{
  "resourceType" : "MedicationDispense",
  "id" : "negation-example",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispensedeclined"]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<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><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-qicore-medicationdispensedeclined.html\">QICore MedicationDispense Declined</a></p></div><p><b>Extension Definition for MedicationDispense.recorded for Version 5.0</b>: 2017-01-17</p><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:\">Value Set: Ophthalmic Antihistamines</span> (value set: <a href=\"https://vsac.nlm.nih.gov/valueset/1.3.6.1.4.1.6997.4.1.2.268.13.35211.1.13.1.999.321/expansion\">Ophthalmic Antihistamines</a>)</p><p><b>subject</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Medical record number\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&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><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>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded",
    "valueDateTime" : "2017-01-17"
  }],
  "status" : "declined",
  "statusReasonCodeableConcept" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "183966005",
      "display" : "Drug treatment not indicated (situation)"
    }]
  },
  "medicationCodeableConcept" : {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/codeOptions",
      "valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.6997.4.1.2.268.13.35211.1.13.1.999.321"
    }],
    "text" : "Value Set: Ophthalmic Antihistamines"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "authorizingPrescription" : [{
    "reference" : "MedicationRequest/example"
  }],
  "dosageInstruction" : [{
    "timing" : {
      "repeat" : {
        "frequency" : 3,
        "period" : 1,
        "periodUnit" : "d"
      }
    },
    "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" : 5,
        "unit" : "ml",
        "system" : "http://unitsofmeasure.org",
        "code" : "ml"
      }
    }]
  }]
}