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

## : Goal example - XML Representation

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    <Goal xmlns="http://hl7.org/fhir">
      <id value="example"/>
      <meta>
        <profile
                 value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-goal"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Goal example</b></p><a name="example"> </a><a name="hcexample"> </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-goal.html">US Quality Core Goal</a></p></div><p><b>identifier</b>: 123</p><p><b>lifecycleStatus</b>: On Hold</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/goal-category dietary}">Dietary</span></p><p><b>priority</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/goal-priority high-priority}">high</span></p><p><b>description</b>: <span title="Codes:{http://loinc.org 50064-5}">Target body weight is 160 to 180 lbs.</span></p><p><b>subject</b>: <a href="Patient-example.html">Peter James Chalmers</a></p><p><b>start</b>: 2015-04-05</p><h3>Targets</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Measure</b></td><td><b>Detail[x]</b></td><td><b>Due[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://loinc.org 3141-9}">Weight Measured</span></td><td>160-180 lbs</td><td>2016-04-05</td></tr></table><p><b>statusDate</b>: 2016-02-14</p><p><b>statusReason</b>: Patient wants to defer weight loss until after honeymoon.</p><p><b>expressedBy</b>: <a href="Patient-example.html">Peter James Chalmers</a></p><p><b>addresses</b>: obesity condition</p><p><b>outcomeReference</b>: <a href="Observation-example.html">Body Weight Measured</a></p></div>
      </text>
      <identifier>
        <value value="123"/>
      </identifier>
      <lifecycleStatus value="on-hold"/>
      <category>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/goal-category"/>
          <code value="dietary"/>
        </coding>
      </category>
      <priority>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/goal-priority"/>
          <code value="high-priority"/>
          <display value="High Priority"/>
        </coding>
        <text value="high"/>
      </priority>
      <description>
        <coding>
          <system value="http://loinc.org"/>
          <code value="50064-5"/>
          <display value="Ideal body weight"/>
        </coding>
        <text value="Target body weight is 160 to 180 lbs."/>
      </description>
      <subject>🔗
        <reference value="Patient/example"/>
        <display value="Peter James Chalmers"/>
      </subject>
      <startDate value="2015-04-05"/>
      <target>
        <measure>
          <coding>
            <system value="http://loinc.org"/>
            <code value="3141-9"/>
            <display value="Weight Measured"/>
          </coding>
        </measure>
        <detailRange>
          <low>
            <value value="160"/>
            <unit value="lbs"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="[lb_av]"/>
          </low>
          <high>
            <value value="180"/>
            <unit value="lbs"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="[lb_av]"/>
          </high>
        </detailRange>
        <dueDate value="2016-04-05"/>
      </target>
      <statusDate value="2016-02-14"/>
      <statusReason
                    value="Patient wants to defer weight loss until after honeymoon."/>
      <expressedBy>🔗
        <reference value="Patient/example"/>
        <display value="Peter James Chalmers"/>
      </expressedBy>
      <addresses>
        <display value="obesity condition"/>
      </addresses>
      <outcomeReference>🔗
        <reference value="Observation/example"/>
        <display value="Body Weight Measured"/>
      </outcomeReference>
    </Goal>