US Core Implementation Guide
6.0.0 - STU6 United States of America flag

This page is part of the US Core (v6.0.0: STU6) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Table of Contents

...0 Table of Contents
...1 Home
....2 Conformance
....2.1 General Requirements
.....2.2 Must Support
.....2.2.1 Observation Summary Table
....3 Guidance
....3.1 USCDI
....3.2 General Guidance
....3.3 Clinical Notes
....3.4 Medication List
....3.5 Basic Provenance
....3.6 Screening and Assessments
....3.7 Changes Between Versions
....3.8 Future of US Core
...4 Profiles and Extensions
...5 Capability Statements
...6 Search Parameters and Operations
...7 Terminology
...8 Security
...9 Examples
...10 Downloads
...11 Change Log
...12 US Core ImplementationGuide Resource
....13 Artifacts Summary
....13.1 US Core Client CapabilityStatement
....13.2 US Core Server CapabilityStatement
....13.3 US Core Fetch DocumentReference
....13.4 USCoreAllergyintoleranceClinicalStatus
....13.5 USCoreAllergyintolerancePatient
....13.6 USCoreCareplanCategory
....13.7 USCoreCareplanDate
....13.8 USCoreCareplanPatient
....13.9 USCoreCareplanStatus
....13.10 USCoreCareteamPatient
....13.11 USCoreCareTeamRole
....13.12 USCoreCareteamStatus
....13.13 USCoreConditionAbatementDate
....13.14 USCoreConditionAssertedDate
....13.15 USCoreConditionCategory
....13.16 USCoreConditionClinicalStatus
....13.17 USCoreConditionCode
....13.18 USCoreConditionEncounter
....13.19 USCoreConditionOnsetDate
....13.20 USCoreConditionPatient
....13.21 USCoreConditionRecordedDate
....13.22 USCoreCoveragePatient
....13.23 USCoreDevicePatient
....13.24 USCoreDeviceStatus
....13.25 USCoreDeviceType
....13.26 USCoreDiagnosticreportCategory
....13.27 USCoreDiagnosticreportCode
....13.28 USCoreDiagnosticreportDate
....13.29 USCoreDiagnosticreportPatient
....13.30 USCoreDiagnosticreportStatus
....13.31 USCoreDocumentreferenceCategory
....13.32 USCoreDocumentreferenceDate
....13.33 USCoreDocumentreferenceId
....13.34 USCoreDocumentreferencePatient
....13.35 USCoreDocumentreferencePeriod
....13.36 USCoreDocumentreferenceStatus
....13.37 USCoreDocumentreferenceType
....13.38 USCoreEncounterClass
....13.39 USCoreEncounterDate
....13.40 USCoreEncounterDischargeDisposition
....13.41 USCoreEncounterId
....13.42 USCoreEncounterIdentifier
....13.43 USCoreEncounterLocation
....13.44 USCoreEncounterPatient
....13.45 USCoreEncounterStatus
....13.46 USCoreEncounterType
....13.47 USCoreEthnicity
....13.48 USCoreGoalDescription
....13.49 USCoreGoalLifecycleStatus
....13.50 USCoreGoalPatient
....13.51 USCoreGoalTargetDate
....13.52 USCoreImmunizationDate
....13.53 USCoreImmunizationPatient
....13.54 USCoreImmunizationStatus
....13.55 USCoreLocationAddressCity
....13.56 USCoreLocationAddressPostalcode
....13.57 USCoreLocationAddressState
....13.58 USCoreLocationAddress
....13.59 USCoreLocationName
....13.60 USCoreMedicationdispensePatient
....13.61 USCoreMedicationdispenseStatus
....13.62 USCoreMedicationdispenseType
....13.63 USCoreMedicationrequestAuthoredon
....13.64 USCoreMedicationrequestEncounter
....13.65 USCoreMedicationrequestIntent
....13.66 USCoreMedicationrequestPatient
....13.67 USCoreMedicationrequestStatus
....13.68 USCoreObservationCategory
....13.69 USCoreObservationCode
....13.70 USCoreObservationDate
....13.71 USCoreObservationPatient
....13.72 USCoreObservationStatus
....13.73 USCoreOrganizationAddress
....13.74 USCoreOrganizationName
....13.75 USCorePatientBirthdate
....13.76 USCorePatientDeathDate
....13.77 USCorePatientFamily
....13.78 USCorePatientGenderIdentity
....13.79 USCorePatientGender
....13.80 USCorePatientGiven
....13.81 USCorePatientId
....13.82 USCorePatientIdentifier
....13.83 USCorePatientName
....13.84 USCorePractitionerId
....13.85 USCorePractitionerIdentifier
....13.86 USCorePractitionerName
....13.87 USCorePractitionerrolePractitioner
....13.88 USCorePractitionerroleSpecialty
....13.89 USCoreProcedureCode
....13.90 USCoreProcedureDate
....13.91 USCoreProcedurePatient
....13.92 USCoreProcedureStatus
....13.93 USCoreQuestionnaireresponseAuthored
