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

## : ServiceRequest Myringotomy Procedure example - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix sct: <http://snomed.info/id/> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:ServiceRequest ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "myringotomy-example"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicerequest"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicerequest>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest myringotomy-example</b></p><a name=\"myringotomy-example\"> </a><a name=\"hcmyringotomy-example\"> </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-servicerequest.html\">US Quality Core ServiceRequest</a></p></div><p><b>status</b>: On Hold</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 387713003}\">Surgical Procedure</span></p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 172676009}\">Myringotomy and insertion of short-term tympanic ventilation tube (procedure)</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>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>occurrence</b>: 2014-02-13 --&gt; 2014-02-13</p><p><b>asNeeded</b>: true</p><p><b>authoredOn</b>: 2014-02-14</p><p><b>performerType</b>: <span title=\"Codes:{http://snomed.info/sct 417887005}\">Pediatric otolaryngology</span></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 65363002}\">Otitis media</span></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "on-hold"] ; #
      fhir:intent [ fhir:v "order"] ; #
      fhir:category ( [
        ( fhir:coding [
    a sct:387713003 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "387713003" ] ;
    fhir:display [ fhir:v "Surgical Procedure" ]     ] )
      ] ) ; #
      fhir:priority [ fhir:v "routine"] ; #
      fhir:code [
        ( fhir:coding [
    a sct:172676009 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "172676009" ] ;
    fhir:display [ fhir:v "Myringotomy and insertion of short-term tympanic ventilation tube (procedure)" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ]
      ] ; #
      fhir:encounter [
    fhir:l fhir:Encounter/example ;
    fhir:reference [ fhir:v "Encounter/example" ]
      ] ; #
      fhir:occurrence [
    a fhir:Period ;
    fhir:start [ fhir:v "2014-02-13"^^xsd:date ] ;
    fhir:end [ fhir:v "2014-02-13"^^xsd:date ]
      ] ; #
      fhir:asNeeded [
    a fhir:Boolean ;
    fhir:v true
      ] ; #
      fhir:authoredOn [ fhir:v "2014-02-14"^^xsd:date] ; #
      fhir:performerType [
        ( fhir:coding [
    a sct:417887005 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "417887005" ] ;
    fhir:display [ fhir:v "Pediatric otolaryngology" ]     ] )
      ] ; #
      fhir:reasonCode ( [
        ( fhir:coding [
    a sct:65363002 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "65363002" ] ;
    fhir:display [ fhir:v "Otitis media" ]     ] )
      ] ) . #