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

## : Condition example - appendicitis - XML Representation

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    <Condition xmlns="http://hl7.org/fhir">
      <id value="appendicitis-example"/>
      <meta>
        <profile
                 value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Condition appendicitis-example</b></p><a name="appendicitis-example"> </a><a name="hcappendicitis-example"> </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-condition-encounter-diagnosis.html">US Quality Core Condition Encounter Diagnosis</a></p></div><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}">Confirmed</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}">Encounter Diagnosis</span></p><p><b>severity</b>: <span title="Codes:{http://snomed.info/sct 24484000}">Severe (severity modifier)</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 74400008}">Appendicitis</span></p><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 66754008}">Appendix structure</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>onset</b>: 2012-05-24 00:00:00+0000</p><p><b>recordedDate</b>: 2012-05-24 00:00:00+0000</p></div>
      </text>
      <clinicalStatus>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
          <code value="active"/>
        </coding>
      </clinicalStatus>
      <verificationStatus>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
          <code value="confirmed"/>
        </coding>
      </verificationStatus>
      <category>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/condition-category"/>
          <code value="encounter-diagnosis"/>
          <display value="Encounter Diagnosis"/>
        </coding>
      </category>
      <severity>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="24484000"/>
          <display value="Severe (severity modifier)"/>
        </coding>
      </severity>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="74400008"/>
          <display value="Appendicitis (disorder)"/>
        </coding>
        <text value="Appendicitis"/>
      </code>
      <bodySite>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="66754008"/>
          <display value="Appendix structure"/>
        </coding>
      </bodySite>
      <subject>🔗
        <reference value="Patient/example"/>
      </subject>
      <encounter>🔗
        <reference value="Encounter/example"/>
      </encounter>
      <onsetDateTime value="2012-05-24T00:00:00+00:00"/>
      <recordedDate value="2012-05-24T00:00:00+00:00"/>
    </Condition>