....13.94 USCoreQuestionnaireresponseId
....13.95 USCoreQuestionnaireresponsePatient
....13.96 USCoreQuestionnaireresponseQuestionnaire
....13.97 USCoreQuestionnaireresponseStatus
....13.98 USCoreRace
....13.99 USCoreRelatedpersonId
....13.100 USCoreRelatedpersonName
....13.101 USCoreRelatedpersonPatient
....13.102 USCoreServicerequestAuthored
....13.103 USCoreServicerequestCategory
....13.104 USCoreServicerequestCode
....13.105 USCoreServicerequestId
....13.106 USCoreServicerequestPatient
....13.107 USCoreServicerequestStatus
....13.108 USCoreSpecimenId
....13.109 USCoreSpecimenPatient
....13.110 US Core Pediatric Head Occipital Frontal Circumference Percentile Profile
....13.111 US Core Pediatric BMI for Age Observation Profile
....13.112 US Core Pediatric Weight for Height Observation Profile
....13.113 US Core AllergyIntolerance Profile
....13.114 US Core Blood Pressure Profile
....13.115 US Core BMI Profile
....13.116 US Core Body Height Profile
....13.117 US Core Body Temperature Profile
....13.118 US Core Body Weight Profile
....13.119 US Core CarePlan Profile
....13.120 US Core CareTeam Profile
....13.121 US Core Condition Encounter Diagnosis Profile
....13.122 US Core Condition Problems and Health Concerns Profile
....13.123 US Core Coverage Profile
....13.124 US Core DiagnosticReport Profile for Laboratory Results Reporting
....13.125 US Core DiagnosticReport Profile for Report and Note Exchange
....13.126 US Core DocumentReference Profile
....13.127 US Core Encounter Profile
....13.128 US Core Goal Profile
....13.129 US Core Head Circumference Profile
....13.130 US Core Heart Rate Profile
....13.131 US Core Immunization Profile
....13.132 US Core Implantable Device Profile
....13.133 US Core Location Profile
....13.134 US Core Medication Profile
....13.135 US Core MedicationDispense Profile
....13.136 US Core MedicationRequest Profile
....13.137 US Core Observation Clinical Result Profile
....13.138 US Core Laboratory Result Observation Profile
....13.139 US Core Observation Occupation Profile
....13.140 US Core Observation Pregnancy Intent Profile
....13.141 US Core Observation Pregnancy Status Profile
....13.142 US Core Observation Screening Assessment Profile
....13.143 US Core Observation Sexual Orientation Profile
....13.144 US Core Organization Profile
....13.145 US Core Patient Profile
....13.146 US Core Practitioner Profile
....13.147 US Core PractitionerRole Profile
....13.148 US Core Procedure Profile
....13.149 US Core Provenance Profile
....13.150 US Core Pulse Oximetry Profile
....13.151 US Core QuestionnaireResponse Profile
....13.152 US Core RelatedPerson Profile
....13.153 US Core Respiratory Rate Profile
....13.154 US Core ServiceRequest Profile
....13.155 US Core Simple Observation Profile
....13.156 US Core Smoking Status Observation Profile
....13.157 US Core Specimen Profile
....13.158 US Core Vital Signs Profile
....13.159 US Core Birth Sex Extension
....13.160 US Core Direct email Extension
....13.161 US Core Ethnicity Extension
....13.162 US Core Extension Questionnaire URI
....13.163 US Core Gender Identity Extension
....13.164 US Core Jurisdiction Extension
....13.165 US Core Race Extension
....13.166 US Core Tribal Affiliation Extension
....13.167 US Core USCDI Requirement Extension
....13.168 Birth Sex
....13.169 Detailed ethnicity
....13.170 Detailed Race
....13.171 OMB Ethnicity Categories
....13.172 OMB Race Categories
....13.173 Language codes with language and optionally a region modifier
....13.174 US Core Clinical Note Type
....13.175 US Core Clinical Result Observation Category
....13.176 US Core Condition Codes
....13.177 US Core Diagnostic Report Category Codes
....13.178 US Core Non Laboratory Codes
....13.179 US Core Discharge Disposition
....13.180 US Core DocumentReference Category
....13.181 US Core DocumentReference Type
....13.182 US Core Encounter Type
....13.183 US Core Goal Codes
....13.184 US Core Narrative Status
....13.185 US Core Status for Smoking Status Observation
....13.186 US Core Smoking Status Max-Binding
....13.187 US Core Observation Value Codes (SNOMED-CT)
