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

## : Procedure example - XML Representation

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    <Procedure xmlns="http://hl7.org/fhir">
      <id value="example"/>
      <meta>
        <profile
                 value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-procedure"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Procedure 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-procedure.html">US Quality Core Procedure</a></p></div><p><b>US Quality Core Not Done Recorded</b>: 2013-04-05 09:35:00-0400</p><p><b>partOf</b>: Inpatient appendicitis surgical care</p><p><b>status</b>: Completed</p><p><b>statusReason</b>: <span title="Codes:">Appendectomy completed after surgical confirmation of acute appendicitis</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 80146002}">Excision of appendix (procedure)</span></p><p><b>subject</b>: <a href="Patient-example.html">Jim Chalmers  Male, DoB: 1974-12-25 ( Social Security number (use: usual, period: 2001-05-06 --&gt; (ongoing)))</a></p><p><b>encounter</b>: <a href="Encounter-example.html">Encounter: identifier = http://example.org/encounters#ENC-20130404-appendicitis; status = finished; class = inpatient encounter (v3 Code System ActCode#IMP); type = Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.; period = 2013-04-04 18:00:00-0400 --&gt; 2013-04-06 11:00:00-0400</a></p><p><b>performed</b>: 2013-04-05 09:20:00-0400 --&gt; 2013-04-05 10:30:00-0400</p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><a href="Practitioner-example.html">Dr Cecil Surgeon</a></td></tr></table><p><b>reasonCode</b>: <span title="Codes:{http://snomed.info/sct 21522001}">Abdominal pain (finding)</span></p><p><b>reasonReference</b>: <a href="Condition-appendicitis-example.html">Condition Appendicitis (disorder)</a></p><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 66754008}">Appendix structure</span></p><p><b>report</b>: <a href="DiagnosticReport-example.html">Diagnostic Report for 'CBC panel - Blood by Automated count' for '-&gt;Peter Chalmers'</a></p></div>
      </text>
      <extension
                 url="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded">
        <valueDateTime value="2013-04-05T09:35:00-04:00"/>
      </extension>
      <partOf>
        <display value="Inpatient appendicitis surgical care"/>
      </partOf>
      <status value="completed"/>
      <statusReason>
        <text
              value="Appendectomy completed after surgical confirmation of acute appendicitis"/>
      </statusReason>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="80146002"/>
          <display value="Excision of appendix (procedure)"/>
        </coding>
        <text value="Excision of appendix (procedure)"/>
      </code>
      <subject>🔗
        <reference value="Patient/example"/>
      </subject>
      <encounter>🔗
        <reference value="Encounter/example"/>
      </encounter>
      <performedPeriod>
        <start value="2013-04-05T09:20:00-04:00"/>
        <end value="2013-04-05T10:30:00-04:00"/>
      </performedPeriod>
      <performer>
        <actor>🔗
          <reference value="Practitioner/example"/>
          <display value="Dr Cecil Surgeon"/>
        </actor>
      </performer>
      <reasonCode>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="21522001"/>
          <display value="Abdominal pain (finding)"/>
        </coding>
      </reasonCode>
      <reasonReference>🔗
        <reference value="Condition/appendicitis-example"/>
      </reasonReference>
      <bodySite>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="66754008"/>
          <display value="Appendix structure"/>
        </coding>
      </bodySite>
      <report>🔗
        <reference value="DiagnosticReport/example"/>
      </report>
    </Procedure>