QI-Core Implementation Guide
4.1.0 - release

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## : MedicationDispense negation with code example - XML Representation

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    <MedicationDispense xmlns="http://hl7.org/fhir">
      <id value="negation-with-code-example"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotdispensed"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><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">Resource "negation-with-code-example" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-qicore-mednotdispensed.html">QICoreMedicationDispenseNotDone</a></p></div><p><b>QICoreNotDoneRecorded</b>: 2017-01-17</p><p><b>status</b>: declined</p><p><b>statusReason</b>: Drug treatment not indicated (situation) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#183966005)</span></p><p><b>medication</b>: alcaftadine 2.5 MG/ML [Lastacaft] <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-v3-rxNorm.html">RxNorm</a>#1000087)</span></p><p><b>subject</b>: <a href="Patient-example.html">Patient/example</a> " CHALMERS"</p><p><b>authorizingPrescription</b>: <a href="MedicationRequest-example.html">MedicationRequest/example</a></p></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-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>
        <coding>
          <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
          <code value="1000087"/>
          <display value="alcaftadine 2.5 MG/ML [Lastacaft]"/>
        </coding>
      </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>