US Core Implementation Guide
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US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 9.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions

Requirements: US Core Certifying System Requirements

Official URL: http://hl7.org/fhir/us/core/Requirements/us-core-certifying-system Version: 9.0.0
Standards status: Trial-use Maturity Level: 3 Computable Name: USCoreCertifyingSystemRequirements
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.36.1

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

This Requirements resource lists the additional requirements for systems certifying for ASTP Health IT Certification (g(10) certification. These requirements represent the regulatory and technical specifications that design artifacts must meet to ensure interoperability. See the US Core Server Requirements for the US Core Responder (Server) requirements defined in the US Core Implementation Guide narrative sections.

These requirements apply to the actor: US Core Certifying System

Key Conformance Requirement
CONF-0011 SHALL

A Server that certifies to the 21st Century Cures Act for accessing patient data SHALL implement all components in the USCDI [USCDI link]

CONF-0012 SHALL

A Server that certifies to the 21st Century Cures Act for accessing patient data SHALL implement all components in the ... the US Core CapabilityStatement [Definition] .

CONF-0124 SHALL

Implementations meeting US EHR certification [of the ONC IT Health Certification program] requirements must support all US Core’s required scopes.

CONF-0465 SHALL

Although Patient.deceased[x] is marked as additional USCDI, certifying systems are not required to support both [boolean and dateTime data types], but SHALL support [at] least Patient.deceasedDateTime

CONF-0469 SHALL

Certifying systems [, those that are participating in the ONC Health IT certification program,] SHALL... follow the Project US@ Technical Specification for Patient Addresses Final Version 1.0 as the standard style guide for Patient.address.line and Patient.address.city for new and updated records.

CONF-0801 SHALL

If an element is marked as Additional USCDI and defined by a pattern [as described by ElementDefinition.pattern], then the pattern defines the elements and element values that the Certifying System SHALL be capable of providing.

CONF-0802 SHALL

Primitive elements are single elements with a primitive value…. If they are marked as Additional USCDI, then the Certifying System SHALL be capable of providing the element value to meet the Additional USCDI requirement.

CONF-0803 SHALL

For any complex element marked as Additional USCDI, the Certifying System SHALL be capable of providing at least one of the sub-element values.

CONF-0805 SHALL

[I]f any sub-element is marked as Additional USCDI [for a complex element] and the parent element is not… [and] the parent element is represented in the structure, Certifying System SHALL support the sub-elements labeled as Additional USCDI.

CONF-0809 SHALL

When a Reference type element is labeled as Additional USCDI and has a single target profile referenced, the target profile SHALL be supported for Certifying Systems.

CONF-0811 SHALL

When a Reference type element labeled as Additional USCDI, has multiple target profiles referenced, and specific targets are labeled as Must Support, the Must Support target profile(s) SHALL be supported by Certifying Systems.

CONF-0812 SHALL

[I]f a slice is labeled as ... Additional USCDI and the slicer element is not labeled as ... Additional USCDI, then if the ... certifying system supports the element, it must support the slice's definition. There are no examples of this structure in US Core.

CONF-0814 SHALL

[I]f a slice is labeled as … Additional USCDI and the slicer element is ... labeled as … Additional USCDI, then … certifying system [SHALL support] the element[ and] the slice's definition.

CONF-0833 SHALL

Certifying Systems SHALL support, a category of "sdoh"

CONF-0834 SHOULD

Certifying Systems ... SHOULD support the ... US Core Simple Observation Category codes

CONF-0835 MAY

Certifying Systems ... MAY support other categories

CONF-0846 SHALL

[For the US Core Observation Screening Assessment Profile,] Certifying Systems SHALL support, the US Core Screening Assessment Observation Category codes

CONF-0847 SHOULD

[For the US Core Observation Screening Assessment Profile,] Certifying Systems SHOULD support, the US Core Screening Assessment Observation Maximum Category codes

CONF-0848 MAY

[For the US Core Observation Screening Assessment Profile,] Certifying Systems MAY support other codes.

CONF-0861 SHOULD
CONF-0862 SHALL
CONF-0863 MAY
CONF-0873 SHALL

If an element is marked as Additional USCDI and defined by a pattern [as described by ElementDefinition.pattern], then the pattern defines the elements and element values that the Certifying System SHALL be capable of providing.

CONF-0874 SHALL

If [an element is] ... marked as Additional USCDI, then the Certifying System SHALL be capable of providing the element value to meet the Additional USCDI requirement.

CONF-0875 SHALL

For any complex element marked as Additional USCDI, the Certifying System SHALL be capable of providing at least one of the sub-element values

CONF-0876 SHALL

[For any complex element marked as Additional USCDI]. If any sub-element is marked as Additional USCDI, [the Certifying System SHALL] ... meet the Additional USCDI requirements and satisfy the Additional USCDI requirements for the parent element.

CONF-0878 SHALL

When a Reference type element is labeled as Additional USCDI and has a single target profile referenced, the target profile SHALL be supported for Certifying Systems.

CONF-0880 SHALL

When a Reference type element labeled as Additional USCDI, has multiple target profiles referenced, and specific targets are labeled as Must Support, the Must Support target profile(s) SHALL be supported by Certifying Systems

CONF-0883 SHALL

When a Reference element is labeled as Additional USCDI has multiple target profiles referenced, but none are labeled as Must Support, at least one target profile SHALL be supported by Certifying Systems.

CONF-0884 SHALL

If an Additional USCDI element has a choice of datatypes for its content, the datatypes the Certifying System SHALL support are labeled as Must Support.