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

## : Condition Encounter Diagnosis example - JSON Representation

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    {
      "resourceType" : "Condition",
      "id" : "example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis"
        ]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Condition 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-condition-encounter-diagnosis.html\">US Quality Core Condition Encounter Diagnosis</a></p></div><p><b>Condition Asserted Date</b>: 2015-10-31</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical resolved}\">Resolved</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 39065001}\">Burnt Ear</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 49521004}\">Left Ear</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><p><b>onset</b>: 2015-10-31</p><p><b>abatement</b>: 2015-12-01</p><p><b>recordedDate</b>: 2015-11-01</p><h3>Stages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Summary</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 258219007}\">stage II</span></td></tr></table></div>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
          "valueDateTime" : "2015-10-31"
        }
      ],
      "clinicalStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
            "code" : "resolved"
          }
        ]
      },
      "verificationStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
            "code" : "confirmed"
          }
        ]
      },
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
              "code" : "encounter-diagnosis",
              "display" : "Encounter Diagnosis"
            }
          ]
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "39065001",
            "display" : "Burn of ear"
          }
        ],
        "text" : "Burnt Ear"
      },
      "bodySite" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "49521004",
              "display" : "Left external ear structure"
            }
          ],
          "text" : "Left Ear"
        }
      ],
      "subject" : {
        🔗 "reference" : "Patient/example"
      },
      "encounter" : {
        🔗 "reference" : "Encounter/example"
      },
      "onsetDateTime" : "2015-10-31",
      "abatementDateTime" : "2015-12-01",
      "recordedDate" : "2015-11-01",
      "stage" : [
        {
          "summary" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "258219007",
                "display" : "stage II"
              }
            ]
          }
        }
      ]
    }