QI-Core Implementation Guide
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This page is part of the Quality Improvement Core Framework (v7.0.0-ballot: STU7 (v7.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 6.0.0. For a full list of available versions, see the Directory of published versions

: MedicationDispense negation example - XML Representation

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<MedicationDispense xmlns="http://hl7.org/fhir">
  <id value="negation-example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispensedeclined"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationDispense negation-example</b></p><a name="negation-example"> </a><a name="hcnegation-example"> </a><a name="negation-example-en-US"> </a><p><b>status</b>: Declined</p><p><b>statusReason</b>: <span title="Codes:{http://snomed.info/sct 183966005}">Drug treatment not indicated (situation)</span></p><p><b>medication</b>: <span title="Codes:">Not Done Value Set: Ophthalmic Antihistamines</span></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><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><blockquote><p><b>dosageInstruction</b></p></blockquote></div>
  </text>
  <extension
             url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded">
    <valueDateTime value="2017-01-17"/>
  </extension>
  <status value="declined"/>
  <statusReasonCodeableConcept>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="183966005"/>
      <display value="Drug treatment not indicated (situation)"/>
    </coding>
  </statusReasonCodeableConcept>
  <medicationCodeableConcept>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/cqf-notDoneValueSet">
      <valueCanonical
                      value="http://cts.nlm.nih.gov/fhir/1.3.6.1.4.1.6997.4.1.2.268.13.35211.1.13.1.999.321"/>
    </extension>
    <text value="Not Done Value Set: Ophthalmic Antihistamines"/>
  </medicationCodeableConcept>
  <subject>🔗 
    <reference value="Patient/example"/>
  </subject>
  <authorizingPrescription>🔗 
    <reference value="MedicationRequest/example"/>
  </authorizingPrescription>
  <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>