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

## : MedicationAdministration negation example

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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:MedicationAdministration ;
      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-medicationadministrationnotdone"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationadministrationnotdone>     ] )
      ] ; #
      fhir:language [ fhir:v "en"] ; #
      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: MedicationAdministration 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-medicationadministrationnotdone.html\">US Quality Core MedicationAdministration Not Done</a></p></div><p><b>US Quality Core Not Done Recorded</b>: 2015-01-15</p><p><b>status</b>: Not Done</p><p><b>statusReason</b>: <span title=\"Codes:{http://snomed.info/sct 183966005}\">Drug treatment not indicated (situation)</span></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/2.16.840.1.113883.3.88.12.80.16/expansion\">Medication Brand Name</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>context</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>supportingInformation</b>: <a href=\"Condition-example.html\">Condition Burn of ear</a></p><p><b>effective</b>: 2015-01-15 14:30:00+0100 --&gt; 2015-01-15 14:30:00+0100</p><p><b>request</b>: <a href=\"MedicationRequest-example.html\">MedicationRequest: status = active; intent = order; medication[x] = -&gt;Medication alemtuzumab 10 MG/ML [Lemtrada]; authoredOn = 2015-03-25 19:32:52-0500; reasonCode = Multiple sclerosis (disorder)</a></p><p><b>note</b>: </p><blockquote><div><p>Patient started Bupropion this morning - will administer in a reduced dose tomorrow</p>\n</div></blockquote><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 47625008}\">Intravenous route (qualifier value)</span></td><td>3 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td></tr></table></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 "2015-01-15"^^xsd:date     ]
      ] ) ; #
      fhir:status [ fhir:v "not-done"] ; #
      fhir:statusReason ( [
        ( 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)" ]     ] )
      ] ) ; #
      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/2.16.840.1.113883.3.88.12.80.16"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.16>       ]     ] ) ;
    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:context [
    fhir:l fhir:Encounter/example ;
    fhir:reference [ fhir:v "Encounter/example" ]
      ] ; #
      fhir:supportingInformation ( [
    fhir:l fhir:Condition/example ;
    fhir:reference [ fhir:v "Condition/example" ]
      ] ) ; #
      fhir:effective [
    a fhir:Period ;
    fhir:start [ fhir:v "2015-01-15T14:30:00+01:00"^^xsd:dateTime ] ;
    fhir:end [ fhir:v "2015-01-15T14:30:00+01:00"^^xsd:dateTime ]
      ] ; #
      fhir:request [
    fhir:l fhir:MedicationRequest/example ;
    fhir:reference [ fhir:v "MedicationRequest/example" ]
      ] ; #
      fhir:note ( [
    fhir:text [ fhir:v "Patient started Bupropion this morning - will administer in a reduced dose tomorrow" ]
      ] ) ; #
      fhir:dosage [
    fhir:route [
          ( fhir:coding [
    a sct:47625008 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "47625008" ] ;
    fhir:display [ fhir:v "Intravenous route (qualifier value)" ]       ] )     ] ;
    fhir:dose [
    fhir:value [ fhir:v "3"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "mg" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>       ] ;
    fhir:code [ fhir:v "mg" ]     ]
      ] . #