....13.188 US Core Pregnancy Intent Codes
....13.189 US Core Pregnancy Status Codes
....13.190 US Core Problem or Health Concern
....13.191 US Core Procedure Codes
....13.192 US Core Provenance Participant Type Codes
....13.193 US Core Screening Assessment Condition Category
....13.194 US Core Screening Assessment Observation Category
....13.195 US Core ServiceRequest Category Codes
....13.196 US Core Sexual Orientation
....13.197 US Core Simple Observation Category
....13.198 US Core Simple Observation Codes
....13.199 US Core Smoking Status Observation Codes
....13.200 US Core Survey Codes
....13.201 USPS Two Letter Alphabetic Codes
....13.202 US Core Vital Signs ValueSet
....13.203 US Core Laboratory Test Codes
....13.204 US Core CarePlan Category Extension Codes
....13.205 US Core Condition Category Extension Codes
....13.206 US Core Category
....13.207 US Core DocumentReferences Category Codes
....13.208 US Core Provenance Participant Type Extension Codes
....13.209 Ahc-Hrsn Item Observation Example 68517-2
....13.210 Device Defib Example
....13.211 Device Knee Example
....13.212 DXA Bone density quantitative measurement panel Example
....13.213 DiagnosticReport Cardiology Report Example
....13.214 DiagnosticReport Chest Xray Report Example
....13.215 10 minute Apgar Color Example
....13.216 10 minute Apgar Heart Rate Example
....13.217 10 minute Apgar Muscle Tone Example
....13.218 10 minute Apgar Reflex Irritability Example
....13.219 10 minute Apgar Respiratory effort Example
....13.220 10 Minute Apgar Score Panel Example
....13.221 10 Minute Apgar Score Example
....13.222 Hvs Item Example 88122-7
....13.223 Hvs Item Example 88123-5
....13.224 Hvs Item Example 88124-3
....13.225 Hvs Panel Example 88121-9
....13.226 PHQ9 Item Example 44250-9
....13.227 PHQ9 Item Example 44251-7
....13.228 PHQ9 Item Example 44252-5
....13.229 PHQ9 Item Example 44253-3
....13.230 PHQ9 Item Example 44254-1
....13.231 PHQ9 Item Example 44255-8
....13.232 PHQ9 Item Example 44258-2
....13.233 PHQ9 Item Example 44259-0
....13.234 PHQ9 Item Example 44260-8
....13.235 PHQ9 Item Example 44261-6
....13.236 PHQ9 Item Example 69722-7
....13.237 PHQ9 Panel Example 44249-1
....13.238 Prapare Item Example 54899-0
....13.239 Prapare Item Example 56051-6
....13.240 Prapare Item Example 56799-0
....13.241 Prapare Item Example 63512-8
....13.242 Prapare Item Example 63586-2
....13.243 Prapare Item Example 67875-5
....13.244 Prapare Item Example 71802-3
....13.245 Prapare Item Example 76437-3
....13.246 Prapare Item Example 76501-6
....13.247 Prapare Item Example 82589-3
....13.248 Prapare Item Example 93026-3
....13.249 Prapare Item Example 93027-1
....13.250 Prapare Item Example 93028-9
....13.251 Prapare Item Example 93029-7
....13.252 Prapare Item Example 93030-5
....13.253 Prapare Item Example 93033-9
....13.254 Prapare Item Example 93034-7
....13.255 Prapare Item Example 93035-4
....13.256 Prapare Item Example 93038-8
....13.257 Prapare Multiselect-Item Example 32624-9-Answer0
....13.258 Prapare Multiselect-Item Example 32624-9-Answer1
....13.259 Prapare Multiselect-Item Example 93031-3-Answer0
....13.260 Prapare Multiselect-Item Example 93031-3-Answer1
....13.261 Prapare Panel Example 93025-5
....13.262 Prapare Panel Example 93039-6
....13.263 Prapare Panel Example 93040-4
....13.264 Prapare Panel Example 93041-2
....13.265 Prapare Panel Example 93042-0
....13.266 PRAPARE Panel Example 93043-8
....13.267 Simple Observation Cognitive Status Example
....13.268 Simple Observation Disability Status Example
....13.269 Simple Observation SDOH Example
....13.270 PractitionerRole_Practitioner_Endpoint_Bundle_Example Example
....13.271 Procedure Defibrillator Implant Example
....13.272 Questionnaire Hunger Vital Sign [HVS] Example
....13.273 Questionnaire PHQ-9 Example
....13.274 Questionnaire PRAPARE Example
....13.275 QuestionnaireResponse PRAPARE Example
....13.276 QuestionnaireResponse Glascow Coma Score Example
....13.277 QuestionnaireResponse Hunger Vital Sign [HVS] Example
....13.278 QuestionnaireResponse PHQ-9 Example
....13.279 AllergyIntolerance Example
