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

## Resource Profile: USQualityCoreMedicationDispense - Mappings

Active as of 2026-05-15

Mappings for the us-quality-core-medicationdispense resource profile.

#### Mappings to Structures in this Implementation Guide

No Mappings Found

#### Mappings to other Structures

No Mappings Found

#### Other Mappings

Name | Workflow Pattern | RIM Mapping | FiveWs Pattern Mapping | V3 Pharmacy Dispense RMIM | HL7 v2 Mapping
--- | --- | --- | --- | --- | ---
MedicationDispense | Event | Supply[moodCode=EVN] |  |  |
id |  |  |  |  |
meta |  |  |  |  |
implicitRules |  |  |  |  |
language |  |  |  |  |
text |  | Act.text? |  |  |
contained |  | N/A |  |  |
extension |  | N/A |  |  |
modifierExtension |  | N/A |  |  |
identifier | Event.identifier | .id | FiveWs.identifier | CombinedMedicationDispense.id |
partOf | Event.partOf | .outboundRelationship[typeCode=COMP]/target[classCode=PROC moodCode=EVN] |  |  |
status | Event.status | .statusCode | FiveWs.status | CombinedMedicationDispense.SupplyEvent.statusCode |
statusReason[x] | Event.statusReason | .outboundRelationship[typeCode=RSON]/target[classCode=OBS moodCode=EVN code="not done reason"].value |  |  |
category |  | .inboundRelationship[typeCode=COMP].source[classCode=OBS moodCode=EVN code="type of medication dispense"].value |  |  |
medication[x] | Event.code | .participation[typeCode=PRD].role | FiveWs.what[x] | CombinedMedicationRequest.component1.AdministrationRequest.consumable | RXD-2-Dispense/Give Code
subject | Event.subject | .participation[typeCode=SBJ].role[classCode=PAT] | FiveWs.subject |  | PID-3-Patient ID List
context | Event.context | .inboundRelationship[typeCode=COMP].source[classCode=ENC moodCode=EVN code="type of encounter or episode"] |  |  |
supportingInformation |  | .outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG ENC PROC SPLY SBADM OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN DEF INT PRMS RQO PRP APT ARQ GOL)] | FiveWs.context |  |
performer | Event.performer | .participation[typeCode=PRF] |  |  |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
function |  | participation[typeCode=PRF].functionCode |  |  |
actor | Event.performer.actor | .role |  |  |
location |  | .participation[typeCode=LOC].role |  |  |
authorizingPrescription | Event.basedOn | .outboundRelationship[typeCode=FLFS].target[moodCode=RQO] |  | CombinedMedicationDispense.inFulfillmentOf | ORC-2 Placer Order Number
type |  | .code |  | CombinedMedicationDispense.SupplyEvent.code | RXD-33-Dispense Type
quantity |  | .quantity |  | CombinedMedicationDispense.SupplyEvent.quantity | RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system
daysSupply |  | effectiveUseTime |  |  | TQ1.6 Timing/Quantity Segment Service Duration. Prior to v2.5 ORC.7.3 Common Order Segment / Quantity/Timing / Duration component. This is a formatted string first character for the time unit (e.g. D=days) followed by the value. For example “D14” represents “14 days supply” From v2.5 on TQ1.6 Timing/Quantity Segment / Service Duration. This is a CQ data type (<Quantity (NM)> ^ <Units (CWE)>) thus for days supply assuming the unit of measure is “days” the numeric value is TQ1.6.1 (…|14^ For backwards compatibility ORC.7 was permitted through v2.6. Both forms (field and segment) may be present in v2.5 v2.5.1 and v2.6
whenPrepared |  | type=IVL_TS].low |  | CombinedMedicationDispense.SupplyEvent.effectiveTime | RXD-3-Date/Time Dispensed
whenHandedOver | Event.occurrence[x] | type=IVL_TS].high |  | CombinedMedicationDispense.SupplyEvent.effectiveTime | RXD-3-Date/Time Dispensed
destination |  | .participation[typeCode=DST].role |  | CombinedMedicationDispense.SupplyEvent.destination | RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address
receiver |  | .participation[typeCode=RCV].role |  | CombinedMedicationDispense.SupplyEvent.receiver |
note | Event.note | .inboundRelationship[typeCode=SUBJ]/source[classCode=ACT moodCode=EVN] |  |  | RXD-9 Dispense Notes
dosageInstruction |  | .outboundRelationship[typeCode=COMP].target[classCode=SBADM moodCode=INT] |  |  |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
sequence |  | .text |  |  | TQ1-1
text |  | .text |  |  | RXO-6; RXE-21
additionalInstruction |  | .text |  |  | RXO-7
patientInstruction |  | .text |  |  | RXO-7
timing |  | .effectiveTime |  |  |
asNeeded[x] |  | .outboundRelationship[typeCode=PRCN].target[classCode=OBS moodCode=EVN code="as needed"].value=boolean or codable concept |  |  | TQ1-9
site |  | .approachSiteCode |  |  | RXR-2
route |  | .routeCode |  |  | RXR-1
method |  | .doseQuantity |  |  | RXR-4
doseAndRate |  |  |  |  | TQ1-2
id |  | n/a |  |  |
extension |  | n/a |  |  |
type |  |  |  |  | RXO-21; RXE-23
dose[x] |  | .doseQuantity |  |  | RXO-2 RXE-3
rate[x] |  | .rateQuantity |  |  | RXE22 RXE23 RXE-24
maxDosePerPeriod |  | .maxDoseQuantity |  |  | RXO-23 RXE-19
maxDosePerAdministration |  | not supported |  |  |
maxDosePerLifetime |  | not supported |  |  |
substitution |  | .outboundRelationship[typeCode=COMP].target[classCode=SUBST moodCode=EVN] |  | CombinedMedicationDispense.substitutionMade |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
wasSubstituted |  | .actionNegationInd |  |  |
type |  | .code |  | CombinedMedicationDispense.substitutionMade.code | RXO-9-Allow Substitutions / RXE-9-Substitution Status
reason |  | .reasonCode |  | CombinedMedicationDispense.substitutionMade.reasonCode |
responsibleParty |  | .participation[typeCode=PFM].role[classCode=ASSIGN] |  | CombinedMedicationDispense.substitutionMade.ResponsibleParty |
detectedIssue |  | .inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT moodCode=EVN].value |  |  |
eventHistory |  | .inboundRelationship(typeCode=SUBJ].source[classCode=CACT moodCode=EVN] |  |  |
Documentation for this format