The Queen has pulled out of Monday's Commonwealth Day service at Westminster Abbey, Buckingham Palace has said.
Her withdrawal comes as she continues to recover from her recent illness, it said in a statement.
The Duke of Edinburgh will attend the service as planned and the Queen will attend a reception on Monday evening.
Last week she was admitted to hospital for the first time for 10 years suffering from the symptoms of gastroenteritis.
"The Queen hopes to undertake some of her official engagements planned for the rest of this week," the statement said.
BBC royal correspondent Peter Hunt said the Queen, 86, saw a doctor on Monday morning and the decision was taken that it would be best if she did not sit through an hour-long Church service.
He added that the statement suggested that she may miss other engagements this week.
Officials insist the Queen's health problems are "nothing serious " and "nothing to fret about", our correspondent said.
Later on Monday at a reception at Marlborough House she is expected to sign a charter setting out the Commonwealth's values and commitment to equal rights.
'Shared values'The Commonwealth, which accounts for 30% of the world's population, has for the first time drawn up a charter that details 16 core beliefs.
These include upholding democracy and opposing all forms of discrimination including, although it is not explicitly stated, against gay people.
Our correspondent pointed out that this will be a challenging principle to put into practice in those Commonwealth countries where homosexual acts are illegal.
In her annual message, the Queen spoke about the benefits of the organisation she heads.
She said: "Our shared values of peace, democracy, development, justice and human rights - which are found in our new Commonwealth Charter - mean that we can place special emphasis on including everyone in this goal, especially those who are vulnerable."
Our correspondent said that to its critics the Commonwealth was ineffective but its supporters remember the moral authority it brought to the campaign against apartheid.
For the Queen, it has been an important dimension of her reign.
The charter states: "We are implacably opposed to all forms of discrimination, whether rooted in gender, race, colour, creed, political belief or other grounds."
It was adopted by all 54 Commonwealth nations in December.
The 16 areas of affirmation cover democracy, rule of law, international security and freedom of expression.
All official engagements last week, including a visit to Rome, were either cancelled or postponed after the Queen was treated at London's King Edward VII's Hospital.
Buckingham Palace said the Queen was admitted as a precaution and was otherwise in "good health".
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