2026 US Quality Core Implementation Guide
0.5.0 - cibuild US

2026 US Quality Core Implementation Guide, published by Office of the National Coordinator for Health Information Technology (ONC). This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/us-quality-core/ and changes regularly. See the Directory of published versions

## : Immunization negation with code example - XML Representation

Raw xml | Download

    <Immunization xmlns="http://hl7.org/fhir">
      <id value="negation-example-code"/>
      <meta>
        <profile
                 value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-immunizationnotdone"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Immunization negation-example-code</b></p><a name="negation-example-code"> </a><a name="hcnegation-example-code"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-quality-core-immunizationnotdone.html">US Quality Core Immunization Not Done</a></p></div><p><b>status</b>: Not Done</p><p><b>statusReason</b>: <span title="Codes:{http://snomed.info/sct 182895007}">Drug declined by patient</span></p><p><b>vaccineCode</b>: <span title="Codes:{http://hl7.org/fhir/sid/cvx 160}">Influenza Vaccine A</span></p><p><b>patient</b>: <a href="Patient-example.html">Jim Chalmers  Male, DoB: 1974-12-25 ( Social Security number (use: usual, period: 2001-05-06 --&gt; (ongoing)))</a></p><p><b>encounter</b>: <a href="Encounter-example.html">Encounter: identifier = http://example.org/encounters#ENC-20130404-appendicitis; status = finished; class = inpatient encounter (v3 Code System ActCode#IMP); type = Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.; period = 2013-04-04 18:00:00-0400 --&gt; 2013-04-06 11:00:00-0400</a></p><p><b>occurrence</b>: 2013-01-10</p><p><b>recorded</b>: 2013-01-10</p><p><b>primarySource</b>: true</p></div>
      </text>
      <status value="not-done"/>
      <statusReason>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="182895007"/>
          <display value="Drug declined by patient"/>
        </coding>
      </statusReason>
      <vaccineCode>
        <coding>
          <system value="http://hl7.org/fhir/sid/cvx"/>
          <code value="160"/>
          <display
                   value="Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013"/>
        </coding>
        <text value="Influenza Vaccine A"/>
      </vaccineCode>
      <patient>🔗
        <reference value="Patient/example"/>
      </patient>
      <encounter>🔗
        <reference value="Encounter/example"/>
      </encounter>
      <occurrenceDateTime value="2013-01-10"/>
      <recorded value="2013-01-10"/>
      <primarySource value="true"/>
    </Immunization>