Conformance requirements for the US Core Server

Contents

• Conformance requirements for the US Core Server
  • Behavior
  • Resource Details
    • 1. Patient
    • 2. AllergyIntolerance
    • 3. CarePlan
    • 4. CareTeam
    • 5. Condition
    • 6. Device
    • 7. DiagnosticReport
    • 8. Goal
    • 9. Immunization
    • 10. Location
    • 11. Medication
    • 12. MedicationStatement
    • 13. MedicationRequest
    • 14. Observation
    • 15. Organization
    • 16. Practitioner
    • 17. Procedure

• FHIR Version: 3.0.0
• Supported formats: xml, json
• Published: 2017-03-08
• Published by: Health Level Seven International US Realm Steering Committee

The Section describes the expected capabilities of the US-Core Client which is responsible for creating and initiating the queries for information about an individual patient. The complete list of FHIR profiles, RESTful operations, and search parameters supported by US Core Servers are defined in the Conformance requirements for the US-Core Server section. US Core Clients have the option of choosing from this list to access necessary data based on their local use cases and other contextual requirements.

Behavior

Description:

The US Core Client SHOULD:

• Support fetching and querying of one or more US Core profile(s), using the supported RESTful interactions and search parameters declared in the US Core Server CapabilityStatement.

security:

The US Core Client SHALL:

• implement the security requirements documented in the US-Core IG.

Resource Details

1. Patient

Supported Profiles: US Core Patient Profile

Search Criteria:

• A client SHOULD be capable of connecting to a server and fetching a patient using:

  GET [base]/Patient/[id].

• A client SHOULD be capable of connecting to a server and fetching a patient by identifier using

  GET [base]/Patient?identifier=[system]|[code]

• A client SHOULD be capable of connecting to a server and fetching a patient by supporting at a minimum the following search parameters when at least 2 are present. To limit overly broad search results, a client search with gender should include family and given name search parameters.:

  • name
  • gender

  • birthdate

    • for example:

    GET [base]/Patient?family=[name]&?given=[name]&gender=[gender]

2. AllergyIntolerance

Supported Profiles: US Core AllergyIntolerance Profile

Search Criteria:

• A client SHOULD be capable of connecting to a server and fetching all patient's allergies using:

  Get [base]/AllergyIntolerance?patient=[id]

3. CarePlan

Supported Profiles: US Core CarePlan Profile

Search Criteria:

• A client SHOULD be capable of connecting to a server and fetching all of a patient's Assessment and Plan of Treatment information using:

  Get [base]/CarePlan?patient=[id]&category=assess-plan

• A client SHOULD be capable of connecting to a server and fetching a patient's Assessment and Plan of Treatment information over a specified time period using:

  Get [base]/CarePlan?patient=[id]&category=assess-plan&date=[date]

• A client SHOULD be capable of connecting to a server and fetching all of a patient's active Assessment and Plan of Treatment information using

  Get [base]/CarePlan?patient=[id]&category=assess-plan&status=active

• A client SHOULD be capable of connecting to a server and fetching a patient's active Assessment and Plan of Treatment information over a specified time period using

  Get [base]/CarePlan?patient=[id]&category=assess-plan&status=active&date=[date]

4. CareTeam

Supported Profiles: US Core CareTeam Profile

Search Criteria:

• A client SHOULD be capable of connecting to a server and fetching a patient's current care team members using:

  Get [base]/CareTeam?patient=[id]&status=active

5. Condition

Supported Profiles: US Core Condition Profile

Search Criteria:

• A client SHOULD be capable of fetching all problems and health concerns for a patient, including current as well as historical problems and health concerns using:

  Get [base]/Condition?patient=[id]

• A client SHOULD be capable of connecting to a server and fetching all of a patient's active problems and health concerns using:

  Get [base]/Condition?patient=[id]&clinicalstatus=active,recurrance,remission

• A client SHOULD be capable of connecting to a server and fetching all of a patient's problems or all of patient's health concerns using:

  Get [base]/Condition?patient=[id]&category=[problem|health-concern]

6. Device

Supported Profiles: US Core Device Profile

Search Criteria:

• A client SHOULD be capable of connecting to a server and fetching all Unique device identifier(s)(UDI) for a patient's implanted device(s):

  Get [base]/Device?patient=[id]

7. DiagnosticReport

Supported Profiles: US Core DiagnosticReport Profile

Search Criteria:

• A client SHOULD be capable of connecting to a server and fetching all of a patient's laboratory diagnostic reports queried by category using:

  Get [base]/DiagnosticReport?patient=[id]&category=LAB

• A client SHOULD be capable of connecting to a server and fetching all of a patient's laboratory diagnostic reports queried by category code and date range using:

  GET [base]/DiagnosticReport?patient=[id]&category=LAB&date=[date]{&date=[date]}

• A client SHOULD be capable of connecting to a server and fetching all of a patient's laboratory diagnostic reports queried by category and code using:

  GET [base]/DiagnosticReport?patient=[id]&category=LAB&code=[LOINC]

• A client SHOULD be capable of connecting to a server and fetching all of a patient's laboratory diagnostic reports queried by category and one or more codes and date range using:

  GET [base]/DiagnosticReport?patient=[id]&category=LAB&code=[LOINC1{,LOINC2,LOINC3,…}]&date=[date]{&date=[date]}

8. Goal

Supported Profiles: US Core Goal Profile

Search Criteria:

• A client SHOULD be capable of connecting to a server and fetching all of a patient's goals using:

