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 Elements:
- actuality: (QI) actual | potential
- category: (QI) product-problem | product-quality | product-use-error | wrong-dose | incorrect-prescribing-information | wrong-technique | wrong-route-of-administration | wrong-rate | wrong-duration | wrong-time | expired-drug | medical-device-use-error | problem-different-manufacturer | unsafe-physical-environment
- event: (QI) Type of the event itself in relation to the subject
- subject: (QI) Subject impacted by event
- encounter: (QI) Encounter created as part of
- recordedDate: (QI) When the event was recorded
- resultingCondition: (QI) Effect on the subject due to this event
- suspectEntity.instance: (QI) Refers to the specific entity that caused the adverse event
Primary code path: event
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- code: (QI) Code that identifies the allergy or intolerance
- patient: (QI) Who the sensitivity is for
- reaction.manifestation: Clinical symptoms/signs associated with the Event
QI Elements:
- clinicalStatus: (QI) active | inactive | resolved
- type: (QI) allergy | intolerance - Underlying mechanism (if known)
- category: (QI) food | medication | environment | biologic
- criticality: (QI) low | high | unable-to-assess
- onset[x]: (QI) When allergy or intolerance was identified
- recordedDate: (QI) Date first version of the resource instance was recorded
- lastOccurrence: (QI) Date(/time) of last known occurrence of a reaction
- reaction: (QI) Adverse Reaction Events linked to exposure to substance
- reaction.severity: (QI) mild | moderate | severe (of event as a whole)
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- active: (QI) Whether this record is in active use
- location: (QI) Body site
- locationQualifier: (QI) Body site modifier
- patient: (QI) Who this is about
Primary code path: location
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- text.status: generated | additional
- text.div: Limited xhtml content
- status: draft | active | on-hold | revoked | completed | entered-in-error | unknown
- intent: proposal | plan | order | option
- category: (QI) Type of plan
- category: (QI) Type of plan
- subject: (QI) Who the care plan is for.
Primary code path: category
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- subject: (QI) Who the care team is for.
- participant: Members of the team
- participant.role: Type of involvement
- participant.member: (QI) Who is involved
Primary code path: category
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- Claim: Claim, Pre-determination or Pre-authorization
- patient: (QI) The recipient of the products and services
- billablePeriod: (QI) Relevant time frame for the claim
- created: (QI) Resource creation date
- provider: (QI) Party responsible for the claim
- prescription: (QI) Prescription authorizing services and products
- diagnosis: (QI) Pertinent diagnosis information
- diagnosis.sequence: (QI) Diagnosis instance identifier
- diagnosis.diagnosis[x]: (QI) Nature of illness or problem
- diagnosis.type: (QI) Timing or nature of the diagnosis
- diagnosis.onAdmission: (QI) Present on admission
- procedure: (QI) Clinical procedures performed
- procedure.sequence: (QI) Procedure instance identifier
- procedure.type: (QI) Category of Procedure
- procedure.procedure[x]: (QI) Specific clinical procedure
- item.encounter: (QI) Encounters related to this billed item
Primary code path: type
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- status: (QI) active | cancelled | draft | entered-in-error
- type: (QI) More granular claim type
- use: (QI) claim | preauthorization | predetermination
- patient: (QI) The recipient of the products and services
- created: (QI) Response creation date
- insurer: (QI) Party responsible for reimbursement
- requestor: (QI) Party responsible for the claim
- request: (QI) Id of resource triggering adjudication
- item: (QI) Adjudication for claim line items
- item.adjudication: (QI) Adjudication details
- item.adjudication.category: (QI) This code is fixed to 'submitted' to indicate that the adjudication result is on what was submitted.
