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

## : 10 minute Apgar Heart Rate Observation Screening Assessment Example - JSON Representation

Raw json | Download

    {
      "resourceType" : "Observation",
      "id" : "example-screening-assessment-10-minute-apgar-heart-rate",
      "meta" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
            "valueString" : "10 minute Apgar Heart Rate Screening Assessment Example"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
            "valueMarkdown" : "This example of a US Quality Core Observation Screening Assessment Profile illustrates its use to directly capture individual screening assessment items as an observation. It is not derived from a FHIR QuestionnaireResponse."
          }
        ],
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation example-screening-assessment-10-minute-apgar-heart-rate</b></p><a name=\"example-screening-assessment-10-minute-apgar-heart-rate\"> </a><a name=\"hcexample-screening-assessment-10-minute-apgar-heart-rate\"> </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-observation-screening-assessment.html\">US Quality Core Observation Screening Assessment</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}\">Survey</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 32402-0}\">Apgar respiratory effort score</span></p><p><b>subject</b>: <a href=\"Patient-infant-example.html\">Infant Example  Male, DoB: 2020-06-02 ( Social Security number:\u00a0United States Social Security Number#999123458\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2016-05-18 22:33:22+0000</p><p><b>performer</b>: <a href=\"Practitioner-example.html\">Practitioner Adam Careful </a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6718-6}\">2. At least 100 beats per minute</span></p></div>"
      },
      "status" : "final",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
              "code" : "survey",
              "display" : "Survey"
            }
          ],
          "text" : "Survey"
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "32402-0",
            "display" : "10 minute Apgar Heart Rate"
          }
        ],
        "text" : "Apgar respiratory effort score"
      },
      "subject" : {
        🔗 "reference" : "Patient/infant-example"
      },
      "effectiveDateTime" : "2016-05-18T22:33:22+00:00",
      "performer" : [
        {
          🔗 "reference" : "Practitioner/example"
        }
      ],
      "valueCodeableConcept" : {
        "coding" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal" : 2
              }
            ],
            "system" : "http://loinc.org",
            "code" : "LA6718-6",
            "display" : "At least 100 beats per minute"
          }
        ],
        "text" : "2. At least 100 beats per minute"
      }
    }