QI-Core Implementation Guide
4.1.0 - release

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## ValueSet: Reasons for canceled or refused encounter codes

Summary

Defining URL: | http://hl7.org/fhir/us/qicore/ValueSet/qicore-encounter-canceled-reason
Version: | 4.1.0
Name: | QICoreEncounterCanceledReason
Title: | Reasons for canceled or refused encounter 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 encounter process, in particular the process and reasons for canceling or refusing an encounter. 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