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

## : Non-Negative MedicationDispense Status - JSON Representation

Active as of 2026-05-15

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    {
      "resourceType" : "ValueSet",
      "id" : "us-quality-core-non-negative-medicationdispense-status",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet us-quality-core-non-negative-medicationdispense-status</b></p><a name=\"us-quality-core-non-negative-medicationdispense-status\"> </a><a name=\"hcus-quality-core-non-negative-medicationdispense-status\"> </a><ul><li>Include these codes as defined in <a href=\"http://hl7.org/fhir/R4/codesystem-medicationdispense-status.html\"><code>http://terminology.hl7.org/CodeSystem/medicationdispense-status</code></a><span title=\"Version is not explicitly stated, which means it is fixed to 4.0.1, the version found through the package references\"> version &#x1F4E6;4.0.1</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-medicationdispense-status.html#medicationdispense-status-preparation\">preparation</a></td><td>Preparation</td><td>The core event has not started yet, but some staging activities have begun (e.g. initial compounding or packaging of medication). Preparation stages may be tracked for billing purposes.</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-medicationdispense-status.html#medicationdispense-status-in-progress\">in-progress</a></td><td>In Progress</td><td>The dispensed product is ready for pickup.</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-medicationdispense-status.html#medicationdispense-status-cancelled\">cancelled</a></td><td>Cancelled</td><td>The dispensed product was not and will never be picked up by the patient.</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-medicationdispense-status.html#medicationdispense-status-on-hold\">on-hold</a></td><td>On Hold</td><td>The dispense process is paused while waiting for an external event to reactivate the dispense.  For example, new stock has arrived or the prescriber has called.</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-medicationdispense-status.html#medicationdispense-status-completed\">completed</a></td><td>Completed</td><td>The dispensed product has been picked up.</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-medicationdispense-status.html#medicationdispense-status-entered-in-error\">entered-in-error</a></td><td>Entered in Error</td><td>The dispense was entered in error and therefore nullified.</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-medicationdispense-status.html#medicationdispense-status-stopped\">stopped</a></td><td>Stopped</td><td>Actions implied by the dispense have been permanently halted, before all of them occurred.</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-medicationdispense-status.html#medicationdispense-status-unknown\">unknown</a></td><td>Unknown</td><td>The authoring system does not know which of the status values applies for this medication dispense.  Note: this concept is not to be used for other - one of the listed statuses is presumed to apply, it's just now known which one.</td></tr></table></li></ul></div>"
      },
      "url" : "http://fhir.org/guides/onc/us-quality-core/ValueSet/us-quality-core-non-negative-medicationdispense-status",
      "version" : "0.5.0",
      "name" : "NonNegativeMedicationDispenseStatus",
      "title" : "Non-Negative MedicationDispense Status",
      "status" : "active",
      "experimental" : false,
      "date" : "2026-05-15",
      "publisher" : "Office of the National Coordinator for Health Information Technology (ONC)",
      "contact" : [
        {
          "name" : "Office of the National Coordinator for Health Information Technology (ONC)",
          "telecom" : [
            {
              "system" : "url",
              "value" : "https://www.healthit.gov/feedback"
            }
          ]
        }
      ],
      "description" : "This value set defines the set of codes that indicate a non-negated medication dispense status (i.e. codes that are not `declined`)",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:3166",
              "code" : "US",
              "display" : "United States of America"
            }
          ],
          "text" : "USA"
        }
      ],
      "purpose" : "This value set was defined to support the set of medication dispense statuses in FHIR that do not explicitly indicate a negative status (i.e. all the codes from the http://terminology.hl7.org/CodeSystem/medicationdispense-status code system that are not `declined`).",
      "compose" : {
        "include" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/medicationdispense-status",
            "concept" : [
              {
                "code" : "preparation",
                "display" : "Preparation"
              },
              {
                "code" : "in-progress",
                "display" : "In Progress"
              },
              {
                "code" : "cancelled",
                "display" : "Cancelled"
              },
              {
                "code" : "on-hold",
                "display" : "On Hold"
              },
              {
                "code" : "completed",
                "display" : "Completed"
              },
              {
                "code" : "entered-in-error",
                "display" : "Entered in Error"
              },
              {
                "code" : "stopped",
                "display" : "Stopped"
              },
              {
                "code" : "unknown",
                "display" : "Unknown"
              }
            ]
          }
        ]
      }
    }