# US Quality Core Procedure - 2026 US Quality Core Implementation Guide v0.5.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **US Quality Core Procedure**

## Resource Profile: US Quality Core Procedure 

| | |
| :--- | :--- |
| *Official URL*:http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-procedure | *Version*:0.5.0 |
| Active as of 2026-05-15 | *Computable Name*:USQualityCoreProcedure |

 
Profile of Procedure for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors. 

**Usage**
To create an expression specifically requesting information that a procedure intentionally did not occur for a medical, patient or system reason, use the profile [USQualityCore-Procedurenotdone](StructureDefinition-us-quality-core-procedurenotdone.md).

The following example illustrates the use of the Procedure profile:

```
define "Application of Intermittent Pneumatic Compression Devices":
  ["Procedure": "Application of Intermittent Pneumatic Compression Devices (IPC)"] DeviceApplied
    where DeviceApplied.status = 'completed'
```

  See the [patterns](patterns.md) page for implementation and usage patterns.  

### Examples

 

| |
| :--- |
| [Appendectomy Example](Procedure-example.md) |

 

**USCDI+ Quality Elements:**

* extension:recorded: (USCDI+ Quality) When the procedure was first captured in the subject's record
* partOf: (USCDI+ Quality) Part of referenced event
* status: (USCDI+ Quality) (USCDI) preparation | in-progress | ​on-hold​ | stopped​ | completed | entered-in-error​ | unknown​
* statusReason: (USCDI+ Quality) Reason for current status
* code: (USCDI+ Quality) (USCDI) Identification of the procedure
* performed[x]: (USCDI+ Quality) (USCDI) When the procedure was performed
* reasonCode: (USCDI+ Quality) Coded reason procedure performed
* reasonReference: (USCDI+ Quality) The justification that the procedure was performed

**Usages:**

* Refer to this Profile: [US Quality Core AdverseEvent](StructureDefinition-us-quality-core-adverseevent.md), [US Quality Core Claim](StructureDefinition-us-quality-core-claim.md), [US Quality Core Encounter](StructureDefinition-us-quality-core-encounter.md) and [US Quality Core ImagingStudy](StructureDefinition-us-quality-core-imagingstudy.md)
* Examples for this Profile: [Procedure/example](Procedure-example.md)
* CapabilityStatements using this Profile: [US Quality Core Client CapabilityStatement](CapabilityStatement-us-quality-core-client.md) and [US Quality Core Server CapabilityStatement](CapabilityStatement-us-quality-core-server.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/fhir.onc.us-quality-core|current/StructureDefinition/StructureDefinition-us-quality-core-procedure.json)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-us-quality-core-procedure.csv), [Excel](StructureDefinition-us-quality-core-procedure.xlsx), [Schematron](StructureDefinition-us-quality-core-procedure.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "us-quality-core-procedure",
  "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-procedure",
  "version" : "0.5.0",
  "name" : "USQualityCoreProcedure",
  "title" : "US Quality Core Procedure",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-05-15",
  "publisher" : "Office of the National Coordinator for Health Information Technology (ONC)",
  "contact" : [{
    "name" : "Office of the National Coordinator for Health Information Technology (ONC)",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.healthit.gov/feedback"
    }]
  }],
  "description" : "Profile of Procedure for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US",
      "display" : "United States of America"
    }],
    "text" : "USA"
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Procedure",
  "baseDefinition" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|6.1.0",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Procedure",
      "path" : "Procedure"
    },
    {
      "id" : "Procedure.implicitRules",
      "path" : "Procedure.implicitRules",
      "short" : "A set of rules under which this content was created"
    },
    {
      "id" : "Procedure.extension:recorded",
      "extension" : [{
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "Procedure.extension",
      "sliceName" : "recorded",
      "short" : "(USCDI+ Quality) When the procedure was first captured in the subject's record",
      "definition" : "The date the occurrence of the procedure was first captured in the record regardless of Procedure.status (potentially after the occurrence of the event).",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded"]
      }]
    },
    {
      "id" : "Procedure.basedOn",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      }],
      "path" : "Procedure.basedOn",
      "short" : "(USCDI) A request for this procedure",
      "definition" : "A reference to a resource that contains details of the request for this procedure.",
      "alias" : ["fulfills"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure.basedOn",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-careplan",
        "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicerequest"]
      }],
      "mustSupport" : false,
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "Procedure.partOf",
      "extension" : [{
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "Procedure.partOf",
      "short" : "(USCDI+ Quality) Part of referenced event"
    },
    {
      "id" : "Procedure.status",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      },
      {
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "Procedure.status",
      "short" : "(USCDI+ Quality) (USCDI) preparation | in-progress | ​on-hold​ | stopped​ | completed | entered-in-error​ | unknown​",
      "binding" : {
        "strength" : "required",
        "valueSet" : "http://fhir.org/guides/onc/us-quality-core/ValueSet/us-quality-core-non-negative-event-status"
      }
    },
    {
      "id" : "Procedure.statusReason",
      "extension" : [{
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "Procedure.statusReason",
      "short" : "(USCDI+ Quality) Reason for current status"
    },
    {
      "id" : "Procedure.category",
      "path" : "Procedure.category",
      "short" : "Classification of the procedure"
    },
    {
      "id" : "Procedure.code",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      },
      {
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "Procedure.code",
      "short" : "(USCDI+ Quality) (USCDI) Identification of the procedure"
    },
    {
      "id" : "Procedure.subject",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      }],
      "path" : "Procedure.subject",
      "short" : "(USCDI) Who the procedure was performed on",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient"]
      }]
    },
    {
      "id" : "Procedure.performed[x]",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      },
      {
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "Procedure.performed[x]",
      "short" : "(USCDI+ Quality) (USCDI) When the procedure was performed"
    },
    {
      "id" : "Procedure.performer.actor",
      "path" : "Procedure.performer.actor",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-practitioner",
        "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-organization",
        "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient",
        "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-relatedperson"]
      }],
      "mustSupport" : false
    },
    {
      "id" : "Procedure.reasonCode",
      "extension" : [{
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "Procedure.reasonCode",
      "short" : "(USCDI+ Quality) Coded reason procedure performed",
      "binding" : {
        "strength" : "preferred",
        "description" : "A code that identifies the reason a procedure is required.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-reason"
      }
    },
    {
      "id" : "Procedure.reasonReference",
      "extension" : [{
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "Procedure.reasonReference",
      "short" : "(USCDI+ Quality) The justification that the procedure was performed",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis",
        "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns",
        "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-diagnosticreport-note",
        "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|6.1.0"]
      }]
    }]
  }
}

```
