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

## : Frailty observation example - XML Representation

Raw xml | Download

    <Observation xmlns="http://hl7.org/fhir">
      <id value="example-frailty"/>
      <meta>
        <profile
                 value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-simple-observation"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation example-frailty</b></p><a name="example-frailty"> </a><a name="hcexample-frailty"> </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 99354-3}">Mobility device or aid is regularly used</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>: 2013-04-02 10:30:10+0100 --&gt; 2013-04-05 10:30:10+0100</p><p><b>issued</b>: 2013-04-03 15:30:10+0100</p><p><b>performer</b>: <a href="Practitioner-example.html">Practitioner</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 105503008}">Dependence on wheelchair (finding)</span></p></div>
      </text>
      <status value="final"/>
      <category>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/observation-category"/>
          <code value="exam"/>
          <display value="exam"/>
        </coding>
      </category>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="99354-3"/>
          <display value="Mobility device or aid is regularly used"/>
        </coding>
      </code>
      <subject>🔗
        <reference value="Patient/example-2"/>
      </subject>
      <encounter>🔗
        <reference value="Encounter/example"/>
      </encounter>
      <effectivePeriod>
        <start value="2013-04-02T10:30:10+01:00"/>
        <end value="2013-04-05T10:30:10+01:00"/>
      </effectivePeriod>
      <issued value="2013-04-03T15:30:10+01:00"/>
      <performer>🔗
        <reference value="Practitioner/example"/>
        <display value="Practitioner"/>
      </performer>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="105503008"/>
          <display value="Dependence on wheelchair (finding)"/>
        </coding>
      </valueCodeableConcept>
    </Observation>