<?xml version="1.0" encoding="UTF-8"?>

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="qicore-goal-reason-rejected"/>
  <meta>
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/>
  </meta>
  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml"><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href="http://terminology.hl7.org/3.0.0/CodeSystem-v3-ActReason.html"><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="http://terminology.hl7.org/3.0.0/CodeSystem-v3-ActReason.html#v3-ActReason-BLK">BLK</a></td><td>Unexpected Block (of Schedule)</td><td>The time slots previously allocated are now blocked and no longer available for booking Appointments</td></tr><tr><td><a href="http://terminology.hl7.org/3.0.0/CodeSystem-v3-ActReason.html#v3-ActReason-DEC">DEC</a></td><td>Patient Deceased</td><td>The Patient is deceased</td></tr><tr><td><a href="http://terminology.hl7.org/3.0.0/CodeSystem-v3-ActReason.html#v3-ActReason-FIN">FIN</a></td><td>No Financial Backing</td><td>Patient unable to pay and not covered by insurance</td></tr><tr><td><a href="http://terminology.hl7.org/3.0.0/CodeSystem-v3-ActReason.html#v3-ActReason-MED">MED</a></td><td>Medical Status Altered</td><td>The medical condition of the Patient has changed</td></tr><tr><td><a href="http://terminology.hl7.org/3.0.0/CodeSystem-v3-ActReason.html#v3-ActReason-ALTD">ALTD</a></td><td>altered decision</td><td>**Description:**The decision on which the recorded information was based was changed before the decision had an effect.<br/><br/>**Example:**Aborted prescription before patient left office, released prescription before suspend took effect.</td></tr></table></li><li>Include codes from <a href="http://www.snomed.org/"><code>http://snomed.info/sct</code></a> where concept  is-a  410521004 (Not to be done (qualifier value))</li></ul></div>
  </text>
  <url value="http://hl7.org/fhir/us/qicore/ValueSet/qicore-goal-reason-rejected"/>
  <version value="4.1.0"/>
  <name value="QICoreGoalReasonRejected"/>
  <title value="Reasons for rejecting goal codes"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2018-08-22"/>
  <publisher value="http://www.hl7.org/Special/committees/cqi/index.cfm"/>
  <contact>
    <name value="Clinical Quality Information WG"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cqi"/>
    </telecom>
  </contact>
  <description value="The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support the goal process, in particular the process and reasons for rejecting a goal. This value set is provided as a suggestive example."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright value="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>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <concept>
        <code value="BLK"/>
      </concept>
      <concept>
        <code value="DEC"/>
      </concept>
      <concept>
        <code value="FIN"/>
      </concept>
      <concept>
        <code value="MED"/>
      </concept>
      <concept>
        <code value="ALTD"/>
      </concept>
    </include>
    <include>
      <system value="http://snomed.info/sct"/>
      <filter>
        <property value="concept"/>
        <op value="is-a"/>
        <value value="410521004"/>
      </filter>
    </include>
  </compose>
</ValueSet>