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

## : Glucose Laboratory Result Observation Example - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @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 xsd: <http://www.w3.org/2001/XMLSchema#> .

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

     a fhir:Observation ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "laboratory-result-observation-example-blood-glucose"] ; #
      fhir:meta [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/instance-name"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/instance-name>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Blood Glucose Example"       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/instance-description"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/instance-description>       ] ;
    fhir:value [
    a fhir:Markdown ;
    fhir:v "This is a blood glucose example for the *US Quality Core Observation Lab Profile*."       ]     ] ) ;
    fhir:versionId [ fhir:v "1165" ] ;
    fhir:lastUpdated [ fhir:v "2016-03-09T15:29:58.328+00:00"^^xsd:dateTime ] ;
        ( fhir:profile [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-lab"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-lab>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation laboratory-result-observation-example-blood-glucose</b></p><a name=\"laboratory-result-observation-example-blood-glucose\"> </a><a name=\"hclaboratory-result-observation-example-blood-glucose\"> </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\">version: 1165; Last updated: 2016-03-09 15:29:58+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-us-quality-core-observation-lab.html\">US Quality Core Laboratory Result Observation</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 2339-0}\">Glucose Bld-mCnc</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Amy Shaw</a></p><p><b>effective</b>: 2005-07-05</p><p><b>issued</b>: 2005-07-05 14:30:00-0500</p><p><b>performer</b>: <a href=\"Organization-example1.html\">Hendricks Country Hospital</a></p><p><b>value</b>: 76.0 mg/dL</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>40.0 mg/dL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg/dL = 'mg/dL')</span></td><td>109.0 mg/dL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg/dL = 'mg/dL')</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/referencerange-meaning normal}\">Normal Range</span></td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
    fhir:code [ fhir:v "laboratory" ] ;
    fhir:display [ fhir:v "Laboratory" ]     ] ) ;
    fhir:text [ fhir:v "Laboratory" ]
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    a loinc:2339-0 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "2339-0" ] ;
    fhir:display [ fhir:v "Glucose Bld-mCnc" ]     ] ) ;
    fhir:text [ fhir:v "Glucose Bld-mCnc" ]
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ] ;
    fhir:display [ fhir:v "Amy Shaw" ]
      ] ; #
      fhir:effective [
    a fhir:DateTime ;
    fhir:v "2005-07-05"^^xsd:date
      ] ; #
      fhir:issued [ fhir:v "2005-07-05T14:30:00-05:00"^^xsd:dateTime] ; #
      fhir:performer ( [
    fhir:l fhir:Organization/example1 ;
    fhir:reference [ fhir:v "Organization/example1" ] ;
    fhir:display [ fhir:v "Hendricks Country Hospital" ]
      ] ) ; #
      fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v 76.0 ] ;
    fhir:unit [ fhir:v "mg/dL" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>     ]
      ] ; #
      fhir:interpretation ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation>       ] ;
    fhir:code [ fhir:v "N" ] ;
    fhir:display [ fhir:v "Normal" ]     ] ) ;
    fhir:text [ fhir:v "Normal" ]
      ] ) ; #
      fhir:referenceRange ( [
    fhir:low [
    fhir:value [ fhir:v 40.0 ] ;
    fhir:unit [ fhir:v "mg/dL" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>       ] ;
    fhir:code [ fhir:v "mg/dL" ]     ] ;
    fhir:high [
    fhir:value [ fhir:v 109.0 ] ;
    fhir:unit [ fhir:v "mg/dL" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>       ] ;
    fhir:code [ fhir:v "mg/dL" ]     ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/referencerange-meaning"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/referencerange-meaning>         ] ;
    fhir:code [ fhir:v "normal" ] ;
    fhir:display [ fhir:v "Normal Range" ]       ] ) ;
    fhir:text [ fhir:v "Normal Range" ]     ]
      ] ) . #