US Quality Core Implementation Guide
1.0.0-ballot - STU 1 - ballot
US Quality Core Implementation Guide
1.0.0-ballot - STU 1 - ballot
US Quality Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-quality-core/ and changes regularly. See the Directory of published versions
| Page standards status: Informative |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@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 -------------------------------------------------------------------
<http://hl7.org/fhir/CarePlan/example> a fhir:CarePlan ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "example"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-careplan" ;
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-careplan>
]
] ;
fhir:Resource.language [ fhir:value "en"] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 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-careplan.html\">US Quality Core CarePlan</a></p></div><p><b>instantiatesCanonical</b>: <code>http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact-schedule</code></p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>subject</b>: <a href=\"Patient-reproductive-health-example.html\">Example Reproductive Health Patient</a></p><p><b>period</b>: 2026-05-08 --> 2026-12-04</p><p><b>careTeam</b>: <a href=\"CareTeam-example.html\">CareTeam: status = active</a></p><p><b>addresses</b>: pregnancy</p><p><b>goal</b>: pregnancy goal</p><blockquote><p><b>activity</b></p><p><b>outcomeReference</b>: First contact, occurred at about 12 weeks based on gestational age from LMP of 2026-02-13</p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Completed</td><td>Example Midwife</td><td>First antenatal care contact</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Completed</td><td>2026-07-03 --> (ongoing)</td><td>Example Midwife</td><td>Second contact occurred at 20 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Scheduled</td><td>2026-08-14 --> (ongoing)</td><td>Example Midwife</td><td>Third contact to occur at 26 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Not Started</td><td>2026-09-11 --> (ongoing)</td><td>Example Midwife</td><td>Fourth contact to occur at 30 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Not Started</td><td>2026-10-09 --> (ongoing)</td><td>Example Midwife</td><td>Fifth contact to occur at 34 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Not Started</td><td>2026-10-23 --> (ongoing)</td><td>Example Midwife</td><td>Sixth contact to occur at 36 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Not Started</td><td>2026-11-06 --> (ongoing)</td><td>Example Midwife</td><td>Seventh contact to occur at 38 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Not Started</td><td>2026-11-20 --> (ongoing)</td><td>Example Midwife</td><td>Eighth contact to occur at 40 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><span title=\"Codes:{http://snomed.info/sct 236973005}\">Delivery procedure</span></td><td>Not Started</td><td>2026-11-20 --> 2026-12-04</td><td>Example Midwife</td><td>Delivery</td></tr></table></blockquote></div>"
] ;
fhir:CarePlan.instantiatesCanonical [
fhir:value "http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact-schedule" ;
fhir:index -1 ;
fhir:link <http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact-schedule>
] ;
fhir:CarePlan.status [ fhir:value "active"] ;
fhir:CarePlan.intent [ fhir:value "plan"] ;
fhir:CarePlan.subject [
fhir:link <http://hl7.org/fhir/Patient/reproductive-health-example> ;
fhir:Reference.reference [ fhir:value "Patient/reproductive-health-example" ] ;
fhir:Reference.display [ fhir:value "Example Reproductive Health Patient" ]
] ;
fhir:CarePlan.period [
fhir:Period.start [ fhir:value "2026-05-08"^^xsd:date ] ;
fhir:Period.end [ fhir:value "2026-12-04"^^xsd:date ]
] ;
fhir:CarePlan.careTeam [
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/CareTeam/example> ;
fhir:Reference.reference [ fhir:value "CareTeam/example" ]
] ;
fhir:CarePlan.addresses [
fhir:index -1 ;
fhir:Reference.display [ fhir:value "pregnancy" ]
] ;
fhir:CarePlan.goal [
fhir:index -1 ;
fhir:Reference.display [ fhir:value "pregnancy goal" ]
] ;
fhir:CarePlan.activity [
fhir:index -1 ;
fhir:CarePlan.activity.outcomeReference [
fhir:index -1 ;
fhir:Reference.display [ fhir:value "First contact, occurred at about 12 weeks based on gestational age from LMP of 2026-02-13" ]
] ;
fhir:CarePlan.activity.detail [
fhir:CarePlan.activity.detail.kind [ fhir:value "ServiceRequest" ] ;
fhir:CarePlan.activity.detail.instantiatesCanonical [
fhir:value "http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact" ;
fhir:index -1 ;
fhir:link <http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact>
