QI-Core Implementation Guide
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QI-Core Implementation Guide, published by http://www.hl7.org/Special/committees/cqi/index.cfm. This is not an authorized publication; it is the continuous build for version 6.0.0-ballot). This version is based on the current content of https://github.com/HL7/fhir-qi-core/ and changes regularly. See the Directory of published versions

QI-Core Profiles

QI-Core Profiles

The following table lists the QI-Core profiles that are part of the IG, which USCore profile they are derived from, if any, and the underlying FHIR resources:

QI-Core Profile USCore Profile Base Resource
QICore AdverseEvent   AdverseEvent
QICore AllergyIntolerance US Core AllergyIntolerance AllergyIntolerance
QICore BodyStructure   BodyStructure
QICore CarePlan US Core CarePlan CarePlan
QICore CareTeam US Core CareTeam CareTeam
QICore Claim   Claim
QICore ClaimResponse   Claim
QICore Communication   Communication
QICore Communication Not Done   Communication
QICore CommunicationRequest   CommunicationRequest
QICore Condition Encounter Diagnosis US Core Condition Encounter Diagnosis Condition
QICore Condition Problems Health Concerns US Core Condition Problems Health Concerns Condition
QICore Coverage   Coverage
QICore Device   Device
  US Core Implantable Device Device
QICore Device Not Requested   DeviceRequest
QICore DeviceRequest   DeviceRequest
QICore DeviceUseStatement   DeviceUseStatement
QICore DiagnosticReport Profile for Laboratory Results Reporting US Core DiagnosticReport Profile for Laboratory Results Reporting DiagnosticReport
QICore DiagnosticReport Profile for Report and Note Exchange US Core DiagnosticReport Profile for Report and Note Exchange DiagnosticReport
QICore Encounter US Core Encounter Encounter
QICore FamilyMemberHistory   FamilyMemberHistory
QICore Flag   Flag
QICore Goal US Core Goal Goal
QICore ImagingStudy   ImagingStudy
QICore Immunization US Core Immunization Immunization
QICore Immunization Not Done US Core Immunization Immunization
QICore ImmunizationEvaluation   ImmunizationEvaluation
QICore ImmunizationRecommendation   ImmunizationRecommendation
QICore Location US Core Location Location
QICore Medication US Core Medication Medication
QICore MedicationAdministration   MedicationAdministration
QICore MedicationAdministration Not Done   MedicationAdministration
QICore MedicationDispense US Core MedicationDispense MedicationDispense
QICore MedicationDispense Declined US Core MedicationDispense MedicationDispense
QICore Medication Not Requested US Core MedicationRequest MedicationRequest
QICore MedicationRequest US Core MedicationRequest MedicationRequest
QICore MedicationStatement   MedicationStatement
QICore NutritionIntake   NutritionIntake (R5)
QICore NutritionOrder   NutritionOrder
QICore Simple Observation US Core Simple Observation Observation
QICore Observation Cancelled   Observation
QICore Laboratory Result Observation US Core Laboratory Result Observation Observation
QICore Observation Clinical Result US Core Observation Clinical Result Observation
QICore Observation Screening Assessment US Core Observation Screening Assessment Observation
  US Core Vital Signs Observation
  US Core Blood Pressure Observation
  US Core BMI Observation
  US Core Body Height Observation
  US Core Body Temperature Observation
  US Core Body Weight Observation
  US Core Head Circumference Observation
  US Core Heart Rate Observation
  US Core Pediatric BMI for Age Observation Observation
  US Core Pediatric Head Occipital-frontal Circumference Percentile Observation
  US Core Pediatric Weight for Height Observation Observation
  US Core Pulse Oximetry Observation
  US Core Respiratory Rate Observation
  US Core Smoking Status Observation
  US Core Observation Occupation Observation
  US Core Observation Sexual Orientation Observation
  US Core Observation Pregnancy Intent Observation
  US Core Observation Pregnancy Status Observation
QICore Organization US Core Organization Organization
QICore Patient US Core Patient Patient
QICore Practitioner US Core Practitioner Practitioner
QICore PractitionerRole US Core PractitionerRole PractitionerRole
QICore Procedure US Core Procedure Procedure
QICore Procedure Not Done US Core Procedure Procedure
QICore QuestionnaireResponse US Core QuestionnaireResponse QuestionnaireResponse
QICore RelatedPerson US Core RelatedPerson RelatedPerson
QICore Service Not Requested US Core ServiceRequest ServiceRequest
QICore ServiceRequest US Core ServiceRequest ServiceRequest
  US Core Specimen Specimen
QICore Substance   Substance
QICore Task   Task
QICore Task Rejected   Task

Referencing QI-Core Profiles

There are a number of QI-Core profiles inherit directly from US Core profiles, if any, or other FHIR resources (i.e. US Core Implantable Device Profile, FHIR Vital Signs, US Core Smoking Status etc.) and the underlying Reference elements can address the US Core or FHIR profiles for the items referenced. For any other references to base FHIR resources or not formally defined in a QI-Core Profile, the referenced resource SHALL be a QI-Core Profile if a QI-Core Profile exists for the resource type. For example, USCore Smoking Status references US Core Patient profile, the reference to Patient SHALL be a valid QI-Core Patient.

Note to Implementers: QI-Core profiles have been developed with the principle that if the profiles only need to provide references to QI-Core Profiles, that is insufficient to require individual QI-Core profiles for all US Core profiles. There are edge cases using this approach where the FHIR validator would not validate an assumption made by the measure author, such as that an encounter traced through an observation is a QI-Core Encounter. We think that general validation of all the resources provided to the context of a measure evaluation can address that risk without the need for deriving specific profiles that only constraint reference types. We seek feedback on this point.

This change will strengthen the requirement to use a QI-Core profile when using a base FHIR or US Core profile not formally defined in QI-Core and to use QI-Core profiles as referenced resources if a QI-Core Profile exists for that resource.

STU Note: Mappings from the QI Core Profiles to Quality Data Model have been removed from this version of the QI Core IG. The CQI Work Group is seeking implementer feedback on the value of these mappings and whether they would be useful to include in a future version of the specification. Mappings from QDM-to-QI-Core are still available on the QDM-to-QI-Core page, and the FHIR-to-QDM mappings are still available in the mappings section for each profile in the STU3.2 version of this implementation guide.