negation-example
type: MedicationDispense
node role: treeRoot
resource.id:
  value: negation-example
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-medicationdispensedeclined
    index: -1
    link: http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-medicationdispensedeclined
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Generated Narrative: MedicationDispense negation-example Profile: US Quality Core MedicationDispense Declined R5: When the recording of the dispense started (new): 2017-01-17 status: Declined statusReason: Drug treatment not indicated (situation) medication: (value set: Ophthalmic Antihistamines) subject: Example Patient Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing))) authorizingPrescription: MedicationRequest: status = active; intent = order; medication[x] = ->Medication 1.2 ML alemtuzumab 10 MG/ML Injection [Lemtrada]; authoredOn = 2026-08-01 19:32:52-0400 dosageInstruction timing: 3 per 1 day route: Oral route DoseAndRates - Type Dose[x] * Ordered 5 mL (Details: UCUM codemL = 'mL')
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded
  extension.value date time:
    value: 2017-01-17
medication dispense.status:
  value: declined
medication dispense.status reason codeable concept:
  codeable concept.coding: http://snomed.info/id/183966005
    index: -1
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 183966005
    coding.display:
      value: Drug treatment not indicated (situation)
medication dispense.medication codeable concept:
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/codeOptions
    extension.value canonical:
      value: 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
      link: 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
medication dispense.subject:
  link: http://hl7.org/fhir/us/quality-core/Patient/example
  reference.reference:
    value: Patient/example
medication dispense.authorizing prescription:
  index: -1
  link: http://hl7.org/fhir/us/quality-core/MedicationRequest/example
  reference.reference:
    value: MedicationRequest/example
medication dispense.dosage instruction:
  index: -1
  dosage.timing:
    timing.repeat:
      timing.repeat.frequency:
        value: 3
      timing.repeat.period:
        value: 1
      timing.repeat.period unit:
        value: d
  dosage.route:
    codeable concept.coding: http://snomed.info/id/26643006
      index: -1
      coding.system:
        value: http://snomed.info/sct
      coding.code:
        value: 26643006
      coding.display:
        value: Oral route
  dosage.dose and rate:
    index: -1
    dosage.dose and rate.type:
      codeable concept.coding:
        index: -1
    dosage.dose and rate.dose quantity:
      quantity.value:
        value: 5
      quantity.unit:
        value: mL
      quantity.system:
        value: http://unitsofmeasure.org
      quantity.code:
        value: mL

value: ordered

value: Ordered