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

## : Communication example - XML Representation

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    <Communication xmlns="http://hl7.org/fhir">
      <id value="example"/>
      <meta>
        <profile
                 value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-communication"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Communication 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-communication.html">US Quality Core Communication</a></p></div><p><b>partOf</b>: <a href="DiagnosticReport-note-example.html">Portable chest radiograph report</a></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/communication-category alert}">Alert</span></p><p><b>medium</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationMode WRITTEN}">written</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>topic</b>: <span title="Codes:">Chest radiograph report available</span></p><p><b>about</b>: <a href="DiagnosticReport-note-example.html">Portable chest radiograph report</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>sent</b>: 2019-02-03 19:45:00+0000</p><p><b>received</b>: 2019-02-03 19:45:30+0000</p><p><b>recipient</b>: <a href="Practitioner-example.html">Practitioner Adam Careful </a></p><p><b>sender</b>: <a href="Organization-example.html">Organization Health Level Seven International</a></p><blockquote><p><b>payload</b></p><p><b>content</b>: Portable chest radiograph report is final with no acute cardiopulmonary abnormality.</p></blockquote><blockquote><p><b>payload</b></p><p><b>content</b>: <a href="DiagnosticReport-note-example.html">Portable chest radiograph report</a></p></blockquote></div>
      </text>
      <partOf>🔗
        <reference value="DiagnosticReport/note-example"/>
        <display value="Portable chest radiograph report"/>
      </partOf>
      <status value="completed"/>
      <category>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/communication-category"/>
          <code value="alert"/>
        </coding>
        <text value="Alert"/>
      </category>
      <medium>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/v3-ParticipationMode"/>
          <code value="WRITTEN"/>
          <display value="written"/>
        </coding>
        <text value="written"/>
      </medium>
      <subject>🔗
        <reference value="Patient/example"/>
      </subject>
      <topic>
        <text value="Chest radiograph report available"/>
      </topic>
      <about>🔗
        <reference value="DiagnosticReport/note-example"/>
        <display value="Portable chest radiograph report"/>
      </about>
      <encounter>🔗
        <reference value="Encounter/example"/>
      </encounter>
      <sent value="2019-02-03T19:45:00Z"/>
      <received value="2019-02-03T19:45:30Z"/>
      <recipient>🔗
        <reference value="Practitioner/example"/>
      </recipient>
      <sender>🔗
        <reference value="Organization/example"/>
      </sender>
      <payload>
        <contentString
                       value="Portable chest radiograph report is final with no acute cardiopulmonary abnormality."/>
      </payload>
      <payload>
        <contentReference>🔗
          <reference value="DiagnosticReport/note-example"/>
          <display value="Portable chest radiograph report"/>
        </contentReference>
      </payload>
    </Communication>