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

## : ProcedureNotDone with code example - JSON Representation

Raw json | Download

    {
      "resourceType" : "Procedure",
      "id" : "negation-with-code-example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-procedurenotdone"
        ]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Procedure negation-with-code-example</b></p><a name=\"negation-with-code-example\"> </a><a name=\"hcnegation-with-code-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-procedurenotdone.html\">US Quality Core Procedure Not Done</a></p></div><p><b>US Quality Core Not Done Recorded</b>: 2013-04-05 10:30:00-0400</p><p><b>partOf</b>: <a href=\"Procedure-example.html\">Appendectomy admission surgical care</a></p><p><b>status</b>: Not Done</p><p><b>statusReason</b>: <span title=\"Codes:{http://snomed.info/sct 35688006}\">Complication of medical care (disorder)</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 348681001}\">Graduated compression elastic hosiery (physical object)</span></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>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>performed</b>: Absent because : not-performed</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-example.html\">Dr Cecil Surgeon</a></td></tr></table><p><b>reasonCode</b>: <span title=\"Codes:\">Postoperative venous thromboembolism prophylaxis was considered during the appendicitis admission</span></p><p><b>reasonReference</b>: <a href=\"Condition-appendicitis-example.html\">Condition Appendicitis (disorder)</a></p></div>"
      },
      "extension" : [
        {
          "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded",
          "valueDateTime" : "2013-04-05T10:30:00-04:00"
        }
      ],
      "partOf" : [
        {
          🔗 "reference" : "Procedure/example",
          "display" : "Appendectomy admission surgical care"
        }
      ],
      "status" : "not-done",
      "statusReason" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "35688006",
            "display" : "Complication of medical care (disorder)"
          }
        ]
      },
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "version" : "http://snomed.info/sct/731000124108",
            "code" : "348681001",
            "display" : "Graduated compression elastic hosiery (physical object)"
          }
        ]
      },
      "subject" : {
        🔗 "reference" : "Patient/example"
      },
      "encounter" : {
        🔗 "reference" : "Encounter/example"
      },
      "_performedDateTime" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "not-performed"
          }
        ]
      },
      "performer" : [
        {
          "actor" : {
            🔗 "reference" : "Practitioner/example",
            "display" : "Dr Cecil Surgeon"
          }
        }
      ],
      "reasonCode" : [
        {
          "text" : "Postoperative venous thromboembolism prophylaxis was considered during the appendicitis admission"
        }
      ],
      "reasonReference" : [
        {
          🔗 "reference" : "Condition/appendicitis-example"
        }
      ]
    }