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

## : AllergyIntolerance example - XML Representation

Raw xml | Download

    <AllergyIntolerance xmlns="http://hl7.org/fhir">
      <id value="example"/>
      <meta>
        <profile
                 value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: AllergyIntolerance 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-allergyintolerance.html">US Quality Core AllergyIntolerance</a></p></div><p><b>identifier</b>: <code>http://acme.com/ids/patients/risks</code>/49476534</p><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}">Confirmed</span></p><p><b>type</b>: Allergy</p><p><b>category</b>: Food</p><p><b>criticality</b>: High Risk</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 227493005}">Cashew nuts</span></p><p><b>patient</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>onset</b>: 2004</p><p><b>recordedDate</b>: 2014-10-09 14:58:00+1100</p><p><b>recorder</b>: <a href="Practitioner-example.html">Practitioner Adam Careful </a></p><p><b>asserter</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>lastOccurrence</b>: 2012-06-02 01:45:31+0000</p><p><b>note</b>: </p><blockquote><div><p>The criticality is high becasue of the observed anaphylactic reaction when challenged     with cashew extract.</p>
    </div></blockquote><blockquote><p><b>reaction</b></p><p><b>substance</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1160593}">cashew nut allergenic extract Injectable Product</span></p><p><b>manifestation</b>: <span title="Codes:{http://snomed.info/sct 39579001}">Anaphylactic reaction</span></p><p><b>description</b>: Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered</p><p><b>onset</b>: 2012-06-12</p><p><b>severity</b>: Severe</p><p><b>exposureRoute</b>: <span title="Codes:{http://snomed.info/sct 34206005}">Subcutaneous route</span></p></blockquote><blockquote><p><b>reaction</b></p><p><b>manifestation</b>: <span title="Codes:{http://snomed.info/sct 64305001}">Urticaria</span></p><p><b>onset</b>: 2004</p><p><b>severity</b>: Moderate</p><p><b>note</b>: </p><blockquote><div><p>The patient reports that the onset of urticaria was within 15 minutes of eating cashews.</p>
    </div></blockquote></blockquote></div>
      </text>
      <identifier>
        <system value="http://acme.com/ids/patients/risks"/>
        <value value="49476534"/>
      </identifier>
      <clinicalStatus>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
          <code value="active"/>
        </coding>
      </clinicalStatus>
      <verificationStatus>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
          <code value="confirmed"/>
        </coding>
      </verificationStatus>
      <type value="allergy"/>
      <category value="food"/>
      <criticality value="high"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="227493005"/>
          <display value="Cashew nuts"/>
        </coding>
      </code>
      <patient>🔗
        <reference value="Patient/example"/>
      </patient>
      <onsetDateTime value="2004"/>
      <recordedDate value="2014-10-09T14:58:00+11:00"/>
      <recorder>🔗
        <reference value="Practitioner/example"/>
      </recorder>
      <asserter>🔗
        <reference value="Patient/example"/>
      </asserter>
      <lastOccurrence value="2012-06-02T01:45:31+00:00"/>
      <note>
        <text
              value="The criticality is high becasue of the observed anaphylactic reaction when challenged     with cashew extract."/>
      </note>
      <reaction>
        <substance>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="1160593"/>
            <display value="cashew nut allergenic extract Injectable Product"/>
          </coding>
        </substance>
        <manifestation>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="39579001"/>
            <display value="Anaphylactic reaction"/>
          </coding>
        </manifestation>
        <description
                     value="Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered"/>
        <onset value="2012-06-12"/>
        <severity value="severe"/>
        <exposureRoute>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="34206005"/>
            <display value="Subcutaneous route"/>
          </coding>
        </exposureRoute>
      </reaction>
      <reaction>
        <manifestation>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="64305001"/>
            <display value="Urticaria"/>
          </coding>
        </manifestation>
        <onset value="2004"/>
        <severity value="moderate"/>
        <note>
          <text
                value="The patient reports that the onset of urticaria was within 15 minutes of eating cashews."/>
        </note>
      </reaction>
    </AllergyIntolerance>