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 - JSON Representation

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    {
      "resourceType" : "Goal",
      "id" : "example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-goal"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "identifier" : [
        {
          "value" : "123"
        }
      ],
      "lifecycleStatus" : "on-hold",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/goal-category",
              "code" : "dietary"
            }
          ]
        }
      ],
      "priority" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/goal-priority",
            "code" : "high-priority",
            "display" : "High Priority"
          }
        ],
        "text" : "high"
      },
      "description" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "50064-5",
            "display" : "Ideal body weight"
          }
        ],
        "text" : "Target body weight is 160 to 180 lbs."
      },
      "subject" : {
        🔗 "reference" : "Patient/example",
        "display" : "Peter James Chalmers"
      },
      "startDate" : "2015-04-05",
      "target" : [
        {
          "measure" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "3141-9",
                "display" : "Weight Measured"
              }
            ]
          },
          "detailRange" : {
            "low" : {
              "value" : 160,
              "unit" : "lbs",
              "system" : "http://unitsofmeasure.org",
              "code" : "[lb_av]"
            },
            "high" : {
              "value" : 180,
              "unit" : "lbs",
              "system" : "http://unitsofmeasure.org",
              "code" : "[lb_av]"
            }
          },
          "dueDate" : "2016-04-05"
        }
      ],
      "statusDate" : "2016-02-14",
      "statusReason" : "Patient wants to defer weight loss until after honeymoon.",
      "expressedBy" : {
        🔗 "reference" : "Patient/example",
        "display" : "Peter James Chalmers"
      },
      "addresses" : [
        {
          "display" : "obesity condition"
        }
      ],
      "outcomeReference" : [
        {
          🔗 "reference" : "Observation/example",
          "display" : "Body Weight Measured"
        }
      ]
    }