2026 US Quality Core Implementation Guide
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2026 US Quality Core Implementation Guide - Local Development build (v0.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: USQualityCore Negation Reason Codes - TTL Representation

Active as of 2026-06-05

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/ValueSet/us-quality-core-negation-reason> a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "us-quality-core-negation-reason"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet us-quality-core-negation-reason</b></p><a name=\"us-quality-core-negation-reason\"> </a><a name=\"hcus-quality-core-negation-reason\"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Import all the codes that are contained in <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1021.56/expansion\">Medical Reason Not Done SCT</a></li><li>Import all the codes that are contained in <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1021.58/expansion\">Patient Reason Not Done SCT</a></li><li>Import all the codes that are contained in <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1009/expansion\">System Reason</a></li></ul></div>"
  ] ;
  fhir:ValueSet.url [ fhir:value "http://fhir.org/guides/onc/us-quality-core/ValueSet/us-quality-core-negation-reason"] ;
  fhir:ValueSet.version [ fhir:value "0.5.0"] ;
  fhir:ValueSet.name [ fhir:value "NegationReasonCodes"] ;
  fhir:ValueSet.title [ fhir:value "USQualityCore Negation Reason Codes"] ;
  fhir:ValueSet.status [ fhir:value "active"] ;
  fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:ValueSet.date [ fhir:value "2026-06-05"^^xsd:date] ;
  fhir:ValueSet.publisher [ fhir:value "Office of the National Coordinator for Health Information Technology (ONC)"] ;
  fhir:ValueSet.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "Office of the National Coordinator for Health Information Technology (ONC)" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.healthit.gov/feedback" ]
     ]
  ] ;
  fhir:ValueSet.description [ fhir:value "This value set defines the set of codes that can be used to indicate the reason an action was not taken"] ;
  fhir:ValueSet.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "US" ] ;
       fhir:Coding.display [ fhir:value "United States of America" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "USA" ]
  ] ;
  fhir:ValueSet.purpose [ fhir:value "This value set was defined to support identifying any of the possible negation reason codes as part of USQualityCore profiles. The value set is composed of the codes from [Medical Reason Not Done SCT](http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.56), [Patient Reason Not Done SCT](http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.58), and [System Reason](http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1009) as defined and available in the Value Set Authority Center."] ;
  fhir:ValueSet.compose [
     fhir:ValueSet.compose.include [
       fhir:index 0 ;
       fhir:ValueSet.compose.include.valueSet [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.56" ;
         fhir:index 0 ;
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.56>
       ]
     ], [
       fhir:index 1 ;
       fhir:ValueSet.compose.include.valueSet [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.58" ;
         fhir:index 0 ;
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.58>
       ]
     ], [
       fhir:index 2 ;
       fhir:ValueSet.compose.include.valueSet [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1009" ;
         fhir:index 0 ;
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1009>
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ValueSet/us-quality-core-negation-reason.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ValueSet/us-quality-core-negation-reason.ttl> .