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

## : TaskRejected with value set example - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix sct: <http://snomed.info/id/> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Task ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "negation-example"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-taskrejected"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-taskrejected>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Task negation-example</b></p><a name=\"negation-example\"> </a><a name=\"hcnegation-example\"> </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-taskrejected.html\">US Quality Core Task Rejected</a></p></div><p><b>identifier</b>: <code>http://www.acme.org/tasks</code>/19009</p><p><b>basedOn</b>: Medication reconciliation requested before alemtuzumab infusion</p><p><b>status</b>: Rejected</p><p><b>statusReason</b>: <span title=\"Codes:{http://snomed.info/sct 275936005}\">Patient noncompliance - general (situation)</span></p><p><b>intent</b>: proposal</p><p><b>code</b>: <span title=\"Codes:\">Interventions Related to Medication Management, Medication Reconciliation</span> (Not done value set: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1096.11/expansion\">Interventions Related to Medication Management, Medication Reconciliation</a>)</p><p><b>focus</b>: <a href=\"MedicationRequest-example.html\">MedicationRequest: status = active; intent = order; medication[x] = -&gt;Medication alemtuzumab 10 MG/ML [Lemtrada]; authoredOn = 2015-03-25 19:32:52-0500; reasonCode = Multiple sclerosis (disorder)</a></p><p><b>for</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>executionPeriod</b>: 2015-03-25 --&gt; 2015-03-25</p><p><b>reasonCode</b>: <span title=\"Codes:\">Patient declined medication reconciliation before alemtuzumab infusion</span></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:identifier ( [
    fhir:system [
    fhir:v "http://www.acme.org/tasks"^^xsd:anyURI ;
    fhir:l <http://www.acme.org/tasks>     ] ;
    fhir:value [ fhir:v "19009" ]
      ] ) ; #
      fhir:basedOn ( [
    fhir:display [ fhir:v "Medication reconciliation requested before alemtuzumab infusion" ]
      ] ) ; #
      fhir:status [ fhir:v "rejected"] ; #
      fhir:statusReason [
        ( fhir:coding [
    a sct:275936005 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "275936005" ] ;
    fhir:display [ fhir:v "Patient noncompliance - general (situation)" ]     ] )
      ] ; #
      fhir:intent [ fhir:v "proposal"] ; #
      fhir:code [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet>       ] ;
    fhir:value [
    a fhir:Canonical ;
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1096.11"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1096.11>       ]     ] ) ;
    fhir:text [ fhir:v "Interventions Related to Medication Management, Medication Reconciliation" ]
      ] ; #
      fhir:focus [
    fhir:l fhir:MedicationRequest/example ;
    fhir:reference [ fhir:v "MedicationRequest/example" ]
      ] ; #
      fhir:for [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ]
      ] ; #
      fhir:executionPeriod [
    fhir:start [ fhir:v "2015-03-25"^^xsd:date ] ;
    fhir:end [ fhir:v "2015-03-25"^^xsd:date ]
      ] ; #
      fhir:reasonCode [
    fhir:text [ fhir:v "Patient declined medication reconciliation before alemtuzumab infusion" ]
      ] . #