- item.adjudication.amount: (QI) Monetary amount
- item.detail.detailSequence: (QI) Claim detail instance identifier
Primary code path: type
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- event-recorded: (QI) Captures the recorded date of the communication
- status: (QI) preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
- statusReason: (QI) Reason for current status
- subject: (QI) Focus of message
- topic: (QI) Description of the purpose/content
- notDoneValueSet: (QI) Url of a value set of activities not requested or performed
Primary code path: reasonCode
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- status: (QI) preparation | in-progress | on-hold | stopped | completed | entered-in-error | unknown
- subject: (QI) Focus of message
- topic: (QI) Description of the purpose/content
- sent: (QI) When sent
- received: (QI) When received
- recipient: (QI) Message recipient
- sender: (QI) Message sender
Primary code path: reasonCode
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- status: draft | active | on-hold | revoked | completed | entered-in-error | unknown
- category: Message category
- doNotPerform: True if request is prohibiting action
- subject: Focus of message
- encounter: Encounter created as part of
- recipient: Message recipient
- sender: Message sender
Primary code path: category
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- category: category codes
- category: encounter-diagnosis
- code: Identification of the condition, problem or diagnosis
- subject: (QI) Who has the condition?
QI Elements:
- encounter: (QI) Encounter created as part of
- onset[x]: (QI) Estimated or actual date, date-time, or age
- abatement[x]: (QI) When in resolution/remission
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- category: category codes
- category: problem-list-item | health-concern
- code: (QI) Identification of the condition, problem or diagnosis
- subject: (QI) Who has the condition?
QI Elements:
- clinicalStatus: (QI) active | recurrence | relapse | inactive | remission | resolved
- verificationStatus: (QI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
- severity: (QI) Subjective severity of condition
- onset[x]: (QI) Estimated or actual date, date-time, or age
- abatement[x]: (QI) When in resolution/remission
- recordedDate: (QI) Date record was first recorded
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- identifier.type: Member Number identifier type
- status: active | cancelled | draft | entered-in-error
- beneficiary: (QI) Plan beneficiary
- relationship: Beneficiary relationship to the subscriber
- payor: (QI) Issuer of the policy
- class.value: Group Number
- class.value: Plan Number
QI Elements:
- type: (QI) Coverage category such as medical or accident
- policyHolder: Owner of the policy
- subscriberId: (QI) ID assigned to the subscriber
- period: (QI) Coverage start and end dates
Primary code path: type
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- modifierExtension: (QI) Extension
- modifierExtension.value[x]: (QI) Value of extension
- status: (QI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
- intent: (QI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
- code[x]: (QI) Device requested
- doNotPerformValueSet: (QI) What was not done
- subject: (QI) Focus of request
- authoredOn: (QI) When recorded
- reasonCode: (QI) Explanation/Justification for procedure or service
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- patient: (QI) Patient to whom Device is affixed
Primary code path: type
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- modifierExtension: (QI) Extension
- modifierExtension.value[x]: (QI) Value of extension
- identifier: (QI) External Request identifier
- status: (QI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
- intent: (QI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
- code[x]: (QI) Device requested
- subject: (QI) Focus of request
- authoredOn: (QI) When recorded
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- status: (QI) active | completed | entered-in-error +
- subject: (QI) Patient using device
- timing[x]: (QI) How often the device was used
- recordedOn: (QI) When statement was recorded
- device: (QI) Reference to device used
- bodySite: (QI) Target body site
Primary code path: device.type
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- status: registered | partial | preliminary | final +
- category: (QI) Service category
- category: (QI) Service category
- code: US Core Laboratory Report Order Code
- subject: (QI) The subject of the report - usually, but not always, the patient
QI Elements:
- basedOn: What was requested
- effective[x]: (QI) Diagnostically relevant time (typically the time of specimen collection)
- performer: (QI) Responsible Diagnostic Service
- result: (QI) Observations
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- status: registered | partial | preliminary | final +
- category: (QI) Service Category
- code: (QI) QI-Core Report Code
- subject: (QI) The subject of the report - usually, but not always, the patient
- media.link: Reference to the image source
QI Elements:
- encounter: (QI) Health care event when test ordered
