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

## : MedicationAdministration negation example - JSON Representation

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    {
      "resourceType" : "MedicationAdministration",
      "id" : "negation-example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationadministrationnotdone"
        ]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration 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-medicationadministrationnotdone.html\">US Quality Core MedicationAdministration Not Done</a></p></div><p><b>US Quality Core Not Done Recorded</b>: 2015-01-15</p><p><b>status</b>: Not Done</p><p><b>statusReason</b>: <span title=\"Codes:{http://snomed.info/sct 183966005}\">Drug treatment not indicated (situation)</span></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/2.16.840.1.113883.3.88.12.80.16/expansion\">Medication Brand Name</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>context</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>supportingInformation</b>: <a href=\"Condition-example.html\">Condition Burn of ear</a></p><p><b>effective</b>: 2015-01-15 14:30:00+0100 --&gt; 2015-01-15 14:30:00+0100</p><p><b>request</b>: <a href=\"MedicationRequest-example.html\">MedicationRequest: status = active; intent = order; medication[x] = -&gt;Medication alemtuzumab 10 MG/ML [Lemtrada]; authoredOn = 2015-03-25 19:32:52-0500; reasonCode = Multiple sclerosis (disorder)</a></p><p><b>note</b>: </p><blockquote><div><p>Patient started Bupropion this morning - will administer in a reduced dose tomorrow</p>\n</div></blockquote><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 47625008}\">Intravenous route (qualifier value)</span></td><td>3 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></div>"
      },
      "extension" : [
        {
          "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded",
          "valueDateTime" : "2015-01-15"
        }
      ],
      "status" : "not-done",
      "statusReason" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "183966005",
              "display" : "Drug treatment not indicated (situation)"
            }
          ]
        }
      ],
      "medicationCodeableConcept" : {
        "extension" : [
          {
            "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet",
            "valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.16"
          }
        ],
        "text" : "Not Done Value Set: Low Dose Unfractionated Heparin for VTE Prophylaxis"
      },
      "subject" : {
        🔗 "reference" : "Patient/example"
      },
      "context" : {
        🔗 "reference" : "Encounter/example"
      },
      "supportingInformation" : [
        {
          🔗 "reference" : "Condition/example"
        }
      ],
      "effectivePeriod" : {
        "start" : "2015-01-15T14:30:00+01:00",
        "end" : "2015-01-15T14:30:00+01:00"
      },
      "request" : {
        🔗 "reference" : "MedicationRequest/example"
      },
      "note" : [
        {
          "text" : "Patient started Bupropion this morning - will administer in a reduced dose tomorrow"
        }
      ],
      "dosage" : {
        "route" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "47625008",
              "display" : "Intravenous route (qualifier value)"
            }
          ]
        },
        "dose" : {
          "value" : 3,
          "unit" : "mg",
          "system" : "http://unitsofmeasure.org",
          "code" : "mg"
        }
      }
    }