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 ClaimResponse: ClaimResponse example

Profile: US Quality Core ClaimResponse

status: Active

type: Professional

use: Preauthorization

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

created: 2018-02-24

insurer: Organization Health Level Seven International

requestor: Practitioner Adam Careful

request: Claim: identifier = http://example.org/claims#6612346; status = active; type = Professional; use = claim; created = 2014-08-16; priority = Normal

outcome: Queued

> item

> itemSequence: 1

> > adjudication

> > category: Submitted Amount

> > ### Amounts

> > - | Value | Currency
> > * | 4000.00 | United States dollar

> > detail

> > detailSequence: 1

> > > adjudication

> > > category: Submitted Amount

> > > ### Amounts

> > > - | Value | Currency
> > > * | 4000.00 | United States dollar