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

## : Encounter example - XML Representation

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    <Encounter xmlns="http://hl7.org/fhir">
      <id value="example"/>
      <meta>
        <profile
                 value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Encounter 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-encounter.html">US Quality Core Encounter</a></p></div><p><b>identifier</b>: <code>http://example.org/encounters</code>/ENC-20130404-appendicitis</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://hl7.org/fhir/R4/v3/ActCode/cs.html#v3-ActCode-IMP">v3 Code System ActCode: IMP</a> (inpatient encounter)</p><p><b>type</b>: <span title="Codes:{http://www.ama-assn.org/go/cpt 99223}">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.</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>period</b>: 2013-04-04 18:00:00-0400 --&gt; 2013-04-06 11:00:00-0400</p><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Condition</b></td></tr><tr><td style="display: none">*</td><td/><td><a href="Condition-appendicitis-example.html">Condition Appendicitis (disorder)</a></td></tr></table><h3>Hospitalizations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition home}">Home</span></td></tr></table><h3>Locations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Location</b></td><td><b>Status</b></td><td><b>Period</b></td></tr><tr><td style="display: none">*</td><td><a href="Location-example.html">South Wing, second floor</a></td><td>Completed</td><td>2013-04-04 18:00:00-0400 --&gt; 2013-04-06 11:00:00-0400</td></tr></table></div>
      </text>
      <identifier>
        <system value="http://example.org/encounters"/>
        <value value="ENC-20130404-appendicitis"/>
      </identifier>
      <status value="finished"/>
      <class>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
        <code value="IMP"/>
        <display value="inpatient encounter"/>
      </class>
      <type>
        <coding>
          <system value="http://www.ama-assn.org/go/cpt"/>
          <code value="99223"/>
          <display
                   value="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."/>
        </coding>
      </type>
      <subject>🔗
        <reference value="Patient/example"/>
      </subject>
      <period>
        <start value="2013-04-04T18:00:00-04:00"/>
        <end value="2013-04-06T11:00:00-04:00"/>
      </period>
      <diagnosis>
        <extension
                   url="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter-diagnosisPresentOnAdmission">
          <valueCodeableConcept>
            <coding>
              <system
                      value="https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding"/>
              <code value="Y"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <condition>🔗
          <reference value="Condition/appendicitis-example"/>
        </condition>
      </diagnosis>
      <hospitalization>
        <dischargeDisposition>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
            <code value="home"/>
            <display value="Home"/>
          </coding>
        </dischargeDisposition>
      </hospitalization>
      <location>
        <location>🔗
          <reference value="Location/example"/>
          <display value="South Wing, second floor"/>
        </location>
        <status value="completed"/>
        <period>
          <start value="2013-04-04T18:00:00-04:00"/>
          <end value="2013-04-06T11:00:00-04:00"/>
        </period>
      </location>
    </Encounter>