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

## : DiagnosticReportNote example - JSON Representation

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    {
      "resourceType" : "DiagnosticReport",
      "id" : "note-example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-diagnosticreport-note"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport note-example</b></p><a name=\"note-example\"> </a><a name=\"hcnote-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-diagnosticreport-note.html\">US Quality Core DiagnosticReport Profile for Report and Note Exchange</a></p></div><h2><span title=\"Codes:{http://loinc.org 30746-2}\">Portable XR Chest Views</span> (<span title=\"Codes:{http://loinc.org LP29684-5}\">Radiology</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Jim Chalmers  Male, DoB: 1974-12-25 ( Social Security number\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</td></tr><tr><td>When For</td><td>2019-02-03 19:43:30+0000</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td></tr></table></div>"
      },
      "status" : "final",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "LP29684-5",
              "display" : "Radiology"
            }
          ]
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "30746-2",
            "display" : "Portable XR Chest Views"
          }
        ],
        "text" : "Portable XR Chest Views"
      },
      "subject" : {
        🔗 "reference" : "Patient/example"
      },
      "effectiveDateTime" : "2019-02-03T19:43:30.000Z",
      "result" : [
        {
          "display" : "No acute cardiopulmonary abnormality"
        }
      ],
      "imagingStudy" : [
        {
          "display" : "Portable chest radiograph images"
        }
      ],
      "presentedForm" : [
        {
          "contentType" : "application/xhtml",
          "data" : "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"
        }
      ]
    }