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

## : MedicationNotRequested using value set example - XML Representation

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    <MedicationRequest xmlns="http://hl7.org/fhir">
      <id value="negation-example"/>
      <meta>
        <profile
                 value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationnotrequested"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationRequest 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-medicationnotrequested.html">US Quality Core Medication Not Requested</a></p></div><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category community}">Community</span></p><p><b>doNotPerform</b>: true</p><p><b>medication</b>: <span title="Codes:">Not Done Value Set: Low Dose Unfractionated Heparin for VTE Prophylaxis</span> (Not done value set: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1045.39/expansion">Low Dose Unfractionated Heparin for VTE Prophylaxis</a>)</p><p><b>subject</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>authoredOn</b>: 2015-03-25 19:32:52-0500</p><p><b>requester</b>: <a href="Practitioner-example.html">Practitioner Adam Careful </a></p><p><b>reasonCode</b>: <span title="Codes:{http://snomed.info/sct 183966005}">Drug treatment not indicated (situation)</span></p></div>
      </text>
      <status value="completed"/>
      <intent value="order"/>
      <category>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
          <code value="community"/>
        </coding>
      </category>
      <doNotPerform value="true"/>
      <medicationCodeableConcept>
        <extension
                   url="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet">
          <valueCanonical
                          value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.39"/>
        </extension>
        <text
              value="Not Done Value Set: Low Dose Unfractionated Heparin for VTE Prophylaxis"/>
      </medicationCodeableConcept>
      <subject>🔗
        <reference value="Patient/example"/>
      </subject>
      <authoredOn value="2015-03-25T19:32:52-05:00"/>
      <requester>🔗
        <reference value="Practitioner/example"/>
      </requester>
      <reasonCode>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="183966005"/>
          <display value="Drug treatment not indicated (situation)"/>
        </coding>
      </reasonCode>
    </MedicationRequest>