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

## : CarePlan 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 sct: <http://snomed.info/id/> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

     a fhir:CarePlan ;
      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-careplan"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-careplan>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Assessment and care plan for routine antenatal care during pregnancy.</div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:intent [ fhir:v "plan"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/core/CodeSystem/careplan-category"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/core/CodeSystem/careplan-category>       ] ;
    fhir:code [ fhir:v "assess-plan" ] ;
    fhir:display [ fhir:v "Assessment and Plan of Treatment" ]     ] )
      ] ) ; #
      fhir:subject [
    fhir:display [ fhir:v "Eve Everywoman" ]
      ] ; #
      fhir:period [
    fhir:start [ fhir:v "2019-05-24"^^xsd:date ] ;
    fhir:end [ fhir:v "2020-02-24"^^xsd:date ]
      ] ; #
      fhir:careTeam ( [
    fhir:l fhir:CareTeam/example ;
    fhir:reference [ fhir:v "CareTeam/example" ]
      ] ) ; #
      fhir:addresses ( [
    fhir:display [ fhir:v "pregnancy" ]
      ] ) ; #
      fhir:goal ( [
    fhir:display [ fhir:v "pregnancy goal" ]
      ] ) ; #
      fhir:activity ( [
        ( fhir:outcomeReference [
    fhir:display [ fhir:v "First contact, occurred at about 12 weeks based on gestational age from LMP of 2019-03-01" ]     ] ) ;
    fhir:detail [
    fhir:kind [ fhir:v "ServiceRequest" ] ;
    fhir:code [
            ( fhir:coding [
    a sct:424525001 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>           ] ;
    fhir:code [ fhir:v "424525001" ] ;
    fhir:display [ fhir:v "Antenatal care (regime/therapy)" ]         ] ) ;
    fhir:text [ fhir:v "Antenatal care" ]       ] ;
    fhir:status [ fhir:v "in-progress" ] ;
          ( fhir:performer [
    fhir:display [ fhir:v "Mabel Midwife" ]       ] ) ;
    fhir:description [ fhir:v "First antenatal care contact" ]     ]
      ] [
    fhir:detail [
    fhir:kind [ fhir:v "ServiceRequest" ] ;
    fhir:code [
            ( fhir:coding [
    a sct:424525001 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>           ] ;
    fhir:code [ fhir:v "424525001" ] ;
    fhir:display [ fhir:v "Antenatal care (regime/therapy)" ]         ] ) ;
    fhir:text [ fhir:v "Antenatal care" ]       ] ;
    fhir:status [ fhir:v "scheduled" ] ;
    fhir:scheduled [
    a fhir:Period ;
    fhir:start [ fhir:v "2019-07-26"^^xsd:date ]       ] ;
          ( fhir:performer [
    fhir:display [ fhir:v "Mabel Midwife" ]       ] ) ;
    fhir:description [ fhir:v "Second contact to occur at 20 weeks of gestational age" ]     ]
      ] [
    fhir:detail [
    fhir:kind [ fhir:v "ServiceRequest" ] ;
    fhir:code [
            ( fhir:coding [
    a sct:424525001 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>           ] ;
    fhir:code [ fhir:v "424525001" ] ;
    fhir:display [ fhir:v "Antenatal care (regime/therapy)" ]         ] ) ;
    fhir:text [ fhir:v "Antenatal care" ]       ] ;
    fhir:status [ fhir:v "not-started" ] ;
    fhir:scheduled [
    a fhir:Period ;
    fhir:start [ fhir:v "2019-09-06"^^xsd:date ]       ] ;
          ( fhir:performer [
    fhir:display [ fhir:v "Mabel Midwife" ]       ] ) ;
    fhir:description [ fhir:v "Third contact to occur at 26 weeks of gestational age" ]     ]
      ] [
    fhir:detail [
    fhir:kind [ fhir:v "ServiceRequest" ] ;
    fhir:code [
            ( fhir:coding [
    a sct:424525001 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>           ] ;
    fhir:code [ fhir:v "424525001" ] ;
    fhir:display [ fhir:v "Antenatal care (regime/therapy)" ]         ] ) ;
