US Quality Core Implementation Guide
0.1.0 - cibuild United States of America flag

US Quality Core Implementation Guide, published by ASTP. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/us-quality-core/ and changes regularly. See the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Behavior: Capability Statements

The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.

US Quality Core Client CapabilityStatement

This capability statement describes the expected capabilities of the US Quality Core Client which is responsible for initiating queries for USCDI+ Quality V1 data from US Quality Core Servers. The set of FHIR RESTful operations and search parameters required to be supported by US Quality Core Servers is provided in the US Quality Core Server Capability Statement. US Quality Core Clients have the option of choosing from this list to access necessary data based on their local use cases and other contextual requirements.

US Quality Core Server CapabilityStatement

This capability statement describes the expected capabilities of the US Quality Core Servers which is responsible for responding to USCDI+ Quality V1 queries submitted by US Quality Core Clients. It describes a minimum set of FHIR RESTful operations and search parameters necessary to enable access to the set of USCDI+ Quality V1 data that is in scope of this implementation guide. For more information about which USCDI+ Quality data elements are in scope, please review the USCDI+ Quality section of this implementation guide.

US Quality Core Servers SHALL support the capabilities described in the US Core Server CapabilityStatement STU6.1. Some RESTFUL operations and search parameters described in the US Quality Core Server CapabilityStatement are redundant to the US Core Server CapabilityStatement, but are listed here to highlight which capabilities are specifically relevant to USCDI+ Quality V1.

The US Quality Core Implementation Guide v1 is derived from the QI-Core Implementation Guide STU6. It adopts all profiles within the QI-Core Implementation Guide STU6 to enable a more seamless adoption of this implementation guide. However, only those profiles that contain USCDI+ Quality V1 data are required to be supported by US Quality Core Servers. The FHIR RESTful operations and search parameters in this capability statement reflects this scope.

Behavior: Search Parameters

These define the properties by which a RESTful server can be searched. They can also be used for sorting and including related resources.

