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Packagehl7.fhir.us.quality-core
Resource TypeValueSet
IdValueSet-us-quality-core-negation-reason-codes.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/HL7/fhir-us-quality-core/ValueSet-us-quality-core-negation-reason-codes.html
URLhttp://hl7.org/fhir/us/quality-core/ValueSet/us-quality-core-negation-reason-codes
Version1.0.0-ballot
Statusactive
Date2026-06-30
NameUSQualityCoreNegationReasonCodes
TitleUS Quality Core Negation Reason Codes
Realmus
Authorityhl7
DescriptionThis value set defines the set of codes that can be used to indicate the reason an action was not taken
PurposeThis value set was defined to support identifying any of the possible negation reason codes as part of US Quality Core profiles. The value set is composed of the codes from [Medical Reason Not Done SCT](http://cts.nlm.nih.gov/fhir/2.16.840.1.113883.3.526.3.1007), [Patient Reason Not Done SCT](http://cts.nlm.nih.gov/fhir/2.16.840.1.113883.3.526.3.1008), and concepts that are similar to [System Reason](http://cts.nlm.nih.gov/fhir/2.16.840.1.113883.3.526.3.1009) as defined and available in the Value Set Authority Center. This value set was defined to support identifying any of the possible negation reason codes as part of US Quality Core profiles. The value set exists to support measure developers need to reference medical, patient, and system reasons for processes not performed and it is a grouping of VSAC value sets. Therefore, retain binding to the US Quality Core value set in the profiles that use the extension. It only exists to support bindings to capture a reason for negative.
CopyrightThis value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement

Resources that use this resource

StructureDefinition
hl7.fhir.us.quality-core#currentus-quality-core-communicationnotdoneUS Quality Core Communication Not Done
hl7.fhir.us.quality-core#currentus-quality-core-deviceprohibitedUS Quality Core Device Prohibited
hl7.fhir.us.quality-core#currentus-quality-core-immunizationnotdoneUS Quality Core Immunization Not Done
hl7.fhir.us.quality-core#currentus-quality-core-medicationadministrationnotdoneUS Quality Core MedicationAdministration Not Done
hl7.fhir.us.quality-core#currentus-quality-core-medicationdispensedeclinedUS Quality Core MedicationDispense Declined
hl7.fhir.us.quality-core#currentus-quality-core-medicationprohibitedUS Quality Core Medication Prohibited
hl7.fhir.us.quality-core#currentus-quality-core-procedurenotdoneUS Quality Core Procedure Not Done
hl7.fhir.us.quality-core#currentus-quality-core-serviceprohibitedUS Quality Core Service Prohibited
hl7.fhir.us.quality-core#currentus-quality-core-taskrejectedUS Quality Core Task Rejected

Resources that this resource uses

CodeSystem
hl7.fhir.vn.core#currentsctSNOMED CT (all versions)
ValueSet
us.nlm.vsac#0.24.02.16.840.1.113883.3.526.3.1007Medical Reason
us.nlm.vsac#0.24.02.16.840.1.113883.3.526.3.1008Patient Reason

Narrative

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

Generated Narrative: ValueSet us-quality-core-negation-reason-codes

This value set includes codes based on the following rules:


Source1

{
  "resourceType": "ValueSet",
  "id": "us-quality-core-negation-reason-codes",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "cqi"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 4,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/quality-core/ImplementationGuide/hl7.fhir.us.quality-core"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/quality-core/ImplementationGuide/hl7.fhir.us.quality-core"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/us/quality-core/ValueSet/us-quality-core-negation-reason-codes",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.40.78.48.2"
    }
  ],
  "version": "1.0.0-ballot",
  "name": "USQualityCoreNegationReasonCodes",
  "title": "US Quality Core Negation Reason Codes",
  "status": "active",
  "experimental": false,
  "date": "2026-06-30",
  "publisher": "HL7 International / Clinical Quality Information",
  "contact": [
    {
      "name": "HL7 International / Clinical Quality Information",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    },
    {
      "name": "Clinical Quality Information WG",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description": "This value set defines the set of codes that can be used to indicate the reason an action was not taken",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "purpose": "This value set was defined to support identifying any of the possible negation reason codes as part of US Quality Core profiles. The value set is composed of the codes from [Medical Reason Not Done SCT](http://cts.nlm.nih.gov/fhir/2.16.840.1.113883.3.526.3.1007), [Patient Reason Not Done SCT](http://cts.nlm.nih.gov/fhir/2.16.840.1.113883.3.526.3.1008), and concepts that are similar to [System Reason](http://cts.nlm.nih.gov/fhir/2.16.840.1.113883.3.526.3.1009) as defined and available in the Value Set Authority Center. This value set was defined to support identifying any of the possible negation reason codes as part of US Quality Core profiles. The value set exists to support measure developers need to reference medical, patient, and system reasons for processes not performed and it is a grouping of VSAC value sets.  Therefore, retain binding to the US Quality Core value set in the profiles that use the extension.  It only exists to support bindings to capture a reason for negative.",
  "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
  "compose": {
    "include": [
      {
        "valueSet": [
          "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007"
        ]
      },
      {
        "valueSet": [
          "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1008"
        ]
      },
      {
        "system": "http://snomed.info/sct",
        "concept": [
          {
            "code": "107724000",
            "display": "Patient transfer"
          },
          {
            "code": "182856006",
            "display": "Drug not available - out of stock"
          },
          {
            "code": "182857002",
            "display": "Drug not available - off market"
          },
          {
            "code": "185335007",
            "display": "Appointment canceled by hospital"
          },
          {
            "code": "224194003",
            "display": "Not entitled to benefits"
          },
          {
            "code": "224198000",
            "display": "Delay in receiving benefits"
          },
          {
            "code": "242990004",
            "display": "Drug not available for administration"
          },
          {
            "code": "266756008",
            "display": "Medical care unavailable"
          },
          {
            "code": "270459005",
            "display": "Patient on waiting list"
          },
          {
            "code": "309017000",
            "display": "Referred to doctor"
          },
          {
            "code": "419808006",
            "display": "Finding related to health insurance issues"
          },
          {
            "code": "424553001",
            "display": "Uninsured medical expenses"
          }
        ]
      }
    ]
  }
}