US Quality Core Implementation Guide
0.1.0 - cibuild

US Quality Core Implementation Guide, published by ASTP. This guide is not an authorized publication; it is the continuous build for version 0.1.0 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 - XML Representation

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      <!--
    This example MedicationDispense models QDM Medication, Dispensed. Cooking with CQL session 53 discusses how to calculate cumulative medication duration:
    https://github.com/cqframework/CQL-Formatting-and-Usage-Wiki/blob/master/Source/Cooking%20With%20CQL/53/CumulativeMedicationDurationFHIR.cql

    The cumulative medication duration in this example would be calculated as:
    supply or (quantity / (dose * dosesPerDay))
    30 or (450 / (5 * 3)) = 30 days

    See the QDM to US Quality Core mapping for details regarding QDM data attribute representation in FHIR.
    http://fhir.org/guides/astp/us-quality-core/qdm-to-us-quality-core.html
     -->
    <MedicationDispense xmlns="http://hl7.org/fhir">
      <id value="cmd-example"/>
      <meta>
        <profile
                 value="http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-medicationdispense"/>
      </meta>
      <text>
        <status value="generated"/>
        <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 ( Medical record number (use: usual, period: 2001-05-06 --&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</a></p><p><b>quantity</b>: 450 ml<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeml = 'ml')</span></p><p><b>daysSupply</b>: 30 Day<span style="background: LightGoldenRodYellow"> (Details: UCUM  coded = 'd')</span></p><p><b>whenPrepared</b>: 2012-05-30 16:20:00+0000</p><p><b>whenHandedOver</b>: 2012-05-31 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 ( Medical record number (use: usual, period: 2001-05-06 --&gt; (ongoing)))</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: 3 per 1 day</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>5 ml<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeml = 'ml')</span></td></tr></table></blockquote></div>
      </text>
      <status value="completed"/>
      <medicationReference>🔗
        <reference value="Medication/example"/>
      </medicationReference>
      <subject>🔗
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <actor>🔗
          <reference value="Practitioner/example"/>
        </actor>
      </performer>
      <authorizingPrescription>🔗
        <reference value="MedicationRequest/example"/>
      </authorizingPrescription>
      <quantity>
        <value value="450"/>
        <unit value="ml"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="ml"/>
      </quantity>
      <daysSupply>
        <value value="30"/>
        <unit value="Day"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="d"/>
      </daysSupply>
      <whenPrepared value="2012-05-30T16:20:00+00:00"/>
      <whenHandedOver value="2012-05-31T10:20:00+00:00"/>
      <destination>🔗
        <reference value="Location/example"/>
      </destination>
      <receiver>🔗
        <reference value="Patient/example"/>
      </receiver>
      <dosageInstruction>
        <timing>
          <repeat>
            <frequency value="3"/>
            <period value="1"/>
            <periodUnit value="d"/>
          </repeat>
        </timing>
        <route>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="394899003"/>
            <display value="oral administration of treatment"/>
          </coding>
        </route>
        <doseAndRate>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
              <code value="ordered"/>
              <display value="Ordered"/>
            </coding>
          </type>
          <doseQuantity>
            <value value="5"/>
            <unit value="ml"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="ml"/>
          </doseQuantity>
        </doseAndRate>
      </dosageInstruction>
    </MedicationDispense>