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: hl7.fhir.us.qicore
derivation: constraint
name: QICoreMedicationDispenseDeclined
type: MedicationDispense
elements:
  medication[x]:
    extensions:
      notDoneValueSet: {url: 'http://hl7.org/fhir/StructureDefinition/cqf-notDoneValueSet', min: 0, max: 1, type: Extension, short: (QI) Url of a value set of activities not requested or performed, index: 9}
    elements:
      extension:
        type: Extension
        short: (QI) Url of a value set of activities not requested or performed
        url: http://hl7.org/fhir/StructureDefinition/cqf-notDoneValueSet
        index: 9
        slicing:
          slices:
            notDoneValueSet:
              match: {}
              schema: {type: Extension, short: (QI) Url of a value set of activities not requested or performed, url: 'http://hl7.org/fhir/StructureDefinition/cqf-notDoneValueSet', index: 9}
              min: 0
              max: 1
  medicationCodeableConcept: {type: CodeableConcept, short: (QI) What medication was supplied, choiceOf: medication, index: 7}
  statusReason:
    short: (QI) Why a dispense was not performed
    choices: [statusReasonCodeableConcept]
    index: 3
  statusReasonCodeableConcept: {type: CodeableConcept, short: (QI) Why a dispense was not performed, choiceOf: statusReason, index: 4}
  extension:
    type: Extension
    short: (QI) Extension
    url: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded
    index: 0
    slicing:
      slices:
        recorded:
          match: {}
          schema: {type: Extension, short: (QI) Extension, url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded', index: 0}
          min: 1
          max: 1
  status:
    type: code
    short: (QI) 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:
    index: 12
    elements:
      text: {short: (QI) Free text dosage instructions e.g. SIG, index: 13}
      timing: {short: (QI) 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: (QI) Amount of medication administered
        index: 16
        elements:
          type:
            short: (QI) The kind of dose or rate specified
            binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/us/qicore/ValueSet/qicore-medication-dose-type'}
            index: 17
          dose:
            short: (QI) Amount of medication per dose
            choices: []
            index: 19
        required: [type]
  medicationReference:
    short: (QI) What medication was supplied
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication']
    type: Reference
    choiceOf: medication
    index: 8
  authorizingPrescription:
    type: Reference
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest']
    index: 11
  subject:
    type: Reference
    short: (QI) Who the dispense is for
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient']
    index: 10
  medication:
    short: (QI) What medication was supplied
    choices: [medicationCodeableConcept, medicationReference]
    index: 6
package_version: 7.0.0-ballot
extensions:
  recorded: {url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded', min: 1, max: 1, type: Extension, short: (QI) Extension, index: 0}
class: profile
kind: resource
url: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispensedeclined
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationdispense
version: 7.0.0-ballot
required: [medicationCodeableConcept, statusReasonCodeableConcept, medication, statusReason, medicationReference]