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Source1

{
  "resourceType": "MedicationDispense",
  "id": "hiqa-md-s5-declined",
  "meta": {
    "profile": [
      "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-medicationdispense-edispensation"
    ]
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded",
      "valueDateTime": "2026-09-22T12:10:00+01:00"
    }
  ],
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:uuid:2df5c229-1bc6-55d4-aa2e-7fa0b6ae1adf"
    }
  ],
  "status": "declined",
  "statusReasonCodeableConcept": {
    "text": "Not dispensed: the patient has a confirmed penicillin allergy (anaphylaxis). Prescriber contacted to cancel and review."
  },
  "medicationReference": {
    "reference": "Medication/hiqa-med-amoxicillin-500-caps"
  },
  "subject": {
    "reference": "Patient/hiqa-patient-niamh-keane"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/hiqa-prac-pharmacist-farrell"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/hiqa-rx-s5-amoxicillin"
    }
  ],
  "quantity": {
    "value": 0,
    "code": "{capsule}",
    "system": "http://unitsofmeasure.org",
    "unit": "capsules"
  }
}