2026 US Quality Core Implementation Guide
0.5.0 - release

2026 US Quality Core Implementation Guide - Downloaded Version 0.5.0 See the Directory of published versions

## ValueSet: USQualityCore Negation Reason Codes

Official URL: http://fhir.org/guides/onc/us-quality-core/ValueSet/us-quality-core-negation-reason | Version: 0.5.0 | Highlight text changes?
Active as of 2026-06-05 | Computable Name: NegationReasonCodes

This value set defines the set of codes that can be used to indicate the reason an action was not taken

References

- US Quality Core Communication Not Done
- US Quality Core Do Not Perform Reason
- US Quality Core Immunization Not Done
- US Quality Core MedicationAdministration Not Done
- US Quality Core MedicationDispense Declined
- US Quality Core Medication Not Requested
- US Quality Core Not Done Reason
- US Quality Core Procedure Not Done
- US Quality Core Task Rejected

### Logical Definition (CLD)

This value set includes codes based on the following rules:

- Import all the codes that are contained in Medical Reason Not Done SCT
- Import all the codes that are contained in Patient Reason Not Done SCT
- Import all the codes that are contained in System Reason

### Expansion

Expansion from tx.fhir.org based on:

- SNOMED CT United States edition 01-Sep 2025
- valueset Medical Reason Not Done SCT v20191212 (ValueSet)
- valueset Patient Reason Not Done SCT v20191212 (ValueSet)
- valueset System Reason v20170504 (ValueSet)
- valueset System Reason v20170504 (ValueSet)

