2026 US Quality Core Implementation Guide
0.5.0 - cibuild
US
2026 US Quality Core Implementation Guide
0.5.0 - cibuild
US
2026 US Quality Core Implementation Guide, published by Office of the National Coordinator for Health Information Technology (ONC). This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/us-quality-core/ and changes regularly. See the Directory of published versions
{
"resourceType" : "ImmunizationRecommendation",
"id" : "example",
"meta" : {
"profile" : [
🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-immunizationrecommendation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ImmunizationRecommendation example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </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-immunizationrecommendation.html\">US Quality Core ImmunizationRecommendation</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:oid:1.3.6.1.4.1.21367.2005.3.7.1235</p><p><b>patient</b>: <a href=\"Patient-example.html\">Jim Chalmers Male, DoB: 1974-12-25 ( Social Security number\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --> (ongoing)))</a></p><p><b>date</b>: 2015-02-09 11:04:15-0500</p><blockquote><p><b>recommendation</b></p><p><b>vaccineCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/cvx 140}\">Influenza, seasonal, injectable, preservative free</span></p><p><b>forecastStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/immunization-recommendation-status due}\">Dose due</span></p><blockquote><p><b>dateCriterion</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 30981-5}\">Earliest date to give</span></p><p><b>value</b>: 2015-12-01 00:00:00-0500</p></blockquote><blockquote><p><b>dateCriterion</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 30980-7}\">Date vaccine due</span></p><p><b>value</b>: 2015-12-01 00:00:00-0500</p></blockquote><blockquote><p><b>dateCriterion</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 59778-1}\">Date when overdue for immunization</span></p><p><b>value</b>: 2016-12-28 00:00:00-0500</p></blockquote><p><b>description</b>: Second dose in seasonal influenza vaccination series</p><p><b>series</b>: Vaccination Series 1</p><p><b>doseNumber</b>: 2</p><p><b>supportingImmunization</b>: <a href=\"Immunization-example.html\">Immunization: identifier = OID:1.3.6.1.4.1.21367.2005.3.7.1234; status = completed; vaccineCode = Influenza, seasonal, injectable, preservative free; occurrence[x] = 2013-01-01; recorded = 2013-01-10; primarySource = true; lotNumber = AAJN11K; expirationDate = 2015-02-15; site = left arm; route = Injection, intramuscular; doseQuantity = 0.5 mL; note = Seasonal influenza vaccine administered intramuscularly in the left arm; reasonCode = </a></p><p><b>supportingPatientInformation</b>: <a href=\"Observation-example.html\">Observation Hemoglobin [Mass/volume] in Venous blood</a></p></blockquote></div>"
},
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1235"
}
],
"patient" : {
🔗 "reference" : "Patient/example"
},
"date" : "2015-02-09T11:04:15.817-05:00",
"recommendation" : [
{
"vaccineCode" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/cvx",
"code" : "140",
"display" : "Influenza, seasonal, injectable, preservative free"
}
]
}
],
"forecastStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/immunization-recommendation-status",
"code" : "due",
"display" : "Due"
}
],
"text" : "Dose due"
},
"dateCriterion" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30981-5",
"display" : "Earliest date to give"
}
]
},
"value" : "2015-12-01T00:00:00-05:00"
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30980-7",
"display" : "Date vaccine due"
}
]
},
"value" : "2015-12-01T00:00:00-05:00"
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "59778-1",
"display" : "Date when overdue for immunization"
}
]
},
"value" : "2016-12-28T00:00:00-05:00"
}
],
"description" : "Second dose in seasonal influenza vaccination series",
"series" : "Vaccination Series 1",
"doseNumberPositiveInt" : 2,
"supportingImmunization" : [
{
🔗 "reference" : "Immunization/example"
}
],
"supportingPatientInformation" : [
{
🔗 "reference" : "Observation/example"
}
]
}
]
}