) and [MedicationDispense/example](MedicationDispense-example.md)
* CapabilityStatements using this Profile: [US Quality Core Client CapabilityStatement](CapabilityStatement-us-quality-core-client.md) and [US Quality Core Server CapabilityStatement](CapabilityStatement-us-quality-core-server.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/fhir.onc.us-quality-core|current/StructureDefinition/StructureDefinition-us-quality-core-medicationdispense.json)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-us-quality-core-medicationdispense.csv), [Excel](StructureDefinition-us-quality-core-medicationdispense.xlsx), [Schematron](StructureDefinition-us-quality-core-medicationdispense.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "us-quality-core-medicationdispense",
  "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationdispense",
  "version" : "0.5.0",
  "name" : "USQualityCoreMedicationDispense",
  "title" : "US Quality Core MedicationDispense",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-05-15",
  "publisher" : "Office of the National Coordinator for Health Information Technology (ONC)",
  "contact" : [{
    "name" : "Office of the National Coordinator for Health Information Technology (ONC)",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.healthit.gov/feedback"
    }]
  }],
  "description" : "Profile of MedicationDispense for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US",
      "display" : "United States of America"
    }],
    "text" : "USA"
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "rx-dispense-rmim",
    "uri" : "http://www.hl7.org/v3/PORX_RM020070UV",
    "name" : "V3 Pharmacy Dispense RMIM"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "MedicationDispense",
  "baseDefinition" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationdispense|6.1.0",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "MedicationDispense",
      "path" : "MedicationDispense"
    },
    {
      "id" : "MedicationDispense.status",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      },
      {
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "MedicationDispense.status",
      "short" : "(USCDI+ Quality) (USCDI) preparation​ | in-progress​ | cancelled​ | on-hold​ | completed​ | entered-in-error​ | stopped​ | unknown",
      "binding" : {
        "strength" : "required",
        "valueSet" : "http://fhir.org/guides/onc/us-quality-core/ValueSet/us-quality-core-non-negative-medicationdispense-status"
      }
    },
    {
      "id" : "MedicationDispense.medication[x]",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      },
      {
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "MedicationDispense.medication[x]",
      "short" : "(USCDI+ Quality) (USCDI) What medication was supplied",
      "type" : [{
        "code" : "CodeableConcept"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medication"]
      }],
      "binding" : {
        "strength" : "extensible",
        "description" : "The set of RxNorm codes to represent medications",
        "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4"
      }
    },
    {
      "id" : "MedicationDispense.subject",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      }],
      "path" : "MedicationDispense.subject",
      "short" : "(USCDI) Who the dispense is for",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient"]
      }]
    },
    {
      "id" : "MedicationDispense.authorizingPrescription",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      }],
      "path" : "MedicationDispense.authorizingPrescription",
      "short" : "(USCDI) Medication order that authorizes the dispense",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationrequest"]
      }]
    },
    {
      "id" : "MedicationDispense.type",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      }],
      "path" : "MedicationDispense.type",
      "short" : "(USCDI) Trial fill, partial fill, emergency fill, etc.",
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType"
      }
    },
    {
      "id" : "MedicationDispense.quantity",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      },
      {
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "MedicationDispense.quantity",
      "short" : "(USCDI+ Quality) (USCDI) Amount dispensed"
    },
    {
      "id" : "MedicationDispense.daysSupply",
      "extension" : [{
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "MedicationDispense.daysSupply",
      "short" : "(USCDI+ Quality) Amount of medication expressed as a timing amount"
    },
    {
      "id" : "MedicationDispense.whenPrepared",
      "path" : "MedicationDispense.whenPrepared",
      "short" : "When product was packaged and reviewed",
      "comment" : "When used as part of a cumulative medication duration calculation, the whenPrepared element is used if whenHandedOver is not available to determine a starting point for the period covered by the dispense.",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "MedicationDispense.whenHandedOver",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      }],
      "path" : "MedicationDispense.whenHandedOver",
      "short" : "(USCDI) When product was given out or mailed"
    },
    {
      "id" : "MedicationDispense.dosageInstruction",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      },
      {
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "MedicationDispense.dosageInstruction",
      "short" : "(USCDI+ Quality) (USCDI) How the medication is to be used by the patient or administered by the caregiver"
    },
    {
      "id" : "MedicationDispense.dosageInstruction.text",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      },
      {
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "MedicationDispense.dosageInstruction.text",
      "short" : "(USCDI+ Quality) (USCDI) Free text dosage instructions e.g. SIG"
    },
    {
      "id" : "MedicationDispense.dosageInstruction.timing",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      },
      {
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "MedicationDispense.dosageInstruction.timing",
      "short" : "(USCDI+ Quality) (USCDI) When medication should be administered"
    },
    {
      "id" : "MedicationDispense.dosageInstruction.route",
      "extension" : [{
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "MedicationDispense.dosageInstruction.route",
      "short" : "(USCDI+ Quality) How drug should enter body"
    },
    {
      "id" : "MedicationDispense.dosageInstruction.doseAndRate",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      },
      {
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "MedicationDispense.dosageInstruction.doseAndRate",
      "short" : "(USCDI+ Quality) (USCDI) Amount of medication administered"
    },
    {
      "id" : "MedicationDispense.dosageInstruction.doseAndRate.dose[x]",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      },
      {
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "MedicationDispense.dosageInstruction.doseAndRate.dose[x]",
      "short" : "(USCDI+ Quality) (USCDI) Amount of medication per dose",
      "type" : [{
        "code" : "Quantity"
      },
      {
        "code" : "Range"
      }]
    }]
  }
}

```
