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 - JSON Representation

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    {
      "resourceType" : "MedicationRequest",
      "id" : "negation-example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationnotrequested"
        ]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&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>"
      },
      "status" : "completed",
      "intent" : "order",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
              "code" : "community"
            }
          ]
        }
      ],
      "doNotPerform" : true,
      "medicationCodeableConcept" : {
        "extension" : [
          {
            "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet",
            "valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.39"
          }
        ],
        "text" : "Not Done Value Set: Low Dose Unfractionated Heparin for VTE Prophylaxis"
      },
      "subject" : {
        🔗 "reference" : "Patient/example"
      },
      "authoredOn" : "2015-03-25T19:32:52-05:00",
      "requester" : {
        🔗 "reference" : "Practitioner/example"
      },
      "reasonCode" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "183966005",
              "display" : "Drug treatment not indicated (situation)"
            }
          ]
        }
      ]
    }