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 5.0.0-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
AdverseEvent    
QICoreAdverseEvent   AdverseEvent
AllergyIntolerance    
QICoreAllergyIntolerance USCoreAllergyIntolerance AllergyIntolerance
BodyStructure    
QICoreBodyStructure   BodyStructure
CarePlan    
QICoreCarePlan USCoreCarePlan CarePlan
CareTeam    
QICoreCareTeam USCoreCareTeam CareTeam
Claim    
QICoreClaim   Claim
ClaimResponse    
QICoreClaimResponse   Claim
Communication    
QICoreCommunication   Communication
QICoreCommunicationNotDone   Communication
CommunicationRequest    
QICoreCommunicationRequest   CommunicationRequest
Condition    
QICoreConditionEncounterDiagnosis USCore Condition Encounter Diagnosis Condition
QICoreConditionProblemsHealthConcerns USCore Condition Problems Health Concerns Condition
Coverage    
QICoreCoverage   Coverage
Device    
QICoreDevice   Device
  USCoreImplantableDeviceProfile Device
DeviceRequest    
QICoreDeviceNotRequested   DeviceRequest
QICoreDeviceRequest   DeviceRequest
DeviceUseStatement    
QICoreDeviceUseStatement   DeviceUseStatement
DiagnositcReport    
QICoreDiagnosticReportLab USCore Diagnostic Report Lab DiagnosticReport
QICoreDiagnosticReportNote USCore Diagnostic Report Note DiagnosticReport
Encounter    
QICoreEncounter USCoreEncounter Encounter
FamilyMemberHistory    
QICoreFamilyMemberHistory   FamilyMemberHistory
Flag    
QICoreFlag   Flag
Goal    
QICoreGoal USCoreGoal Goal
ImagingStudy    
QICoreImagingStudy   ImagingStudy
Immunization    
QICoreImmunization USCoreImmunization Immunization
QICoreImmunizationNotDone USCoreImmunization Immunization
ImmunizationEvaluation    
QICoreImmunizationEvaluation   ImmunizationEvaluation
ImmunizationRecommendation    
QICoreImmunizationRecommendation   ImmunizationRecommendation
Location    
QICoreLocation USCoreLocation Location
Medication    
QICoreMedication USCoreMedication Medication
MedicationAdministration    
QICoreMedicationAdministration   MedicationAdministration
QICoreMedicationAdministrationNotDone   MedicationAdministration
MedicationDispense    
QICoreMedicationDispense   MedicationDispense
QICoreMedicationDispenseDeclined   MedicationDispense
MedicationRequest    
QICoreMedicationNotRequested USCoreMedicationRequest MedicationRequest
QICoreMedicationRequest USCoreMedicationRequest MedicationRequest
MedicationStatement    
QICoreMedicationStatement   MedicationStatement
NutritionOrder    
QICoreNutritionOrder   NutritionOrder
Observation    
QICoreObservation   Observation
QICoreObservationCancelled   Observation
QICoreLaboratoryResultObservation USCore Laboratory Result Observation Observation
QICoreObservationClinicalTestResult USCore Observation Clincal Test Result Observation
QICoreObservationImagingResult USCore Observation Imaging Result Observation
QICoreObservationSurvey USCore Observation Survey Observation
  USCore Vital Signs Observation
  USCore Blood Pressure Observation
  USCore BMI Observation
  USCore Body Height Observation
  USCore Body Temperature Observation
  USCore Body Weight Observation
  USCore Head Circumference Observation
  USCore Heart Rate Observation
  USCore Pediatric BMI for Age Observation Observation
  USCore Pediatric Head Occipital-frontal Circumference Percentile Observation
  USCore Pediatric Weight for Height Observation Observation
  USCore Pulse Oximetry Observation
  USCore Respiratory Rate Observation
  USCore Smoking Status Observation
  USCore Observation Sexual Orientation Observation
  USCore Observation Social History Observation
  USCore Observation SDOH Assessment Observation
Organization    
QICoreOrganization USCoreOrganization Organization
Patient    
QICorePatient USCorePatient Patient
Practitioner    
QICorePractitioner USCorePractitioner Practitioner
PractitionerRole    
QICorePractitionerRole USCorePractitionerRole PractitionerRole
Procedure    
QICoreProcedure USCoreProcedure Procedure
QICoreProcedureNotDone USCoreProcedure Procedure
QuestionnaireResponse    
QICoreQuestionnaireResponse USCore QuestionnaireResponse QuestionnaireResponse
RelatedPerson    
QICoreRelatedPerson USCore RelatedPerson RelatedPerson
ServiceRequest    
QICoreServiceNotRequested USCore ServiceRequest ServiceRequest
QICoreServiceRequest USCore ServiceRequest ServiceRequest
Specimen    
QICoreSpecimen   Specimen
Substance    
QICoreSubstance   Substance
Task    
QICoreTask   Task
QICoreTaskRejected   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. USCoreImplantableDeviceProfile, FHIR VitalSigns, USCore 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.