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

## Example CommunicationRequest: CommunicationRequest example

Profile: US Quality Core CommunicationRequest

identifier: ABC123

basedOn: Appendectomy professional claim

replaces: Prior request for appendectomy claim documentation

groupIdentifier: 12345

status: Active

category: Notification

priority: Routine

medium: written

subject: Jim Chalmers Male, DoB: 1974-12-25 ( Social Security number (use: usual, period: 2001-05-06 --> (ongoing)))

encounter: Encounter: identifier = http://example.org/encounters#ENC-20130404-appendicitis; status = finished; class = inpatient encounter (v3 Code System ActCode#IMP); type = Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.; period = 2013-04-04 18:00:00-0400 --> 2013-04-06 11:00:00-0400

### Payloads

- | Content[x]
* | Please provide the operative report supporting professional claim 6612346 for appendectomy.

occurrence: 2014-08-16 11:01:10-0800

authoredOn: 2014-08-16 11:01:10-0800

requester: Organization Health Level Seven International

recipient: Practitioner Adam Careful

sender: Organization Health Level Seven International