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

## : CommunicationRequest example - JSON Representation

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    {
      "resourceType" : "CommunicationRequest",
      "id" : "example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-communicationrequest"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CommunicationRequest 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-communicationrequest.html\">US Quality Core CommunicationRequest</a></p></div><p><b>identifier</b>: ABC123</p><p><b>basedOn</b>: <a href=\"Claim-example.html\">Appendectomy professional claim</a></p><p><b>replaces</b>: Prior request for appendectomy claim documentation</p><p><b>groupIdentifier</b>: 12345</p><p><b>status</b>: Active</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/communication-category notification}\">Notification</span></p><p><b>priority</b>: Routine</p><p><b>medium</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationMode WRITTEN}\">written</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Social Security number\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>encounter</b>: <a href=\"Encounter-example.html\">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 --&gt; 2013-04-06 11:00:00-0400</a></p><h3>Payloads</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Content[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Please provide the operative report supporting professional claim 6612346 for appendectomy.</td></tr></table><p><b>occurrence</b>: 2014-08-16 11:01:10-0800</p><p><b>authoredOn</b>: 2014-08-16 11:01:10-0800</p><p><b>requester</b>: <a href=\"Organization-example.html\">Organization Health Level Seven International</a></p><p><b>recipient</b>: <a href=\"Practitioner-example.html\">Practitioner Adam Careful </a></p><p><b>sender</b>: <a href=\"Organization-example.html\">Organization Health Level Seven International</a></p></div>"
      },
      "identifier" : [
        {
          "value" : "ABC123"
        }
      ],
      "basedOn" : [
        {
          🔗 "reference" : "Claim/example",
          "display" : "Appendectomy professional claim"
        }
      ],
      "replaces" : [
        {
          "display" : "Prior request for appendectomy claim documentation"
        }
      ],
      "groupIdentifier" : {
        "value" : "12345"
      },
      "status" : "active",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/communication-category",
              "code" : "notification"
            }
          ]
        }
      ],
      "priority" : "routine",
      "medium" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationMode",
              "code" : "WRITTEN",
              "display" : "written"
            }
          ],
          "text" : "written"
        }
      ],
      "subject" : {
        🔗 "reference" : "Patient/example"
      },
      "encounter" : {
        🔗 "reference" : "Encounter/example"
      },
      "payload" : [
        {
          "contentString" : "Please provide the operative report supporting professional claim 6612346 for appendectomy."
        }
      ],
      "occurrenceDateTime" : "2014-08-16T11:01:10-08:00",
      "authoredOn" : "2014-08-16T11:01:10-08:00",
      "requester" : {
        🔗 "reference" : "Organization/example"
      },
      "recipient" : [
        {
          🔗 "reference" : "Practitioner/example"
        }
      ],
      "sender" : {
        🔗 "reference" : "Organization/example"
      }
    }