Model definition for the QI-Core IG Model

Actual or potential/avoided event causing unintended physical injury resulting from or contributed to by medical care, a research study or other healthcare setting factors that requires additional monitoring, treatment, or hospitalization, or that results in death.

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

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

The QI-Core CarePlan is based upon the US Core CarePlan Profile which is based upon the core FHIR CarePlan Resource and created to meet the 2015 Edition Common Clinical Data Set 'Assessment and Plan of Treatment requirements. Defines constraints and extensions on the CarePlan resource for the minimal set of data to query and retrieve a patient's Care Plan.

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

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

The QI-Core ClaimResponse profile is used to provide the results of the adjudication and/or authorization of a set of healthcare-related products and services for a patient against the patient's insurance coverages, or to respond with what the adjudication would be for a supplied set of products or services should they be actually supplied to the patient. It identifies the mandatory core elements, extensions, vocabularies and value sets which SHALL be present in the ClaimResponse resource when using this profile

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

Negation profile of Communication for decision support/quality metrics. Indicates that the communication was not performed for a reason.

Positive profile of Communication for decision support/quality metrics. Indicates that the communication was performed (as opposed to the not done profile).

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

The QI-Core Condition Encounter Diagnosis Profile is based upon the US Core Condition Encounter Diagnosis Profile. In version 5.0.0, the QI-Core Condition Profile has been split into the QI-Core Condition Encounter Diagnosis Profile and QI-Core Condition Problems and Health Concerns Profile. To promote interoperability and adoption through consistent implementation, this profile defines constraints and extensions on the Condition resource for the minimal set of data to record, search, and retrieve information about an encounter diagnosis. It defines the core set of elements and extensions for quality rule and measure authors.

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

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

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

Negation profile of DeviceRequest for decision support/quality metrics. Indicates a proposal, plan, or order not to provide a device.

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

Positive profile of DeviceRequest for decision support/quality metrics. Indicates a proposal, plan, or order for a device.

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

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

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

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

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

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

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

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

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

Positive profile of Immunization for decision support/quality metrics. Indicates that the immunization is being or was performed (as opposed to the not done profile).

Negation profile of Communication for decision support/quality metrics. Indicates that the communication was not performed for a reason.

Defines constraints and extensions on the ImmunizationEvaluation resource for the minimal set of data to query and retrieve a patient's Immunization Evaluation.

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

The QI-Core Laboratory Result Observation Profile is based upon the US Laboratory Result Observation Resource. Defines the core set of elements and extensions for quality rule and measure authors.

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

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

Negation profile of MedicationRequest for decision support/quality metrics. Indicates a proposal, plan, or order not to provide a medication.

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

Positive profile of MedicationAdministration for decision support/quality metrics. Indicates that a medication administration is being or was performed (as opposed to the negative profile)

Negation profile of MedicationAdministration for decision support/quality metrics. Indicates that a medication was not administered for a reason.

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

Negation profile of MedicationDispense for decision support/quality metrics. Indicates that a medication dispense was declined for a reason.

Positive profile of MedicationDispense for decision support/quality metrics. Indicates that a medication is being or was dispensed

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

Positive profile of MedicationRequest for decision support/quality metrics. Indicates that a medication was proposed, planned, or ordered.

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

Profile of NonPatient Observation for decision support/quality metrics evaluating resource use and availability rather than focusing on patients. Defines the core set of elements and extensions for quality rule and measure authors.

Defines constraints and extensions on the NutritionOrder resource for the minimal set of data to query and retrieve a patient's Nutrition Order.

The QI-Core Observation Clinical Result Profile is based upon the US Core Observation Clinical Result Profile. Clinical results includes non-imaging and non-laboratory tests performed on a patient that results in structured or unstructured (narrative) findings specific to the patient, such as electrocardiogram (ECG), visual acuity exam, macular exam, or graded exercise testing (GXT), to facilitate the diagnosis and management of conditions. The QI-Core Observation Clinical Result Profile profile defines the core set of elements and extensions for quality rule and measure authors.

The QI-Core Observation Screening Assessment Profile is based upon the US Core Observation Screening Assessment Profile which can be used to represent individual responses, panels of multi-question surveys, and multi-select responses to “check all that apply” questions. The QI-Core Observation Survey Profile sets minimum expectations for the Observation Resource to record, search, and fetch retrieve observations that represent the questions and responses to form/survey and defines the core set of elements and extensions for quality rule and measure authors.

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

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

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

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

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

Positive profile of Procedure for decision support/quality metrics. Indicates that a procedure is being or was performed.

Negative profile of Procedure for decision support/quality metrics. Indicates that a procedure was not done for a reason.

The QI-Core QuestionnaireResponse Profile is based upon the US Core QuestionnaireResponse Profile and sets minimum expectations for the QuestionnaireResponse resource to record, search, and fetch retrieve captures the responses to form/survey and defines the core set of elements and extensions for quality rule and measure authors.

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

Negation profile of ServiceRequest for decision support/quality metrics. Indicates a request not to provide a service

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

Positive profile of ServiceRequest for decision support/quality metrics. Indicates that a service is proposed, planned, or ordered.

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

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

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

Positive profile of Task for decision support/quality metrics. Indicates a task that with a positive status

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

A logical reference (i.e. a reference to ValueSet.url) to a value set/version that identifies a set of possible coded values used to convey a higher level concept that encompasses a list of candidate specializations when there is no formal code defined for that purpose. For example, the concept of COVID preventative medications can be expressed as a value set because there is no specific code representing that concept.

This extension is only used in the QI-Core Implementation Guide's Profile StructureDefinition elements. It flags elements that the quality improvement community has identified as significant to express the full intent of measures or decision support artifacts. See the MustSupport Flag section in this IG for more information.

