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

## : Encounter 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 xsd: <http://www.w3.org/2001/XMLSchema#> .

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

     a fhir:Encounter ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "example"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter>     ] )
      ] ; #
      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: Encounter 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-encounter.html\">US Quality Core Encounter</a></p></div><p><b>identifier</b>: <code>http://example.org/encounters</code>/ENC-20130404-appendicitis</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://hl7.org/fhir/R4/v3/ActCode/cs.html#v3-ActCode-IMP\">v3 Code System ActCode: IMP</a> (inpatient encounter)</p><p><b>type</b>: <span title=\"Codes:{http://www.ama-assn.org/go/cpt 99223}\">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.</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>period</b>: 2013-04-04 18:00:00-0400 --&gt; 2013-04-06 11:00:00-0400</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Condition</b></td></tr><tr><td style=\"display: none\">*</td><td/><td><a href=\"Condition-appendicitis-example.html\">Condition Appendicitis (disorder)</a></td></tr></table><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">Home</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td><td><b>Status</b></td><td><b>Period</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-example.html\">South Wing, second floor</a></td><td>Completed</td><td>2013-04-04 18:00:00-0400 --&gt; 2013-04-06 11:00:00-0400</td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:identifier ( [
    fhir:system [
    fhir:v "http://example.org/encounters"^^xsd:anyURI ;
    fhir:l <http://example.org/encounters>     ] ;
    fhir:value [ fhir:v "ENC-20130404-appendicitis" ]
      ] ) ; #
      fhir:status [ fhir:v "finished"] ; #
      fhir:class [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActCode>     ] ;
    fhir:code [ fhir:v "IMP" ] ;
    fhir:display [ fhir:v "inpatient encounter" ]
      ] ; #
      fhir:type ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://www.ama-assn.org/go/cpt"^^xsd:anyURI ;
    fhir:l <http://www.ama-assn.org/go/cpt>       ] ;
    fhir:code [ fhir:v "99223" ] ;
    fhir:display [ fhir:v "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." ]     ] )
      ] ) ; #
      fhir:subject [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ]
      ] ; #
      fhir:period [
    fhir:start [ fhir:v "2013-04-04T18:00:00-04:00"^^xsd:dateTime ] ;
    fhir:end [ fhir:v "2013-04-06T11:00:00-04:00"^^xsd:dateTime ]
      ] ; #
      fhir:diagnosis ( [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter-diagnosisPresentOnAdmission"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter-diagnosisPresentOnAdmission>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding"^^xsd:anyURI ;
    fhir:l <https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding>           ] ;
    fhir:code [ fhir:v "Y" ]         ] )       ]     ] ) ;
    fhir:condition [
    fhir:l fhir:Condition/appendicitis-example ;
    fhir:reference [ fhir:v "Condition/appendicitis-example" ]     ]
      ] ) ; #
      fhir:hospitalization [
    fhir:dischargeDisposition [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/discharge-disposition"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/discharge-disposition>         ] ;
    fhir:code [ fhir:v "home" ] ;
    fhir:display [ fhir:v "Home" ]       ] )     ]
      ] ; #
      fhir:location ( [
    fhir:location [
    fhir:l fhir:Location/example ;
    fhir:reference [ fhir:v "Location/example" ] ;
    fhir:display [ fhir:v "South Wing, second floor" ]     ] ;
    fhir:status [ fhir:v "completed" ] ;
    fhir:period [
    fhir:start [ fhir:v "2013-04-04T18:00:00-04:00"^^xsd:dateTime ] ;
    fhir:end [ fhir:v "2013-04-06T11:00:00-04:00"^^xsd:dateTime ]     ]
      ] ) . #