2026 US Quality Core Implementation Guide
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2026 US Quality Core Implementation Guide - Downloaded Version 0.5.0 See the Directory of published versions

Resource Profile: US Quality Core Location

Official URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-location Version: 0.5.0
Active as of 2026-06-05 Computable Name: USQualityCoreLocation

Profile of Location for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

USCDI+ Quality Element Support Expectations

Systems are expected to support this profile as part of implementing USCDI+ Quality V1 in FHIR and meeting the conformance requirements of this guide.

The following elements are specifically relevant to USCDI+ Quality V1 data classes and elements. Systems are expected to support these elements as applicable to their role in US Quality Core data exchange. See the Must Support section of this guide for more information. These elements are tagged as (USCDI+ Quality) in the formal profile views.

USCDI+ Quality Elements:

  • name: (USCDI+ Quality) Name by which a facility or location is known.
  • type: (USCDI+ Quality) Category of service or resource available in a location.
  • address: (USCDI+ Quality) Physical location

Because this profile is derived from US Core, systems are also expected to support Must Support requirements and (USCDI) tagged elements inherited from US Core. The Formal Views section also provides the formal summary, definitions, terminology requirements, and mandatory element requirements.

Profile Specific Implementation Guidance

Additional informational guidance for authoring CQL using this profile is provided in the CQL Authoring Usage (Informational) section of this page.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Location 0..* USCoreLocation(6.1.0) Details and position information for a physical place
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique business identifier for facility or location.
... name SΣ 1..1 string (USCDI+ Quality) Name by which a facility or location is known.
... type Σ 0..* CodeableConcept (USCDI+ Quality) Category of service or resource available in a location.
Binding: V3 Value SetServiceDeliveryLocationRoleType (extensible): Indicates the type of function performed at the location.
... telecom S 0..* ContactPoint Contact details of the location
... address S 0..1 Address (USCDI+ Quality) Physical location
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
... managingOrganization SΣ 0..1 Reference(US Quality Core Organization) Organization responsible for provisioning and upkeep
... partOf 0..1 Reference(US Quality Core Location) Another Location this one is physically a part of

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Location.status Base required LocationStatus 📍4.0.1 FHIR Std.
Location.type Base extensible V3 Value SetServiceDeliveryLocationRoleType 📦2014-03-26 FHIR Std.
Location.address.use Base required AddressUse 📍4.0.1 FHIR Std.
Location.address.state Base extensible USPS Two Letter Alphabetic Codes 📦7.0.0 US Core v7.0

Constraints

Id Grade Path(s) Description Expression
dom-2 error Location If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Location If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Location If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Location If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Location A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Location 0..* USCoreLocation(6.1.0) Details and position information for a physical place
... identifier 0..* Identifier Unique business identifier for facility or location.
... name 1..1 string (USCDI+ Quality) Name by which a facility or location is known.
... type 0..* CodeableConcept (USCDI+ Quality) Category of service or resource available in a location.
... address 0..1 Address (USCDI+ Quality) Physical location
... managingOrganization 0..1 Reference(US Quality Core Organization) Organization responsible for provisioning and upkeep
... partOf 0..1 Reference(US Quality Core Location) Another Location this one is physically a part of

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Location 0..* USCoreLocation(6.1.0) Details and position information for a physical place
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique business identifier for facility or location.
... status ?!SΣ 0..1 code active | suspended | inactive
Binding: LocationStatus (required): Indicates whether the location is still in use.
... operationalStatus Σ 0..1 Coding The operational status of the location (typically only for a bed/room)
Binding: v2 BED STATUS (preferred): The operational status if the location (where typically a bed/room).
... name SΣ 1..1 string (USCDI+ Quality) Name by which a facility or location is known.
... alias 0..* string A list of alternate names that the location is known as, or was known as, in the past
... description Σ 0..1 string Additional details about the location that could be displayed as further information to identify the location beyond its name
... mode Σ 0..1 code instance | kind
Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations.
... type Σ 0..* CodeableConcept (USCDI+ Quality) Category of service or resource available in a location.
Binding: V3 Value SetServiceDeliveryLocationRoleType (extensible): Indicates the type of function performed at the location.
... telecom S 0..* ContactPoint Contact details of the location
... address S 0..1 Address (USCDI+ Quality) Physical location
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
.... district Σ 0..1 string District name (aka county)
Example General: Madison
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
.... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... physicalType Σ 0..1 CodeableConcept Physical form of the location
Binding: LocationType (example): Physical form of the location.
... position 0..1 BackboneElement The absolute geographic location
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... longitude 1..1 decimal Longitude with WGS84 datum
.... latitude 1..1 decimal Latitude with WGS84 datum
.... altitude 0..1 decimal Altitude with WGS84 datum
... managingOrganization SΣ 0..1 Reference(US Quality Core Organization) Organization responsible for provisioning and upkeep
... partOf 0..1 Reference(US Quality Core Location) Another Location this one is physically a part of
... hoursOfOperation 0..* BackboneElement What days/times during a week is this location usually open
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... daysOfWeek 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required): The days of the week.
.... allDay 0..1 boolean The Location is open all day
.... openingTime 0..1 time Time that the Location opens
.... closingTime 0..1 time Time that the Location closes
... availabilityExceptions 0..1 string Description of availability exceptions
... endpoint 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the location

