US Core Implementation Guide
6.0.0 - STU6
US Core Implementation Guide
6.0.0 - STU6
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 
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:
US Core Data for Interoperability USCDI V3
| Allergies and Intolerances | US Core AllergyIntolerance Profile | |
|---|---|---|
| •Substance (Medication) | US Core AllergyIntolerance Profile | |
| •Substance (Drug Class) | US Core AllergyIntolerance Profile | |
| •Reaction | US Core AllergyIntolerance Profile |
| Care Team Members | US Core CareTeam Profile | |
|---|---|---|
| •Name | US Core CareTeam Profile | |
| •Identifier | US Core CareTeam Profile | |
| •Location | US Core CareTeam Profile | |
| •Telecom | US Core CareTeam Profile | |
| •Role | US Core CareTeam Profile |
| Clinical Notes |
US Core DocumentReference Profile
US Core DiagnosticReport Profile for Report and Note Exchange |
|
|---|---|---|
| •Consultation Note | US Core DocumentReference Profile | |
| •Discharge Summary Note | US Core DocumentReference Profile | |
| •History & Physical | US Core DocumentReference Profile | |
| •Imaging Narrative |
US Core DocumentReference Profile
US Core DiagnosticReport Profile for Report and Note Exchange |
|
| •Laboratory Report Narrative |
US Core DocumentReference Profile
US Core DiagnosticReport Profile for Report and Note Exchange |
|
| •Pathology Report Narrative |
US Core DocumentReference Profile
US Core DiagnosticReport Profile for Report and Note Exchange |
|
| •Procedure Note |
US Core DocumentReference Profile
US Core DiagnosticReport Profile for Report and Note Exchange |
|
| •Progress Note | US Core DocumentReference Profile | See Clinical Notes Guidance |
| Diagnostic Imaging |
US Core Observation Clinical Result Profile
US Core DiagnosticReport Profile for Report and Note Exchange |
|
|---|---|---|
| •Diagnostic Imaging Test |
US Core Observation Clinical Result Profile
US Core DiagnosticReport Profile for Report and Note Exchange |
|
| •Diagnostic Imaging Result/Report |
US Core Observation Clinical Result Profile
US Core DiagnosticReport Profile for Report and Note Exchange |
| Encounter | US Core Encounter Profile | |
|---|---|---|
| •Type | US Core Encounter Profile | |
| •Diagnosis | US Core Condition Encounter Diagnosis Profile | |
| •Time | US Core Encounter Profile | |
| •Location | US Core Encounter Profile | |
| •Disposition | US Core Encounter Profile |
| Goals | US Core Goal Profile | |
|---|---|---|
| •Patient Goals | US Core Goal Profile | |
| •SDOH Goals | US Core Goal Profile | See Screening and Assessments Guidance |
| Health Insurance Information | US Core Coverage Profile | |
|---|---|---|
| •Coverage Status | US Core Coverage Profile | |
| •Coverage Type | US Core Coverage Profile | |
| •Relationship to Subscriber | US Core Coverage Profile | |
| •Member Identifier | US Core Coverage Profile | |
| •Subscriber Identifier | US Core Coverage Profile | |
| •Group Number | US Core Coverage Profile | |
| •Payer Identifier | US Core Coverage Profile |
| Immunizations | US Core Immunization Profile | |
|---|---|---|
| • | US Core Immunization Profile |
| Medications |
US Core MedicationRequest Profile
US Core MedicationDispense Profile US Core Medication Profile |
|
|---|---|---|
| •Medications |
US Core Medication Profile
US Core Medication Request Profile |
See Medication List Guidance |
| •Dose | US Core Medication Request Profile | |
| •Dose Unit of Measure | US Core Medication Request Profile | |
| •Indication | US Core Medication Request Profile | |
| •Fill Status | US Core Medication Dispense Profile |
| Problems | US Core Condition Problems and Health Concerns Profile | |
|---|---|---|
| •Date of Resolution | US Core Condition Problems and Health Concerns Profile | |
| •Date of Diagnosis | US Core Condition Problems and Health Concerns Profile | |
| •SDOH Problems/Health Concerns | US Core Condition Problems and Health Concerns Profile | See Screening and Assessments Guidance |
| Procedures |
US Core Procedure Profile
US Core ServiceRequest Profile |
|
|---|---|---|
| •Procedure | US Core Procedure Profile | |
| •Reason for Referral | US Core ServiceRequest Profile | |
| •SDOH Interventions |
US Core ServiceRequest Profile
US Core Procedure Profile |
See Screening and Assessments Guidance |
| Provenance | US Core Provenance Profile | |
|---|---|---|
| •Author Time Stamp | US Core Provenance Profile | |
| •Author Organization | US Core Provenance Profile |
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| Unique Device Identifier(s) | US Core Implantable Device Profile | |
|---|---|---|
| •Unique Device Identifier(s) for a Patient's Implantable Device(s) | US Core Implantable Device Profile |
| 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 |
IG © 2023+ HL7 International - Cross-Group Projects. Package hl7.fhir.us.core#6.0.0 based on FHIR 4.0.1. Generated 2023-05-03
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