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

## : Glucose Laboratory Result Observation Example - XML Representation

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    <Observation xmlns="http://hl7.org/fhir">
      <id value="laboratory-result-observation-example-blood-glucose"/>
      <meta>
        <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
          <valueString value="Blood Glucose Example"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/instance-description">
          <valueMarkdown
                         value="This is a blood glucose example for the *US Quality Core Observation Lab Profile*."/>
        </extension>
        <versionId value="1165"/>
        <lastUpdated value="2016-03-09T15:29:58.328+00:00"/>
        <profile
                 value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-lab"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation laboratory-result-observation-example-blood-glucose</b></p><a name="laboratory-result-observation-example-blood-glucose"> </a><a name="hclaboratory-result-observation-example-blood-glucose"> </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">version: 1165; Last updated: 2016-03-09 15:29:58+0000</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-quality-core-observation-lab.html">US Quality Core Laboratory Result Observation</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 2339-0}">Glucose Bld-mCnc</span></p><p><b>subject</b>: <a href="Patient-example.html">Amy Shaw</a></p><p><b>effective</b>: 2005-07-05</p><p><b>issued</b>: 2005-07-05 14:30:00-0500</p><p><b>performer</b>: <a href="Organization-example1.html">Hendricks Country Hospital</a></p><p><b>value</b>: 76.0 mg/dL</p><p><b>interpretation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}">Normal</span></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>40.0 mg/dL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg/dL = 'mg/dL')</span></td><td>109.0 mg/dL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg/dL = 'mg/dL')</span></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/referencerange-meaning normal}">Normal Range</span></td></tr></table></div>
      </text>
      <status value="final"/>
      <category>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/observation-category"/>
          <code value="laboratory"/>
          <display value="Laboratory"/>
        </coding>
        <text value="Laboratory"/>
      </category>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2339-0"/>
          <display value="Glucose Bld-mCnc"/>
        </coding>
        <text value="Glucose Bld-mCnc"/>
      </code>
      <subject>🔗
        <reference value="Patient/example"/>
        <display value="Amy Shaw"/>
      </subject>
      <effectiveDateTime value="2005-07-05"/>
      <issued value="2005-07-05T14:30:00-05:00"/>
      <performer>🔗
        <reference value="Organization/example1"/>
        <display value="Hendricks Country Hospital"/>
      </performer>
      <valueQuantity>
        <value value="76.0"/>
        <unit value="mg/dL"/>
        <system value="http://unitsofmeasure.org"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
          <code value="N"/>
          <display value="Normal"/>
        </coding>
        <text value="Normal"/>
      </interpretation>
      <referenceRange>
        <low>
          <value value="40.0"/>
          <unit value="mg/dL"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mg/dL"/>
        </low>
        <high>
          <value value="109.0"/>
          <unit value="mg/dL"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mg/dL"/>
        </high>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"/>
            <code value="normal"/>
            <display value="Normal Range"/>
          </coding>
          <text value="Normal Range"/>
        </type>
      </referenceRange>
    </Observation>