Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease.

Data Element

Negation Rationale


Please Include Negation Rationale in USCDI v4

Vizient recommends adding the Negation Rationale data element to USCDI v4 as this element will allow for analyses as to what medication orders are being placed and then subsequently cancelled on a regular basis in addition to why they are being cancelled.

CDC's Consolidated Comment

  • Collected as part of antiretroviral history for routine HIV surveillance.
  • Collected for Tuberculosis (TB) and Latent Tuberculosis Infection (LTBI) Surveillance and are included in the TB and LTBI Message Mapping Guides (MMG).
  • Important for National Healthcare Safety Network (NHSN) measures, including hypoglycemia and Clostridioides difficile (C Diff).

Unified Comment from CDC

This element is used by CMS Quality Reporting and is marked Required or MustSupport in the FHIR QI Core IG

Log in or register to post comments