QI-Core Implementation Guide
6.0.0 - STU6 United States of America flag

QI-Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 6.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. 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 US Core profile they are derived from, if any, and the underlying FHIR resources:

QI-Core (6.0.0) Profile US Core (6.1.0) Profile Base Resource
2.1.1 AdverseEvent    
QICore AdverseEvent AdverseEvent
2.1.2 AllergyIntolerance    
QICore AllergyIntolerance US Core AllergyIntolerance AllergyIntolerance
2.1.3 BodyStructure    
QICore BodyStructure BodyStructure
2.1.4 CarePlan    
QICore CarePlan US Core CarePlan CarePlan
2.1.5 CareTeam    
QICore CareTeam US Core CareTeam CareTeam
2.1.6 Claim    
QICore Claim Claim
2.1.7 ClaimResponse    
QICore ClaimResponse ClaimResponse
2.1.8 Communication    
QICore Communication Communication
QICore Communication Not Done Communication
2.1.9 CommunicationRequest    
QICore CommunicationRequest CommunicationRequest
2.1.10 Condition    
QICore Condition Encounter Diagnosis US Core Condition Encounter Diagnosis Condition
QICore Condition Problems Health Concerns US Core Condition Problems Health Concerns Condition
2.1.11 Coverage    
QICore Coverage US Core Coverage Coverage
2.1.12 Device    
QICore Device Device
US Core Implantable Device Device
2.1.13 DeviceRequest    
QICore Device Not Requested DeviceRequest
QICore DeviceRequest DeviceRequest
2.1.14 DeviceUseStatement    
QICore DeviceUseStatement DeviceUseStatement
2.1.15 DiagnosticReport    
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
2.1.16 Encounter    
QICore Encounter US Core Encounter Encounter
2.1.17 FamilyMemberHistory    
QICore FamilyMemberHistory FamilyMemberHistory
2.1.18 Flag    
QICore Flag Flag
2.1.19 Goal    
QICore Goal US Core Goal Goal
2.1.20 ImagingStudy    
QICore ImagingStudy ImagingStudy
2.1.21 Immunization    
QICore Immunization US Core Immunization Immunization
QICore Immunization Not Done US Core Immunization Immunization
2.1.22 ImmunizationEvaluation    
QICore ImmunizationEvaluation ImmunizationEvaluation
2.1.23 ImmunizationRecommendation    
QICore ImmunizationRecommendation ImmunizationRecommendation
2.1.24 Location    
QICore Location US Core Location Location
2.1.25 Medication    
QICore Medication US Core Medication Medication
2.1.26 MedicationAdministration    
QICore MedicationAdministration MedicationAdministration
QICore MedicationAdministration Not Done MedicationAdministration
2.1.27 MedicationDispense    
QICore MedicationDispense US Core MedicationDispense MedicationDispense
QICore MedicationDispense Declined US Core MedicationDispense MedicationDispense
2.1.28 MedicationRequest    
QICore Medication Not Requested US Core MedicationRequest MedicationRequest
QICore MedicationRequest US Core MedicationRequest MedicationRequest
2.1.29 MedicationStatement    
QICore MedicationStatement MedicationStatement
2.1.30 NutritionOrder    
QICore NutritionOrder NutritionOrder
2.1.31 Observation    
QICore Simple Observation US Core Simple Observation Observation
QICore Observation Cancelled Observation
QICore NonPatient Observation 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
2.1.32 Organization    
QICore Organization US Core Organization Organization
2.1.33 Patient    
QICore Patient US Core Patient Patient
2.1.34 Practitioner    
QICore Practitioner US Core Practitioner Practitioner
2.1.35 PractitionerRole    
QICore PractitionerRole US Core PractitionerRole PractitionerRole
2.1.36 Procedure    
QICore Procedure US Core Procedure Procedure
QICore Procedure Not Done US Core Procedure Procedure
2.1.37 QuestionnaireResponse    
QICore QuestionnaireResponse US Core QuestionnaireResponse QuestionnaireResponse
2.1.38 RelatedPerson    
QICore RelatedPerson US Core RelatedPerson RelatedPerson
2.1.39 ServiceRequest    
QICore Service Not Requested US Core ServiceRequest ServiceRequest
QICore ServiceRequest US Core ServiceRequest ServiceRequest
2.1.40 Specimen    
US Core Specimen Specimen
2.1.41 Substance    
QICore Substance Substance
2.1.42 Task    
QICore Task Task
QICore Task Rejected Task

Referencing QI-Core Profiles

There are a number of QI-Core profiles inherited 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, US Core 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.