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

## : Medication example - JSON Representation

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    {
      "resourceType" : "Medication",
      "id" : "example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medication"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Medication 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-medication.html\">US Quality Core Medication</a></p></div><p><b>code</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1594660}\">alemtuzumab 10 MG/ML [Lemtrada]</span></p><p><b>manufacturer</b>: <a href=\"#hcexample/org6\">Organization Genzyme</a></p><p><b>form</b>: <span title=\"Codes:{http://snomed.info/sct 385219001}\">Conventional release solution for injection (dose form)</span></p><h3>Ingredients</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 129472003}\">Alemtuzumab (substance)</span></td><td>12 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span>/1.2 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span></td></tr></table><h3>Batches</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td style=\"display: none\">*</td><td>9494788</td><td>2017-05-22</td></tr></table><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Organization #org6</b></p><a name=\"example/org6\"> </a><a name=\"hcexample/org6\"> </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-organization.html\">US Quality Core Organization</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/8635143786\u00a0(use:\u00a0temp,\u00a0)</p><p><b>active</b>: true</p><p><b>name</b>: Genzyme</p><p><b>telecom</b>: <a href=\"https://www.sanofigenzyme.com/\">https://www.sanofigenzyme.com/</a></p><p><b>address</b>: Cambridge MA USA (work)</p></blockquote></div>"
      },
      "contained" : [
        {
          "resourceType" : "Organization",
          "id" : "org6",
          "meta" : {
            "profile" : [
              🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-organization"
            ]
          },
          "identifier" : [
            {
              "use" : "temp",
              "system" : "http://hl7.org/fhir/sid/us-npi",
              "value" : "8635143786"
            }
          ],
          "active" : true,
          "name" : "Genzyme",
          "telecom" : [
            {
              "system" : "url",
              "value" : "https://www.sanofigenzyme.com/",
              "use" : "work"
            }
          ],
          "address" : [
            {
              "use" : "work",
              "city" : "Cambridge",
              "state" : "MA",
              "country" : "USA"
            }
          ]
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "1594660",
            "display" : "alemtuzumab 10 MG/ML [Lemtrada]"
          }
        ]
      },
      "manufacturer" : {
        "reference" : "#org6"
      },
      "form" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "385219001",
            "display" : "Conventional release solution for injection (dose form)"
          }
        ]
      },
      "ingredient" : [
        {
          "itemCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "129472003",
                "display" : "Alemtuzumab (substance)"
              }
            ]
          },
          "strength" : {
            "numerator" : {
              "value" : 12,
              "system" : "http://unitsofmeasure.org",
              "code" : "mg"
            },
            "denominator" : {
              "value" : 1.2,
              "system" : "http://unitsofmeasure.org",
              "code" : "mL"
            }
          }
        }
      ],
      "batch" : {
        "lotNumber" : "9494788",
        "expirationDate" : "2017-05-22"
      }
    }