2026 US Quality Core Implementation Guide
0.5.0 - release

2026 US Quality Core Implementation Guide - Downloaded Version 0.5.0 See the Directory of published versions

## : MedicationDispense negation example

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    {
      "resourceType" : "MedicationDispense",
      "id" : "negation-example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationdispensedeclined"
        ]
      },
      "language" : "en",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationDispense negation-example</b></p><a name=\"negation-example\"> </a><a name=\"hcnegation-example\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-us-quality-core-medicationdispensedeclined.html\">US Quality Core MedicationDispense Declined</a></p></div><p><b>US Quality Core Not Done Recorded</b>: 2017-01-17</p><p><b>status</b>: Declined</p><p><b>statusReason</b>: <span title=\"Codes:{http://snomed.info/sct 183966005}\">Drug treatment not indicated (situation)</span></p><p><b>medication</b>: <span title=\"Codes:\">Not Done Value Set: Ophthalmic Antihistamines</span> (Not done value set: <a href=\"https://vsac.nlm.nih.gov/valueset/1.3.6.1.4.1.6997.4.1.2.268.13.35211.1.13.1.999.321/expansion\">Ophthalmic Antihistamines</a>)</p><p><b>subject</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Social Security number\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>authorizingPrescription</b>: <a href=\"MedicationRequest-example.html\">MedicationRequest: status = active; intent = order; medication[x] = -&gt;Medication alemtuzumab 10 MG/ML [Lemtrada]; authoredOn = 2015-03-25 19:32:52-0500; reasonCode = Multiple sclerosis (disorder)</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: 3 per 1 day</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 394899003}\">oral administration of treatment</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type ordered}\">Ordered</span></td><td>5 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeml = 'ml')</span></td></tr></table></blockquote></div>"
      },
      "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/ValueSet/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"
              }
            }
          ]
        }
      ]
    }