] ;
fhir:CarePlan.activity.detail.code [
fhir:CodeableConcept.coding [
fhir:index -1 ;
a sct:424525001 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "424525001" ] ;
fhir:Coding.display [ fhir:value "Antenatal care (regime/therapy)" ]
] ;
fhir:CodeableConcept.text [ fhir:value "Antenatal care" ]
] ;
fhir:CarePlan.activity.detail.status [ fhir:value "completed" ] ;
fhir:CarePlan.activity.detail.performer [
fhir:index -1 ;
fhir:Reference.display [ fhir:value "Example Midwife" ]
] ;
fhir:CarePlan.activity.detail.description [ fhir:value "First antenatal care contact" ]
]
], [
fhir:index -1 ;
fhir:CarePlan.activity.detail [
fhir:CarePlan.activity.detail.kind [ fhir:value "ServiceRequest" ] ;
fhir:CarePlan.activity.detail.instantiatesCanonical [
fhir:value "http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact" ;
fhir:index -1 ;
fhir:link <http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact>
] ;
fhir:CarePlan.activity.detail.code [
fhir:CodeableConcept.coding [
fhir:index -1 ;
a sct:424525001 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "424525001" ] ;
fhir:Coding.display [ fhir:value "Antenatal care (regime/therapy)" ]
] ;
fhir:CodeableConcept.text [ fhir:value "Antenatal care" ]
] ;
fhir:CarePlan.activity.detail.status [ fhir:value "completed" ] ;
fhir:CarePlan.activity.detail.scheduledPeriod [
fhir:Period.start [ fhir:value "2026-07-03"^^xsd:date ]
] ;
fhir:CarePlan.activity.detail.performer [
fhir:index -1 ;
fhir:Reference.display [ fhir:value "Example Midwife" ]
] ;
fhir:CarePlan.activity.detail.description [ fhir:value "Second contact occurred at 20 weeks of gestational age" ]
]
], [
fhir:index -1 ;
fhir:CarePlan.activity.detail [
fhir:CarePlan.activity.detail.kind [ fhir:value "ServiceRequest" ] ;
fhir:CarePlan.activity.detail.instantiatesCanonical [
fhir:value "http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact" ;
fhir:index -1 ;
fhir:link <http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact>
] ;
fhir:CarePlan.activity.detail.code [
fhir:CodeableConcept.coding [
fhir:index -1 ;
a sct:424525001 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "424525001" ] ;
fhir:Coding.display [ fhir:value "Antenatal care (regime/therapy)" ]
] ;
fhir:CodeableConcept.text [ fhir:value "Antenatal care" ]
] ;
fhir:CarePlan.activity.detail.status [ fhir:value "scheduled" ] ;
fhir:CarePlan.activity.detail.scheduledPeriod [
fhir:Period.start [ fhir:value "2026-08-14"^^xsd:date ]
] ;
fhir:CarePlan.activity.detail.performer [
fhir:index -1 ;
fhir:Reference.display [ fhir:value "Example Midwife" ]
] ;
fhir:CarePlan.activity.detail.description [ fhir:value "Third contact to occur at 26 weeks of gestational age" ]
]
], [
fhir:index -1 ;
fhir:CarePlan.activity.detail [
fhir:CarePlan.activity.detail.kind [ fhir:value "ServiceRequest" ] ;
fhir:CarePlan.activity.detail.instantiatesCanonical [
fhir:value "http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact" ;
fhir:index -1 ;
fhir:link <http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact>
] ;
fhir:CarePlan.activity.detail.code [
fhir:CodeableConcept.coding [
fhir:index -1 ;
a sct:424525001 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "424525001" ] ;
fhir:Coding.display [ fhir:value "Antenatal care (regime/therapy)" ]
] ;
fhir:CodeableConcept.text [ fhir:value "Antenatal care" ]
] ;
fhir:CarePlan.activity.detail.status [ fhir:value "not-started" ] ;
fhir:CarePlan.activity.detail.scheduledPeriod [
fhir:Period.start [ fhir:value "2026-09-11"^^xsd:date ]
] ;
fhir:CarePlan.activity.detail.performer [
fhir:index -1 ;
fhir:Reference.display [ fhir:value "Example Midwife" ]
] ;
fhir:CarePlan.activity.detail.description [ fhir:value "Fourth contact to occur at 30 weeks of gestational age" ]
]
], [
fhir:index -1 ;
fhir:CarePlan.activity.detail [
fhir:CarePlan.activity.detail.kind [ fhir:value "ServiceRequest" ] ;
fhir:CarePlan.activity.detail.instantiatesCanonical [
fhir:value "http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact" ;
fhir:index -1 ;
fhir:link <http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact>
] ;
fhir:CarePlan.activity.detail.code [
fhir:CodeableConcept.coding [
fhir:index -1 ;
a sct:424525001 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "424525001" ] ;
fhir:Coding.display [ fhir:value "Antenatal care (regime/therapy)" ]
] ;
fhir:CodeableConcept.text [ fhir:value "Antenatal care" ]
] ;
fhir:CarePlan.activity.detail.status [ fhir:value "not-started" ] ;
fhir:CarePlan.activity.detail.scheduledPeriod [
fhir:Period.start [ fhir:value "2026-10-09"^^xsd:date ]
] ;
fhir:CarePlan.activity.detail.performer [
fhir:index -1 ;