UsQualityCoreAdverseeventEvent

US Quality Core AdverseEvent Event Search Parameter

UsQualityCoreAdverseeventRecordedDate

US Quality Core AdverseEvent RecordedDate Search Parameter

UsQualityCoreAdverseeventSubject

US Quality Core AdverseEvent Subject Search Parameter

UsQualityCoreAllergyintolerancePatient

US Quality Core AllergyIntolerance Patient Search Parameter

UsQualityCoreBodystructurePatient

US Quality Core BodyStructure Patient Search Parameter

UsQualityCoreCareplanCategory

US Quality Core CarePlan Category Search Parameter

UsQualityCoreCareplanPatient

US Quality Core CarePlan Patient Search Parameter

UsQualityCoreCareteamPatient

US Quality Core CareTeam Patient Search Parameter

UsQualityCoreCareteamStatus

US Quality Core CareTeam Status Search Parameter

UsQualityCoreClaimPatient

US Quality Core Claim Patient Search Parameter

UsQualityCoreClaimresponsePatient

US Quality Core ClaimResponse Patient Search Parameter

UsQualityCoreClaimresponseType

US Quality Core ClaimResponse Type Search Parameter

UsQualityCoreCommunicationPatient

US Quality Core Communication Patient Search Parameter

UsQualityCoreCommunicationTopic

US Quality Core Communication Topic Search Parameter

UsQualityCoreCommunicationrequestCategory

US Quality Core CommunicationRequest Category Search Parameter

UsQualityCoreCommunicationrequestPatient

US Quality Core CommunicationRequest Patient Search Parameter

UsQualityCoreConditionAbatementDate

US Quality Core Condition Abatement-date Search Parameter

UsQualityCoreConditionCategory

US Quality Core Condition Category Search Parameter

UsQualityCoreConditionCode

US Quality Core Condition Code Search Parameter

UsQualityCoreConditionOnsetDate

US Quality Core Condition Onset-date Search Parameter

UsQualityCoreConditionPatient

US Quality Core Condition Patient Search Parameter

UsQualityCoreCoveragePatient

US Quality Core Coverage Patient Search Parameter

UsQualityCoreDevicePatient

US Quality Core Device Patient Search Parameter

UsQualityCoreDeviceType

US Quality Core Device Type Search Parameter

UsQualityCoreDevicerequestCode

US Quality Core DeviceRequest Code Search Parameter

UsQualityCoreDevicerequestPatient

US Quality Core DeviceRequest Patient Search Parameter

UsQualityCoreDeviceusestatementDeviceType

US Quality Core DeviceUseStatement Device Type Search Parameter

UsQualityCoreDeviceusestatementPatient

US Quality Core DeviceUseStatement Patient Search Parameter

UsQualityCoreDiagnosticreportCategory

US Quality Core DiagnosticReport Category Search Parameter

UsQualityCoreDiagnosticreportCode

US Quality Core DiagnosticReport Code Search Parameter

UsQualityCoreDiagnosticreportDate

US Quality Core DiagnosticReport Date Search Parameter

UsQualityCoreDiagnosticreportPatient

US Quality Core DiagnosticReport Patient Search Parameter

UsQualityCoreEncounter

US Quality Core Encounter Id Search Parameter

UsQualityCoreEncounterDate

US Quality Core Encounter Date Search Parameter

UsQualityCoreEncounterPatient

US Quality Core Encounter Patient Search Parameter

UsQualityCoreEncounterType

US Quality Core Encounter Type Search Parameter

UsQualityCoreFamilymemberhistoryPatient

US Quality Core FamilyMemberHistory Patient Search Parameter

UsQualityCoreFlagCode

US Quality Core Flag Code Search Parameter

UsQualityCoreFlagPatient

US Quality Core Flag Patient Search Parameter

UsQualityCoreGoalPatient

US Quality Core Goal Patient Search Parameter

UsQualityCoreImagingstudyPatient

US Quality Core ImagingStudy Patient Search Parameter

UsQualityCoreImagingstudyProcedureCode

US Quality Core ImagingStudy Procedure Code Search Parameter

UsQualityCoreImmunizationDate

US Quality Core Immunization Date Search Parameter

UsQualityCoreImmunizationPatient

US Quality Core Immunization Patient Search Parameter

UsQualityCoreImmunizationStatus

US Quality Core Immunization Status Search Parameter

UsQualityCoreImmunizationevaluationPatient

US Quality Core ImmunizationEvaluation Patient Search Parameter

UsQualityCoreImmunizationevaluationTargetDisease

US Quality Core ImmunizationEvaluation Target Disease Search Parameter

UsQualityCoreImmunizationrecommendationPatient

US Quality Core ImmunizationRecommendation Patient Search Parameter

UsQualityCoreImmunizationrecommendationRecommendationVaccineCode

US Quality Core ImmunizationRecommendation Recommendation Vaccine Code Search Parameter

