US-Core CI Build
This page is part of the US Core (v0.0.0: STU1 Ballot 1) based on FHIR v1.8.0. The current version which supercedes this version is 5.0.1. For a full list of available versions, see the Directory of published versions 
The data elements, extension, and terminology used in the US Core Implemenation Guide are based upon ONC 2015 Edition Common Clinical Data Set (CCDS) as well as essential administrative and conformance requirements. These requirements were originally developed, balloted, and published in FHIR DSTU2 as part of the ONC sponsored Data Access Framework (DAF) project and were subsequently updated to define the minimum mandatory conformance requirements needed for accessing patient data as defined by the Argonaut pilot implementations. In addition to Argonaut, these profiles are used by the [DAF-Research], QI-Core, and CIMI and are intended to be a common core for other US Realm guides.
The following actors are part of the US Core IG.
The US Core Profiles are intended to meet the 2015 Edition certification criterion for Patient Selection 170.315(g)(7) and Application Access – Data Category Request 170.315(g)(8). They were created for each of the 2015 Edition Common Clinical Data Set. The Location, Organization and Practitioner Profiles are not called out specifically in the certification criteria but are included because they are directly referenced by other profiles. Where applicable the US Core Profiles are based on the HL7 U.S. Data Access Framework ([DAF]) FHIR DSTU2 Implementation Guide. However, the requirements per resource are a subset of those of the DAF implementation guide.
The table below lists the FHIR Resources used for the corresponding 2015 Edition Common Clinical Data Set (CCDS) Data elements:
| No | CCDS Data Element | FHR Resource |
|---|---|---|
| (1) | Patient Name | Patient |
| (2) | Sex | Patient |
| (3) | Date of birth | Patient |
| (4) | Race | Patient |
| (5) | Ethnicity | Patient |
| (6) | Preferred language | Patient |
| (7) | Smoking status | Observation |
| (8) | Problems | Condition |
| (9) | Medications | Medication, MedicationStatement, MedicationRequest |
| (10) | Medication allergies | AllergyIntolerance |
| (11) | Laboratory test(s) | Observation, DiagnosticReport |
| (12) | Laboratory value(s)/result(s) | Observation, DiagnosticReport |
| (13) | Vital signs | Observation |
| (14) | (no longer required) | - |
| (15) | Procedures | Procedure |
| (16) | Care team member(s) | CareTeam |
| (17) | Immunizations | Immunization |
| (18) | Unique device identifier(s) for a patient’s implantable device(s) | Device |
| (19) | Assessment and plan of treatment | CarePlan |
| (20) | Goals | Goal |
| (21) | Health concerns | Condition |
Note on Searches based on a date or date range:
Allergies, Immunizations, Medications, Problems and Health Concerns, UDI, Smoking Status do not require a date range search since a system should return all relevant resources.
Date range search requirements are included in the Quick Start section for the following resources - Vital Signs, Laboratory Results, Goals, Procedures, and Assessment and Plan of Treatment.
The list of US Core Profiles is shown below. Each profile defines the minimum mandatory elements, extensions and terminology requirements that MUST be present. For each profile requirements and guidance are given in a simple narrative summary. A formal hierarchical table that presents a logical view of the content in both a differential and snapshot view is also provided along with references to appropriate terminologies and examples.
This section outlines conformance requirements for each of the US-Core actors identifying the specific profiles that need to be supported, the specific RESTful operations that need to be supported, and the search parameters that need to be supported. Note: The individual US-Core profiles identify the structural constraints, terminology bindings and invariants, however, implementers must refer to the conformance requirements for details on the RESTful operations, specific profiles and the search parameters applicable to each of the US-Core actors.
Primary Authors: Brett Marquard, Nagesh Bashyam, Eric Haas
Secondary Authors: Grahame Grieve, Lloyd McKenzie
US-Core © FHIR STU3 (IG Publisher v1.8.0-10514) generated on Tue, Dec 6, 2016 16:58+1100. |