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Location.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Location.status Base required LocationStatus 📍4.0.1 FHIR Std.
Location.operationalStatus Base preferred v2 BED STATUS 📦2.9 FHIR Std.
Location.mode Base required LocationMode 📍4.0.1 FHIR Std.
Location.type Base extensible V3 Value SetServiceDeliveryLocationRoleType 📦2014-03-26 FHIR Std.
Location.address.use Base required AddressUse 📍4.0.1 FHIR Std.
Location.address.type Base required AddressType 📍4.0.1 FHIR Std.
Location.address.state Base extensible USPS Two Letter Alphabetic Codes 📦7.0.0 US Core v7.0
Location.physicalType Base example Location type 📦4.0.1 FHIR Std.
Location.hoursOfOperation.​daysOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Location If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Location If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Location If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Location If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Location A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Location 0..* USCoreLocation(6.1.0) Details and position information for a physical place
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique business identifier for facility or location.
... name SΣ 1..1 string (USCDI+ Quality) Name by which a facility or location is known.
... type Σ 0..* CodeableConcept (USCDI+ Quality) Category of service or resource available in a location.
Binding: V3 Value SetServiceDeliveryLocationRoleType (extensible): Indicates the type of function performed at the location.
... telecom S 0..* ContactPoint Contact details of the location
... address S 0..1 Address (USCDI+ Quality) Physical location
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
... managingOrganization SΣ 0..1 Reference(US Quality Core Organization) Organization responsible for provisioning and upkeep
... partOf 0..1 Reference(US Quality Core Location) Another Location this one is physically a part of

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Location.status Base required LocationStatus 📍4.0.1 FHIR Std.
Location.type Base extensible V3 Value SetServiceDeliveryLocationRoleType 📦2014-03-26 FHIR Std.
Location.address.use Base required AddressUse 📍4.0.1 FHIR Std.
Location.address.state Base extensible USPS Two Letter Alphabetic Codes 📦7.0.0 US Core v7.0

Constraints

Id Grade Path(s) Description Expression
dom-2 error Location If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Location If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Location If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Location If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Location A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Location 0..* USCoreLocation(6.1.0) Details and position information for a physical place
... identifier 0..* Identifier Unique business identifier for facility or location.
... name 1..1 string (USCDI+ Quality) Name by which a facility or location is known.
... type 0..* CodeableConcept (USCDI+ Quality) Category of service or resource available in a location.
... address 0..1 Address (USCDI+ Quality) Physical location
... managingOrganization 0..1 Reference(US Quality Core Organization) Organization responsible for provisioning and upkeep
... partOf 0..1 Reference(US Quality Core Location) Another Location this one is physically a part of

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Location 0..* USCoreLocation(6.1.0) Details and position information for a physical place
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique business identifier for facility or location.
... status ?!SΣ 0..1 code active | suspended | inactive
Binding: LocationStatus (required): Indicates whether the location is still in use.
... operationalStatus Σ 0..1 Coding The operational status of the location (typically only for a bed/room)
Binding: v2 BED STATUS (preferred): The operational status if the location (where typically a bed/room).
... name SΣ 1..1 string (USCDI+ Quality) Name by which a facility or location is known.
... alias 0..* string A list of alternate names that the location is known as, or was known as, in the past
... description Σ 0..1 string Additional details about the location that could be displayed as further information to identify the location beyond its name
... mode Σ 0..1 code instance | kind
Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations.
... type Σ 0..* CodeableConcept (USCDI+ Quality) Category of service or resource available in a location.
Binding: V3 Value SetServiceDeliveryLocationRoleType (extensible): Indicates the type of function performed at the location.
... telecom S 0..* ContactPoint Contact details of the location
... address S 0..1 Address (USCDI+ Quality) Physical location
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
.... district Σ 0..1 string District name (aka county)
Example General: Madison
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
.... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... physicalType Σ 0..1 CodeableConcept Physical form of the location
Binding: LocationType (example): Physical form of the location.
... position 0..1 BackboneElement The absolute geographic location
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... longitude 1..1 decimal Longitude with WGS84 datum
.... latitude 1..1 decimal Latitude with WGS84 datum
.... altitude 0..1 decimal Altitude with WGS84 datum
... managingOrganization SΣ 0..1 Reference(US Quality Core Organization) Organization responsible for provisioning and upkeep
... partOf 0..1 Reference(US Quality Core Location) Another Location this one is physically a part of
... hoursOfOperation 0..* BackboneElement What days/times during a week is this location usually open
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... daysOfWeek 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required): The days of the week.
.... allDay 0..1 boolean The Location is open all day
.... openingTime 0..1 time Time that the Location opens
.... closingTime 0..1 time Time that the Location closes
... availabilityExceptions 0..1 string Description of availability exceptions
... endpoint 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the location

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Location.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Location.status Base required LocationStatus 📍4.0.1 FHIR Std.
Location.operationalStatus Base preferred v2 BED STATUS 📦2.9 FHIR Std.
Location.mode Base required LocationMode 📍4.0.1 FHIR Std.
Location.type Base extensible V3 Value SetServiceDeliveryLocationRoleType 📦2014-03-26 FHIR Std.
Location.address.use Base required AddressUse 📍4.0.1 FHIR Std.
Location.address.type Base required AddressType 📍4.0.1 FHIR Std.
Location.address.state Base extensible USPS Two Letter Alphabetic Codes 📦7.0.0 US Core v7.0
Location.physicalType Base example Location type 📦4.0.1 FHIR Std.
Location.hoursOfOperation.​daysOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Location If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Location If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Location If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Location If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Location A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron

Notes:

CQL Authoring Usage (Informational)

define "Encounter With ICU Location Stay 1 Day or More":
  "Encounter With Age Range and Without VTE Diagnosis or Obstetrical Conditions" QualifyingEncounter
    where exists ( QualifyingEncounter.location Location
      where Global.GetLocation(Location.location).type in "Intensive Care Unit"
        and Global."LengthInDays"(Location.period) >= 1
        and Location.period starts during TJC."CalendarDayOfOrDayAfter"(start of QualifyingEncounter.period)
    )