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

## : ServiceRequest example - JSON Representation

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    {
      "resourceType" : "ServiceRequest",
      "id" : "example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicerequest"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 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-servicerequest.html\">US Quality Core ServiceRequest</a></p></div><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 387713003}\">Surgical Procedure</span></p><p><b>priority</b>: Urgent</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 80146002}\">Excision of appendix (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Social Security number\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&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>occurrence</b>: 2013-04-05 --&gt; 2013-04-05</p><p><b>asNeeded</b>: true</p><p><b>authoredOn</b>: 2013-04-04</p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 21522001}\">Abdominal pain (finding)</span></p><p><b>reasonReference</b>: <a href=\"Condition-appendicitis-example.html\">Condition Appendicitis (disorder)</a></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 66754008}\">Appendix structure</span></p></div>"
      },
      "status" : "completed",
      "intent" : "order",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "387713003",
              "display" : "Surgical Procedure"
            }
          ]
        }
      ],
      "priority" : "urgent",
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "80146002",
            "display" : "Excision of appendix (procedure)"
          }
        ],
        "text" : "Excision of appendix (procedure)"
      },
      "subject" : {
        🔗 "reference" : "Patient/example"
      },
      "encounter" : {
        🔗 "reference" : "Encounter/example"
      },
      "occurrencePeriod" : {
        "start" : "2013-04-05",
        "end" : "2013-04-05"
      },
      "asNeededBoolean" : true,
      "authoredOn" : "2013-04-04",
      "reasonCode" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "21522001",
              "display" : "Abdominal pain (finding)"
            }
          ]
        }
      ],
      "reasonReference" : [
        {
          🔗 "reference" : "Condition/appendicitis-example"
        }
      ],
      "bodySite" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "66754008",
              "display" : "Appendix structure"
            }
          ]
        }
      ]
    }