QI-Core Implementation Guide
8.0.0-ballot - STU 8 - ballot
QI-Core Implementation Guide
8.0.0-ballot - STU 8 - ballot
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 8.0.0-ballot 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
The QI key elements tag is applied to data elements that are currently used in quality measures. This list is intended to offer implementors a baseline reference point for data elements commonly used in measures.
The key QI elements were originally derived from an analysis of the 2023 QDM measures. They have since been updated based on a review of the draft FHIR measures for Measurement Period 2026, which use QI-Core STU 6. Implementors and other users should verify that the list includes all necessary data elements for the specific measures they are working with.
This table provides a quick reference across all QI-Core profiles.
| Profile | Primary Code Path | QI Elements |
|---|---|---|
| QICore AdverseEvent | event | category |
| severity | ||
| resultingCondition | ||
| event | ||
| encounter | ||
| date | ||
| seriousness | ||
| recordedDate | ||
| subject | ||
| actuality | ||
| QICore AllergyIntolerance | code | patient |
| code | ||
| verificationStatus | ||
| onset[x] | ||
| clinicalStatus | ||
| criticality | ||
| recordedDate | ||
| type | ||
| category | ||
| lastOccurrence | ||
| reaction | ||
| QICore BodyStructure | location | active |
| patient | ||
| locationQualifier | ||
| location | ||
| QICore CarePlan | category | subject |
| status | ||
| category(AssessPlan) | ||
| intent | ||
| category | ||
| QICore CareTeam | participant.role | participant |
| subject | ||
| QICore Claim | type | provider |
| patient | ||
| type | ||
| billablePeriod | ||
| Claim | ||
| use | ||
| diagnosis | ||
| procedure | ||
| created | ||
| prescription | ||
| status | ||
| QICore ClaimResponse | type | request |
| requestor | ||
| patient | ||
| created | ||
| status | ||
| use | ||
| item | ||
| type | ||
| insurer | ||
| QICore Communication Not Done | topic | extension(event-recorded) |
| topic.extension(codeOptions) | ||
| statusReason | ||
| sender | ||
| sent | ||
| topic | ||
| subject | ||
| received | ||
| status | ||
| recipient | ||
| QICore Communication | topic | topic.extension(codeOptions) |
| sender | ||
| sent | ||
| topic | ||
| subject | ||
| received | ||
| status | ||
| recipient | ||
| QICore CommunicationDone | topic | topic.extension(codeOptions) |
| status | ||
| sender | ||
| sent | ||
| topic | ||
| subject | ||
| received | ||
| recipient | ||
| QICore CommunicationRequest | category | status |
| encounter | ||
| category | ||
| sender | ||
| subject | ||
| doNotPerform | ||
| recipient | ||
| QICore Condition Encounter Diagnosis | code | category |
| category(us-core) | ||
| code | ||
| subject | ||
| clinicalStatus | ||
| extension(assertedDate) | ||
| encounter | ||
| recordedDate | ||
| abatement[x] | ||
| severity | ||
| onset[x] | ||
| verificationStatus | ||
| QICore Condition Problems Health Concerns | code | category |
| code | ||
| category(us-core) | ||
| subject | ||
| clinicalStatus | ||
| extension(assertedDate) | ||
| recordedDate | ||
| abatement[x] | ||
| severity | ||
| onset[x] | ||
| verificationStatus | ||
| QICore Coverage | type | payor |
| class.value | ||
| identifier.type | ||
| class.value | ||
| beneficiary | ||
| status | ||
| relationship | ||
| subscriberId | ||
| policyHolder | ||
| period | ||
| type | ||
| QICore Device Prohibited | code | status |
| modifierExtension(doNotPerform) | ||
| authoredOn | ||
| intent | ||
| code[x] | ||
| code[x].extension(codeOptions) | ||
| reasonCode | ||
| subject | ||
| modifierExtension.value[x] | ||
| identifier | ||
| QICore Device | type | patient |
| QICore DeviceRequest | code | status |
| modifierExtension(doNotPerform) | ||
| authoredOn | ||
| intent | ||
| code[x] | ||
| code[x].extension(codeOptions) | ||
| subject | ||
| identifier | ||
| QICore DeviceRequested | code | status |
| modifierExtension(doNotPerform) | ||
| authoredOn | ||
| intent | ||
| code[x] | ||
| code[x].extension(codeOptions) | ||
| subject | ||
| modifierExtension.value[x] | ||
| identifier | ||
| QICore DeviceUseStatement | device.type | subject |
| bodySite | ||
| status | ||
| recordedOn | ||
| device | ||
| timing[x] | ||
