QI-Core Implementation Guide
4.1.0 - release

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## ValueSet: Negation Reason Codes

Summary

Defining URL: | http://hl7.org/fhir/us/qicore/ValueSet/qicore-negation-reason
Version: | 4.1.0
Name: | NegationReasonCodes
Title: | Negation Reason Codes
Status: | Active as of 12/5/18
Definition: | This value set defines the set of codes that can be used to indicate the reason an action was not taken
Publisher: | http://www.hl7.org/Special/committees/cqi/index.cfm
Source Resource: | XML / JSON / Turtle

References

- QICoreCommunicationNotDone
- QICoreDoNotPerformReason
- QICoreImmunizationNotDone
- QICoreMedicationAdministrationNotDone
- QICoreMedicationDispenseNotDone
- QICoreMedicationNotRequested
- QICoreNotDoneReason
- QICoreProcedureNotDone
- QICoreTaskNotDone

### Logical Definition (CLD)

- Import all the codes that are contained in http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.56, http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.58, http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1009

### Expansion

This value set contains 82 concepts

Expansion based on:

- System Reason v20170504 (ValueSet)
- System Reason v20170504 (ValueSet)
- Patient Reason Not Done SCT v20191212 (ValueSet)
- Medical Reason Not Done SCT v20191212 (ValueSet)
- SNOMED CT United States edition 01-Sep 2021

All codes in this table are from the system `http://snomed.info/sct`

Code | Display
183932001 | Procedure contraindicated (situation)
183964008 | Treatment not indicated (situation)
183966005 | Drug treatment not indicated (situation)
216952002 | Failure in dosage (event)
266721009 | Absent response to treatment (situation)
269191009 | Late effect of medical and surgical care complication (disorder)
274512008 | Drug therapy discontinued (situation)
31438003 | Drug resistance (disorder)
35688006 | Complication of medical care (disorder)
371133007 | Treatment modification (procedure)
397745006 | Medical contraindication (finding)
407563006 | Treatment not tolerated (situation)
410529002 | Not needed (qualifier value)
410534003 | Not indicated (qualifier value)
410536001 | Contraindicated (qualifier value)
416098002 | Allergy to drug (finding)
416406003 | Procedure discontinued (situation)
419511003 | Propensity to adverse reactions to drug (finding)
428024001 | Clinical trial participant (person)
428119001 | Procedure not indicated (situation)
445528004 | Treatment changed (situation)
59037007 | Intolerance to drug (finding)
62014003 | Adverse reaction caused by drug (disorder)
79899007 | Drug interaction (finding)
105480006 | Refusal of treatment by patient (situation)
134397009 | Angiotensin converting enzyme inhibitor declined (situation)
160932005 | Financial problem (finding)
160934006 | Financial circumstances change (finding)
182890002 | Patient requests alternative treatment (finding)
182895007 | Drug declined by patient (situation)
182896008 | Drug declined by patient - dislikes taste (situation)
182897004 | Drug declined by patient - side effects (situation)
182898009 | Drug declined by patient - inconvenient (situation)
182900006 | Drug declined by patient - patient beliefs (situation)
182901005 | Drug declined by patient - alternative therapy (situation)
182902003 | Drug declined by patient - cannot pay script (situation)
182903008 | Drug declined by patient - reason unknown (situation)
183944003 | Procedure refused (situation)
183945002 | Procedure refused for religious reason (situation)
183946001 | Procedure refused - uncooperative (situation)
183947005 | Refused procedure - after thought (situation)
183948000 | Refused procedure - parent's wish (situation)
184081006 | Patient has moved away (finding)
185479006 | Patient dissatisfied with result (finding)
185481008 | Dissatisfied with doctor (finding)
224187001 | Variable income (finding)
225928004 | Patient self-discharge against medical advice (procedure)
266710000 | Drugs not taken/completed (situation)
266966009 | Family illness (situation)
275694009 | Patient defaulted from follow-up (finding)
275936005 | Patient noncompliance - general (situation)
281399006 | Did not attend (finding)
310343007 | Further opinion sought (finding)
315640000 | Influenza vaccination declined (situation)
371138003 | Refusal of treatment by parents (situation)
373787003 | Treatment delay - patient choice (finding)
401084003 | Angiotensin II receptor antagonist declined (situation)
406149000 | Medication refused (situation)
408367005 | Patient forgets to take medication (finding)
413310006 | Patient non-compliant - refused access to services (situation)
413311005 | Patient non-compliant - refused intervention / support (situation)
413312003 | Patient non-compliant - refused service (situation)
416432009 | Procedure not wanted (situation)
423656007 | Income insufficient to buy necessities (finding)
424739004 | Income sufficient to buy only necessities (finding)
443390004 | Refused (qualifier value)
609589008 | Refused by parents of subject (qualifier value)
713247000 | Procedure discontinued by patient (situation)
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 | Delay in receiving benefits (finding)
224199008 | 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)
309846006 | Treatment not available (situation)
419808006 | Finding related to health insurance issues (finding)
424553001 | Uninsured 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