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 - JSON Representation

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    {
      "resourceType" : "ServiceRequest",
      "id" : "elective-example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicerequest"
        ]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<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\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&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>"
      },
      "modifierExtension" : [
        {
          "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-isElective",
          "valueBoolean" : true
        }
      ],
      "status" : "completed",
      "intent" : "order",
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "442338001",
            "display" : "Bypass of stomach (procedure)"
          }
        ],
        "text" : "Stomach Bypass"
      },
      "subject" : {
        🔗 "reference" : "Patient/example"
      },
      "authoredOn" : "2015-03-30",
      "requester" : {
        "display" : "Dr. Beverly Crusher"
      },
      "performer" : [
        {
          🔗 "reference" : "Practitioner/example",
          "display" : "Dr Cecil Surgeon"
        }
      ]
    }