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

## Example Encounter: Encounter example of emergency visit that escalated into inpatient patient

Profile: US Quality Core Encounter

status: In Progress

class: v3 Code System ActCode: IMP (inpatient encounter)

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.

subject: Jim Chalmers Male, DoB: 1974-12-25 ( Social Security number (use: usual, period: 2001-05-06 --> (ongoing)))

period: 2017-02-01 07:15:00+1000 --> (ongoing)

> location

> location: Emergency Waiting Room

> status: Active

> period: 2017-02-01 07:15:00+1000 --> 2017-02-01 08:45:00+1000

> location

> location: Emergency

> status: Active

> period: 2017-02-01 08:45:00+1000 --> 2017-02-01 09:27:00+1000

> location

> location: Ward 1, Room 42, Bed 1

> status: Active

> period: 2017-02-01 09:27:00+1000 --> 2017-02-01 12:15:00+1000

> location

> location: Ward 1, Room 42, Bed 1

> status: Reserved

> period: 2017-02-01 12:15:00+1000 --> 2017-02-01 12:45:00+1000

> location

> location: Ward 1, Room 42, Bed 1

> status: Active

> period: 2017-02-01 12:45:00+1000 --> (ongoing)