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

## : AdverseEvent example - JSON Representation

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    {
      "resourceType" : "AdverseEvent",
      "id" : "example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-adverseevent"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: AdverseEvent 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-adverseevent.html\">US Quality Core AdverseEvent</a></p></div><p><b>identifier</b>: 49476534</p><p><b>actuality</b>: Adverse Event</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adverse-event-category product-use-error}\">Product Use Error</span></p><p><b>event</b>: <span title=\"Codes:{http://snomed.info/sct 725119006}\">Generalized rash (disorder)</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>date</b>: 2017-01-29 12:34:56+0000</p><p><b>detected</b>: 2017-01-29 12:34:56+0000</p><p><b>recordedDate</b>: 2017-01-29 13:10:00+0000</p><p><b>seriousness</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adverse-event-seriousness non-serious}\">Non-serious</span></p><p><b>recorder</b>: <a href=\"Practitioner-example.html\">Practitioner Adam Careful </a></p><blockquote><p><b>suspectEntity</b></p><p><b>instance</b>: <a href=\"Medication-example.html\">alemtuzumab 10 MG/ML [Lemtrada]</a></p><h3>Causalities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Assessment</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adverse-event-causality-assess possible}\">Possible</span></td></tr></table></blockquote></div>"
      },
      "identifier" : {
        "value" : "49476534"
      },
      "actuality" : "actual",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/adverse-event-category",
              "version" : "4.0.1",
              "code" : "product-use-error",
              "display" : "Product Use Error"
            }
          ]
        }
      ],
      "event" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "725119006",
            "display" : "Generalized rash (disorder)"
          }
        ]
      },
      "subject" : {
        🔗 "reference" : "Patient/example"
      },
      "date" : "2017-01-29T12:34:56+00:00",
      "detected" : "2017-01-29T12:34:56+00:00",
      "recordedDate" : "2017-01-29T13:10:00+00:00",
      "seriousness" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/adverse-event-seriousness",
            "code" : "non-serious",
            "display" : "Non-serious"
          }
        ]
      },
      "recorder" : {
        🔗 "reference" : "Practitioner/example"
      },
      "suspectEntity" : [
        {
          "instance" : {
            🔗 "reference" : "Medication/example",
            "display" : "alemtuzumab 10 MG/ML [Lemtrada]"
          },
          "causality" : [
            {
              "assessment" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/adverse-event-causality-assess",
                    "code" : "possible",
                    "display" : "Possible"
                  }
                ]
              }
            }
          ]
        }
      ]
    }