QI-Core Implementation Guide
6.0.0 - STU6 United States of America flag

QI-Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 6.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-qi-core/ and changes regularly. See the Directory of published versions

ValueSet: QICore Negation Reason Codes

Official URL: http://hl7.org/fhir/us/qicore/ValueSet/qicore-negation-reason Version: 6.0.0
Active as of 2018-12-05 Computable Name: NegationReasonCodes

This value set defines the set of codes that can be used to indicate the reason an action was not taken

This value set was defined to support identifying any of the possible negation reason codes as part of QICore profiles. The value set is composed of the codes from Medical Reason Not Done SCT, Patient Reason Not Done SCT, and System Reason as defined and available in the Value Set Authority Center.


Logical Definition (CLD)

This value set includes codes based on the following rules:



This value set has 14 codes in it. In order to keep the publication size manageable, only a selection ({1} codes) of the whole set of codes is shown.

  183932001http://snomed.info/sctProcedure contraindicated
  183964008http://snomed.info/sctTreatment not indicated
  183966005http://snomed.info/sctDrug treatment not indicated
  216952002http://snomed.info/sctFailure in dosage
  266721009http://snomed.info/sctAbsent response to treatment
  269191009http://snomed.info/sctLate effect of medical and surgical care complication
  274512008http://snomed.info/sctDrug therapy discontinued
  31438003http://snomed.info/sctDrug resistance
  35688006http://snomed.info/sctComplication of medical care
  371133007http://snomed.info/sctTreatment modification (procedure)
  397745006http://snomed.info/sctMedical contraindication (finding)inactive
  407563006http://snomed.info/sctTreatment not tolerated (situation)
  410529002http://snomed.info/sctNot needed (qualifier value)
  410534003http://snomed.info/sctNot indicated (qualifier value)
  410536001http://snomed.info/sctContraindicated (qualifier value)
  416098002http://snomed.info/sctAllergy to drug (finding)
  416406003http://snomed.info/sctProcedure discontinued (situation)
  419511003http://snomed.info/sctPropensity to adverse reactions to drug (finding)
  428024001http://snomed.info/sctClinical trial participant (person)
  428119001http://snomed.info/sctProcedure not indicated (situation)
  445528004http://snomed.info/sctTreatment changed (situation)
  59037007http://snomed.info/sctDrug intolerance
  62014003http://snomed.info/sctDrug reaction
  79899007http://snomed.info/sctDrug interaction
  105480006http://snomed.info/sctRefusal of treatment by patient
  134397009http://snomed.info/sctAngiotensin converting enzyme inhibitor declined
  160932005http://snomed.info/sctFinancial problem
  160934006http://snomed.info/sctFinancial circumstances change
  182890002http://snomed.info/sctPatient requests alternative treatment
  182895007http://snomed.info/sctDrug declined by patient
  182896008http://snomed.info/sctDrug declined by patient - dislikes taste
  182897004http://snomed.info/sctDrug declined by patient - side effects
  182898009http://snomed.info/sctDrug declined by patient - inconvenient (situation)
  182900006http://snomed.info/sctDrug declined by patient - patient beliefs
  182901005http://snomed.info/sctDrug declined by patient - alternative therapy
  182902003http://snomed.info/sctDrug declined by patient - cannot pay script
  182903008http://snomed.info/sctDrug declined by patient - reason unknown
  183944003http://snomed.info/sctProcedure refusedinactive
  183945002http://snomed.info/sctProcedure refused for religious reason (situation)
  183946001http://snomed.info/sctProcedure refused - uncooperative
  183947005http://snomed.info/sctRefused procedure - after thoughtinactive
  183948000http://snomed.info/sctRefused procedure - parent's wish
  184081006http://snomed.info/sctPatient has moved away
  185479006http://snomed.info/sctPatient dissatisfied with result
  185481008http://snomed.info/sctDissatisfied with doctor
  224187001http://snomed.info/sctVariable income
  225928004http://snomed.info/sctPatient self-discharge against medical advice
  266710000http://snomed.info/sctDrugs not taken/completed
  266966009http://snomed.info/sctFamily illness
  275694009http://snomed.info/sctPatient defaulted from follow-up
  275936005http://snomed.info/sctPatient noncompliance - general (situation)
  281399006http://snomed.info/sctDid not attend
  310343007http://snomed.info/sctFurther opinion sought
  315640000http://snomed.info/sctInfluenza vaccination declined
  371138003http://snomed.info/sctRefusal of treatment by parents (situation)inactive
  373787003http://snomed.info/sctTreatment delay - patient choice (finding)
  401084003http://snomed.info/sctAngiotensin II receptor antagonist declined (situation)
  406149000http://snomed.info/sctMedication refused (situation)
  408367005http://snomed.info/sctPatient forgets to take medication (finding)
  413310006http://snomed.info/sctPatient non-compliant - refused access to services (situation)inactive
  413311005http://snomed.info/sctPatient non-compliant - refused intervention / support (situation)
  413312003http://snomed.info/sctPatient non-compliant - refused service (situation)inactive
  416432009http://snomed.info/sctProcedure not wanted (situation)
  423656007http://snomed.info/sctIncome insufficient to buy necessities (finding)
  424739004http://snomed.info/sctIncome sufficient to buy only necessities (finding)
  443390004http://snomed.info/sctRefused (qualifier value)
  609589008http://snomed.info/sctRefused by parents of subjectinactive
  713247000http://snomed.info/sctProcedure discontinued by patient
  107724000http://snomed.info/sctPatient transfer
  182856006http://snomed.info/sctDrug not available - out of stock
  182857002http://snomed.info/sctDrug not available-off market
  185335007http://snomed.info/sctAppointment canceled by hospital (finding)
  224194003http://snomed.info/sctNot entitled to benefits
  224198000http://snomed.info/sctDelay in receiving benefits
  224199008http://snomed.info/sctLoss of benefits
  242990004http://snomed.info/sctDrug not available for administration
  266756008http://snomed.info/sctMedical care unavailable
  270459005http://snomed.info/sctPatient on waiting list
  309017000http://snomed.info/sctReferred to doctor
  309846006http://snomed.info/sctTreatment not available
  419808006http://snomed.info/sctFinding related to health insurance issues (finding)
  424553001http://snomed.info/sctUninsured medical expenses (finding)

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code