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

## : Immunization negation 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:Immunization ;
      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-immunizationnotdone"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-immunizationnotdone>     ] )
      ] ; #
      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: Immunization 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-immunizationnotdone.html\">US Quality Core Immunization Not Done</a></p></div><p><b>status</b>: Not Done</p><p><b>statusReason</b>: <span title=\"Codes:{http://snomed.info/sct 182895007}\">Drug declined by patient</span></p><p><b>vaccineCode</b>: <span title=\"Codes:\">Not Done Value Set: Influenza vaccine</span> (Not done value set: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1254/expansion\">Influenza Immunization Administered</a>)</p><p><b>patient</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>: 2013-01-10</p><p><b>recorded</b>: 2013-01-10</p><p><b>primarySource</b>: true</p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "not-done"] ; #
      fhir:statusReason [
        ( fhir:coding [
    a sct:182895007 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "182895007" ] ;
    fhir:display [ fhir:v "Drug declined by patient" ]     ] )
      ] ; #
      fhir:vaccineCode [
        ( 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/2.16.840.1.113883.3.526.3.1254"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1254>       ]     ] ) ;
    fhir:text [ fhir:v "Not Done Value Set: Influenza vaccine" ]
      ] ; #
      fhir:patient [
    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:occurrence [
    a fhir:DateTime ;
    fhir:v "2013-01-10"^^xsd:date
      ] ; #
      fhir:recorded [ fhir:v "2013-01-10"^^xsd:date] ; #
      fhir:primarySource [ fhir:v true] . #