UsQualityCoreLocation

US Quality Core Location Id Search Parameter

UsQualityCoreMedicationCode

US Quality Core Medication Code Search Parameter

UsQualityCoreMedicationadministrationCode

US Quality Core MedicationAdministration Code Search Parameter

UsQualityCoreMedicationadministrationEffectiveTime

US Quality Core MedicationAdministration Effective-time Search Parameter

UsQualityCoreMedicationadministrationPatient

US Quality Core MedicationAdministration Patient Search Parameter

UsQualityCoreMedicationadministrationStatus

US Quality Core MedicationAdministration Status Search Parameter

UsQualityCoreMedicationdispensePatient

US Quality Core MedicationDispense Patient Search Parameter

UsQualityCoreMedicationdispenseStatus

US Quality Core MedicationDispense Status Search Parameter

UsQualityCoreMedicationrequestIntent

US Quality Core MedicationRequest Intent Search Parameter

UsQualityCoreMedicationrequestPatient

US Quality Core MedicationRequest Patient Search Parameter

UsQualityCoreMedicationstatementCode

US Quality Core MedicationStatement Code Search Parameter

UsQualityCoreMedicationstatementPatient

US Quality Core MedicationStatement Patient Search Parameter

UsQualityCoreNutritionorderPatient

US Quality Core NutritionOrder Patient Search Parameter

UsQualityCoreNutritionorderType

US Quality Core NutritionOrder Type Search Parameter

UsQualityCoreObservationCategory

US Quality Core Observation Category Search Parameter

UsQualityCoreObservationCode

US Quality Core Observation Code Search Parameter

UsQualityCoreObservationDate

US Quality Core Observation Date Search Parameter

UsQualityCoreObservationPatient

US Quality Core Observation Patient Search Parameter

UsQualityCorePatient

US Quality Core Patient Id Search Parameter

UsQualityCorePractitioner

US Quality Core Practitioner Id Search Parameter

UsQualityCorePractitionerrole

US Quality Core PractitionerRole Id Search Parameter

UsQualityCoreProcedureDate

US Quality Core Procedure Date Search Parameter

UsQualityCoreProcedurePatient

US Quality Core Procedure Patient Search Parameter

UsQualityCoreProcedureStatus

US Quality Core Procedure Status Search Parameter

UsQualityCoreQuestionnaireresponse

US Quality Core QuestionnaireResponse Id Search Parameter

UsQualityCoreQuestionnaireresponsePatient

US Quality Core QuestionnaireResponse Patient Search Parameter

UsQualityCoreQuestionnaireresponseQuestionnaire

US Quality Core QuestionnaireResponse Questionnaire Search Parameter

UsQualityCoreRelatedperson

US Quality Core RelatedPerson Id Search Parameter

UsQualityCoreRelatedpersonPatient

US Quality Core RelatedPerson Patient Search Parameter

UsQualityCoreServicerequest

US Quality Core ServiceRequest Id Search Parameter

UsQualityCoreServicerequestAuthored

US Quality Core ServiceRequest Authored Search Parameter

UsQualityCoreServicerequestCategory

US Quality Core ServiceRequest Category Search Parameter

UsQualityCoreServicerequestCode

US Quality Core ServiceRequest Code Search Parameter

UsQualityCoreServicerequestPatient

US Quality Core ServiceRequest Patient Search Parameter

UsQualityCoreSubstanceCode

US Quality Core Substance Code Search Parameter

UsQualityCoreTaskCode

US Quality Core Task Code Search Parameter

UsQualityCoreTaskPatient

US Quality Core Task Patient Search Parameter

UsQualityCoreTaskStatus

US Quality Core Task Status Search Parameter

Knowledge Artifacts: Libraries

These define logic, asset collections and other libraries as part of content in this implementation guide.

US Quality Core Model Definition

Model definition for the US Quality Core IG Model

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

US Quality Core AdverseEvent

An adverse event (AE) is an untoward occurrence during treatment that should be reported, for example, to a clinical study sponsor or safety oversight organization. AEs include reportable serious medical errors such as those defined by National Quality Forum (see http://www.qualityforum.org/Topics/ SREs/List_of_SREs.aspx), and Patient Safety Healthcare Events as defined by AHRQ. Some AEs can involve conditions such as "recurring headaches" but others do not, such as accidental falls, surgical errors, sexual abuse of patient, and sudden death. An adverse event can also be an unsafe condition that increases the probability of a patient safety event, and near-misses. An adverse event can be caused by exposure to some agent (e.g., a medication, immunization, food, or environmental agent). An adverse reaction can range from a mild reaction, such as a harmless rash to a severe and life-threatening condition. They can occur immediately or develop over time. For example, a patient may develop a rash after taking a particular medication.

US Quality Core AllergyIntolerance

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

US Quality Core BodyStructure

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

US Quality Core CarePlan

The US Quality 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.

US Quality Core CareTeam

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

US Quality Core Claim

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

US Quality Core ClaimResponse

The US Quality 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

US Quality Core Communication

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

US Quality Core Communication Not Done

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

US Quality Core CommunicationRequest

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

US Quality Core Condition Encounter Diagnosis

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

US Quality Core Condition Problems Health Concerns

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

US Quality Core Coverage

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

US Quality Core Device

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

US Quality Core Device Not Requested

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

US Quality Core DeviceRequest

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

US Quality Core DeviceUseStatement

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

US Quality Core DiagnosticReport Profile for Laboratory Results Reporting

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.

US Quality Core DiagnosticReport Profile for Report and Note Exchange

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.

US Quality Core Encounter

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

US Quality Core FamilyMemberHistory

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

US Quality Core Flag

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

US Quality Core Goal

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

US Quality Core ImagingStudy

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

US Quality Core Immunization

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

US Quality Core Immunization Not Done

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

US Quality Core ImmunizationEvaluation

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

US Quality Core ImmunizationRecommendation

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

US Quality Core Laboratory Result Observation

The US Quality 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.