This value set contains 82 concepts

System | Code | Display (en) | Inactive | status | JSON | XML
`http://snomed.info/sct` | 183932001 | Procedure contraindicated |  |  |  |
`http://snomed.info/sct` | 183964008 | Treatment not indicated |  |  |  |
`http://snomed.info/sct` | 183966005 | Drug treatment not indicated |  |  |  |
`http://snomed.info/sct` | 216952002 | Failure in dosage |  |  |  |
`http://snomed.info/sct` | 266721009 | Absent response to treatment |  |  |  |
`http://snomed.info/sct` | 269191009 | Late effect of medical and surgical care complication |  |  |  |
`http://snomed.info/sct` | 274512008 | Drug therapy discontinued |  |  |  |
`http://snomed.info/sct` | 31438003 | Drug resistance |  |  |  |
`http://snomed.info/sct` | 35688006 | Complication of medical care |  |  |  |
`http://snomed.info/sct` | 371133007 | Treatment modification | inactive | inactive |  |
`http://snomed.info/sct` | 397745006 | Medical contraindication | inactive | inactive |  |
`http://snomed.info/sct` | 407563006 | Treatment not tolerated |  |  |  |
`http://snomed.info/sct` | 410529002 | Not needed |  |  |  |
`http://snomed.info/sct` | 410534003 | Not indicated |  |  |  |
`http://snomed.info/sct` | 410536001 | Contraindicated |  |  |  |
`http://snomed.info/sct` | 416098002 | Drug allergy |  |  |  |
`http://snomed.info/sct` | 416406003 | Procedure discontinued |  |  |  |
`http://snomed.info/sct` | 419511003 | Propensity to adverse reactions to drug |  |  |  |
`http://snomed.info/sct` | 428024001 | Clinical trial participant |  |  |  |
`http://snomed.info/sct` | 428119001 | Procedure not indicated |  |  |  |
`http://snomed.info/sct` | 445528004 | Treatment changed |  |  |  |
`http://snomed.info/sct` | 59037007 | Drug intolerance |  |  |  |
`http://snomed.info/sct` | 62014003 | Drug reaction |  |  |  |
`http://snomed.info/sct` | 79899007 | Drug interaction |  |  |  |
`http://snomed.info/sct` | 105480006 | Refusal of treatment by patient | inactive | inactive |  |
`http://snomed.info/sct` | 134397009 | Angiotensin converting enzyme inhibitor declined |  |  |  |
`http://snomed.info/sct` | 160932005 | Financial problem |  |  |  |
`http://snomed.info/sct` | 160934006 | Financial circumstances change |  |  |  |
`http://snomed.info/sct` | 182890002 | Patient requests alternative treatment | inactive | inactive |  |
`http://snomed.info/sct` | 182895007 | Drug declined by patient |  |  |  |
`http://snomed.info/sct` | 182896008 | Drug declined by patient - dislikes taste |  |  |  |
`http://snomed.info/sct` | 182897004 | Drug declined by patient - side effects |  |  |  |
`http://snomed.info/sct` | 182898009 | Drug declined by patient - inconvenient |  |  |  |
`http://snomed.info/sct` | 182900006 | Drug declined by patient - patient beliefs |  |  |  |
`http://snomed.info/sct` | 182901005 | Drug declined by patient - alternative therapy |  |  |  |
`http://snomed.info/sct` | 182902003 | Drug declined by patient - cannot pay script |  |  |  |
`http://snomed.info/sct` | 182903008 | Drug declined by patient - reason unknown |  |  |  |
`http://snomed.info/sct` | 183944003 | Procedure refused | inactive | inactive |  |
`http://snomed.info/sct` | 183945002 | Procedure refused for religious reason |  |  |  |
`http://snomed.info/sct` | 183946001 | Procedure refused - uncooperative |  |  |  |
`http://snomed.info/sct` | 183947005 | Refused procedure - after thought | inactive | inactive |  |
`http://snomed.info/sct` | 183948000 | Refused procedure - parent's wish |  |  |  |
`http://snomed.info/sct` | 184081006 | Patient has moved away | inactive | inactive |  |
`http://snomed.info/sct` | 185479006 | Patient dissatisfied with result |  |  |  |
`http://snomed.info/sct` | 185481008 | Dissatisfied with doctor |  |  |  |
`http://snomed.info/sct` | 224187001 | Variable income |  |  |  |
`http://snomed.info/sct` | 225928004 | Patient self-discharge against medical advice |  |  |  |
`http://snomed.info/sct` | 266710000 | Drugs not taken/completed |  |  |  |
`http://snomed.info/sct` | 266966009 | Family illness |  |  |  |
`http://snomed.info/sct` | 275694009 | Patient defaulted from follow-up | inactive | inactive |  |
`http://snomed.info/sct` | 275936005 | Patient noncompliance - general |  |  |  |
`http://snomed.info/sct` | 281399006 | Did not attend | inactive | inactive |  |
`http://snomed.info/sct` | 310343007 | Further opinion sought |  |  |  |
`http://snomed.info/sct` | 315640000 | Influenza vaccination declined |  |  |  |
`http://snomed.info/sct` | 371138003 | Refusal of treatment by parents | inactive | inactive |  |
`http://snomed.info/sct` | 373787003 | Delay - patient choice |  |  |  |
`http://snomed.info/sct` | 401084003 | Angiotensin II receptor antagonist declined |  |  |  |
`http://snomed.info/sct` | 406149000 | Medication refused |  |  |  |
`http://snomed.info/sct` | 408367005 | Patient forgets to take medication | inactive | inactive |  |
`http://snomed.info/sct` | 413310006 | Patient non-compliant - refused access to services | inactive | inactive |  |
`http://snomed.info/sct` | 413311005 | Patient non-compliant - refused intervention / support |  |  |  |
`http://snomed.info/sct` | 413312003 | Patient non-compliant - refused service | inactive | inactive |  |
`http://snomed.info/sct` | 416432009 | Procedure not wanted |  |  |  |
`http://snomed.info/sct` | 423656007 | Income insufficient to buy necessities |  |  |  |
`http://snomed.info/sct` | 424739004 | Income sufficient to buy only necessities |  |  |  |
`http://snomed.info/sct` | 443390004 | Refused |  |  |  |
`http://snomed.info/sct` | 609589008 | Refused by parents of subject | inactive | inactive |  |
`http://snomed.info/sct` | 713247000 | Procedure discontinued by patient |  |  |  |
`http://snomed.info/sct` | 107724000 | Patient transfer |  |  |  |
`http://snomed.info/sct` | 182856006 | Drug not available - out of stock |  |  |  |
`http://snomed.info/sct` | 182857002 | Drug not available - off market |  |  |  |
`http://snomed.info/sct` | 185335007 | Appointment canceled by hospital |  |  |  |
`http://snomed.info/sct` | 224194003 | Not entitled to benefits |  |  |  |
`http://snomed.info/sct` | 224198000 | Delay in receiving benefits |  |  |  |
`http://snomed.info/sct` | 224199008 | Loss of benefits |  |  |  |
`http://snomed.info/sct` | 242990004 | Drug not available for administration |  |  |  |
`http://snomed.info/sct` | 266756008 | Medical care unavailable |  |  |  |
`http://snomed.info/sct` | 270459005 | Patient on waiting list | inactive | inactive |  |
`http://snomed.info/sct` | 309017000 | Referred to doctor |  |  |  |
`http://snomed.info/sct` | 309846006 | Treatment not available | inactive | inactive |  |
`http://snomed.info/sct` | 419808006 | Finding related to health insurance issues |  |  |  |
`http://snomed.info/sct` | 424553001 | Uninsured medical expenses |  |  |  |

Description of the above table(s).