| QICore DiagnosticReport Profile for Laboratory Results Reporting | code | subject |
| status | ||
| code | ||
| category | ||
| category(LaboratorySlice) | ||
| effective[x] | ||
| result | ||
| basedOn | ||
| performer | ||
| QICore DiagnosticReport Profile for Report and Note Exchange | code | subject |
| status | ||
| category | ||
| code | ||
| effective[x] | ||
| result | ||
| imagingStudy | ||
| issued | ||
| media | ||
| encounter | ||
| performer | ||
| QICore Encounter | type | status |
| subject | ||
| class | ||
| type | ||
| serviceProvider | ||
| participant | ||
| hospitalization | ||
| reasonCode | ||
| period | ||
| reasonReference | ||
| location | ||
| QICore FamilyMemberHistory | FamilyMemberHistory.condition.code | relationship |
| deceased[x] | ||
| age[x] | ||
| patient | ||
| date | ||
| QICore Flag | code | status |
| code | ||
| subject | ||
| period | ||
| category | ||
| QICore Goal | category | lifecycleStatus |
| subject | ||
| description | ||
| start[x] | ||
| target | ||
| QICore ImagingStudy | procedureCode | procedureReference |
| subject | ||
| basedOn | ||
| started | ||
| encounter | ||
| QICore Immunization Done | vaccineCode | occurrence[x] |
| status | ||
| patient | ||
| vaccineCode | ||
| statusReason | ||
| recorded | ||
| vaccineCode.extension(codeOptions) | ||
| QICore Immunization Not Done | vaccineCode | statusReason |
| occurrence[x] | ||
| patient | ||
| status | ||
| vaccineCode | ||
| recorded | ||
| vaccineCode.extension(codeOptions) | ||
| QICore Immunization | vaccineCode | status |
| occurrence[x] | ||
| patient | ||
| vaccineCode | ||
| statusReason | ||
| recorded | ||
| vaccineCode.extension(codeOptions) | ||
| QICore ImmunizationEvaluation | targetDisease | targetDisease |
| date | ||
| immunizationEvent | ||
| doseStatusReason | ||
| identifier | ||
| status | ||
| patient | ||
| doseStatus | ||
| QICore ImmunizationRecommendation | recommendation.vaccineCode | patient |
| recommendation | ||
| QICore Laboratory Result Observation | code | subject |
| code | ||
| category | ||
| status | ||
| category(us-core) | ||
| encounter | ||
| value[x] | ||
| issued | ||
| referenceRange | ||
| effective[x] | ||
| interpretation | ||
| QICore Location | type | name |
| status | ||
| telecom | ||
| managingOrganization | ||
| type | ||
| QICore Medication Prohibited | medication | subject |
| authoredOn | ||
| status | ||
| intent | ||
| medication[x] | ||
| doNotPerform | ||
| requester | ||
| extension(medicationAdherence) | ||
| reasonCode | ||
| encounter | ||
| dispenseRequest | ||
| reasonReference | ||
| dosageInstruction | ||
| reported[x] | ||
| QICore Medication | code | code |
| QICore MedicationAdministration Done | medication | medication[x] |
| dosage | ||
| medication[x].extension(codeOptions) | ||
| status | ||
| subject | ||
| request | ||
| effective[x] | ||
| context | ||
| QICore MedicationAdministration Not Done | medication | medication[x] |
| dosage | ||
| statusReason | ||
| medication[x].extension(codeOptions) | ||
| subject | ||
| request | ||
| effective[x] | ||
| status | ||
| context | ||
| QICore MedicationAdministration | medication | status |
| medication[x] | ||
| dosage | ||
| medication[x].extension(codeOptions) | ||
| subject | ||
| request | ||
| effective[x] | ||
| context | ||
| QICore MedicationDispense Declined | medication | medication[x] |
| subject | ||
| status | ||
| extension(recorded) | ||
| authorizingPrescription | ||
| dosageInstruction | ||
| medication[x].extension(codeOptions) | ||
| statusReason[x] | ||
| daysSupply | ||
| whenPrepared | ||
| quantity | ||
| whenHandedOver | ||
| type | ||
| QICore MedicationDispense Done | medication | medication[x] |
| status | ||
| subject | ||
| authorizingPrescription | ||
| extension(recorded) | ||
| dosageInstruction | ||
| medication[x].extension(codeOptions) | ||
| daysSupply | ||
| whenPrepared | ||
| quantity | ||
| whenHandedOver | ||
| type | ||
| QICore MedicationDispense | medication | medication[x] |
| subject | ||
| status | ||
| authorizingPrescription | ||
| extension(recorded) | ||
| dosageInstruction | ||
| medication[x].extension(codeOptions) | ||
| daysSupply | ||
| whenPrepared | ||
| quantity | ||
| whenHandedOver | ||
| type | ||
| QICore MedicationRequest | medication | subject |
| intent | ||
| status | ||
| medication[x] | ||
