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 - JSON Representation

Active as of 2026-05-15

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    {
      "resourceType" : "ValueSet",
      "id" : "us-quality-core-non-negative-observation-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-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 &#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-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 &quot;released&quot;, &quot;signed&quot;, 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 &quot;cancelled&quot; rather than &quot;entered-in-error&quot;.).</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 &quot;other&quot; - one of the listed statuses is presumed to apply, but the authoring/source system does not know which.</td></tr></table></li></ul></div>"
      },
      "url" : "http://fhir.org/guides/onc/us-quality-core/ValueSet/us-quality-core-non-negative-observation-status",
      "version" : "0.5.0",
      "name" : "NonNegativeObservationStatus",
      "title" : "Non-Negative Observation 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 observation status (i.e. codes that are not `cancelled`)",
      "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 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`).",
      "compose" : {
        "include" : [
          {
            "system" : "http://hl7.org/fhir/observation-status",
            "concept" : [
              {
                "code" : "registered",
                "display" : "Registered"
              },
              {
                "code" : "preliminary",
                "display" : "Preliminary"
              },
              {
                "code" : "final",
                "display" : "Final"
              },
              {
                "code" : "amended",
                "display" : "Amended"
              },
              {
                "code" : "corrected",
                "display" : "Corrected"
              },
              {
                "code" : "entered-in-error",
                "display" : "Entered in Error"
              },
              {
                "code" : "unknown",
                "display" : "Unknown"
              }
            ]
          }
        ]
      }
    }