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 - JSON Representation

Active as of 2026-05-15

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    {
      "resourceType" : "ValueSet",
      "id" : "us-quality-core-negation-reason",
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "url" : "http://fhir.org/guides/onc/us-quality-core/ValueSet/us-quality-core-negation-reason",
      "version" : "0.5.0",
      "name" : "NegationReasonCodes",
      "title" : "USQualityCore Negation Reason Codes",
      "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 can be used to indicate the reason an action was not taken",
      "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 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" : [
              🔗 "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.56"
            ]
          },
          {
            "valueSet" : [
              🔗 "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.58"
            ]
          },
          {
            "valueSet" : [
              🔗 "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1009"
            ]
          }
        ]
      }
    }