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

## : ServiceNotRequested with code example - XML Representation

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    <ServiceRequest xmlns="http://hl7.org/fhir">
      <id value="negation-example-code"/>
      <meta>
        <profile
                 value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ServiceRequest 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-servicenotrequested.html">US Quality Core Service Not Requested</a></p></div><p><b>US Quality Core Do Not Perform Reason</b>: <span title="Codes:{http://snomed.info/sct 416406003}">Procedure discontinued (situation)</span></p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 387713003}">Surgical Procedure</span></p><p><b>priority</b>: Urgent</p><p><b>doNotPerform</b>: true</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 (use: usual, period: 2001-05-06 --&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>: 2013-04-05</p><p><b>authoredOn</b>: 2013-04-04</p><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>
      </text>
      <extension
                 url="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason">
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="416406003"/>
            <display value="Procedure discontinued (situation)"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <status value="completed"/>
      <intent value="order"/>
      <category>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="387713003"/>
          <display value="Surgical Procedure"/>
        </coding>
      </category>
      <priority value="urgent"/>
      <doNotPerform value="true"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="348681001"/>
          <display
                   value="Graduated compression elastic hosiery (physical object)"/>
        </coding>
      </code>
      <subject>🔗
        <reference value="Patient/example"/>
      </subject>
      <encounter>🔗
        <reference value="Encounter/example"/>
      </encounter>
      <occurrenceDateTime value="2013-04-05"/>
      <authoredOn value="2013-04-04"/>
      <reasonCode>
        <text
              value="Postoperative venous thromboembolism prophylaxis was considered during the appendicitis admission"/>
      </reasonCode>
      <reasonReference>🔗
        <reference value="Condition/appendicitis-example"/>
      </reasonReference>
    </ServiceRequest>