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
| 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 |
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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 | [For US Core Simple Observation Profile, ]Certifying Systems ... SHOULD support the other US Core Simple Observation Category codes [in addition to the US Core Screening Assessment Observation Category codes] |
| CONF-0862 | SHALL | [For US Core Simple Observation Profile, ]Certifying Systems SHALL support, the US Core Screening Assessment Observation Category codes |
| CONF-0863 | MAY | [For US Core Simple Observation Profile, ]Certifying Systems ... MAY support other categories [in addition to US Core Screening Assessment Observation Category codes and US Core Simple Observation Category codes]. |
| 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. |