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

## : USQualityCore Negation Reason Codes - TTL Representation

Active as of 2026-05-15

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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 xsd: <http://www.w3.org/2001/XMLSchema#> .

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

     a fhir:ValueSet ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "us-quality-core-negation-reason"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet us-quality-core-negation-reason</b></p><a name=\"us-quality-core-negation-reason\"> </a><a name=\"hcus-quality-core-negation-reason\"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Import all the codes that are contained in <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1021.56/expansion\">Medical Reason Not Done SCT</a></li><li>Import all the codes that are contained in <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1021.58/expansion\">Patient Reason Not Done SCT</a></li><li>Import all the codes that are contained in <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1009/expansion\">System Reason</a></li></ul></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:url [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/ValueSet/us-quality-core-negation-reason"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/ValueSet/us-quality-core-negation-reason>
      ] ; #
      fhir:version [ fhir:v "0.5.0"] ; #
      fhir:name [ fhir:v "NegationReasonCodes"] ; #
      fhir:title [ fhir:v "USQualityCore Negation Reason Codes"] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:experimental [ fhir:v false] ; #
      fhir:date [ fhir:v "2026-05-15"^^xsd:date] ; #
      fhir:publisher [ fhir:v "Office of the National Coordinator for Health Information Technology (ONC)"] ; #
      fhir:contact ( [
    fhir:name [ fhir:v "Office of the National Coordinator for Health Information Technology (ONC)" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://www.healthit.gov/feedback" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "This value set defines the set of codes that can be used to indicate the reason an action was not taken"] ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
    fhir:l <urn:iso:std:iso:3166>       ] ;
    fhir:code [ fhir:v "US" ] ;
    fhir:display [ fhir:v "United States of America" ]     ] ) ;
    fhir:text [ fhir:v "USA" ]
      ] ) ; #
      fhir:purpose [ fhir:v "This value set was defined to support identifying any of the possible negation reason codes as part of USQualityCore profiles. The value set is composed of the codes from [Medical Reason Not Done SCT](http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.56), [Patient Reason Not Done SCT](http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.58), and [System Reason](http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1009) as defined and available in the Value Set Authority Center."] ; #
      fhir:compose [
        ( fhir:include [
          ( fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.56"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.56>       ] )     ] [
          ( fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.58"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.58>       ] )     ] [
          ( fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1009"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1009>       ] )     ] )
      ] . #