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

## : CarePlan example - JSON Representation

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    {
      "resourceType" : "CarePlan",
      "id" : "example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-careplan"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Assessment and care plan for routine antenatal care during pregnancy.</div>"
      },
      "status" : "active",
      "intent" : "plan",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
              "code" : "assess-plan",
              "display" : "Assessment and Plan of Treatment"
            }
          ]
        }
      ],
      "subject" : {
        "display" : "Eve Everywoman"
      },
      "period" : {
        "start" : "2019-05-24",
        "end" : "2020-02-24"
      },
      "careTeam" : [
        {
          🔗 "reference" : "CareTeam/example"
        }
      ],
      "addresses" : [
        {
          "display" : "pregnancy"
        }
      ],
      "goal" : [
        {
          "display" : "pregnancy goal"
        }
      ],
      "activity" : [
        {
          "outcomeReference" : [
            {
              "display" : "First contact, occurred at about 12 weeks based on gestational age from LMP of 2019-03-01"
            }
          ],
          "detail" : {
            "kind" : "ServiceRequest",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "424525001",
                  "display" : "Antenatal care (regime/therapy)"
                }
              ],
              "text" : "Antenatal care"
            },
            "status" : "in-progress",
            "performer" : [
              {
                "display" : "Mabel Midwife"
              }
            ],
            "description" : "First antenatal care contact"
          }
        },
        {
          "detail" : {
            "kind" : "ServiceRequest",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "424525001",
                  "display" : "Antenatal care (regime/therapy)"
                }
              ],
              "text" : "Antenatal care"
            },
            "status" : "scheduled",
            "scheduledPeriod" : {
              "start" : "2019-07-26"
            },
            "performer" : [
              {
                "display" : "Mabel Midwife"
              }
            ],
            "description" : "Second contact to occur at 20 weeks of gestational age"
          }
        },
        {
          "detail" : {
            "kind" : "ServiceRequest",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "424525001",
                  "display" : "Antenatal care (regime/therapy)"
                }
              ],
              "text" : "Antenatal care"
            },
            "status" : "not-started",
            "scheduledPeriod" : {
              "start" : "2019-09-06"
            },
            "performer" : [
              {
                "display" : "Mabel Midwife"
              }
            ],
            "description" : "Third contact to occur at 26 weeks of gestational age"
          }
        },
        {
          "detail" : {
            "kind" : "ServiceRequest",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "424525001",
                  "display" : "Antenatal care (regime/therapy)"
                }
              ],
              "text" : "Antenatal care"
            },
            "status" : "not-started",
            "scheduledPeriod" : {
              "start" : "2019-10-04"
            },
            "performer" : [
              {
                "display" : "Mabel Midwife"
              }
            ],
            "description" : "Fourth contact to occur at 30 weeks of gestational age"
          }
        },
        {
          "detail" : {
            "kind" : "ServiceRequest",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "424525001",
                  "display" : "Antenatal care (regime/therapy)"
                }
              ],
              "text" : "Antenatal care"
            },
            "status" : "not-started",
            "scheduledPeriod" : {
              "start" : "2019-11-01"
            },
            "performer" : [
              {
                "display" : "Mabel Midwife"
              }
            ],
            "description" : "Fifth contact to occur at 34 weeks of gestational age"
          }
        },
        {
          "detail" : {
            "kind" : "ServiceRequest",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "424525001",
                  "display" : "Antenatal care (regime/therapy)"
                }
              ],
              "text" : "Antenatal care"
            },
            "status" : "not-started",
            "scheduledPeriod" : {
              "start" : "2019-11-15"
            },
            "performer" : [
              {
                "display" : "Mabel Midwife"
              }
            ],
            "description" : "Sixth contact to occur at 36 weeks of gestational age"
          }
        },
        {
          "detail" : {
            "kind" : "ServiceRequest",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "424525001",
                  "display" : "Antenatal care (regime/therapy)"
                }
              ],
              "text" : "Antenatal care"
            },
            "status" : "not-started",
            "scheduledPeriod" : {
              "start" : "2019-11-29"
            },
            "performer" : [
              {
                "display" : "Mabel Midwife"
              }
            ],
            "description" : "Seventh contact to occur at 38 weeks of gestational age"
          }
        },
        {
          "detail" : {
            "kind" : "ServiceRequest",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "424525001",
                  "display" : "Antenatal care (regime/therapy)"
                }
              ],
              "text" : "Antenatal care"
            },
            "status" : "not-started",
            "scheduledPeriod" : {
              "start" : "2019-12-13"
            },
            "performer" : [
              {
                "display" : "Mabel Midwife"
              }
            ],
            "description" : "Eighth contact to occur at 40 weeks of gestational age"
          }
        },
        {
          "detail" : {
            "kind" : "ServiceRequest",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "236973005",
                  "display" : "Delivery procedure (procedure)"
                }
              ],
              "text" : "Delivery procedure"
            },
            "status" : "not-started",
            "scheduledPeriod" : {
              "start" : "2019-12-13",
              "end" : "2019-12-27"
            },
            "performer" : [
              {
                "display" : "Mabel Midwife"
              }
            ],
            "description" : "Delivery"
          }
        }
      ]
    }