QI-Core Implementation Guide
8.0.0-ballot - STU 8 - ballot

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 8.0.0-ballot 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: 8.0.0-ballot
Standards status: Trial-use Active as of 2018-12-05 | Maturity Level: 4 | Computable Name: NegationReasonCodes
Copyright/Legal: 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

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

References

- QICore Communication Not Done
- QICore Device Prohibited
- QICore Immunization Not Done
- QICore MedicationAdministration Not Done
- QICore MedicationDispense Declined
- QICore Medication Prohibited
- QICore Procedure Not Done
- QICore Task Rejected

### Logical Definition (CLD)

This value set includes codes based on the following rules:

- Import all the codes that are contained in Medical Reason
- Import all the codes that are contained in Patient Reason
- Include these codes as defined in `http://snomed.info/sct` version Not Stated (use latest from terminology server)

  Code | Display
  107724000 | Patient transfer (procedure)
  182856006 | Drug not available - out of stock (finding)
  182857002 | Drug not available-off market (finding)
  185335007 | Appointment canceled by hospital (finding)
  224194003 | Not entitled to benefits (finding)
  224198000 | Loss of benefits (finding)
  242990004 | Drug not available for administration (event)
  266756008 | Medical care unavailable (situation)
  270459005 | Patient on waiting list (finding)
  309017000 | Referred to doctor (finding)
  419808006 | Finding related to health insurance issues (finding)
  424553001 | Uninsured medical expenses (finding)

### Expansion

Expansion from tx.fhir.org based on:

- SNOMED CT United States edition 01-Mar 2025
- SNOMED CT United States edition 01-Sep 2025
- valueset Patient Reason v20250208 (ValueSet)
- valueset Medical Reason v20220226 (ValueSet)
- valueset Medical Reason v20170504 (ValueSet)
- valueset Patient Reason v20170504 (ValueSet)

This value set contains 56 concepts

System | Code | Display (en) | Inactive | status | JSON | XML
`http://snomed.info/sct` | 183932001 | Procedure contraindicated |  |  |  |
`http://snomed.info/sct` | 183964008 | Treatment not indicated |  |  |  |
`http://snomed.info/sct` | 183966005 | Drug treatment not indicated |  |  |  |
`http://snomed.info/sct` | 266721009 | Absent response to treatment |  |  |  |
`http://snomed.info/sct` | 269191009 | Late effect of medical and surgical care complication |  |  |  |
`http://snomed.info/sct` | 31438003 | Drug resistance |  |  |  |
`http://snomed.info/sct` | 35688006 | Complication of medical care |  |  |  |
`http://snomed.info/sct` | 407563006 | Treatment not tolerated |  |  |  |
`http://snomed.info/sct` | 410534003 | Not indicated (qualifier value) |  |  |  |
`http://snomed.info/sct` | 410536001 | Contraindicated (qualifier value) |  |  |  |
`http://snomed.info/sct` | 416098002 | Drug allergy |  |  |  |
`http://snomed.info/sct` | 428119001 | Procedure not indicated (situation) |  |  |  |
`http://snomed.info/sct` | 59037007 | Drug intolerance |  |  |  |
`http://snomed.info/sct` | 62014003 | Drug reaction |  |  |  |
`http://snomed.info/sct` | 79899007 | Drug interaction |  |  |  |
`http://snomed.info/sct` | 1296859006 | Procedure declined (situation) |  |  |  |
`http://snomed.info/sct` | 160932005 | Financial problem |  |  |  |
`http://snomed.info/sct` | 160934006 | Financial circumstances change |  |  |  |
`http://snomed.info/sct` | 182890002 | Patient requests alternative treatment | inactive | inactive |  |
`http://snomed.info/sct` | 182895007 | Drug declined by patient |  |  |  |
`http://snomed.info/sct` | 182897004 | Drug declined by patient - side effects |  |  |  |
`http://snomed.info/sct` | 182900006 | Drug declined by patient - patient beliefs |  |  |  |
`http://snomed.info/sct` | 182902003 | Drug declined by patient - cannot pay script |  |  |  |
`http://snomed.info/sct` | 183945002 | Procedure refused for religious reason |  |  |  |
`http://snomed.info/sct` | 184081006 | Patient has moved away | inactive | inactive |  |
`http://snomed.info/sct` | 185479006 | Patient dissatisfied with result |  |  |  |
`http://snomed.info/sct` | 185481008 | Dissatisfied with doctor |  |  |  |
`http://snomed.info/sct` | 224187001 | Variable income |  |  |  |
`http://snomed.info/sct` | 225928004 | Patient self-discharge against medical advice |  |  |  |
`http://snomed.info/sct` | 266710000 | Drugs not taken/completed |  |  |  |
`http://snomed.info/sct` | 266966009 | Family illness |  |  |  |
`http://snomed.info/sct` | 275694009 | Patient defaulted from follow-up | inactive | inactive |  |
`http://snomed.info/sct` | 275936005 | Patient noncompliance - general (situation) |  |  |  |
`http://snomed.info/sct` | 31021000119100 | Screening declined (situation) |  |  |  |
`http://snomed.info/sct` | 310343007 | Further opinion sought |  |  |  |
`http://snomed.info/sct` | 373787003 | Delay - patient choice |  |  |  |
`http://snomed.info/sct` | 406149000 | Medication refused |  |  |  |
`http://snomed.info/sct` | 408367005 | Patient forgets to take medication (finding) | inactive | inactive |  |
`http://snomed.info/sct` | 413311005 | Patient non-compliant - refused intervention / support |  |  |  |
`http://snomed.info/sct` | 416432009 | Procedure not wanted |  |  |  |
`http://snomed.info/sct` | 423656007 | Income insufficient to buy necessities (finding) |  |  |  |
`http://snomed.info/sct` | 424739004 | Income sufficient to buy only necessities (finding) |  |  |  |
`http://snomed.info/sct` | 443390004 | Refused |  |  |  |
`http://snomed.info/sct` | 713247000 | Procedure discontinued by patient |  |  |  |
`http://snomed.info/sct` | 107724000 | Patient transfer |  |  |  |
`http://snomed.info/sct` | 182856006 | Drug not available - out of stock |  |  |  |
`http://snomed.info/sct` | 182857002 | Drug not available - off market |  |  |  |
`http://snomed.info/sct` | 185335007 | Appointment canceled by hospital (finding) |  |  |  |
`http://snomed.info/sct` | 224194003 | Not entitled to benefits |  |  |  |
`http://snomed.info/sct` | 224198000 | Delay in receiving benefits |  |  |  |
`http://snomed.info/sct` | 242990004 | Drug not available for administration |  |  |  |
`http://snomed.info/sct` | 266756008 | Medical care unavailable |  |  |  |
`http://snomed.info/sct` | 270459005 | Patient on waiting list | inactive | inactive |  |
`http://snomed.info/sct` | 309017000 | Referred to doctor |  |  |  |
`http://snomed.info/sct` | 419808006 | Finding related to health insurance issues (finding) |  |  |  |
`http://snomed.info/sct` | 424553001 | Uninsured medical expenses (finding) |  |  |  |

Description of the above table(s).