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 ImmunizationRecommendation: ImmunizationRecommendation example

Profile: US Quality Core ImmunizationRecommendation

identifier: Uniform Resource Identifier (URI)/urn:oid:1.3.6.1.4.1.21367.2005.3.7.1235

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

date: 2015-02-09 11:04:15-0500

> recommendation

> vaccineCode: Influenza, seasonal, injectable, preservative free

> forecastStatus: Dose due

> > dateCriterion

> > code: Earliest date to give

> > value: 2015-12-01 00:00:00-0500

> > dateCriterion

> > code: Date vaccine due

> > value: 2015-12-01 00:00:00-0500

> > dateCriterion

> > code: Date when overdue for immunization

> > value: 2016-12-28 00:00:00-0500

> description: Second dose in seasonal influenza vaccination series

> series: Vaccination Series 1

> doseNumber: 2

> supportingImmunization: Immunization: identifier = OID:1.3.6.1.4.1.21367.2005.3.7.1234; status = completed; vaccineCode = Influenza, seasonal, injectable, preservative free; occurrence[x] = 2013-01-01; recorded = 2013-01-10; primarySource = true; lotNumber = AAJN11K; expirationDate = 2015-02-15; site = left arm; route = Injection, intramuscular; doseQuantity = 0.5 mL; note = Seasonal influenza vaccine administered intramuscularly in the left arm; reasonCode =

> supportingPatientInformation: Observation Hemoglobin [Mass/volume] in Venous blood