US Quality Core Location

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

US Quality Core Medication

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

US Quality Core Medication Not Requested

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

US Quality Core MedicationAdministration

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

US Quality Core MedicationAdministration Not Done

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

US Quality Core MedicationDispense

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

US Quality Core MedicationDispense Declined

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

US Quality Core MedicationRequest

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

US Quality Core MedicationStatement

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

US Quality Core NonPatient Observation

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.

US Quality Core NutritionOrder

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

US Quality Core Observation Cancelled

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

US Quality Core Observation Clinical Result

The US Quality 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 US Quality Core Observation Clinical Result Profile profile defines the core set of elements and extensions for quality rule and measure authors.

US Quality Core Observation Screening Assessment

The US Quality 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 US Quality 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.

US Quality Core Organization

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

US Quality Core Patient

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

US Quality Core Practitioner

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

US Quality Core PractitionerRole

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

US Quality Core Procedure

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

US Quality Core Procedure Not Done

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

US Quality Core QuestionnaireResponse

The US Quality 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.

US Quality Core RelatedPerson

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

US Quality Core Service Not Requested

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

US Quality Core ServiceRequest

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

US Quality Core Simple Observation

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

US Quality Core Substance

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

US Quality Core Task

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

US Quality Core Task Rejected

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

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

US Quality Core Diagnosis Present on Admission

Indicator of whether the Encounter diagnosis was present at the time of admission.

US Quality Core Do Not Perform Reason

Indicates the reason the event was not performed.

US Quality Core IsElective

Indicates whether this is an elective procedure.

US Quality Core Not Done Reason

Indicates the reason the event was not done.

US Quality Core Not Done Recorded

Captures the recorded date of the event.

US Quality Core USCDI+ Quality Extension

This extension is only used in the US Quality Core Implementation Guide's Profile StructureDefinition elements.

USQualityCore Appropriateness Score

The appropriateness score for the requested action.

USQualityCore Not Done ValueSet

A logical reference (e.g. a reference to ValueSet.url) to a value set/version that identifies a set of possible coded values representing activities that were not requested, ordered, or performed.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Non-Negative Event Status

This value set defines the set of codes that indicate a non-negated event status (i.e. codes that are not not-done)

Non-Negative Immunization Status

This value set defines the set of codes that indicate a non-negated event status for immunization resources (i.e. codes that are not not-done)

Non-Negative MedicationAdministration Status

This value set defines the set of codes that indicate a non-negated medication administration status (i.e. codes that are not not-done)

Non-Negative MedicationDispense Status

This value set defines the set of codes that indicate a non-negated medication dispense status (i.e. codes that are not declined)

Non-Negative Observation Status

This value set defines the set of codes that indicate a non-negated observation status (i.e. codes that are not cancelled)

Non-Negative Task Status

This value set defines the set of codes that indicate a non-negated task status (i.e. codes that are not rejected)

US Quality Core Observation Body Position

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

USQualityCore Negation Reason Codes

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

USQualityCore Present On Admission Codes

Value Set for USQualityCore Present On Admission.

