Immunization negation with value set example - US Quality Core Implementation Guide v1.0.0-ballot

US Quality Core Implementation Guide
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This page is part of the US Quality Core Implementation Guide (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

Example Immunization: Immunization negation with value set example

Page standards status: Informative

Profile: US Quality Core Immunization Not Done

status: Not Done

statusReason: Drug declined by patient

vaccineCode: Value Set: DTaP Vaccine (value set: DTaP Vaccine)

patient: Example Patient Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

encounter: Encounter: identifier = http://hospital.example.org/encounter-ids#ENC-2026-987654 (use: official, ); status = finished; class = inpatient encounter (ActCode#IMP); type = Hospital admission; priority = urgent; period = 2026-08-01 10:30:00-0400 --> 2026-08-05 14:00:00-0400

occurrence: 2026-08-01

recorded: 2026-08-01

primarySource: true

IG © 2026 HL7 International / Clinical Quality Information. Package hl7.fhir.us.quality-core#1.0.0-ballot based on FHIR 4.0.1. Generated 2026-08-13
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