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Narrative

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Source1

{
  "resourceType": "MedicationAdministration",
  "id": "dose-not-given",
  "meta": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString": "Dose Not Given - Patient Refused Example"
      },
      {
        "url": "http://hl7.org/fhir/StructureDefinition/instance-description",
        "valueMarkdown": "This example of a *US Core MedicationAdministration Profile* records a scheduled morning dose of axid that was not administered because the patient refused."
      }
    ],
    "profile": [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationadministration"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "not-done",
  "statusReason": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "182895007",
          "display": "Drug declined by patient"
        }
      ],
      "text": "182895007 (SNOMED CT): Drug declined by patient"
    }
  ],
  "medicationReference": {
    "reference": "Medication/uscore-med2",
    "display": "Axid"
  },
  "subject": {
    "reference": "Patient/example",
    "display": "Amy V. Baxter"
  },
  "effectiveDateTime": "2026-05-13T07:00:00Z",
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/practitioner-1",
        "display": "Dr Ronald Bone"
      }
    }
  ],
  "request": {
    "reference": "MedicationRequest/medicationrequest-referenced-oral-axid"
  },
  "dosage": {
    "text": "150 mg PO BID (scheduled morning dose - not administered)",
    "route": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "26643006",
          "display": "Oral route"
        }
      ]
    },
    "dose": {
      "value": 150,
      "unit": "mg",
      "system": "http://unitsofmeasure.org",
      "code": "mg"
    }
  }
}