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

## : USQualityCore Negation Reason Codes - XML Representation

Active as of 2026-05-15

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    <ValueSet xmlns="http://hl7.org/fhir">
      <id value="us-quality-core-negation-reason"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet us-quality-core-negation-reason</b></p><a name="us-quality-core-negation-reason"> </a><a name="hcus-quality-core-negation-reason"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Import all the codes that are contained in <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1021.56/expansion">Medical Reason Not Done SCT</a></li><li>Import all the codes that are contained in <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1021.58/expansion">Patient Reason Not Done SCT</a></li><li>Import all the codes that are contained in <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1009/expansion">System Reason</a></li></ul></div>
      </text>
      <url
           value="http://fhir.org/guides/onc/us-quality-core/ValueSet/us-quality-core-negation-reason"/>
      <version value="0.5.0"/>
      <name value="NegationReasonCodes"/>
      <title value="USQualityCore Negation Reason Codes"/>
      <status value="active"/>
      <experimental value="false"/>
      <date value="2026-05-15"/>
      <publisher
                 value="Office of the National Coordinator for Health Information Technology (ONC)"/>
      <contact>
        <name
              value="Office of the National Coordinator for Health Information Technology (ONC)"/>
        <telecom>
          <system value="url"/>
          <value value="https://www.healthit.gov/feedback"/>
        </telecom>
      </contact>
      <description
                   value="This value set defines the set of codes that can be used to indicate the reason an action was not taken"/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="US"/>
          <display value="United States of America"/>
        </coding>
        <text value="USA"/>
      </jurisdiction>
      <purpose
               value="This value set was defined to support identifying any of the possible negation reason codes as part of USQualityCore profiles. The value set is composed of the codes from [Medical Reason Not Done SCT](http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.56), [Patient Reason Not Done SCT](http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.58), and [System Reason](http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1009) as defined and available in the Value Set Authority Center."/>
      <compose>
        <include>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.56"/>
        </include>
        <include>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.58"/>
        </include>
        <include>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1009"/>
        </include>
      </compose>
    </ValueSet>