- effective[x]: (QI) Diagnostically relevant time (typically the time of the procedure)
- issued: (QI) DateTime this version was made
- performer: (QI) Responsible Diagnostic Service
- result: (QI) Observations
- imagingStudy: Reference to full details of imaging associated with the diagnostic report
- media: (QI) Key images associated with this report
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- identifier.system: The namespace for the identifier value
- identifier.value: The value that is unique
- status: (QI) planned | arrived | triaged | in-progress | onleave | finished | cancelled +
- class: Classification of patient encounter
- type: (QI) Specific type of encounter
- subject: (QI) The patient or group present at the encounter
- location.location: (QI) Location the encounter takes place
QI Elements:
- participant: (QI) List of participants involved in the encounter
- participant.individual: (QI) Persons involved in the encounter other than the patient
- period: (QI) The start and end time of the encounter
- reasonCode: (QI) Coded reason the encounter takes place
- reasonReference: (QI) Reason the encounter takes place (reference)
- hospitalization: (QI) Details about the admission to a healthcare service
- hospitalization.dischargeDisposition: (QI) Category or kind of location after discharge
- location: (QI) List of locations where the patient has been
- location.period: (QI) Time period during which the patient was present at the location
- serviceProvider: (QI) The organization (facility) responsible for this encounter
Primary code path: type
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- patient: (QI) Patient history is about
- date: (QI) When history was recorded or last updated
- relationship: (QI) Relationship to the subject
- age[x]: (QI) (approximate) age
- deceased[x]: (QI) Dead? How old/when?
- condition.code: (QI) Condition suffered by relation
Primary code path: type
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- status: (QI) active | inactive | entered-in-error
- category: (QI) Clinical, administrative, etc.
- code: (QI) Coded or textual message to display to user
- subject: (QI) Who/What is flag about?
- period: (QI) Time period when flag is active
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- lifecycleStatus: proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
- description: Code or text describing goal
- subject: (QI) Who this goal is intended for
QI Elements:
- start[x]: (QI) When goal pursuit begins
- target: (QI) Target outcome for the goal
Primary code path: category
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- subject: (QI) Who or what is the subject of the study
- encounter: Encounter with which this imaging study is associated
- started: (QI) When the study was started
- basedOn: (QI) Request fulfilled
- procedureReference: (QI) The performed Procedure reference
Primary code path: procedure
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- status: (QI) completed | entered-in-error | not-done
- statusReason: (QI) Reason not done
- vaccineCode: Vaccine Product Type (bind to CVX)
- patient: (QI) Who was immunized
- occurrence[x]: Vaccine administration date
QI Elements:
- notDoneValueSet: (QI) What wasn't administered
- recorded: (QI) Documented date Immunization did not occur.
Primary code path: vaccineCode
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- status: (QI) completed | entered-in-error
- vaccineCode: (QI) Vaccine Product Type (bind to CVX)
- patient: (QI) Who was immunized
- occurrence[x]: (QI) Vaccine administration date
QI Elements:
- statusReason: (QI) Reason not done
- recorded: (QI) When the immunization was first captured in the subject's record
Primary code path: vaccineCode
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- identifier: (QI) Business identifier
- status: (QI) completed | entered-in-error
- patient: (QI) Who this evaluation is for
- date: (QI) Date evaluation was performed
- targetDisease: (QI) Evaluation target disease
- immunizationEvent: (QI) Immunization being evaluated
- doseStatus: (QI) Status of the dose relative to published recommendations
- doseStatusReason: (QI) Reason for the dose status
Primary code path: targetDisease
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- patient: (QI) Who this profile is for
- recommendation: (QI) Vaccine administration recommendations
- recommendation.vaccineCode: (QI) Vaccine or vaccine group recommendation applies to
- recommendation.doseNumber[x]: (QI) Recommended dose number within series
Primary code path: recommendation.vaccineCode
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- status: (QI) registered | prliminary | final | amended | corrected | entered-in-error | unknown
- category: (QI) Classification of type of observation
- category: (QI) Classification of type of observation
- code: (QI) Laboratory Test Name
- subject: (QI) Who and/or what the observation is about
QI Elements:
- encounter: (QI) Encounter associated with Observation
- effective[x]: (QI) Clinically relevant time/time-period for observation
- issued: (QI) Date/Time this version was made available
- value[x]: (QI) Result Value
- interpretation: (QI) High, low, normal, etc.
