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

## : CommunicationRequest example - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:CommunicationRequest ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "example"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-communicationrequest"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-communicationrequest>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CommunicationRequest 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-communicationrequest.html\">US Quality Core CommunicationRequest</a></p></div><p><b>identifier</b>: ABC123</p><p><b>basedOn</b>: <a href=\"Claim-example.html\">Appendectomy professional claim</a></p><p><b>replaces</b>: Prior request for appendectomy claim documentation</p><p><b>groupIdentifier</b>: 12345</p><p><b>status</b>: Active</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/communication-category notification}\">Notification</span></p><p><b>priority</b>: Routine</p><p><b>medium</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationMode WRITTEN}\">written</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Social Security number (use: usual, period: 2001-05-06 --&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><h3>Payloads</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Content[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Please provide the operative report supporting professional claim 6612346 for appendectomy.</td></tr></table><p><b>occurrence</b>: 2014-08-16 11:01:10-0800</p><p><b>authoredOn</b>: 2014-08-16 11:01:10-0800</p><p><b>requester</b>: <a href=\"Organization-example.html\">Organization Health Level Seven International</a></p><p><b>recipient</b>: <a href=\"Practitioner-example.html\">Practitioner Adam Careful </a></p><p><b>sender</b>: <a href=\"Organization-example.html\">Organization Health Level Seven International</a></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:identifier ( [
    fhir:value [ fhir:v "ABC123" ]
      ] ) ; #
      fhir:basedOn ( [
    fhir:l fhir:Claim/example ;
    fhir:reference [ fhir:v "Claim/example" ] ;
    fhir:display [ fhir:v "Appendectomy professional claim" ]
      ] ) ; #
      fhir:replaces ( [
    fhir:display [ fhir:v "Prior request for appendectomy claim documentation" ]
      ] ) ; #
      fhir:groupIdentifier [
    fhir:value [ fhir:v "12345" ]
      ] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/communication-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/communication-category>       ] ;
    fhir:code [ fhir:v "notification" ]     ] )
      ] ) ; #
      fhir:priority [ fhir:v "routine"] ; #
      fhir:medium ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationMode"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v3-ParticipationMode>       ] ;
    fhir:code [ fhir:v "WRITTEN" ] ;
    fhir:display [ fhir:v "written" ]     ] ) ;
    fhir:text [ fhir:v "written" ]
      ] ) ; #
      fhir:subject [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ]
      ] ; #
      fhir:encounter [
    fhir:l fhir:Encounter/example ;
    fhir:reference [ fhir:v "Encounter/example" ]
      ] ; #
      fhir:payload ( [
    fhir:content [
    a fhir:String ;
    fhir:v "Please provide the operative report supporting professional claim 6612346 for appendectomy."     ]
      ] ) ; #
      fhir:occurrence [
    a fhir:DateTime ;
    fhir:v "2014-08-16T11:01:10-08:00"^^xsd:dateTime
      ] ; #
      fhir:authoredOn [ fhir:v "2014-08-16T11:01:10-08:00"^^xsd:dateTime] ; #
      fhir:requester [
    fhir:l fhir:Organization/example ;
    fhir:reference [ fhir:v "Organization/example" ]
      ] ; #
      fhir:recipient ( [
    fhir:l fhir:Practitioner/example ;
    fhir:reference [ fhir:v "Practitioner/example" ]
      ] ) ; #
      fhir:sender [
    fhir:l fhir:Organization/example ;
    fhir:reference [ fhir:v "Organization/example" ]
      ] . #