    fhir:text [ fhir:v "Antenatal care" ]       ] ;
    fhir:status [ fhir:v "not-started" ] ;
    fhir:scheduled [
    a fhir:Period ;
    fhir:start [ fhir:v "2019-10-04"^^xsd:date ]       ] ;
          ( fhir:performer [
    fhir:display [ fhir:v "Mabel Midwife" ]       ] ) ;
    fhir:description [ fhir:v "Fourth contact to occur at 30 weeks of gestational age" ]     ]
      ] [
    fhir:detail [
    fhir:kind [ fhir:v "ServiceRequest" ] ;
    fhir:code [
            ( fhir:coding [
    a sct:424525001 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>           ] ;
    fhir:code [ fhir:v "424525001" ] ;
    fhir:display [ fhir:v "Antenatal care (regime/therapy)" ]         ] ) ;
    fhir:text [ fhir:v "Antenatal care" ]       ] ;
    fhir:status [ fhir:v "not-started" ] ;
    fhir:scheduled [
    a fhir:Period ;
    fhir:start [ fhir:v "2019-11-01"^^xsd:date ]       ] ;
          ( fhir:performer [
    fhir:display [ fhir:v "Mabel Midwife" ]       ] ) ;
    fhir:description [ fhir:v "Fifth contact to occur at 34 weeks of gestational age" ]     ]
      ] [
    fhir:detail [
    fhir:kind [ fhir:v "ServiceRequest" ] ;
    fhir:code [
            ( fhir:coding [
    a sct:424525001 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>           ] ;
    fhir:code [ fhir:v "424525001" ] ;
    fhir:display [ fhir:v "Antenatal care (regime/therapy)" ]         ] ) ;
    fhir:text [ fhir:v "Antenatal care" ]       ] ;
    fhir:status [ fhir:v "not-started" ] ;
    fhir:scheduled [
    a fhir:Period ;
    fhir:start [ fhir:v "2019-11-15"^^xsd:date ]       ] ;
          ( fhir:performer [
    fhir:display [ fhir:v "Mabel Midwife" ]       ] ) ;
    fhir:description [ fhir:v "Sixth contact to occur at 36 weeks of gestational age" ]     ]
      ] [
    fhir:detail [
    fhir:kind [ fhir:v "ServiceRequest" ] ;
    fhir:code [
            ( fhir:coding [
    a sct:424525001 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>           ] ;
    fhir:code [ fhir:v "424525001" ] ;
    fhir:display [ fhir:v "Antenatal care (regime/therapy)" ]         ] ) ;
    fhir:text [ fhir:v "Antenatal care" ]       ] ;
    fhir:status [ fhir:v "not-started" ] ;
    fhir:scheduled [
    a fhir:Period ;
    fhir:start [ fhir:v "2019-11-29"^^xsd:date ]       ] ;
          ( fhir:performer [
    fhir:display [ fhir:v "Mabel Midwife" ]       ] ) ;
    fhir:description [ fhir:v "Seventh contact to occur at 38 weeks of gestational age" ]     ]
      ] [
    fhir:detail [
    fhir:kind [ fhir:v "ServiceRequest" ] ;
    fhir:code [
            ( fhir:coding [
    a sct:424525001 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>           ] ;
    fhir:code [ fhir:v "424525001" ] ;
    fhir:display [ fhir:v "Antenatal care (regime/therapy)" ]         ] ) ;
    fhir:text [ fhir:v "Antenatal care" ]       ] ;
    fhir:status [ fhir:v "not-started" ] ;
    fhir:scheduled [
    a fhir:Period ;
    fhir:start [ fhir:v "2019-12-13"^^xsd:date ]       ] ;
          ( fhir:performer [
    fhir:display [ fhir:v "Mabel Midwife" ]       ] ) ;
    fhir:description [ fhir:v "Eighth contact to occur at 40 weeks of gestational age" ]     ]
      ] [
    fhir:detail [
    fhir:kind [ fhir:v "ServiceRequest" ] ;
    fhir:code [
            ( fhir:coding [
    a sct:236973005 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>           ] ;
    fhir:code [ fhir:v "236973005" ] ;
    fhir:display [ fhir:v "Delivery procedure (procedure)" ]         ] ) ;
    fhir:text [ fhir:v "Delivery procedure" ]       ] ;
    fhir:status [ fhir:v "not-started" ] ;
    fhir:scheduled [
    a fhir:Period ;
    fhir:start [ fhir:v "2019-12-13"^^xsd:date ] ;
    fhir:end [ fhir:v "2019-12-27"^^xsd:date ]       ] ;
          ( fhir:performer [
    fhir:display [ fhir:v "Mabel Midwife" ]       ] ) ;
    fhir:description [ fhir:v "Delivery" ]     ]
      ] ) . #