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 example - appendicitis - 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:Condition ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "appendicitis-example"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis>     ] )
      ] ; #
      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: Condition appendicitis-example</b></p><a name=\"appendicitis-example\"> </a><a name=\"hcappendicitis-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-condition-encounter-diagnosis.html\">US Quality Core Condition Encounter Diagnosis</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</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>severity</b>: <span title=\"Codes:{http://snomed.info/sct 24484000}\">Severe (severity modifier)</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 74400008}\">Appendicitis</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 66754008}\">Appendix structure</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>onset</b>: 2012-05-24 00:00:00+0000</p><p><b>recordedDate</b>: 2012-05-24 00:00:00+0000</p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:clinicalStatus [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/condition-clinical>       ] ;
    fhir:code [ fhir:v "active" ]     ] )
      ] ; #
      fhir:verificationStatus [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/condition-ver-status>       ] ;
    fhir:code [ fhir:v "confirmed" ]     ] )
      ] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/condition-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/condition-category>       ] ;
    fhir:code [ fhir:v "encounter-diagnosis" ] ;
    fhir:display [ fhir:v "Encounter Diagnosis" ]     ] )
      ] ) ; #
      fhir:severity [
        ( fhir:coding [
    a sct:24484000 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "24484000" ] ;
    fhir:display [ fhir:v "Severe (severity modifier)" ]     ] )
      ] ; #
      fhir:code [
        ( fhir:coding [
    a sct:74400008 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "74400008" ] ;
    fhir:display [ fhir:v "Appendicitis (disorder)" ]     ] ) ;
    fhir:text [ fhir:v "Appendicitis" ]
      ] ; #
      fhir:bodySite ( [
        ( fhir:coding [
    a sct:66754008 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "66754008" ] ;
    fhir:display [ fhir:v "Appendix structure" ]     ] )
      ] ) ; #
      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:onset [
    a fhir:DateTime ;
    fhir:v "2012-05-24T00:00:00+00:00"^^xsd:dateTime
      ] ; #
      fhir:recordedDate [ fhir:v "2012-05-24T00:00:00+00:00"^^xsd:dateTime] . #