description: Negation profile of MedicationDispense for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
package_name: fhir.onc.us-quality-core
derivation: constraint
name: USQualityCoreMedicationDispenseDeclined
type: MedicationDispense
elements:
  medication[x]:
    extensions:
      notDoneValueSet: {url: 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet', min: 0, max: 1, type: Extension, short: Url of a value set of activities not requested or performed, index: 7}
    elements:
      extension:
        type: Extension
        short: Url of a value set of activities not requested or performed
        url: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet
        index: 7
        slicing:
          slices:
            notDoneValueSet:
              match: {}
              schema: {type: Extension, short: Url of a value set of activities not requested or performed, url: 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet', index: 7}
              min: 0
              max: 1
  statusReason:
    short: (USCDI+ Quality) Why a dispense was not performed
    choices: [statusReasonCodeableConcept]
    index: 3
  statusReasonCodeableConcept: {type: CodeableConcept, short: (USCDI+ Quality) Why a dispense was not performed, choiceOf: statusReason, index: 4}
  extension:
    type: Extension
    short: Extension
    url: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded
    index: 0
    slicing:
      slices:
        recorded:
          match: {}
          schema: {type: Extension, short: Extension, url: 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded', index: 0}
          min: 1
          max: 1
  status:
    type: code
    short: (USCDI+ Quality) (USCDI) preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/medicationdispense-status'}
    pattern: {type: Code, value: declined}
    index: 1
  dosageInstruction:
    short: (USCDI)
    index: 12
    elements:
      text: {short: (USCDI) Free text dosage instructions e.g. SIG, index: 13}
      timing: {short: (USCDI) When medication should be administered, index: 14}
      route:
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/route-codes'}
        mustSupport: false
        index: 15
      doseAndRate:
        short: (USCDI) Amount of medication administered
        index: 16
        elements:
          type:
            short: The kind of dose or rate specified
            binding: {strength: preferred, valueSet: 'http://fhir.org/guides/onc/us-quality-core/ValueSet/us-quality-core-medication-dose-type'}
            index: 17
          dose:
            short: (USCDI) Amount of medication per dose
            choices: []
            index: 19
        required: [type]
  daysSupply: {short: Amount of medication expressed as a timing amount, index: 11}
  quantity: {short: (USCDI) Amount dispensed, index: 10}
  authorizingPrescription:
    type: Reference
    short: (USCDI)
    refers: ['http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationrequest']
    index: 9
  subject:
    type: Reference
    short: (USCDI) Who the dispense is for
    refers: ['http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient']
    index: 8
  medication:
    short: (USCDI) What medication was supplied
    choices: []
    index: 6
package_version: 0.5.0
extensions:
  recorded: {url: 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded', min: 1, max: 1, type: Extension, short: Extension, index: 0}
class: profile
kind: resource
url: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationdispensedeclined
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationdispense|6.1.0
version: 0.5.0
required: [statusReasonCodeableConcept, statusReason]