QI-Core Implementation Guide
4.1.0 - release

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## ValueSet: Reasons for rejecting goal codes

Summary

Defining URL: | http://hl7.org/fhir/us/qicore/ValueSet/qicore-goal-reason-rejected
Version: | 4.1.0
Name: | QICoreGoalReasonRejected
Title: | Reasons for rejecting goal codes
Status: | Draft as of 8/22/18
Definition: | 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.
Publisher: | http://www.hl7.org/Special/committees/cqi/index.cfm
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.
Source Resource: | XML / JSON / Turtle

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

### Logical Definition (CLD)

This value set includes codes based on the following rules:

- Include these codes as defined in `http://terminology.hl7.org/CodeSystem/v3-ActReason`

  Code | Display | Definition
  BLK | Unexpected Block (of Schedule) | The time slots previously allocated are now blocked and no longer available for booking Appointments
  DEC | Patient Deceased | The Patient is deceased
  FIN | No Financial Backing | Patient unable to pay and not covered by insurance
  MED | Medical Status Altered | The medical condition of the Patient has changed
  ALTD | altered decision | **Description:**The decision on which the recorded information was based was changed before the decision had an effect. **Example:**Aborted prescription before patient left office, released prescription before suspend took effect.

- Include codes from `http://snomed.info/sct` where concept is-a 410521004 (Not to be done (qualifier value))

### Expansion

This value set contains 17 concepts

Expansion based on:

- ActReason v2.0.0 (CodeSystem)
- SNOMED CT United States edition 01-Sep 2021
- Communication reason not performed codes v4.1.0 (ValueSet)

Code | System | Display | Definition
BLK | http://terminology.hl7.org/CodeSystem/v3-ActReason | Unexpected Block (of Schedule) | The time slots previously allocated are now blocked and no longer available for booking Appointments
DEC | http://terminology.hl7.org/CodeSystem/v3-ActReason | Patient Deceased | The Patient is deceased
FIN | http://terminology.hl7.org/CodeSystem/v3-ActReason | No Financial Backing | Patient unable to pay and not covered by insurance
MED | http://terminology.hl7.org/CodeSystem/v3-ActReason | Medical Status Altered | The medical condition of the Patient has changed
ALTD | http://terminology.hl7.org/CodeSystem/v3-ActReason | altered decision | **Description:**The decision on which the recorded information was based was changed before the decision had an effect. **Example:**Aborted prescription before patient left office, released prescription before suspend took effect.
410521004 | http://snomed.info/sct | Not to be done (qualifier value) |
89925002 | http://snomed.info/sct | Canceled (qualifier value) |
385647007 | http://snomed.info/sct | Rejected by performer (qualifier value) |
410528005 | http://snomed.info/sct | Not wanted (qualifier value) |
410529002 | http://snomed.info/sct | Not needed (qualifier value) |
410530007 | http://snomed.info/sct | Not offered (qualifier value) |
410531006 | http://snomed.info/sct | Under consideration, not wanted yet (qualifier value) |
441889009 | http://snomed.info/sct | Denied (qualifier value) |
443390004 | http://snomed.info/sct | Refused (qualifier value) |
609589008 | http://snomed.info/sct | Refused by parents of subject |
724073007 | http://snomed.info/sct | Refused by caregiver of subject (qualifier value) |
871880008 | http://snomed.info/sct | Under consideration by parent of subject, not wanted yet |

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