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

## : AdverseEvent example - XML Representation

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    <AdverseEvent xmlns="http://hl7.org/fhir">
      <id value="example"/>
      <meta>
        <profile
                 value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-adverseevent"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: AdverseEvent 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-adverseevent.html">US Quality Core AdverseEvent</a></p></div><p><b>identifier</b>: 49476534</p><p><b>actuality</b>: Adverse Event</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/adverse-event-category product-use-error}">Product Use Error</span></p><p><b>event</b>: <span title="Codes:{http://snomed.info/sct 725119006}">Generalized rash (disorder)</span></p><p><b>subject</b>: <a href="Patient-example.html">Jim Chalmers  Male, DoB: 1974-12-25 ( Social Security number (use: usual, period: 2001-05-06 --&gt; (ongoing)))</a></p><p><b>date</b>: 2017-01-29 12:34:56+0000</p><p><b>detected</b>: 2017-01-29 12:34:56+0000</p><p><b>recordedDate</b>: 2017-01-29 13:10:00+0000</p><p><b>seriousness</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/adverse-event-seriousness non-serious}">Non-serious</span></p><p><b>recorder</b>: <a href="Practitioner-example.html">Practitioner Adam Careful </a></p><blockquote><p><b>suspectEntity</b></p><p><b>instance</b>: <a href="Medication-example.html">alemtuzumab 10 MG/ML [Lemtrada]</a></p><h3>Causalities</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Assessment</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/adverse-event-causality-assess possible}">Possible</span></td></tr></table></blockquote></div>
      </text>
      <identifier>
        <value value="49476534"/>
      </identifier>
      <actuality value="actual"/>
      <category>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/adverse-event-category"/>
          <version value="4.0.1"/>
          <code value="product-use-error"/>
          <display value="Product Use Error"/>
        </coding>
      </category>
      <event>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="725119006"/>
          <display value="Generalized rash (disorder)"/>
        </coding>
      </event>
      <subject>🔗
        <reference value="Patient/example"/>
      </subject>
      <date value="2017-01-29T12:34:56+00:00"/>
      <detected value="2017-01-29T12:34:56+00:00"/>
      <recordedDate value="2017-01-29T13:10:00+00:00"/>
      <seriousness>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/adverse-event-seriousness"/>
          <code value="non-serious"/>
          <display value="Non-serious"/>
        </coding>
      </seriousness>
      <recorder>🔗
        <reference value="Practitioner/example"/>
      </recorder>
      <suspectEntity>
        <instance>🔗
          <reference value="Medication/example"/>
          <display value="alemtuzumab 10 MG/ML [Lemtrada]"/>
        </instance>
        <causality>
          <assessment>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/adverse-event-causality-assess"/>
              <code value="possible"/>
              <display value="Possible"/>
            </coding>
          </assessment>
        </causality>
      </suspectEntity>
    </AdverseEvent>