  Get [base]/Goal?patient=[id]

• A client SHOULD be capable of connecting to a server and fetching all of all of a patient's goals over a specified time period using:

  GET [base]/Goal?patient=[id]&date=[date]{&date=[date]}

9. Immunization

Supported Profiles: US Core Immunization Profile

Search Criteria:

• A client SHOULD be capable of connecting to a server and fetching all immunizations for a patient using:

  Get [base]/Immunization?patient=[id]

10. Location

Supported Profiles: US Core Location Profile

Search Criteria:

• A client SHOULD be capable of connecting to a server and fetching a location by name using:

  Get [base]/Location?name=[string]

• A client SHOULD be capable of connecting to a server and fetching a location by address using:

  GET [base]/Location?address=[string]

11. Medication

Supported Profiles: US Core Medication Profile

The MedicationStatement and MedicationRequest resources can represent a medication, using an external reference to a Medication resource. If an external Medication Resource is used in a MedicationStatement or a MedicationRequest, then the READ and SEARCH Criteria SHOULD be supported.

12. MedicationStatement

Supported Profiles: US Core MedicationStatement Profile

Search Criteria:

The MedicationStatement resources can represent a medication using either a code or refer to the Medication resource. When referencing a Medication resource, the resource may be contained or an external resource. IF, an external reference to Medication is used, the server SHALL support the _include parameter for searching this element. The client application SHALL support all methods.

A client SHOULD be capable of connecting to a server and fetching all medications for a patient using both:

GET /MedicationStatement?patient=[id]

and

GET /MedicationStatement?patient=[id]&_include=MedicationStatement:medication

13. MedicationRequest

Supported Profiles: US Core MedicationRequest Profile

Search Criteria:

The MedicationRequest resources can represent a medication using either a code or refer to the Medication resource. When referencing a Medication resource, the resource may be contained or an external resource. If, an external reference to Medication is used, the server SHALL support the _include parameter for searching this element. The client application SHALL support all methods.

A client SHOULD be capable of connecting to a server and fetching all medications for a patient using both:

GET /MedicationRequest?patient=[id]

and

GET /MedicationRequest?patient=[id]&_include=MedicationRequest:medication

14. Observation

Supported Profiles: 1. US Core Result Observation Profile

Search Criteria:

• A client SHOULD be capable of connecting to a server and fetching all of a patient's laboratory results queried by category using:

  GET [base]/Observation?patient=[id]&category=laboratory

• A client SHOULD be capable of connecting to a server and fetching all of a patient's laboratory results queried by category code and date range using:

  GET [base]/Observation?patient=[id]&category=laboratory&date=[date]{&date=[date]}

• A client SHOULD be capable of connecting to a server and fetching all of a patient's laboratory results queried by category and code using:

  GET [base]/Observation?patient=[id]&category=laboratory&code=[LOINC]

• A client SHOULD be capable of connecting to a server and fetching all of a patient's laboratory results queried by category and one or more codes and date range using:

  GET [base]/Observation?patient=[id]&category=laboratory&code=[LOINC1{,LOINC2,LOINC3,...}]&date=[date]{&date=[date]}

1. Vital Signs Profile

Search Criteria

• A client SHOULD be capable of connecting to a server and fetching all of a patient's vital signs that it supports using:

  GET [base]/Observation?patient=[id]&category=vital-signs

• A client SHOULD be capable of connecting to a server and fetching all of a patient's vital signs queried by date range using:

  GET [base]/Observation?patient=[id]&category=vital-signs&date=[date]{&date=[date]}

• A client SHOULD be capable of connecting to a server and fetching any of a patient's vital signs queried by one or more of the codes listed below using:

  GET [base]/Observation?patient=[id]&code[vital sign LOINC{,LOINC2,LOINC3,…}]

• A client SHOULD be capable of connecting to a server and fetching any of a patient's vital signs queried by one or more of the codes listed below and date range using:

  GET [base]/Observation?patient=[id]&code=[LOINC{,LOINC2…}]vital-signs&date=[date]{&date=[date]}

1. US Core Smoking Status Observation Profile

Search Criteria:

• A client SHOULD be capable of connecting to a server and fetching a patient's smoking status using:

  GET [base]/Observation?patient=[id]&code=72166-2

15. Organization

Supported Profiles: US Core Organization Profile

Search Criteria:

• A client SHOULD be capable of connecting to a server and fetching an organization by identifier using:

  `GET [base]/Organization?identifier=[system]

  [code]'

• A client SHOULD be capable of connecting to a server and fetching an organization by name using:

  GET [base]/Organization?name=[string]

• A client SHOULD be capable of connecting to a server and fetching an organization by address using:

  GET [base]/Organization?address=[string]

16. Practitioner

Supported Profiles: US Core Practitioner Profile

Search Criteria:

• A client SHOULD be capable of connecting to a server and fetching a practitioner by identifier using:

  GET [base]/Practitioner?identifier=[system]|[code]

• A client SHOULD be capable of connecting to a server and fetching a practitioner by name using:

  GET [base]/Practitioner?family=[string]&given=[string]

17. Procedure

Supported Profiles: US Core Procedure Profile

Search Criteria:

• A client SHOULD be capable of connecting to a server and fetching a patient's procedures using:

  GET/Procedure?patient=[id]

• A client SHOULD be capable of connecting to a server and fetching all of a patient's procedures over a specified time period using:

  GET /Procedure?patient=[id]&date=[date]{&date=[date]}