....13.280 AllergyIntolerance Provenance Example
....13.281 At Home In Vitro Test Example
....13.282 Blood Pressure Example
....13.283 BMI Example
....13.284 BP Data Absent Example
....13.285 Docref Example 1
....13.286 Docref Example 2
....13.287 Capillary refill Time Nail Bed Example
....13.288 CareTeam Example
....13.289 Colonoscopy Example
....13.290 SDOH Problem/Health Concern Example
....13.291 Condition Duodenal Ulcer Example
....13.292 Encounter Diagnosis Example 1
....13.293 Encounter Diagnosis Example 2
....13.294 Coverage Example
....13.295 CBC Example
....13.296 Metabolic Panel Example
....13.297 Discharge Summary Example
....13.298 DXA Femur-L ArMass BMD Example
....13.299 DXA Femur-L T-score BMD Example
....13.300 DXA Femur-L Z-score BMD Example
....13.301 DXA Hip-L ArMass BMD Example
....13.302 DXA Hip-L T-score BMD Example
....13.303 DXA Hip-L Z-score BMD Example
....13.304 EKG impression Example
....13.305 EKG lead Example
....13.306 Encounter 1036 Example
....13.307 Encounter Delivery Example
....13.308 Encounter 1 Example
....13.309 Episode Summary Example
....13.310 Organization 2 Example
....13.311 ServiceRequest Example
....13.312 Goal 1 Example
....13.313 Goal 2 Example
....13.314 Head Circumference Example
....13.315 Health Concern Example
....13.316 Heart rate rhythm Example
....13.317 Heart Rate Example
....13.318 Height Example
....13.319 HL7East Example
....13.320 Imm 1 Example
....13.321 Jugular vein distension Example
....13.322 Length Example
....13.323 Hospital Location
....13.324 Chest Xray Example
....13.325 EKG Strip Image
....13.326 Medication Dispense Example
....13.327 MedicationRequest Coded Oral Axid Example
....13.328 MedicationRequest Contained Oral Axid Example
....13.329 MedicationRequest Referenced Oral Axid Example
....13.330 MedicationRequest Self Tylenol Example
....13.331 Missing Coded Data Example
....13.332 Erythrocytes Example
....13.333 Hematocrit Example
....13.334 Hemoglobin Example
....13.335 Leukocytes Example
....13.336 MCH Example
....13.337 MCHC Example
....13.338 MCV Example
....13.339 Platelets Example
....13.340 Occupation Observation Example: Industry Unknown
....13.341 Occupation Observation Example: Unknown Occupation
....13.342 Occupation Observation Example
....13.343 Pregnancy Intent Observation Example
....13.344 Pregnancy Status Observation Example
....13.345 Observation SatO2 FiO2 Example
....13.346 Serum BUN Example
....13.347 Serum Calcium Example
....13.348 Serum Chloride Example
....13.349 Serum CO2 Example
....13.350 Serum Creatinine Example
....13.351 Serum Glucose Example
....13.352 Serum Potassium Example
....13.353 Serum Sodium Example
....13.354 Serum Total Bilirubin Example
....13.355 Xray Chest Findings Example
....13.356 Xray Chest Impression Example
....13.357 OFC Percentile Example
....13.358 Organization Acme Lab Example
....13.359 Organization Acme Payer Example
....13.360 Organization Holy Healthcare Example
....13.361 Oxygen Saturation Example
....13.362 P-R interval {EKG lead} Example
....13.363 Patient Child Example
....13.364 Deceased Patient Example
....13.365 Targeted Provenance Patient Example
....13.366 Patient Example
....13.367 Patient Infant Example
....13.368 Pediatric BMI Example
....13.369 Pediatric Wt Example
....13.370 Practitioner 1 Example
....13.371 Practitioner 2 Example
....13.372 Practitioner Pharmacist Example
....13.373 Rehab Example
....13.374 Targeted Provenance Example
....13.375 Pulse intensity Palpation Example
....13.376 Q-T interval {EKG lead} Example
....13.377 QRS dur {EKG lead} Example
....13.378 Patient Niece Example
....13.379 Respiratory Rate Example
....13.380 Saint Luke W Endpoint Example
....13.381 ServiceRequest Defibrillator Implant Example
....13.382 ServiceRequest for Rehab Example
....13.383 Sexual Orientation Observation Example
....13.384 Some Day Smoker Example
....13.385 Serum Specimen Example
....13.386 Temperature Example
....13.387 UDI 1 Example
....13.388 Urobilinogen Example
....13.389 Uscore Med1 Example
....13.390 Uscore Med2 Example
....13.391 Weight Example