FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

Packagefhir.astp.us-quality-core
Resource TypeStructureDefinition
IdStructureDefinition-us-quality-core-doNotPerformReason.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/FHIR/us-quality-core/StructureDefinition-us-quality-core-doNotPerformReason.html
URLhttp://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Version0.1.0
Statusactive
Date2026-03-31
NameUSQualityCoreDoNotPerformReason
TitleUS Quality Core Do Not Perform Reason
Realmus
Authorityhl7
DescriptionIndicates the reason the event was not performed.
TypeExtension
Kindcomplex-type

Resources that use this resource

StructureDefinition
fhir.astp.us-quality-core#currentus-quality-core-devicenotrequestedUS Quality Core Device Not Requested
fhir.astp.us-quality-core#currentus-quality-core-servicenotrequestedUS Quality Core Service Not Requested

Resources that this resource uses

ValueSet
fhir.astp.us-quality-core#currentus-quality-core-negation-reasonUSQualityCore Negation Reason Codes

Examples of Use for Extension

ResourceVersion
fhir.astp.us-quality-core#current:DeviceRequest/negation-exampleR4
fhir.astp.us-quality-core#current:DeviceRequest/negation-with-code-exampleR4
fhir.astp.us-quality-core#current:ServiceRequest/negation-exampleR4
fhir.astp.us-quality-core#current:ServiceRequest/negation-example-codeR4

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: StructureDefinition us-quality-core-doNotPerformReason

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1Extension
... url uri"http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason"
... value[x] CodeableConceptBinding: USQualityCore Negation Reason Codes (extensible): The reason the event did not occur or was not performed

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "us-quality-core-doNotPerformReason",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason",
  "version": "0.1.0",
  "name": "USQualityCoreDoNotPerformReason",
  "title": "US Quality Core Do Not Perform Reason",
  "status": "active",
  "experimental": false,
  "date": "2026-03-31",
  "publisher": "ASTP",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://www.healthit.gov/"
        }
      ]
    }
  ],
  "description": "Indicates the reason the event was not performed.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US",
          "display": "United States of America"
        }
      ],
      "text": "USA"
    }
  ],
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "context": [
    {
      "type": "element",
      "expression": "Resource"
    }
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "Extension",
        "definition": "Indicates the reason the event was not performed.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "Extension.id",
        "path": "Extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "description": "The reason the event did not occur or was not performed",
          "valueSet": "http://fhir.org/guides/astp/us-quality-core/ValueSet/us-quality-core-negation-reason"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "definition": "Indicates the reason the event was not performed.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "The reason the event did not occur or was not performed",
          "valueSet": "http://fhir.org/guides/astp/us-quality-core/ValueSet/us-quality-core-negation-reason"
        }
      }
    ]
  }
}