QI-Core Implementation Guide
5.0.0-ballot - STU Ballot US

This page is part of the Quality Improvement Core Framework (v5.0.0-ballot: STU 5 Ballot 1) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

ValueSet: Negation Reason Codes

Official URL: http://hl7.org/fhir/us/qicore/ValueSet/qicore-negation-reason Version: 5.0.0-ballot
Active as of 2018-12-05 Computable Name: NegationReasonCodes

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

This value set was defined to support identifying any of the possible negation reason codes as part of QICore profiles. The value set is composed of the codes from Medical Reason Not Done SCT, Patient Reason Not Done SCT, and System Reason as defined and available in the Value Set Authority Center.


Logical Definition (CLD)

This value set includes codes based on the following rules:



This value set contains 82 concepts

All codes in this table are from the system http://snomed.info/sct

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

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code