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 - XML Representation

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