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 - XML Representation

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    <Observation xmlns="http://hl7.org/fhir">
      <id value="example-screening-assessment-10-minute-apgar-heart-rate"/>
      <meta>
        <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
          <valueString
                       value="10 minute Apgar Heart Rate Screening Assessment Example"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/instance-description">
          <valueMarkdown
                         value="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."/>
        </extension>
        <profile
                 value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment"/>
      </meta>
      <text>
        <status value="generated"/>
        <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: United States Social Security Number#999123458 (use: usual, ))</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>
      </text>
      <status value="final"/>
      <category>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/observation-category"/>
          <code value="survey"/>
          <display value="Survey"/>
        </coding>
        <text value="Survey"/>
      </category>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="32402-0"/>
          <display value="10 minute Apgar Heart Rate"/>
        </coding>
        <text value="Apgar respiratory effort score"/>
      </code>
      <subject>🔗
        <reference value="Patient/infant-example"/>
      </subject>
      <effectiveDateTime value="2016-05-18T22:33:22+00:00"/>
      <performer>🔗
        <reference value="Practitioner/example"/>
      </performer>
      <valueCodeableConcept>
        <coding>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="2"/>
          </extension>
          <system value="http://loinc.org"/>
          <code value="LA6718-6"/>
          <display value="At least 100 beats per minute"/>
        </coding>
        <text value="2. At least 100 beats per minute"/>
      </valueCodeableConcept>
    </Observation>