USQualityCore SNOMED CT Dosage Codes

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

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

10 minute Apgar Heart Rate Observation Screening Assessment Example

Example of a 10 minute Apgar Heart Rate Observation Screening Assessment

65+ Female patient example

65+ Female patient example

AdverseEvent example

Example of an allergic reaction adverse event

AllergyIntolerance example

Example of a clinical assessment record of an allergy

AllergyIntolerance refuted example

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

BodyStructure example

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

CarePlan example

Example of an assessment and care plan for a pregnancy

CareTeam example

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

Claim example

Example of a vision claim

ClaimResponse example

Example of a vision claim response

Communication example

Example of a notification sent to a patient about an abnormal test result

Communication negation example

Example of a notification that failed to be sent to a patient and reason why

CommunicationRequest example

Example of a record of request to provide additional information for a claim

Condition Encounter Diagnosis example

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

Condition Problems Health Concerns example

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

Condition example - appendicitis

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

Coverage example

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

Coverage example - Subscriber ID

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

Date and time of obstetric delivery example

Example of a obstetric delivery datetime Observation

Delivery date estimated example

Example of a delivery date estimate Observation

Device example

Device example for an ECG

DeviceRequest example

Request to employ a medical device

DeviceRequest negation example

Example of a request to employ a medical device that was not performed

DeviceRequest negation with code example

Example of a request to employ a medical device that was not performed

DeviceUseStatement example

Example of a record of device use by a patient

DiagnosticReportLab example

Example of the findings and interpretation of a laboratory diagnostic test

DiagnosticReportNote example

Example of a DiagnosticReport Note

Encounter example

Example of an Encounter

Encounter example of emergency visit that escalated into inpatient patient

Encounter example of emergency visit that escalated into inpatient patient

FamilyMemberHistory example

Example of Family Member History for a patient

Flag example

Warning/Notification when providing care example

Frailty observation example

Example of a frailty observation measure

Gestation age at birth observation example

Example of a gestation age at birth observation

Glucose Laboratory Result Observation Example

Example of a glucose laboratory result observation

Goal example

Example of weight loss goal/objective for a patient

Heart rate rhythm clinical result observation example

Example of a Heart rate rhythm clinical result observation

Hemodialysis Machine Availability (physical object) Observation Example

Example of hempdialysis machine availability nonpatient observation

Hospital Bed Availability (physical object) Observation Example

Example of hospital bed availability nonpatient observation

Hospital Organization example

Hendricks County Hospital example

ImagingStudy example

Example of ImagingStudy based on CT imaging study

Immunization example

Immunization example

Immunization negation example

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

Immunization negation with code example

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

ImmunizationEvaluaion example

Example of ImmunizationEvaluation

ImmunizationRecommendation example

Example of ImmunizationRecommendation for Hepatitis A vaccine

Infant patient example

Infant patient example

Location example

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

Mechanical Ventilator Availability (physical object) Observation Example

Example of mechanical ventilator availability nonpatient observation

Medication example

Example of Alemtuzumab Medication

MedicationAdministration Cumulative Duration example

Cumulative Medication example of MedicationAdministration

MedicationAdministration example

Intravenous example of MedicationAdministration

MedicationAdministration negation example

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

MedicationAdministration negation with code example

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

MedicationDispense cumulative dose example

Cumulative Medication Dispense Example

MedicationDispense example

Penicillin MedicationDispense Example

MedicationDispense negation example

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

MedicationDispense negation with code example

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

MedicationNotRequested using code example

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

MedicationNotRequested using value set example

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

MedicationRequest Cumulative Duration

Cumulative Medication Duration Example

MedicationRequest Patient Reported Example

Patient Reported Example

MedicationRequest Patient Requester Example

Patient Requester Example

MedicationRequest Practitioner Ordered Example

Practitioner Ordered Example

MedicationRequest example

Penicillin MedicationRequest Example

MedicationStatment example

Penicillin MedicationStatement Example

Number of full-term births obeservation example

Example number of full-term births Observation

Number of parity obeservation example

Example number of parity Observation

Number of pregnancies obeservation example

Example number of pregnancies Observation

Number of preterm births obeservation example

Example number of preterm births Observation

NutrientOrder example

Example of NutrientOrder for diabetic diet

ODH Observation example

Example of occupational data added to observation measure

Observation example

Example of Decreased Hemoglobin Observation

ObservationCancelled with code example

Example of observation not done using a code to indicate the reason

ObservationCancelled with value set example

Example of observation not done using a value set to indicate the reason

Organization example

HL7 Organization example

PHQ-9 QuestionnaireResponse Example

Example of a PHQ-9 Questionnaire Response

Patient example

Basic Patient example

Practitioner example

Referring Practitioner example

PractitionerRole example

PractitionerRole example

Procedure example

Appendectomy Procedure example

ProcedureNotDone with code example

Example of procedure not done using a code to indicate the reason

ProcedureNotDone with value set example

Example of procedure not done using a value set to indicate the reason

RelatedPerson example

Emergency contact example

ServiceNotRequested with code example

Example of service not requested using a code to indicate the reason

ServiceNotRequested with value set example

Example of service not requested using a value set to indicate the reason

ServiceRequest Myringotomy Procedure example

ServiceRequest for Myringotomy Procedure example

ServiceRequest appropriateness example

ServiceRequest appropriateness example

ServiceRequest elective example

Elective procedure ServiceRequest example

ServiceRequest example

Request for Appendectomy ServiceRequest example

Substance example

Honey Bee venom (apitoxin) Substance example

Task example

Task example

TaskRejected with code example

Example of task not done using a code to indicate the reason

TaskRejected with value set example

Example of task not done using a value set to indicate the reason