2026 US Quality Core Implementation Guide
0.5.0 - release United States of America flag

2026 US Quality Core Implementation Guide - Downloaded Version 0.5.0 See the Directory of published versions

Extension: USQualityCore Appropriateness Score

Official URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicerequest-appropriatenessScore Version: 0.5.0
Draft as of 2026-06-05 Computable Name: USQualityCoreServiceRequestAppropriatenessScore

The appropriateness score for the requested action.

Context of Use

    This extension may be used on the following element(s)

Usage

See the patterns page for implementation and usage patterns.

Examples

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..1 Extension Appropriateness Score
... Slices for extension Content/Rules for all slices
.... extension:extension 0..0 Extension
... url 1..1 uri "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicerequest-appropriatenessScore"
... value[x] 1..1 Value of extension
Binding: Appropriateness Score (required): The RAND scoring for appropriateness of the procedure.
.... valueCode code
.... valueDecimal decimal

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Extension.value[x] Base required Appropriateness Score 📦2.0.0 THO v7.1
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..1 Extension Appropriateness Score
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
... url 1..1 uri "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicerequest-appropriatenessScore"
.... valueCode code
.... valueDecimal decimal

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.value[x] Base required Appropriateness Score 📦2.0.0 THO v7.1

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Simple Extension with the type code, decimal: The appropriateness score for the requested action.

Differential ViewDifferential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..1 Extension Appropriateness Score
... Slices for extension Content/Rules for all slices
.... extension:extension 0..0 Extension
... url 1..1 uri "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicerequest-appropriatenessScore"
... value[x] 1..1 Value of extension
Binding: Appropriateness Score (required): The RAND scoring for appropriateness of the procedure.
.... valueCode code
.... valueDecimal decimal

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Extension.value[x] Base required Appropriateness Score 📦2.0.0 THO v7.1

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..1 Extension Appropriateness Score
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
... url 1..1 uri "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicerequest-appropriatenessScore"
.... valueCode code
.... valueDecimal decimal

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.value[x] Base required Appropriateness Score 📦2.0.0 THO v7.1

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Simple Extension with the type code, decimal: The appropriateness score for the requested action.

 

Other representations of profile: CSV, Excel, Schematron