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

## : Medication 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:Medication ;
      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-medication"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medication>     ] )
      ] ; #
      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: Medication 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-medication.html\">US Quality Core Medication</a></p></div><p><b>code</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1594660}\">alemtuzumab 10 MG/ML [Lemtrada]</span></p><p><b>manufacturer</b>: <a href=\"#hcexample/org6\">Organization Genzyme</a></p><p><b>form</b>: <span title=\"Codes:{http://snomed.info/sct 385219001}\">Conventional release solution for injection (dose form)</span></p><h3>Ingredients</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 129472003}\">Alemtuzumab (substance)</span></td><td>12 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span>/1.2 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span></td></tr></table><h3>Batches</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td style=\"display: none\">*</td><td>9494788</td><td>2017-05-22</td></tr></table><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Organization #org6</b></p><a name=\"example/org6\"> </a><a name=\"hcexample/org6\"> </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-organization.html\">US Quality Core Organization</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/8635143786 (use: temp, )</p><p><b>active</b>: true</p><p><b>name</b>: Genzyme</p><p><b>telecom</b>: <a href=\"https://www.sanofigenzyme.com/\">https://www.sanofigenzyme.com/</a></p><p><b>address</b>: Cambridge MA USA (work)</p></blockquote></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:contained ( [
    a fhir:Organization ;
    fhir:id [ fhir:v "org6" ] ;
    fhir:meta [
          ( fhir:profile [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-organization"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-organization>       ] )     ] ;
        ( fhir:identifier [
    fhir:use [ fhir:v "temp" ] ;
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/us-npi>       ] ;
    fhir:value [ fhir:v "8635143786" ]     ] ) ;
    fhir:active [ fhir:v true ] ;
    fhir:name [ fhir:v "Genzyme" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://www.sanofigenzyme.com/" ] ;
    fhir:use [ fhir:v "work" ]     ] ) ;
        ( fhir:address [
    fhir:use [ fhir:v "work" ] ;
    fhir:city [ fhir:v "Cambridge" ] ;
    fhir:state [ fhir:v "MA" ] ;
    fhir:country [ fhir:v "USA" ]     ] )
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ;
    fhir:l <http://www.nlm.nih.gov/research/umls/rxnorm>       ] ;
    fhir:code [ fhir:v "1594660" ] ;
    fhir:display [ fhir:v "alemtuzumab 10 MG/ML [Lemtrada]" ]     ] )
      ] ; #
      fhir:manufacturer [
    fhir:l <#org6> ;
    fhir:reference [ fhir:v "#org6" ]
      ] ; #
      fhir:form [
        ( fhir:coding [
    a sct:385219001 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "385219001" ] ;
    fhir:display [ fhir:v "Conventional release solution for injection (dose form)" ]     ] )
      ] ; #
      fhir:ingredient ( [
    fhir:item [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    a sct:129472003 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "129472003" ] ;
    fhir:display [ fhir:v "Alemtuzumab (substance)" ]       ] )     ] ;
    fhir:strength [
    fhir:numerator [
    fhir:value [ fhir:v "12"^^xsd:decimal ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>         ] ;
    fhir:code [ fhir:v "mg" ]       ] ;
    fhir:denominator [
    fhir:value [ fhir:v 1.2 ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>         ] ;
    fhir:code [ fhir:v "mL" ]       ]     ]
      ] ) ; #
      fhir:batch [
    fhir:lotNumber [ fhir:v "9494788" ] ;
    fhir:expirationDate [ fhir:v "2017-05-22"^^xsd:date ]
      ] . #