US Core Implementation Guide
6.0.0-ballot - STU6 Ballot US

This page is part of the US Core (v6.0.0-ballot: STU6 Ballot 1) based on FHIR R4. The current version which supercedes this version is 5.0.1. For a full list of available versions, see the Directory of published versions

USCDI

The US Core Profiles were originally designed 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 item in the 2015 Edition Common Clinical Data Set (CCDS). The Location, Organization, and Practitioner Profiles are not called out specifically in the certification criteria but are included because other profiles directly reference them. The US Core Profiles are informed by the prior Data Access Framework and the Argonaut Data Query Implementation Guides. However, the profiles here are stand-alone and include requirements from the U.S. Core Data for Interoperability (USCDI) v3.

The table below lists the US Core Profile and FHIR Resources used for the corresponding USCDI Data elements:

USCDI Logo

US Core Data for Interoperability USCD V3

Allergies and Intolerances
Allergies and Intolerances US Core AllergyIntolerance Profile
    •Substance (Medication)
    •Substance (Drug Class)
    •Reaction
Assessment and Plan of Treatment
Assessment and Plan of Treatment
    •Assessment and Plan of Treatment US Core CarePlan Profile
    •SDOH Assessment US Core Observation Screening Assessment Profile
US Core Simple Observation Profile		 See Assessments Guidance
Care Team Members
Care Team Members US Core CareTeam Profile
    •Name
    •Identifier
    •Location
    •Telecom
    •Role
Clinical Notes
Clinical Notes US Core DocumentReference Profile
US Core DiagnosticReport Profile for Report and Note Exchange
    •Consultation Note
    •Discharge Summary Note
    •History & Physical
    •Imaging Narrative
    •Laboratory Report Narrative
    •Pathology Report Narrative
    •Procedure Note
    •Progress Note See Clinical Notes Guidance
Clinical Tests
Clinical Tests US Core Observation Clinical Result Profile
US Core DiagnosticReport Profile for Report and Note Exchange
    •Clinical Test
    •Clinical Test Result/Report
Diagnostic Imaging
Diagnostic Imaging US Core Observation Clinical Result Profile
US Core DiagnosticReport Profile for Report and Note Exchange
    •Diagnostic Imaging Test
    •Diagnostic Imaging Result/Report
Encounter
Encounter US Core Encounter Profile
    •Type
    •Diagnosis US Core Condition Encounter Diagnosis Profile
    •Time
    •Location
    •Disposition
Goals
Goals
    •Patient Goals US Core Goal Profile
    •SDOH Goals See Assessments Guidance
Health Insurance Information
Health Insurance Information US Core Coverage Profile
    •Coverage Status
    •Coverage Type
    •Relationship to Subscriber
    •Member Identifier
    •Subscriber Identifier
    •Group Number
    •Payer Identifier
Health Status/Assessments
Health Status/Assessments
    •Health Concerns US Core Condition Problems and Health Concerns Profile
    •Functional Status US Core Observation Screening Assessment Profile
US Core Simple Observation Profile		 See Assessments Guidance
    •Disability Status
    •Mental/Cognitive Status
    •Pregnancy Status US Core Observation Pregnancy Status Profile
US Core Observation Pregnancy Intent Profile
    •Smoking Status US Core Smoking Status Observation Profile
Immunizations
Immunizations US Core Immunization Profile
    •
Laboratory
Laboratory US Core Laboratory Result Observation Profile
US Core DiagnosticReport Profile for Laboratory Results Reporting
    •Tests
    •Values/Results
    •Specimen Type
    •Result Status
Medications
Medications US Core MedicationRequest Profile
    •Medications See Medication List Guidance
    •Dose
    •Dose Unit of Measure
    •Indication
    •Fill Status US Core MedicationDispense Profile
Patient Demographics
Patient Demographics US Core Patient Profile
    •First Name
    •Last Name
    •Previous Name
    •Middle Name (including middle initial)
    •Suffix
    •Birth Sex
    •Sex
    •Date of Birth
    •Date of Death
    •Race US Core Race Extension
    •Ethnicity US Core Ethnicity Extension
    •Tribal Affiliation US Core Tribal Affiliation Extension
    •Gender Identity US Core Gender Identity Extension
    •Sexual Orientation US Core Observation Sexual Orientation Profile
    •Preferred Language
    •Address
    •Previous Address
    •Email
    •Phone Number
    •Related Person's Name US Core RelatedPerson Profile
    •Related Person's Relationship US Core RelatedPerson Profile
    •Occupation US Core Observation Occupation Profile
    •Occupation Industry US Core Observation Occupation Profile
Problems
Problems US Core Condition Problems and Health Concerns Profile
    •Date of Resolution
    •Date of Diagnosis
    •SDOH Problems/Health Concerns See Assessments Guidance
Procedures
Procedures US Core Procedure Profile
    •Procedure
    •Reason for Referral US Core ServiceRequest Profile
    •SDOH Interventions US Core ServiceRequest Profile
US Core Procedure Profile		 See Assessments Guidance
Provenance
Provenance US Core Provenance Profile
    •Author Time Stamp
    •Author Organization
Unique Device Identifier(s)
Unique Device Identifier(s) US Core Implantable Device Profile
    •Unique Device Identifier(s) for a Patient's Implantable Device(s)
Vital Signs
Vital Signs US Core Vital Signs Profile
    •Diastolic blood pressure US Core Blood Pressure Profile
    •Systolic blood pressure US Core Blood Pressure Profile
    •Body height US Core Body Height Profile
    •Body weight US Core Body Weight Profile
    •Heart rate US Core Heart Rate Profile
    •Respiratory rate US Core Respiratory Rate Profile
    •Body temperature US Core Body Temperature Profile
    •Pulse oximetry US Core Pulse Oximetry Profile
    •Inhaled oxygen concentration US Core Pulse Oximetry Profile
    •BMI Percentile (2-20 years old) US Core Pediatric BMI for Age Observation Profile
    •Weight-for-length Percentile (Birth - 36 months) US Core Pediatric Weight for Height Observation Profile
    •Occipital Frontal Head Circumference Percentile (Birth - 36 months) US Core Pediatric Head Occipital Frontal Circumference Percentile Profile

(This information is also available as a csv or excel file)