US Quality Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-quality-core/ and changes regularly. See the Directory of published versions

US Quality Core Profiles

Page standards status: Informative

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Profile List

The following table lists the US Quality Core profiles that are part of the IG, directly supported US Core profiles, and the underlying FHIR resources.

US Quality Core Profile	US Core Profile	FHIR Resource
AdverseEvent
US Quality Core AdverseEvent	—	AdverseEvent
AllergyIntolerance
US Quality Core AllergyIntolerance	US Core AllergyIntolerance Profile	AllergyIntolerance
CarePlan
US Quality Core CarePlan	US Core CarePlan Profile	CarePlan
CareTeam
US Quality Core CareTeam	US Core CareTeam Profile	CareTeam
Communication
US Quality Core Communication	—	Communication
US Quality Core Communication Not Done	—	—
US Quality Core CommunicationDone	—	—
Condition
US Quality Core Condition Encounter Diagnosis	US Core Condition Encounter Diagnosis Profile	Condition
US Quality Core Condition Problems Health Concerns	US Core Condition Problems and Health Concerns Profile	Condition
Coverage
US Quality Core Coverage	US Core Coverage Profile	Coverage
Device
—	US Core Device Profile	Device
DeviceRequest
US Quality Core DeviceRequest	—	DeviceRequest
US Quality Core Device Prohibited	—	—
US Quality Core DeviceRequested	—	—
DiagnosticReport
US Quality Core DiagnosticReport Profile for Laboratory Results Reporting	US Core DiagnosticReport Profile for Laboratory Results Reporting	DiagnosticReport
US Quality Core DiagnosticReport Profile for Report and Note Exchange	US Core DiagnosticReport Profile for Report and Note Exchange	DiagnosticReport
DocumentReference
—	US Core ADI DocumentReference Profile	DocumentReference
—	US Core DocumentReference Profile	—
Encounter
US Quality Core Encounter	US Core Encounter Profile	Encounter
FamilyMemberHistory
—	US Core FamilyMemberHistory Profile	FamilyMemberHistory
Goal
US Quality Core Goal	US Core Goal Profile	Goal
ImagingStudy
US Quality Core ImagingStudy	—	ImagingStudy
Immunization
US Quality Core Immunization	US Core Immunization Profile	Immunization
US Quality Core Immunization Done	US Core Immunization Profile	—
US Quality Core Immunization Not Done	US Core Immunization Profile	—
Location
US Quality Core Location	US Core Location Profile	Location
Medication
US Quality Core Medication	US Core Medication Profile	Medication
MedicationAdministration
US Quality Core MedicationAdministration	—	MedicationAdministration
US Quality Core MedicationAdministration Done	—	—
US Quality Core MedicationAdministration Not Done	—	—
MedicationDispense
US Quality Core MedicationDispense	US Core MedicationDispense Profile	MedicationDispense
US Quality Core MedicationDispense Declined	US Core MedicationDispense Profile	—
US Quality Core MedicationDispense Done	US Core MedicationDispense Profile	—
MedicationRequest
US Quality Core MedicationRequest	US Core MedicationRequest Profile	MedicationRequest
US Quality Core Medication Prohibited	US Core MedicationRequest Profile	—
US Quality Core MedicationRequested	US Core MedicationRequest Profile	—
NutritionOrder
US Quality Core NutritionOrder	—	NutritionOrder
Observation
US Quality Core Laboratory Result Observation	US Core Laboratory Result Observation Profile	Observation
US Quality Core Observation Clinical Result	US Core Observation Clinical Result Profile	Observation
US Quality Core Observation Screening Assessment	US Core Observation Screening Assessment Profile	Observation
US Quality Core Simple Observation	US Core Simple Observation Profile	Observation
—	US Core Blood Pressure Profile	—
—	US Core BMI Profile	—
—	US Core Body Height Profile	—
—	US Core Body Temperature Profile	—
—	US Core Body Weight Profile	—
—	US Core Heart Rate Profile	—
—	US Core Observation ADI Documentation Profile	—
—	US Core Observation Occupation Profile	—
—	US Core Observation Pregnancy Intent Profile	—
—	US Core Observation Pregnancy Status Profile	—
—	US Core Pediatric BMI for Age Observation Profile	—
—	US Core Pediatric Head Occipital Frontal Circumference Percentile Profile	—
—	US Core Pediatric Weight for Height Observation Profile	—
—	US Core Pulse Oximetry Profile	—
—	US Core Respiratory Rate Profile	—
—	US Core Smoking Status Observation Profile	—
—	US Core Treatment Intervention Preference Profile	—
Organization
US Quality Core Organization	US Core Organization Profile	Organization
Patient
US Quality Core Patient	US Core Patient Profile	Patient
Practitioner
US Quality Core Practitioner	US Core Practitioner Profile	Practitioner
PractitionerRole
US Quality Core PractitionerRole	US Core PractitionerRole Profile	PractitionerRole
Procedure
US Quality Core Procedure	US Core Procedure Profile	Procedure
US Quality Core Procedure Done	US Core Procedure Profile	—
US Quality Core Procedure Not Done	US Core Procedure Profile	—
Provenance
—	US Core Provenance Profile	Provenance
QuestionnaireResponse
US Quality Core QuestionnaireResponse	US Core QuestionnaireResponse Profile	QuestionnaireResponse
RelatedPerson
US Quality Core RelatedPerson	US Core RelatedPerson Profile	RelatedPerson
ServiceRequest
US Quality Core ServiceRequest	US Core ServiceRequest Profile	ServiceRequest
US Quality Core Service Prohibited	US Core ServiceRequest Profile	—
US Quality Core ServiceRequested	US Core ServiceRequest Profile	—
Specimen
—	US Core Specimen Profile	Specimen
Task
US Quality Core Task	—	Task
US Quality Core Task Done	—	—
US Quality Core Task Rejected	—	—

Referencing US Quality Core Profiles

There are a number of profiles inherited directly from US Core profiles, if any, or other FHIR resources (i.e. US Core Device Profile, FHIR Vital Signs, US Core Smoking Status etc.) and the underlying Reference elements can address the US Core or FHIR profiles for the items referenced. For any other references to base FHIR resources or not formally defined in a US Quality Core Profile, the referenced resource SHALL be a US Quality Core Profile if a US Quality Core Profile exists for the resource type. For example, US Core Smoking Status references US Core Patient profile, the reference to Patient SHALL be a valid US Quality Core Patient.

Note to Implementers: US Quality Core profiles have been developed with the principle that if the profiles only need to provide references to US Quality Core Profiles, that is insufficient to require individual US Quality Core profiles for all US Core profiles. There are edge cases using this approach where the FHIR validator would not validate an assumption made by the measure author, such as that an encounter traced through an observation is a US Quality Core Encounter. We think that general validation of all the resources provided to the context of a measure evaluation can address that risk without the need for deriving specific profiles that only constrain reference types. We seek feedback on this point.

This change will strengthen the requirement to use a US Quality Core profile when using a base FHIR or US Core profile not formally defined in US Quality Core and to use US Quality Core profiles as referenced resources if a US Quality Core Profile exists for that resource.