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

## : MedicationNotRequested using value set 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:MedicationRequest ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "negation-example"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationnotrequested"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationnotrequested>     ] )
      ] ; #
      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: MedicationRequest 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-medicationnotrequested.html\">US Quality Core Medication Not Requested</a></p></div><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category community}\">Community</span></p><p><b>doNotPerform</b>: true</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/2.16.840.1.113762.1.4.1045.39/expansion\">Low Dose Unfractionated Heparin for VTE Prophylaxis</a>)</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>authoredOn</b>: 2015-03-25 19:32:52-0500</p><p><b>requester</b>: <a href=\"Practitioner-example.html\">Practitioner Adam Careful </a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 183966005}\">Drug treatment not indicated (situation)</span></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "completed"] ; #
      fhir:intent [ fhir:v "order"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/medicationrequest-category>       ] ;
    fhir:code [ fhir:v "community" ]     ] )
      ] ) ; #
      fhir:doNotPerform [ fhir:v true] ; #
      fhir:medication [
    a fhir:CodeableConcept ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet>       ] ;
    fhir:value [
    a fhir:Canonical ;
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.39"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.39>       ]     ] ) ;
    fhir:text [ fhir:v "Not Done Value Set: Low Dose Unfractionated Heparin for VTE Prophylaxis" ]
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ]
      ] ; #
      fhir:authoredOn [ fhir:v "2015-03-25T19:32:52-05:00"^^xsd:dateTime] ; #
      fhir:requester [
    fhir:l fhir:Practitioner/example ;
    fhir:reference [ fhir:v "Practitioner/example" ]
      ] ; #
      fhir:reasonCode ( [
        ( fhir:coding [
    a sct:183966005 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "183966005" ] ;
    fhir:display [ fhir:v "Drug treatment not indicated (situation)" ]     ] )
      ] ) . #