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 Observation Status - TTL Representation

Active as of 2026-05-15

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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 xsd: <http://www.w3.org/2001/XMLSchema#> .

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

     a fhir:ValueSet ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "us-quality-core-non-negative-observation-status"] ; #
      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: ValueSet us-quality-core-non-negative-observation-status</b></p><a name=\"us-quality-core-non-negative-observation-status\"> </a><a name=\"hcus-quality-core-non-negative-observation-status\"> </a><ul><li>Include these codes as defined in <a href=\"http://hl7.org/fhir/R4/codesystem-observation-status.html\"><code>http://hl7.org/fhir/observation-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 ?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-observation-status.html#observation-status-registered\">registered</a></td><td>Registered</td><td>The existence of the observation is registered, but there is no result yet available.</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-observation-status.html#observation-status-preliminary\">preliminary</a></td><td>Preliminary</td><td>This is an initial or interim observation: data may be incomplete or unverified.</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-observation-status.html#observation-status-final\">final</a></td><td>Final</td><td>The observation is complete and there are no further actions needed. Additional information such \"released\", \"signed\", etc would be represented using [Provenance](provenance.html) which provides not only the act but also the actors and dates and other related data. These act states would be associated with an observation status of `preliminary` until they are all completed and then a status of `final` would be applied.</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-observation-status.html#observation-status-amended\">amended</a></td><td>Amended</td><td>Subsequent to being Final, the observation has been modified subsequent.  This includes updates/new information and corrections.</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-observation-status.html#observation-status-corrected\">corrected</a></td><td>Corrected</td><td>Subsequent to being Final, the observation has been modified to correct an error in the test result.</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-observation-status.html#observation-status-entered-in-error\">entered-in-error</a></td><td>Entered in Error</td><td>The observation has been withdrawn following previous final release.  This electronic record should never have existed, though it is possible that real-world decisions were based on it. (If real-world activity has occurred, the status should be \"cancelled\" rather than \"entered-in-error\".).</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-observation-status.html#observation-status-unknown\">unknown</a></td><td>Unknown</td><td>The authoring/source system does not know which of the status values currently applies for this observation. Note: This concept is not to be used for \"other\" - one of the listed statuses is presumed to apply, but the authoring/source system does not know which.</td></tr></table></li></ul></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:url [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/ValueSet/us-quality-core-non-negative-observation-status"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/ValueSet/us-quality-core-non-negative-observation-status>
      ] ; #
      fhir:version [ fhir:v "0.5.0"] ; #
      fhir:name [ fhir:v "NonNegativeObservationStatus"] ; #
      fhir:title [ fhir:v "Non-Negative Observation Status"] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:experimental [ fhir:v false] ; #
      fhir:date [ fhir:v "2026-05-15"^^xsd:date] ; #
      fhir:publisher [ fhir:v "Office of the National Coordinator for Health Information Technology (ONC)"] ; #
      fhir:contact ( [
    fhir:name [ fhir:v "Office of the National Coordinator for Health Information Technology (ONC)" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://www.healthit.gov/feedback" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "This value set defines the set of codes that indicate a non-negated observation status (i.e. codes that are not `cancelled`)"] ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
    fhir:l <urn:iso:std:iso:3166>       ] ;
    fhir:code [ fhir:v "US" ] ;
    fhir:display [ fhir:v "United States of America" ]     ] ) ;
    fhir:text [ fhir:v "USA" ]
      ] ) ; #
      fhir:purpose [ fhir:v "This value set was defined to support the set of observation statuses in FHIR that do not explicitly indicate a negative status (i.e. all the codes from the http://hl7.org/fhir/observation-status code system that are not `cancelled`)."] ; #
      fhir:compose [
        ( fhir:include [
    fhir:system [
    fhir:v "http://hl7.org/fhir/observation-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/observation-status>       ] ;
          ( fhir:concept [
    fhir:code [ fhir:v "registered" ] ;
    fhir:display [ fhir:v "Registered" ]       ] [
    fhir:code [ fhir:v "preliminary" ] ;
    fhir:display [ fhir:v "Preliminary" ]       ] [
    fhir:code [ fhir:v "final" ] ;
    fhir:display [ fhir:v "Final" ]       ] [
    fhir:code [ fhir:v "amended" ] ;
    fhir:display [ fhir:v "Amended" ]       ] [
    fhir:code [ fhir:v "corrected" ] ;
    fhir:display [ fhir:v "Corrected" ]       ] [
    fhir:code [ fhir:v "entered-in-error" ] ;
    fhir:display [ fhir:v "Entered in Error" ]       ] [
    fhir:code [ fhir:v "unknown" ] ;
    fhir:display [ fhir:v "Unknown" ]       ] )     ] )
      ] . #