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

## : Number of full-term births obeservation example - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Observation ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "example-births"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-simple-observation"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-simple-observation>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation example-births</b></p><a name=\"example-births\"> </a><a name=\"hcexample-births\"> </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-simple-observation.html\">US Quality Core Simple Observation</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">exam</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11639-2}\">Births.term</span></p><p><b>subject</b>: <a href=\"Patient-example-2.html\">Sarah Hugankiss (official) Female, DoB: 1946-09-25 ( Social Security number (use: usual, period: 1995-05-06 --&gt; (ongoing)))</a></p><p><b>encounter</b>: <a href=\"Encounter-example.html\">Encounter: identifier = http://example.org/encounters#ENC-20130404-appendicitis; status = finished; class = inpatient encounter (v3 Code System ActCode#IMP); type = Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.; period = 2013-04-04 18:00:00-0400 --&gt; 2013-04-06 11:00:00-0400</a></p><p><b>effective</b>: 2023-10-22 06:30:00+0500 --&gt; 2023-10-22 08:30:10+0500</p><p><b>issued</b>: 2023-10-22 07:30:10+0500</p><p><b>performer</b>: <a href=\"Organization-example1.html\">Hendricks Country Hospital</a></p><p><b>value</b>: 3</p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
    fhir:code [ fhir:v "exam" ] ;
    fhir:display [ fhir:v "exam" ]     ] )
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    a loinc:11639-2 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "11639-2" ] ;
    fhir:display [ fhir:v "Births.term" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/example-2 ;
    fhir:reference [ fhir:v "Patient/example-2" ]
      ] ; #
      fhir:encounter [
    fhir:l fhir:Encounter/example ;
    fhir:reference [ fhir:v "Encounter/example" ]
      ] ; #
      fhir:effective [
    a fhir:Period ;
    fhir:start [ fhir:v "2023-10-22T06:30:00+05:00"^^xsd:dateTime ] ;
    fhir:end [ fhir:v "2023-10-22T08:30:10+05:00"^^xsd:dateTime ]
      ] ; #
      fhir:issued [ fhir:v "2023-10-22T07:30:10+05:00"^^xsd:dateTime] ; #
      fhir:performer ( [
    fhir:l fhir:Organization/example1 ;
    fhir:reference [ fhir:v "Organization/example1" ] ;
    fhir:display [ fhir:v "Hendricks Country Hospital" ]
      ] ) ; #
      fhir:value [
    a fhir:Integer ;
    fhir:v 3
      ] . #