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

## : ServiceRequest elective example - XML Representation

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    <ServiceRequest xmlns="http://hl7.org/fhir">
      <id value="elective-example"/>
      <meta>
        <profile
                 value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicerequest"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ServiceRequest elective-example</b></p><a name="elective-example"> </a><a name="hcelective-example"> </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-servicerequest.html">US Quality Core ServiceRequest</a></p></div><p><b>US Quality Core IsElective</b>: true</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 442338001}">Stomach Bypass</span></p><p><b>subject</b>: <a href="Patient-example.html">Jim Chalmers  Male, DoB: 1974-12-25 ( Social Security number (use: usual, period: 2001-05-06 --&gt; (ongoing)))</a></p><p><b>authoredOn</b>: 2015-03-30</p><p><b>requester</b>: Dr. Beverly Crusher</p><p><b>performer</b>: <a href="Practitioner-example.html">Dr Cecil Surgeon</a></p></div>
      </text>
      <modifierExtension
                         url="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-isElective">
        <valueBoolean value="true"/>
      </modifierExtension>
      <status value="completed"/>
      <intent value="order"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="442338001"/>
          <display value="Bypass of stomach (procedure)"/>
        </coding>
        <text value="Stomach Bypass"/>
      </code>
      <subject>🔗
        <reference value="Patient/example"/>
      </subject>
      <authoredOn value="2015-03-30"/>
      <requester>
        <display value="Dr. Beverly Crusher"/>
      </requester>
      <performer>🔗
        <reference value="Practitioner/example"/>
        <display value="Dr Cecil Surgeon"/>
      </performer>
    </ServiceRequest>