| reasonCode | ||
| authoredOn | ||
| requester | ||
| extension(medicationAdherence) | ||
| encounter | ||
| dispenseRequest | ||
| reasonReference | ||
| dosageInstruction | ||
| doNotPerform | ||
| reported[x] | ||
| QICore MedicationRequested | medication | subject |
| status | ||
| intent | ||
| medication[x] | ||
| doNotPerform | ||
| reasonCode | ||
| category | ||
| authoredOn | ||
| requester | ||
| extension(medicationAdherence) | ||
| encounter | ||
| dispenseRequest | ||
| reasonReference | ||
| dosageInstruction | ||
| reported[x] | ||
| QICore MedicationStatement | medication | subject |
| status | ||
| dateAsserted | ||
| derivedFrom | ||
| medication[x] | ||
| effective[x] | ||
| informationSource | ||
| QICore NonPatient Observation | code | performer |
| derivedFrom | ||
| category | ||
| code | ||
| subject | ||
| value[x] | ||
| status | ||
| effective[x] | ||
| interpretation | ||
| QICore NutritionOrder | type | patient |
| QICore Observation Clinical Result | code | code |
| subject | ||
| category | ||
| status | ||
| value[x] | ||
| dataAbsentReason | ||
| category(us-core) | ||
| effective[x] | ||
| QICore Observation Screening Assessment | code | category(survey) |
| subject | ||
| status | ||
| category | ||
| code | ||
| performer | ||
| category(screening-assessment) | ||
| hasMember | ||
| derivedFrom | ||
| dataAbsentReason | ||
| value[x] | ||
| effective[x] | ||
| interpretation | ||
| QICore Organization | type | active |
| name | ||
| identifier.use | ||
| identifier.value | ||
| identifier(ein) | ||
| identifier(ccn) | ||
| type | ||
| QICore Patient | name | |
| identifier | ||
| gender | ||
| QICore Practitioner | name | |
| identifier | ||
| QICore PractitionerRole | code | identifier.use |
| period | ||
| identifier.value | ||
| practitioner | ||
| identifier | ||
| telecom | ||
| identifier.system | ||
| organization | ||
| location | ||
| code | ||
| active | ||
| specialty | ||
| endpoint | ||
| QICore Procedure Done | code | subject |
| code | ||
| status | ||
| performed[x] | ||
| reasonCode | ||
| reasonReference | ||
| basedOn | ||
| code.extension(codeOptions) | ||
| extension(recorded) | ||
| QICore Procedure Not Done | code | subject |
| code | ||
| status | ||
| performed[x] | ||
| reasonCode | ||
| reasonReference | ||
| basedOn | ||
| code.extension(codeOptions) | ||
| statusReason | ||
| extension(recorded) | ||
| QICore Procedure | code | subject |
| code | ||
| status | ||
| performed[x] | ||
| reasonCode | ||
| reasonReference | ||
| basedOn | ||
| code.extension(codeOptions) | ||
| extension(recorded) | ||
| QICore QuestionnaireResponse | questionnaire | questionnaire |
| status | ||
| subject | ||
| authored | ||
| item | ||
| author | ||
| QICore RelatedPerson | relationship | active |
| patient | ||
| name | ||
| telecom | ||
| relationship | ||
| QICore Service Prohibited | code | intent |
| code | ||
| subject | ||
| authoredOn | ||
| status | ||
| code.extension(codeOptions) | ||
| reasonCode | ||
| occurrence[x] | ||
| doNotPerform | ||
| reasonReference | ||
| QICore ServiceRequest | code | status |
| intent | ||
| code | ||
| subject | ||
| code.extension(codeOptions) | ||
| reasonCode | ||
| occurrence[x] | ||
| authoredOn | ||
| doNotPerform | ||
| reasonReference | ||
| QICore ServiceRequested | code | intent |
| code | ||
| subject | ||
| status | ||
| code.extension(codeOptions) | ||
| reasonCode | ||
| occurrence[x] | ||
| authoredOn | ||
| doNotPerform | ||
| reasonReference | ||
| QICore Simple Observation | code | subject |
| category | ||
| code | ||
| status | ||
| performer | ||
| derivedFrom | ||
| value[x] | ||
| effective[x] | ||
| interpretation | ||
| QICore Substance | code | code |
| QICore Task Done | code | basedOn |
| executionPeriod | ||
| focus | ||
| intent | ||
| code | ||
| status | ||
| encounter | ||
| for | ||
| priority | ||
| QICore Task Rejected | code | focus |
| statusReason | ||
| for | ||
| executionPeriod | ||
| QICore Task | code | basedOn |
| executionPeriod | ||
| focus | ||
| intent | ||
| status | ||
| code | ||
| encounter | ||
| for | ||
| priority |
IG © 2019+ HL7 International / Clinical Quality Information.
Package hl7.fhir.us.qicore#8.0.0-ballot based on FHIR 4.0.1.
Generated
2026-06-25
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change