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 7.0.0 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 (7.0.0) Profile	US Core (7.0.0) Profile	FHIR 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 Done	—	—
QICore Communication Not Done	—	—
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 DeviceRequest	—	DeviceRequest
QICore Device Requested	—	—
QICore Device Prohibited	—	—
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 Done	—	—
QICore Immunization Not Done	—	—
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 Done	—	—
QICore MedicationAdministration Not Done	—	—
2.1.27 MedicationDispense
QICore MedicationDispense	US Core MedicationDispense	MedicationDispense
QICore MedicationDispense Done	—	—
QICore MedicationDispense Declined	—	—
2.1.28 MedicationRequest
QICore MedicationRequest	US Core MedicationRequest	MedicationRequest
QICore Medication Requested	—	—
QICore Medication Prohibied	—	—
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 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
—	US Core Average Blood Pressure	Observation
—	US Core Care Experience Preference	Observation
—	US Core Treatment Intervention Preference	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 Done	—	—
QICore Procedure Not Done	—	—
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 ServiceRequest	US Core ServiceRequest	ServiceRequest
QICore Service Requested	—	—
QICore Service Prohibited	—	—
2.1.40 Specimen
—	US Core Specimen	Specimen
2.1.41 Substance
QICore Substance	—	Substance
2.1.42 Task
QICore Task	—	Task
QICore Task Done	—	—
QICore Task Rejected	—	—

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.