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 - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix sct: <http://snomed.info/id/> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Procedure ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "negation-with-code-example"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-procedurenotdone"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-procedurenotdone>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<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 (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>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>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded>     ] ;
    fhir:value [
    a fhir:DateTime ;
    fhir:v "2013-04-05T10:30:00-04:00"^^xsd:dateTime     ]
      ] ) ; #
      fhir:partOf ( [
    fhir:l fhir:Procedure/example ;
    fhir:reference [ fhir:v "Procedure/example" ] ;
    fhir:display [ fhir:v "Appendectomy admission surgical care" ]
      ] ) ; #
      fhir:status [ fhir:v "not-done"] ; #
      fhir:statusReason [
        ( fhir:coding [
    a sct:35688006 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "35688006" ] ;
    fhir:display [ fhir:v "Complication of medical care (disorder)" ]     ] )
      ] ; #
      fhir:code [
        ( fhir:coding [
    a sct:348681001 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:version [ fhir:v "http://snomed.info/sct/731000124108" ] ;
    fhir:code [ fhir:v "348681001" ] ;
    fhir:display [ fhir:v "Graduated compression elastic hosiery (physical object)" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ]
      ] ; #
      fhir:encounter [
    fhir:l fhir:Encounter/example ;
    fhir:reference [ fhir:v "Encounter/example" ]
      ] ; #
      fhir:performed [
    a fhir:DateTime ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/data-absent-reason"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/data-absent-reason>       ] ;
    fhir:value [
    a fhir:Code ;
    fhir:v "not-performed"       ]     ] )
      ] ; #
      fhir:performer ( [
    fhir:actor [
    fhir:l fhir:Practitioner/example ;
    fhir:reference [ fhir:v "Practitioner/example" ] ;
    fhir:display [ fhir:v "Dr Cecil Surgeon" ]     ]
      ] ) ; #
      fhir:reasonCode ( [
    fhir:text [ fhir:v "Postoperative venous thromboembolism prophylaxis was considered during the appendicitis admission" ]
      ] ) ; #
      fhir:reasonReference ( [
    fhir:l fhir:Condition/appendicitis-example ;
    fhir:reference [ fhir:v "Condition/appendicitis-example" ]
      ] ) . #