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 - XML Representation

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    <Task xmlns="http://hl7.org/fhir">
      <id value="negation-example"/>
      <meta>
        <profile
                 value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-taskrejected"/>
      </meta>
      <text>
        <status value="extensions"/>
        <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>
      </text>
      <identifier>
        <system value="http://www.acme.org/tasks"/>
        <value value="19009"/>
      </identifier>
      <basedOn>
        <display
                 value="Medication reconciliation requested before alemtuzumab infusion"/>
      </basedOn>
      <status value="rejected"/>
      <statusReason>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="275936005"/>
          <display value="Patient noncompliance - general (situation)"/>
        </coding>
      </statusReason>
      <intent value="proposal"/>
      <code>
        <extension
                   url="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet">
          <valueCanonical
                          value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1096.11"/>
        </extension>
        <text
              value="Interventions Related to Medication Management, Medication Reconciliation"/>
      </code>
      <focus>🔗
        <reference value="MedicationRequest/example"/>
      </focus>
      <for>🔗
        <reference value="Patient/example"/>
      </for>
      <executionPeriod>
        <start value="2015-03-25"/>
        <end value="2015-03-25"/>
      </executionPeriod>
      <reasonCode>
        <text
              value="Patient declined medication reconciliation before alemtuzumab infusion"/>
      </reasonCode>
    </Task>