This value set defines the set of codes that indicate a positive event status (i.e. codes that indicate an event is in preparation, progress, on-hold, stopped, or has completed)

This value set defines the set of codes that indicate a positive medication administration status (i.e. codes that indicate at least some medication is being or was administered)

This value set defines the set of codes that indicate a positive medication dispense status (i.e. codes that indicate at least some medication was dispensed)

This value set defines the set of codes that indicate a positive medication request status (i.e. codes that a medication is proposed, planned, or ordered)

This value set defines the set of codes that indicate a positive request status (i.e. codes that indicate an activity is proposed, planned, or ordered).

This value set defines the set of codes that indicate a positive task status

This value set defines the set of codes that can be used to indicate the reason an action was not taken

SNOMED CT code system values descending from the following:'body position finding' 9851009

Value Set for QICore Present On Admission.

This value set includes all the "Dosages" SNOMED CT codes (i.e. codes with an is-a relationship with 277406006: Dosages).

Example of a 10 minute Apgar Heart Rate Observation Screening Assessment

65+ Female patient example

Example of an allergic reaction adverse event

Example of a clinical assessment record of an allergy

Example of a clinical assessment record of an allergy that has been refuted

Example of a BodyStructure resource to identify a mass in the spleen

Example of an assessment and care plan for a pregnancy

Example of a CareTeam involved in the delivery of care for a pregnancy

Example of a vision claim

Example of a vision claim response

Example of a notification sent to a patient about an abnormal test result (using the General Communication profile)

Example of a notification that was not sent to a patient and reason why

Example of a notification sent to a patient about an abnormal test result (using the Positive Communication profile)

Example of a request to provide additional information for a claim

Example of a condition encounter diagnosis resource used to record information about a burn of the left ear

Example of a patient with a condition encounter health concern regarding obesity

Example of a condition resource used to record information about an appendicitis

Example of a coverage resource used to provide information about an individual's specific plan

Example of a coverage resource used to provide information about an individual's specific plan with a Subscriber Id

Example of a obstetric delivery datetime Observation

Example of a delivery date estimate Observation

Device example for an ECG

Request to employ a medical device (using the General Profile)

Example of a request not to employ a specific medical device

Example of a request not to employ any of a class of medical devices

Example of a request to employ a medical device (using the Positive Profile)

Example of a record of device use by a patient

Example of the findings and interpretation of a laboratory diagnostic test

Example of a DiagnosticReport Note

Example of an Encounter

Encounter example of emergency visit that escalated into inpatient patient

Example of Family Member History for a patient

Warning/Notification when providing care example

Example of a frailty observation measure

Example of a gestation age at birth observation

Example of a glucose laboratory result observation

Example of weight loss goal/objective for a patient

Example of a Heart rate rhythm clinical result observation

Example of hempdialysis machine availability nonpatient observation

Example of hospital bed availability nonpatient observation

Hendricks County Hospital example

Example of ImagingStudy based on CT imaging study

Immunization example (using the General Profile)

Example of immunization that was refused/failed to be administered using code

Example of immunization that was refused/failed to be administered using value set

Immunization example (using the Positive Profile)

Example of ImmunizationEvaluation

Example of ImmunizationRecommendation for Hepatitis A vaccine

Infant patient example

Example of Location of a provider - south wing of Mean Joe Greene University Medical Center

Example of mechanical ventilator availability nonpatient observation

Example of Alemtuzumab Medication

Cumulative Medication example of MedicationAdministration

Intravenous example of MedicationAdministration (using the General Profile)

Example of medication not administered using a code to indicate that a particular medication was not administered

Example of medication not administered using a value set to indicate what was not administered

Intravenous example of MedicationAdministration (using the Positive Profile)

Cumulative Medication Dispense Example

Penicillin MedicationDispense Example (using the General Profile)

Example of medication not dispensed using a code to indicate the reason

Example of medication not dispensed using a value set to indicate the reason

Penicillin MedicationDispense Example (using the Positive Profile)

Example of request not to provide a medication using a code

Example of request not to provide a medication using a value set

Cumulative Medication Duration Example

Patient Reported Example

Patient Requester Example

Practitioner Ordered Example

Penicillin MedicationRequest Example (using the General Profile)

Penicillin MedicationRequest Example (using the Positive Profile)

Penicillin MedicationStatement Example

Example number of full-term births Observation

Example number of parity Observation

Example number of pregnancies Observation

Example number of preterm births Observation

Example of NutrientOrder for diabetic diet

Example of occupational data added to observation measure

Example of Decreased Hemoglobin Observation

HL7 Organization example

Example of a PHQ-9 Questionnaire Response

Basic Patient example

Referring Practitioner example

PractitionerRole example

Appendectomy Procedure example (using the General Profile)

Appendectomy Procedure example (using the Positive Profile)

Example of procedure not done using a code

Example of procedure not done using a value set

QICore ModelInfo Settings Example

Emergency contact example

Example of request not to provide a service using a code

Example of request not to provide a service using a value set

ServiceRequest for Myringotomy Procedure example

ServiceRequest appropriateness example

Elective procedure ServiceRequest example

Request for Appendectomy ServiceRequest example (using the General Profile)

Request for Graduated compression elastic hosiery using a code example (using the Positive Profile)

Request for Intermittent pneumatic compression devices using a value set example (using the Positive Profile)

Honey Bee venom (apitoxin) Substance example

Task example (using the General Profile)

Task example (using the Positive Profile)

Example of a task rejecting a proposal that identifies the requested activity with a code

Example of a task rejecting a proposal that identifies the requested activity with a value set

Example of task not done using a code

Example of task not done using a value set