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

## : AllergyIntolerance refuted example - JSON Representation

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    {
      "resourceType" : "AllergyIntolerance",
      "id" : "example-refuted",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance example-refuted</b></p><a name=\"example-refuted\"> </a><a name=\"hcexample-refuted\"> </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-allergyintolerance.html\">US Quality Core AllergyIntolerance</a></p></div><p><b>identifier</b>: <code>http://acme.com/ids/patients/risks</code>/49476534</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical inactive}\">Inactive</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification refuted}\">Refuted</span></p><p><b>type</b>: Allergy</p><p><b>category</b>: Food</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 227493005}\">Cashew nuts</span></p><p><b>patient</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>recordedDate</b>: 2014-10-09 14:58:00+1100</p><p><b>recorder</b>: <a href=\"Practitioner-example.html\">Practitioner Adam Careful </a></p><p><b>asserter</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></div>"
      },
      "identifier" : [
        {
          "system" : "http://acme.com/ids/patients/risks",
          "value" : "49476534"
        }
      ],
      "clinicalStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
            "code" : "inactive"
          }
        ]
      },
      "verificationStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
            "code" : "refuted"
          }
        ]
      },
      "type" : "allergy",
      "category" : [
        "food"
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "227493005",
            "display" : "Cashew nuts"
          }
        ]
      },
      "patient" : {
        🔗 "reference" : "Patient/example"
      },
      "recordedDate" : "2014-10-09T14:58:00+11:00",
      "recorder" : {
        🔗 "reference" : "Practitioner/example"
      },
      "asserter" : {
        🔗 "reference" : "Patient/example"
      }
    }