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

## : MedicationDispense cumulative dose example - JSON Representation

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    {
      "resourceType" : "MedicationDispense",
      "id" : "cmd-example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationdispense"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationDispense cmd-example</b></p><a name=\"cmd-example\"> </a><a name=\"hccmd-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-medicationdispense.html\">US Quality Core MedicationDispense</a></p></div><p><b>status</b>: Completed</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><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-example.html\">Practitioner Adam Careful </a></td></tr></table><p><b>authorizingPrescription</b>: <a href=\"MedicationRequest-example.html\">MedicationRequest: status = active; intent = order; medication[x] = -&gt;Medication alemtuzumab 10 MG/ML [Lemtrada]; authoredOn = 2015-03-25 19:32:52-0500; reasonCode = Multiple sclerosis (disorder)</a></p><p><b>quantity</b>: 6 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span></p><p><b>daysSupply</b>: 5 days<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  coded = 'd')</span></p><p><b>whenPrepared</b>: 2015-03-25 16:20:00+0000</p><p><b>whenHandedOver</b>: 2015-03-26 10:20:00+0000</p><p><b>destination</b>: <a href=\"Location-example.html\">Location South Wing, second floor</a></p><p><b>receiver</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><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>: Once per 1 day</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></div>"
      },
      "status" : "completed",
      "medicationReference" : {
        🔗 "reference" : "Medication/example"
      },
      "subject" : {
        🔗 "reference" : "Patient/example"
      },
      "performer" : [
        {
          "actor" : {
            🔗 "reference" : "Practitioner/example"
          }
        }
      ],
      "authorizingPrescription" : [
        {
          🔗 "reference" : "MedicationRequest/example"
        }
      ],
      "quantity" : {
        "value" : 6,
        "unit" : "mL",
        "system" : "http://unitsofmeasure.org",
        "code" : "mL"
      },
      "daysSupply" : {
        "value" : 5,
        "unit" : "days",
        "system" : "http://unitsofmeasure.org",
        "code" : "d"
      },
      "whenPrepared" : "2015-03-25T16:20:00+00:00",
      "whenHandedOver" : "2015-03-26T10:20:00+00:00",
      "destination" : {
        🔗 "reference" : "Location/example"
      },
      "receiver" : [
        {
          🔗 "reference" : "Patient/example"
        }
      ],
      "dosageInstruction" : [
        {
          "text" : "Infuse alemtuzumab 12 mg intravenously once daily for 5 days.",
          "timing" : {
            "repeat" : {
              "boundsPeriod" : {
                "start" : "2015-03-26",
                "end" : "2015-03-30"
              },
              "frequency" : 1,
              "period" : 1,
              "periodUnit" : "d"
            }
          },
          "route" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
                "code" : "IV",
                "display" : "Infusion, intravenous"
              }
            ]
          },
          "doseAndRate" : [
            {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                    "code" : "ordered",
                    "display" : "Ordered"
                  }
                ]
              },
              "doseQuantity" : {
                "value" : 12,
                "unit" : "mg",
                "system" : "http://unitsofmeasure.org",
                "code" : "mg"
              }
            }
          ]
        }
      ]
    }