QI-Core Implementation Guide
4.1.0 - release

This page is part of the Quality Improvement Core Framework (v4.1.0: STU 4) 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

: Reasons for canceled or refused encounter codes - JSON Representation

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{
  "resourceType" : "ValueSet",
  "id" : "qicore-encounter-canceled-reason",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/shareablevalueset"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-ActReason.html\"><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-ActReason.html#v3-ActReason-BLK\">BLK</a></td><td>Unexpected Block (of Schedule)</td><td>The time slots previously allocated are now blocked and no longer available for booking Appointments</td></tr><tr><td><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-ActReason.html#v3-ActReason-DEC\">DEC</a></td><td>Patient Deceased</td><td>The Patient is deceased</td></tr><tr><td><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-ActReason.html#v3-ActReason-FIN\">FIN</a></td><td>No Financial Backing</td><td>Patient unable to pay and not covered by insurance</td></tr><tr><td><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-ActReason.html#v3-ActReason-MED\">MED</a></td><td>Medical Status Altered</td><td>The medical condition of the Patient has changed</td></tr><tr><td><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-ActReason.html#v3-ActReason-ALTD\">ALTD</a></td><td>altered decision</td><td>**Description:**The decision on which the recorded information was based was changed before the decision had an effect.<br/><br/>**Example:**Aborted prescription before patient left office, released prescription before suspend took effect.</td></tr></table></li><li>Include codes from <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  is-a  410521004 (Not to be done (qualifier value))</li></ul></div>"
  },
  "url" : "http://hl7.org/fhir/us/qicore/ValueSet/qicore-encounter-canceled-reason",
  "version" : "4.1.0",
  "name" : "QICoreEncounterCanceledReason",
  "title" : "Reasons for canceled or refused encounter codes",
  "status" : "draft",
  "experimental" : false,
  "date" : "2018-08-22",
  "publisher" : "http://www.hl7.org/Special/committees/cqi/index.cfm",
  "contact" : [
    {
      "name" : "Clinical Quality Information WG",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description" : "The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support the encounter process, in particular the process and reasons for canceling or refusing an encounter. This value set is provided as a suggestive example",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "copyright" : "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
  "compose" : {
    "include" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "concept" : [
          {
            "code" : "BLK"
          },
          {
            "code" : "DEC"
          },
          {
            "code" : "FIN"
          },
          {
            "code" : "MED"
          },
          {
            "code" : "ALTD"
          }
        ]
      },
      {
        "system" : "http://snomed.info/sct",
        "filter" : [
          {
            "property" : "concept",
            "op" : "is-a",
            "value" : "410521004"
          }
        ]
      }
    ]
  }
}