fhir:Reference.display [ fhir:value "Example Midwife" ]
] ;
fhir:CarePlan.activity.detail.description [ fhir:value "Fifth contact to occur at 34 weeks of gestational age" ]
]
], [
fhir:index -1 ;
fhir:CarePlan.activity.detail [
fhir:CarePlan.activity.detail.kind [ fhir:value "ServiceRequest" ] ;
fhir:CarePlan.activity.detail.instantiatesCanonical [
fhir:value "http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact" ;
fhir:index -1 ;
fhir:link <http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact>
] ;
fhir:CarePlan.activity.detail.code [
fhir:CodeableConcept.coding [
fhir:index -1 ;
a sct:424525001 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "424525001" ] ;
fhir:Coding.display [ fhir:value "Antenatal care (regime/therapy)" ]
] ;
fhir:CodeableConcept.text [ fhir:value "Antenatal care" ]
] ;
fhir:CarePlan.activity.detail.status [ fhir:value "not-started" ] ;
fhir:CarePlan.activity.detail.scheduledPeriod [
fhir:Period.start [ fhir:value "2026-10-23"^^xsd:date ]
] ;
fhir:CarePlan.activity.detail.performer [
fhir:index -1 ;
fhir:Reference.display [ fhir:value "Example Midwife" ]
] ;
fhir:CarePlan.activity.detail.description [ fhir:value "Sixth contact to occur at 36 weeks of gestational age" ]
]
], [
fhir:index -1 ;
fhir:CarePlan.activity.detail [
fhir:CarePlan.activity.detail.kind [ fhir:value "ServiceRequest" ] ;
fhir:CarePlan.activity.detail.instantiatesCanonical [
fhir:value "http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact" ;
fhir:index -1 ;
fhir:link <http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact>
] ;
fhir:CarePlan.activity.detail.code [
fhir:CodeableConcept.coding [
fhir:index -1 ;
a sct:424525001 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "424525001" ] ;
fhir:Coding.display [ fhir:value "Antenatal care (regime/therapy)" ]
] ;
fhir:CodeableConcept.text [ fhir:value "Antenatal care" ]
] ;
fhir:CarePlan.activity.detail.status [ fhir:value "not-started" ] ;
fhir:CarePlan.activity.detail.scheduledPeriod [
fhir:Period.start [ fhir:value "2026-11-06"^^xsd:date ]
] ;
fhir:CarePlan.activity.detail.performer [
fhir:index -1 ;
fhir:Reference.display [ fhir:value "Example Midwife" ]
] ;
fhir:CarePlan.activity.detail.description [ fhir:value "Seventh contact to occur at 38 weeks of gestational age" ]
]
], [
fhir:index -1 ;
fhir:CarePlan.activity.detail [
fhir:CarePlan.activity.detail.kind [ fhir:value "ServiceRequest" ] ;
fhir:CarePlan.activity.detail.instantiatesCanonical [
fhir:value "http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact" ;
fhir:index -1 ;
fhir:link <http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact>
] ;
fhir:CarePlan.activity.detail.code [
fhir:CodeableConcept.coding [
fhir:index -1 ;
a sct:424525001 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "424525001" ] ;
fhir:Coding.display [ fhir:value "Antenatal care (regime/therapy)" ]
] ;
fhir:CodeableConcept.text [ fhir:value "Antenatal care" ]
] ;
fhir:CarePlan.activity.detail.status [ fhir:value "not-started" ] ;
fhir:CarePlan.activity.detail.scheduledPeriod [
fhir:Period.start [ fhir:value "2026-11-20"^^xsd:date ]
] ;
fhir:CarePlan.activity.detail.performer [
fhir:index -1 ;
fhir:Reference.display [ fhir:value "Example Midwife" ]
] ;
fhir:CarePlan.activity.detail.description [ fhir:value "Eighth contact to occur at 40 weeks of gestational age" ]
]
], [
fhir:index -1 ;
fhir:CarePlan.activity.detail [
fhir:CarePlan.activity.detail.kind [ fhir:value "ServiceRequest" ] ;
fhir:CarePlan.activity.detail.code [
fhir:CodeableConcept.coding [
fhir:index -1 ;
a sct:236973005 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "236973005" ] ;
fhir:Coding.display [ fhir:value "Delivery procedure (procedure)" ]
] ;
fhir:CodeableConcept.text [ fhir:value "Delivery procedure" ]
] ;
fhir:CarePlan.activity.detail.status [ fhir:value "not-started" ] ;
fhir:CarePlan.activity.detail.scheduledPeriod [
fhir:Period.start [ fhir:value "2026-11-20"^^xsd:date ] ;
fhir:Period.end [ fhir:value "2026-12-04"^^xsd:date ]
] ;
fhir:CarePlan.activity.detail.performer [
fhir:index -1 ;
fhir:Reference.display [ fhir:value "Example Midwife" ]
] ;
fhir:CarePlan.activity.detail.description [ fhir:value "Delivery" ]
]
] .
<http://hl7.org/fhir/Patient/reproductive-health-example> a fhir:Patient .
<http://hl7.org/fhir/CareTeam/example> a fhir:CareTeam .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/CarePlan/example.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/CarePlan/example.ttl> .
IG © 2026 HL7 International / Clinical Quality Information.
Package hl7.fhir.us.quality-core#1.0.0-ballot based on FHIR 4.0.1.
Generated
2026-08-14
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