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- name: Name by which a facility or location is known.
QI Elements:
- type: (QI) Category of service or resource available in a location.
- telecom: (QI) Contact details of the location
- managingOrganization: (QI) Organization responsible for provisioning and upkeep
Primary code path: type
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- status: (QI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
- intent: (QI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
- medication[x]: (QI) Medication to be taken
- subject: (QI) Who or group medication request is for
- authoredOn: (QI) When request was initially authored
QI Elements:
- doNotPerform: (QI) True if medication was not requested
- reported[x]: (QI) Reported rather than primary record
- encounter: (QI) Encounter created as part of encounter/admission/stay
- requester: (QI) Who/What requested the Request
- reasonCode: (QI) Reason or indication for ordering or not ordering the medication
- reasonReference: (QI) US Core Condition or Observation that supports the prescription
Primary code path: medication
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- code: Codes that identify this medication
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- implicitRules: (QI) A set of rules under which this content was created
- recorded: (QI) Recorded
- status: (QI) in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
- statusReason: (QI) Reason administration not performed
- medication[x]: (QI) What was administered
- notDoneValueSet: (QI) Url of a value set of activities not requested or performed
- subject: (QI) Who received medication
- context: (QI) Encounter or Episode of Care administered as part of
- effective[x]: (QI) Start and end time of administration
- request: (QI) Request administration performed against
Primary code path: medication
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- recorded: (QI) Recorded
- status: (QI) in-progress | on-hold | completed | entered-in-error | stopped | unknown
- medication[x]: (QI) What was administered
- subject: (QI) Who received medication
- context: (QI) Encounter or Episode of Care administered as part of
- effective[x]: (QI) Start and end time of administration
- request: (QI) Request administration performed against
- dosage: (QI) Details of how medication was taken
- dosage.route: (QI) Path of substance into body
- dosage.dose: (QI) Amount of medication per dose
Primary code path: medication
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- status: (QI) preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
- medication[x]: (QI) What medication was supplied
- subject: (QI) Who the dispense is for
- performer.actor: Individual who was performing
QI Elements:
- recorded: (QI) Extension
- statusReason[x]: (QI) Why a dispense was not performed
- notDoneValueSet: (QI) Url of a value set of activities not requested or performed
- dosageInstruction.text: (QI) Free text dosage instructions e.g. SIG
- dosageInstruction.timing: (QI) When medication should be administered
- dosageInstruction.doseAndRate: (QI) Amount of medication administered
- dosageInstruction.doseAndRate.type: (QI) The kind of dose or rate specified
- dosageInstruction.doseAndRate.dose[x]: (QI) Amount of medication per dose
Primary code path: medication
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- status: (QI) preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | unknown
- medication[x]: (QI) What medication was supplied
- subject: (QI) Who the dispense is for
- performer.actor: Individual who was performing
QI Elements:
- recorded: (QI) Extension
- authorizingPrescription: (QI) Medication order that authorizes the dispense
- type: (QI) Trial fill, partial fill, emergency fill, etc.
