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

## Example MedicationDispense: MedicationDispense negation example

Profile: US Quality Core MedicationDispense Declined

US Quality Core Not Done Recorded: 2017-01-17

status: Declined

statusReason: Drug treatment not indicated (situation)

medication: Not Done Value Set: Ophthalmic Antihistamines (Not done value set: Ophthalmic Antihistamines)

subject: Jim Chalmers Male, DoB: 1974-12-25 ( Social Security number (use: usual, period: 2001-05-06 --> (ongoing)))

authorizingPrescription: MedicationRequest: status = active; intent = order; medication[x] = ->Medication alemtuzumab 10 MG/ML [Lemtrada]; authoredOn = 2015-03-25 19:32:52-0500; reasonCode = Multiple sclerosis (disorder)

> dosageInstruction

> timing: 3 per 1 day

> route: oral administration of treatment

> ### DoseAndRates

> - | Type | Dose[x]
> * | Ordered | 5 ml (Details: UCUM codeml = 'ml')