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

## US Quality Core Examples

USQualityCoreAdverseEvent

- Mild Rash Example

USQualityCoreAllergyIntolerance

- Typical Food Allergy
- Refuted Food Allergy

USQualityCoreBodyStructure

- BodyStructure example identifying a specific tumor or lesion

USQualityCoreCarePlan

- Assessment and care plan for a pregnancy

USQualityCoreCareTeam

- Example of a CareTeam involved in the delivery of care for a pregnancy

USQualityCoreClaim

- Professional Claim for Appendectomy

USQualityCoreClaimResponse

- Professional ClaimResponse for Appendectomy

USQualityCoreCommunication

- Radiology Report Notification Example

USQualityCoreCommunicationNotDone

- Negation Example

USQualityCoreCommunicationRequest

- CommunicationRequest Example

USQualityCoreConditionEncounterDiagnosis

- Severe Burn Example
- Appendicitis Example

USQualityCoreConditionProblemsHealthConcerns

- Patient with concerns of becoming fat

USQualityCoreCoverage

- General Person Primary Coverage Example

USQualityCoreDevice

- General Device Example

USQualityCoreDeviceNotRequested

- Negation Example with valueset
- Negation Example with code

USQualityCoreDeviceRequest

- General DeviceRequest Example

USQualityCoreDeviceUseStatement

- ECG Monitor Use by a Patient Example

USQualityCoreDiagnosticReportLab

- Blood Panel Example

USQualityCoreDiagnosticReportNote

- Radiology Diagnostic Report Example

USQualityCoreEncounter

- Inpatient Admission for Appendicitis

USQualityCoreFamilyMemberHistory

- Father Died of Heart Attack Example

USQualityCoreFlag

- Fall Risk Safety Flag Example

USQualityCoreGoal

- Weight Loss Example

USQualityCoreImagingStudy

- Chest CT

USQualityCoreImmunization

- Example of Influenza immunization shot
- Example of entered-in-error Influenza immunization record

USQualityCoreImmunizationNotDone

- Negation Example using valueset reference
- Negation Example using coding

USQualityCoreImmunizationEvaluation

- Example of immunization evaluation

USQualityCoreImmunizationRecommendation

- Example of immunizationrecommendation using a vaccine code

USQualityCoreMedication

- Example of an IV medication - Alemtuzumab

USQualityCoreMedicationAdministration

- Inhalant Example
- Cumulative Duration Example

USQualityCoreMedicationAdministrationNotDone

- Medication not administered using a value set to indicate what was not administered
- Medication not administered using a code to indicate that a particular medication was not administered

USQualityCoreMedicationDispense

- Alemtuzumab MedicationDispense Example
- Alemtuzumab MedicationDispense Course Example

USQualityCoreMedicationDispenseDeclined

- Negation Example with valueset
- Negation Example with code

USQualityCoreMedicationNotRequested

- Negation Example using Valueset
- Negation Example using code

USQualityCoreMedicationRequest

- Alemtuzumab MedicationRequest Example
- Cumulative Medication Duration Example
- Patient Reported MedicationRequest Example
- Patient Requested MedicationRequest Example
- Practitioner Ordered MedicationRequest Example

USQualityCoreMedicationStatement

- Alemtuzumab MedicationStatement Example

USQualityCoreNutritionOrder

- Diabetic diet example

USQualityCoreQuestionnaireResponse

- PHQ-9 Questionnaire Response Example

USQualityCoreSimpleObservation

- Frailty Observation Example
- Gestational Age at Birth Example
- Date and Time of Obstetric Delivery Example
- Delivery Date Estimated Example
- Number of Preterm Births Example
- Number of Term Births Example
- Number of Parity Example
- Number of Pregnancies Example

USQualityCoreObservationCancelled

- Negation Example with valueset
- Negation Example with code

USQualityCoreNonPatientObservation

- Hemodialysis Machine Availability
- Hospital Bed Availability
- Mechanical Ventilator Availability

USQualityCoreLaboratoryResultObservation

- Glucose Lab Result Observation

USQualityCoreObservationClinicalResult

- Heart Rate Rhythm Clinical Result Observation

USQualityCoreObservationScreeningAssessment

- 10 minute Apgar Heart Rate Screening Assessment Observation

USQualityCoreOrganization

- HL7 Organization Example

USQualityCorePatient

- Basic Patient Example
- Senior Patient Example
- Infant Patient Example

USQualityCorePractitioner

- Referring Practitioner Example

USQualityCorePractitionerRole

- PractitionerRole Example

USQualityCoreProcedure

- Appendectomy Example

USQualityCoreProcedureNotDone

- Negation Example with valuset
- Negation Example with code

USQualityCoreRelatedPerson

- Emergency Contact Example

USQualityCoreServiceNotRequested

- Negation Example with valueset
- Negation Example with code

USQualityCoreServiceRequest

- Request for Appendectomy Example
- Request for Myringotomy Procedure Example

USQualityCoreSubstance

- Honey Bee venom (apitoxin) Example

USQualityCoreTask

- Task Example

USQualityCoreTaskRejected

- Task rejected using a value set to indicate what was not done
- Task rejected using a code to indicate what was not done

Additional Examples

- ODH Example