- quantity: (QI) Amount dispensed
- daysSupply: (QI) Amount of medication expressed as a timing amount
- whenPrepared: (QI) When product was packaged and reviewed
- whenHandedOver: (QI) When product was given out or mailed
- dosageInstruction: (QI) How the medication is to be used by the patient or administered by the caregiver
- dosageInstruction.text: (QI) Free text dosage instructions e.g. SIG
- dosageInstruction.timing: (QI) When medication should be administered
- dosageInstruction.doseAndRate: (QI) Amount of medication administered
- dosageInstruction.doseAndRate.dose[x]: (QI) Amount of medication per dose
Primary code path: medication
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- status: (QI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
- intent: (QI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
- medication[x]: (QI) Medication to be taken
- subject: (QI) Who or group medication request is for
QI Elements:
- doNotPerform: (QI) True if medication was not requested
- reported[x]: (QI) Reported rather than primary record
- encounter: (QI) Encounter created as part of encounter/admission/stay
- authoredOn: (QI) When request was initially authored
- requester: (QI) Who/What requested the Request
- reasonCode: (QI) Reason or indication for ordering or not ordering the medication
- reasonReference: (QI) QI-Core Condition or Observation that supports the prescription
- dosageInstruction: (QI) How medication should be taken
- dosageInstruction.timing: (QI) When medication should be administered
- dosageInstruction.timing.repeat: (QI) When the event is to occur
- dosageInstruction.timing.repeat.bounds[x]: (QI) Length/Range of lengths, or (Start and/or end) limits
- dosageInstruction.timing.repeat.frequency: (QI) Event occurs frequency times per period
- dosageInstruction.timing.repeat.frequencyMax: (QI) Event occurs frequencyMax times per period
- dosageInstruction.timing.repeat.period: (QI) Event occurs frequency times per period
- dosageInstruction.timing.repeat.periodMax: (QI) Upper limit of period (3-4 hours)
- dosageInstruction.timing.repeat.periodUnit: (QI) s | min | h | d | wk | mo | a - unit of time (UCUM)
- dosageInstruction.asNeeded[x]: (QI) Take "as needed" (for x)
- dosageInstruction.doseAndRate: (QI) Amount of medication administered
- dosageInstruction.doseAndRate.dose[x]: (QI) Amount of medication per dose
- dispenseRequest: (QI) Medication supply authorization
- dispenseRequest.dispenseInterval: (QI) Minimum period of time between dispenses
- dispenseRequest.validityPeriod: (QI) Time period supply is authorized for
- dispenseRequest.numberOfRepeatsAllowed: (QI) Number of refills authorized
- dispenseRequest.quantity: (QI) Amount of medication to supply per dispense
- dispenseRequest.expectedSupplyDuration: (QI) Number of days supply per dispense
Primary code path: medication
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- status: (QI) active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
- medication[x]: (QI) What medication was taken
- subject: (QI) Who is/was taking the medication
- effective[x]: (QI) The date/time or interval when the medication is/was/will be taken
- dateAsserted: (QI) When the statement was asserted?
- informationSource: (QI) Person or organization that provided the information about the taking of this medication
- derivedFrom: (QI) Additional supporting information
- dosage.timing: (QI) When medication should be administered
- dosage.route: (QI) How drug should enter body
- dosage.doseAndRate: (QI) Amount of medication administered
- dosage.doseAndRate.dose[x]: (QI) Amount of medication per dose
Primary code path: medication
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- status: (QI) registered | prliminary | final | amended | corrected | entered-in-error | unknown
- category: (QI) Classification of type of observation
- code: (QI) Type of observation (code / type)
- subject: (QI) The device/location/implantable device the observation is about
- effective[x]: (QI) Clinically relevant time/time-period for observation
- performer: (QI) Who is responsible for the observation
- value[x]: (QI) Actual result
- value[x]: (QI) actual | potential
- interpretation: (QI) High, low, normal, etc.
- derivedFrom: (QI) QI Core Profiles or other resource the observation is made from
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- patient: (QI) The person who requires the diet, formula or nutritional supplement
QI Elements:
- event-statusReason: (QI) Event Status Reason
- status: (QI) registered | preliminary | final | amended +
- category: (QI) Classification of type of observation
- code: (QI) Type of observation (code / type)
- notDoneValueSet: (QI) What was not done
- subject: (QI) Who and/or what the observation is about
- effective[x]: (QI) Clinically relevant time/time-period for observation
- issued: (QI) Date/Time this version was made available
- value[x]: (QI) Actual result
- value[x]: (QI) Actual result
- interpretation: (QI) High, low, normal, etc.
