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

## : Immunization negation with code example - JSON Representation

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    {
      "resourceType" : "Immunization",
      "id" : "negation-example-code",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-immunizationnotdone"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Immunization negation-example-code</b></p><a name=\"negation-example-code\"> </a><a name=\"hcnegation-example-code\"> </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-immunizationnotdone.html\">US Quality Core Immunization Not Done</a></p></div><p><b>status</b>: Not Done</p><p><b>statusReason</b>: <span title=\"Codes:{http://snomed.info/sct 182895007}\">Drug declined by patient</span></p><p><b>vaccineCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/cvx 160}\">Influenza Vaccine A</span></p><p><b>patient</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>encounter</b>: <a href=\"Encounter-example.html\">Encounter: identifier = http://example.org/encounters#ENC-20130404-appendicitis; status = finished; class = inpatient encounter (v3 Code System ActCode#IMP); type = Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.; period = 2013-04-04 18:00:00-0400 --&gt; 2013-04-06 11:00:00-0400</a></p><p><b>occurrence</b>: 2013-01-10</p><p><b>recorded</b>: 2013-01-10</p><p><b>primarySource</b>: true</p></div>"
      },
      "status" : "not-done",
      "statusReason" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "182895007",
            "display" : "Drug declined by patient"
          }
        ]
      },
      "vaccineCode" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/sid/cvx",
            "code" : "160",
            "display" : "Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013"
          }
        ],
        "text" : "Influenza Vaccine A"
      },
      "patient" : {
        🔗 "reference" : "Patient/example"
      },
      "encounter" : {
        🔗 "reference" : "Encounter/example"
      },
      "occurrenceDateTime" : "2013-01-10",
      "recorded" : "2013-01-10",
      "primarySource" : true
    }