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 - JSON Representation

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    {
      "resourceType" : "Communication",
      "id" : "example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-communication"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&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>"
      },
      "partOf" : [
        {
          🔗 "reference" : "DiagnosticReport/note-example",
          "display" : "Portable chest radiograph report"
        }
      ],
      "status" : "completed",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/communication-category",
              "code" : "alert"
            }
          ],
          "text" : "Alert"
        }
      ],
      "medium" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationMode",
              "code" : "WRITTEN",
              "display" : "written"
            }
          ],
          "text" : "written"
        }
      ],
      "subject" : {
        🔗 "reference" : "Patient/example"
      },
      "topic" : {
        "text" : "Chest radiograph report available"
      },
      "about" : [
        {
          🔗 "reference" : "DiagnosticReport/note-example",
          "display" : "Portable chest radiograph report"
        }
      ],
      "encounter" : {
        🔗 "reference" : "Encounter/example"
      },
      "sent" : "2019-02-03T19:45:00Z",
      "received" : "2019-02-03T19:45:30Z",
      "recipient" : [
        {
          🔗 "reference" : "Practitioner/example"
        }
      ],
      "sender" : {
        🔗 "reference" : "Organization/example"
      },
      "payload" : [
        {
          "contentString" : "Portable chest radiograph report is final with no acute cardiopulmonary abnormality."
        },
        {
          "contentReference" : {
            🔗 "reference" : "DiagnosticReport/note-example",
            "display" : "Portable chest radiograph report"
          }
        }
      ]
    }