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- status: (QI) registered | prliminary | final | amended | corrected | entered-in-error | unknown
- category: (QI) Classification of type of observation
- code: (QI) Clinical Test or Procedure Name
- subject: (QI) Who and/or what the observation is about
QI Elements:
- category: (QI) Classification of type of observation
- effective[x]: (QI) Clinically relevant time/time-period for observation
- value[x]: (QI) Result Value
- dataAbsentReason: (QI) Why the result is missing
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- status: (QI) registered | prliminary | final | amended | corrected | entered-in-error | unknown
- category: (QI) Classification of type of observation
- category: (QI) Classification of type of observation
- code: (QI) Type of observation (code / type)
- subject: (QI) Who and/or what the observation is about
QI Elements:
- category: (QI) Classification of type of observation
- effective[x]: (QI) Clinically relevant time/time-period for observation
- performer: (QI) Who is responsible for the observation
- value[x]: (QI) Actual result
- dataAbsentReason: (QI) Why the result is missing
- interpretation: (QI) High, low, normal, etc.
- hasMember: (QI) Reference to panel or multi-select responses
- derivedFrom: (QI) Related Observations or QuestionnaireResponses that the observation is made from
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- active: Whether the organization's record is still in active use
- name: Name used for the organization
QI Elements:
- identifier: (QI) CMS Certification Number
- identifier.use: (QI) usual | official | temp | secondary | old (If known)
- identifier.value: (QI) The value that is unique
- identifier: (QI) Employer Identification Number
- identifier.use: (QI) usual | official | temp | secondary | old (If known)
- identifier.value: (QI) The value that is unique
Primary code path: type
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- identifier: An identifier for this patient
- identifier.system: The namespace for the identifier value
- identifier.value: The value that is unique within the system.
- name: A name associated with the patient
- telecom.system: phone | fax | email | pager | url | sms | other
- telecom.value: The actual contact point details
- gender: male | female | other | unknown
- communication.language: The language which can be used to communicate with the patient about his or her health
QI Elements:
- race: (QI) US Core Race Extension
- ethnicity: (QI) US Core ethnicity Extension
- tribalAffiliation: (QI) Tribal Affiliation Extension
- sex: (QI) Sex Extension
- genderIdentity: (QI) The individual's gender identity
- name.use: (QI) usual | official | temp | nickname | anonymous | old | maiden
- name.suffix: (QI) Parts that come after the name
- name.period: (QI) Time period when name was/is in use
- telecom: (QI) A contact detail for the individual
- birthDate: (QI) The date of birth for the individual
- deceased[x]: (QI) Indicates if the individual is deceased or not
- address: (QI) An address for the individual
- address.use: (QI) home | work | temp | old | billing - purpose of this address
- address.period: (QI) Time period when address was/is in use
- communication: (QI) A language which may be used to communicate with the patient about his or her health
Must Have:
- identifier: (QI) An identifier for the person as this agent
- identifier.system: (QI) The namespace for the identifier value
- identifier.value: (QI) The value that is unique
- name: The name(s) associated with the practitioner
- name.family: Family name (often called 'Surname')
QI Elements:
- identifier: (QI) An identifier for the person as this agent
- identifier: (QI) There is not a general Tax Identifier Numer (TIN) OID. There is an SSN, a PTIN, and an ITIN, but no TIN generally. So the only slice specified here is EIN, if consumers determine a need for an SSN, submit a comment to that effect.
