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 Patient Reported Example - JSON Representation

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    {
      "resourceType" : "MedicationRequest",
      "id" : "patient-reported-example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationrequest"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest patient-reported-example</b></p><a name=\"patient-reported-example\"> </a><a name=\"hcpatient-reported-example\"> </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>reported</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Social Security number\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&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><p><b>timing</b>: 5 per 2 days</p><p><b>site</b>: <span title=\"Codes:{http://snomed.info/sct 447964005}\">Digestive tract route (qualifier value)</span></p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 394899003}\">oral administration of treatment</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>10 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeml = 'ml')</span></td></tr></table></blockquote><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>1000 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeml = 'ml')</span></td></tr></table></div>"
      },
      "status" : "active",
      "intent" : "order",
      "reportedReference" : {
        🔗 "reference" : "Patient/example"
      },
      "medicationReference" : {
        🔗 "reference" : "Medication/example"
      },
      "subject" : {
        🔗 "reference" : "Patient/example"
      },
      "authoredOn" : "2015-03-25T19:32:52-05:00",
      "requester" : {
        🔗 "reference" : "Practitioner/example"
      },
      "dosageInstruction" : [
        {
          "timing" : {
            "repeat" : {
              "frequency" : 5,
              "period" : 2,
              "periodUnit" : "d"
            }
          },
          "site" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "447964005"
              }
            ]
          },
          "route" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "394899003",
                "display" : "oral administration of treatment"
              }
            ]
          },
          "doseAndRate" : [
            {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                    "code" : "ordered",
                    "display" : "Ordered"
                  }
                ]
              },
              "doseQuantity" : {
                "value" : 10,
                "unit" : "ml",
                "system" : "http://unitsofmeasure.org",
                "code" : "ml"
              }
            }
          ]
        }
      ],
      "dispenseRequest" : {
        "quantity" : {
          "value" : 1000,
          "unit" : "ml",
          "system" : "http://unitsofmeasure.org",
          "code" : "ml"
        }
      }
    }