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

## : Delivery date estimated example - XML Representation

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    <Observation xmlns="http://hl7.org/fhir">
      <id value="example-delivery-date-estimate"/>
      <meta>
        <profile
                 value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-simple-observation"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation example-delivery-date-estimate</b></p><a name="example-delivery-date-estimate"> </a><a name="hcexample-delivery-date-estimate"> </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-simple-observation.html">US Quality Core Simple Observation</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}">exam</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 11778-8}">delivery date estimated</span></p><p><b>subject</b>: <a href="Patient-example-2.html">Sarah Hugankiss (official) Female, DoB: 1946-09-25 ( Social Security number (use: usual, period: 1995-05-06 --&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><p><b>effective</b>: 2023-10-22 06:30:00+0500 --&gt; 2023-10-22 08:30:10+0500</p><p><b>issued</b>: 2023-10-22 07:30:10+0500</p><p><b>performer</b>: <a href="Practitioner-example.html">Practitioner</a></p><p><b>value</b>: 2024-05-01</p></div>
      </text>
      <status value="final"/>
      <category>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/observation-category"/>
          <code value="exam"/>
          <display value="exam"/>
        </coding>
      </category>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="11778-8"/>
          <display value="delivery date estimated"/>
        </coding>
      </code>
      <subject>🔗
        <reference value="Patient/example-2"/>
      </subject>
      <encounter>🔗
        <reference value="Encounter/example"/>
      </encounter>
      <effectivePeriod>
        <start value="2023-10-22T06:30:00+05:00"/>
        <end value="2023-10-22T08:30:10+05:00"/>
      </effectivePeriod>
      <issued value="2023-10-22T07:30:10+05:00"/>
      <performer>🔗
        <reference value="Practitioner/example"/>
        <display value="Practitioner"/>
      </performer>
      <valueDateTime value="2024-05-01"/>
    </Observation>