- identifier.use: (QI) usual | official | temp | secondary | old (If known)
- identifier.value: (QI) The value that is unique
Must Have:
- telecom.system: (QI) phone | fax | email | pager | url | sms | other
- telecom.value: (QI) The actual contact point details
QI Elements:
- identifier: (QI) Business Identifiers that are specific to a role/location
- identifier.use: (QI) usual | official | temp | secondary | old (If known)
- identifier.system: (QI) The namespace for the identifier value
- identifier.value: (QI) The value that is unique
- active: (QI) Whether this practitioner role record is in active use
- period: (QI) The period during which the practitioner is authorized to perform in these role(s)
- practitioner: (QI) Practitioner that is able to provide the defined services for the organization
- organization: (QI) Organization where the roles are available
- code: (QI) Roles which this practitioner may perform
- specialty: (QI) Specific specialty of the practitioner
- location: (QI) The location(s) at which this practitioner provides care
- telecom: (QI) Contact details that are specific to the role/location/service
- endpoint: (QI) Technical endpoints providing access to services operated for the practitioner with this role
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- status: (QI) preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
- code: (QI) Identification of the procedure
- subject: (QI) Who the procedure was performed on
QI Elements:
- recorded: (QI) When the procedure was first captured in the subject's record
- basedOn: (QI) A request for this procedure
- statusReason: (QI) Reason for the current status
- notDoneValueSet: (QI) What was not performed
- performed[x]: (QI) When the procedure was performed
- reasonCode: (QI) Coded reason procedure performed
- reasonReference: (QI) The justification that the procedure was performed
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- status: (QI) preparation | in-progress | on-hold | stopped | completed | entered-in-error | unknown
- code: (QI) Identification of the procedure
- subject: (QI) Who the procedure was performed on
QI Elements:
- implicitRules: (QI) A set of rules under which this content was created
- recorded: (QI) When the procedure was first captured in the subject's record
- basedOn: (QI) A request for this procedure
- performed[x]: (QI) When the procedure was performed
- reasonCode: (QI) Coded reason procedure performed
- reasonReference: (QI) The justification that the procedure was performed
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- questionnaire: Form being answered
- status: in-progress | completed | amended | entered-in-error | stopped
- subject: (QI) The subject of the questions
- authored: Date the answers were gathered
- item.linkId: (QI) Pointer to specific item from Questionnaire
QI Elements:
- author: (QI) Person who received and recorded the answers
- item: (QI) Groups and questions
- item.answer.value[x]: (QI) Single-valued answer to the question
Must Have:
- active: (QI) Whether this related person's record is in active use
- patient: (QI) The patient this person is related to
QI Elements:
- relationship: (QI) The nature of the relationship
- name: (QI) A name associated with the person
- telecom: (QI) A contact detail for the person
Primary code path: relationship
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- status: (QI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
- intent: (QI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
- code: What is being requested/ordered
- subject: (QI) Individual or Entity the service is ordered for
- authoredOn: (QI) Date request signed
QI Elements:
- notDoneValueSet: (QI) What was not requested
- occurrence[x]: (QI) When service should occur
- reasonCode: (QI) Explanation/Justification for procedure or service
- reasonReference: (QI) Explanation/Justification for service or service
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- status: (QI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
- intent: (QI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
- code: (QI) What is being requested/ordered
- subject: (QI) Individual or Entity the service is ordered for
QI Elements:
- doNotPerform: (QI) True if service/procedure should not be performed
- occurrence[x]: (QI) When service should occur
- authoredOn: (QI) Date request signed
- reasonCode: (QI) Explanation/Justification for procedure or service
- reasonReference: (QI) Explanation/Justification for service or service
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
Must Have:
- status: (QI) registered | prliminary | final | amended | corrected | entered-in-error | unknown
- category: (QI) Classification of type of observation
- code: (QI) Type of observation (code / type)
- subject: (QI) Who and/or what the observation is about
QI Elements:
- partOf: (QI) Part of referenced event
- effective[x]: (QI) Clinically relevant time/time-period for observation
- performer: (QI) Who is responsible for the observation
- value[x]: (QI) Actual result
- value[x]: (QI) actual | potential
- interpretation: (QI) High, low, normal, etc.
- derivedFrom: (QI) US Core Profiles or other resource the observation is made from
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- code: (QI) If this describes a specific package/container of the substance
- instance.quantity: (QI) Amount of substance in the package
- ingredient.quantity: (QI) Optional amount (concentration)
- ingredient.substance[x]: (QI) A component of the substance
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- executionPeriod: (QI) The timing the task was rejected and the reason.
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
QI Elements:
- identifier: Task Instance Identifier
- basedOn: (QI) Request fulfilled by this task
- status: draft | requested | received | accepted | ready | cancelled | in-progress | on-hold | failed | completed | entered-in-error
- intent: unknown | proposal | plan | order | original-order | reflex-order | filler-order | instance
- priority: routine | urgent | asap | stat
- code: Task Type
- executionPeriod: (QI) Start and end time of execution
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
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