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Packagefhir.onc.us-quality-core
Resource TypeMedicationDispense
IdMedicationDispense-negation-example.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: MedicationDispense negation-example

US Quality Core Not Done Recorded: 2017-01-17

status: Declined

statusReason: Drug treatment not indicated (situation)

medication: Not Done Value Set: Ophthalmic Antihistamines (Not done value set: http://cts.nlm.nih.gov/fhir/1.3.6.1.4.1.6997.4.1.2.268.13.35211.1.13.1.999.321)

subject: Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

authorizingPrescription: MedicationRequest: status = active; intent = order; medication[x] = ->Medication alemtuzumab 10 MG/ML [Lemtrada]; authoredOn = 2015-03-25 19:32:52-0500

dosageInstruction

timing: 3 per 1 day

route: oral administration of treatment

DoseAndRates

-TypeDose[x]
*Ordered5 ml (Details: UCUM codeml = 'ml')

Source1

{
  "resourceType": "MedicationDispense",
  "id": "negation-example",
  "meta": {
    "profile": [
      "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationdispensedeclined"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-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://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet",
        "valueCanonical": "http://cts.nlm.nih.gov/fhir/1.3.6.1.4.1.6997.4.1.2.268.13.35211.1.13.1.999.321"
      }
    ],
    "text": "Not Done 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"
          }
        }
      ]
    }
  ]
}