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

## : ServiceNotRequested with value set 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:ServiceRequest ;
      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-servicenotrequested"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested>     ] )
      ] ; #
      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: ServiceRequest 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-servicenotrequested.html\">US Quality Core Service Not Requested</a></p></div><p><b>US Quality Core Do Not Perform Reason</b>: <span title=\"Codes:{http://snomed.info/sct 416406003}\">Procedure discontinued (situation)</span></p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 387713003}\">Surgical Procedure</span></p><p><b>priority</b>: Urgent</p><p><b>doNotPerform</b>: true</p><p><b>code</b>: <span title=\"Codes:\">Not Done Value Set: Intermittent pneumatic compression devices (IPC)</span> (Not done value set: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.214/expansion\">Intermittent pneumatic compression devices</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>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>: 2013-04-05</p><p><b>authoredOn</b>: 2013-04-04</p><p><b>reasonCode</b>: <span title=\"Codes:\">Postoperative venous thromboembolism prophylaxis was considered during the appendicitis admission</span></p><p><b>reasonReference</b>: <a href=\"Condition-appendicitis-example.html\">Condition Appendicitis (disorder)</a></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 66754008}\">Appendix structure</span></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    a sct:416406003 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "416406003" ] ;
    fhir:display [ fhir:v "Procedure discontinued (situation)" ]       ] )     ]
      ] ) ; #
      fhir:status [ fhir:v "completed"] ; #
      fhir:intent [ fhir:v "order"] ; #
      fhir:category ( [
        ( fhir:coding [
    a sct:387713003 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "387713003" ] ;
    fhir:display [ fhir:v "Surgical Procedure" ]     ] )
      ] ) ; #
      fhir:priority [ fhir:v "urgent"] ; #
      fhir:doNotPerform [ fhir:v true] ; #
      fhir:code [
        ( 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/2.16.840.1.113883.3.117.1.7.1.214"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.214>       ]     ] ) ;
    fhir:text [ fhir:v "Not Done Value Set: Intermittent pneumatic compression devices (IPC)" ]
      ] ; #
      fhir:subject [
    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 "2013-04-05"^^xsd:date
      ] ; #
      fhir:authoredOn [ fhir:v "2013-04-04"^^xsd:date] ; #
      fhir:reasonCode ( [
    fhir:text [ fhir:v "Postoperative venous thromboembolism prophylaxis was considered during the appendicitis admission" ]
      ] ) ; #
      fhir:reasonReference ( [
    fhir:l fhir:Condition/appendicitis-example ;
    fhir:reference [ fhir:v "Condition/appendicitis-example" ]
      ] ) ; #
      fhir:bodySite ( [
        ( fhir:coding [
    a sct:66754008 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "66754008" ] ;
    fhir:display [ fhir:v "Appendix structure" ]     ] )
      ] ) . #