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

## : DiagnosticReportLab example - JSON Representation

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    {
      "resourceType" : "DiagnosticReport",
      "id" : "example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-diagnosticreport-lab"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport 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-diagnosticreport-lab.html\">US Quality Core DiagnosticReport Profile for Laboratory Results Reporting</a></p></div><h2><span title=\"Codes:{http://loinc.org 58410-2}\">CBC panel - Blood by Automated count</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 LAB}\">Laboratory</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Jim Chalmers  Male, DoB: 1974-12-25 ( Social Security number\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</td></tr><tr><td>When For</td><td>2005-07-05</td></tr><tr><td>Reported</td><td>2005-07-06 11:45:33+1100</td></tr><tr><td>Performer</td><td> <a href=\"Organization-example.html\">Organization Health Level Seven International</a></td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>When For</b></td><td><b>Reported</b></td></tr><tr><td><a href=\"Observation-example.html\"><span title=\"Codes:{http://loinc.org 30350-3}\">Hemoglobin [Mass/volume] in Venous blood</span></a> (<span title=\"Codes:{http://snomed.info/sct 308046002}\">Superficial forearm vein</span>)</td><td>7.2 g/dl<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/dL = 'g/dL')</span></td><td>Final, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}\">Below low normal</span></td><td>2013-04-02 10:30:10+0100 --&gt; 2013-04-05 10:30:10+0100</td><td>2013-04-03 15:30:10+0100</td></tr></table></div>"
      },
      "status" : "final",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
              "code" : "LAB",
              "display" : "Laboratory"
            }
          ]
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "58410-2",
            "display" : "CBC panel - Blood by Automated count"
          }
        ]
      },
      "subject" : {
        🔗 "reference" : "Patient/example",
        "display" : "Peter Chalmers"
      },
      "effectiveDateTime" : "2005-07-05",
      "issued" : "2005-07-06T11:45:33+11:00",
      "performer" : [
        {
          🔗 "reference" : "Organization/example"
        }
      ],
      "result" : [
        {
          🔗 "reference" : "Observation/example"
        }
      ]
    }