This 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 Server. 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.

This Section describes the expected capabilities of the US Core Server actor which is responsible for providing responses to the queries submitted by the US Core Requestors. The complete list of FHIR profiles, RESTful operations, and search parameters supported by US Core Servers are defined. Systems implementing this capability statement should meet the ONC 2015 Common Clinical Data Set (CCDS) access requirement for Patient Selection 170.315(g)(7) and Application Access - Data Category Request 170.315(g)(8) and the ONC U.S. Core Data for Interoperability (USCDI) Version 4 July 2023.

This operation is used to return all the references to documents related to a patient. It is invoked on a FHIR Server’s DocumentReference endpoint (e.g., [base]/DocumentReference/$docref) and operates across all DocumentReference instances.

The operation requires a patient id and takes the optional input parameters:

• start date
• end date
• document type
• on-demand
• profile

and returns a searchset Bundle containing DocumentReference resources for the patient. If the server has stored documents or can create documents for the patient and those documents are available for the user, the server returns the DocumentReference resources associated with documents. This operation’s intended use is to provide a way for providers or patients to access their available documents. The document itself can be subsequently retrieved using the link provided in the DocumentReference.content.attachment.url element. The link could be a FHIR endpoint to a Binary Resource or some other document repository.

This operation is different from a FHIR RESTful query on DocumentReference by patient and type and date range because:

1. It is used to request a server to generate a document based on the specified parameters.

2. If no parameters are specified, the server SHALL return a DocumentReference to the patient’s current C-CDA CCD.

3. If the server cannot generate a document based on the specified parameters, the operation will return an empty search bundle.

Unless the client indicates they are only interested in ‘on-demand’ documents using the on-demand parameter, the server SHOULD return DocumentReference instances for existing documents that meet the request parameters In this regard, this operation is similar to a FHIR RESTful query.

active | inactive | resolved
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Who the sensitivity is for
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Returns CareTeam resources with a participant role matching the specified code.

Type of plan
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Time period plan covers
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Who the care plan is for
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

draft | active | on-hold | revoked | completed | entered-in-error | unknown
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Who care team is for
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

proposed | active | suspended | inactive | entered-in-error
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Date-related abatements (dateTime and period)
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Returns conditions with an assertedDate extension matching the specified date (dateTime).

The category of the condition
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The clinical status of the condition
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Code for the condition
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Encounter created as part of
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

When the resource version last changed
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Date related onsets (dateTime and Period)
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Who has the condition?
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Date record was first recorded
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Retrieve coverages for a patient
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Patient information, if the resource is affixed to a person
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

active | inactive | entered-in-error | unknown
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The type of the device
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Which diagnostic discipline/department created the report
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The code for the report, as opposed to codes for the atomic results, which are the names on the observation resource referred to from the result
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The clinically relevant time of the report
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

When the resource version last changed
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The subject of the report if a patient
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The status of the report
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Categorization of document
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

When this document reference was created
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Logical id of this artifact
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Who/what is the subject of the document
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Time of service that is being documented
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

current | superseded | entered-in-error
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Kind of document (LOINC if possible)
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Classification of patient encounter
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

A date within the period the Encounter lasted
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Returns encounters with an discharge-disposition matching the specified code.

Logical id of this artifact
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Identifier(s) by which this encounter is known
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

When the resource version last changed
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Location the encounter takes place
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The patient or group present at the encounter
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

planned | arrived | triaged | in-progress | onleave | finished | cancelled +
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Specific type of encounter
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Returns patients with an ethnicity extension matching the specified code.

The code or text describing the goal NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Who this goal is intended for
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Reach goal on or before
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Vaccination (non)-Administration Date
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The patient for the vaccination record
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Immunization event status
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

A (part of the) address of the location
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

A city specified in an address
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

A postal code specified in an address
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

A state specified in an address
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

A portion of the location’s name or alias
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The identity of a patient to list dispenses for
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Returns dispenses with a specified dispense status
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Returns dispenses of a specific type
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Return prescriptions written on this date
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Return prescriptions with this encounter identifier
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Returns prescriptions with different intents
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Returns prescriptions for a specific patient
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Status of the prescription
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The classification of the type of observation
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The code of the observation type
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Obtained date/time. If the obtained element is a period, a date that falls in the period
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

When the resource version last changed
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The subject that the observation is about (if patient)
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The status of the observation
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

A server defined search that may match any of the string fields in the Address, including line, city, district, state, country, postalCode, and/or text
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

A portion of the organization’s name or alias
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The patient’s date of birth
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The date of death has been provided and satisfies this search value
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

A portion of the family name of the patient
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Gender of the patient
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Returns patients with an gender-identity extension matching the specified code.

A portion of the given name of the patient
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Logical id of this artifact
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

A patient identifier
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

A server defined search that may match any of the string fields in the HumanName, including family, give, prefix, suffix, suffix, and/or text
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Logical id of this artifact
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

A practitioner’s Identifier
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

A server defined search that may match any of the string fields in the HumanName, including family, give, prefix, suffix, suffix, and/or text
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Practitioner that is able to provide the defined services for the organization
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The practitioner has this specialty at an organization
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

A code to identify a procedure
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

When the procedure was performed
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Search by subject - a patient
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

When the questionnaire response was last changed
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Logical id of this artifact
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The patient that is the subject of the questionnaire response
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The questionnaire the answers are provided for
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The status of the questionnaire response
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Returns patients with a race extension matching the specified code.

Logical id of this artifact
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

A server defined search that may match any of the string fields in the HumanName, including family, give, prefix, suffix, suffix, and/or text
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The patient this related person is related to
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Date request signed
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Classification of service
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

What is being requested/ordered
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Logical id of this artifact
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Search by subject - a patient
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

draft | active | on-hold | revoked | completed | entered-in-error | unknown
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

Logical id of this artifact
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The patient the specimen comes from
NOTE: This US Core SearchParameter definition extends the usage context of the Conformance expectation extension

• multipleAnd
• multipleOr
• comparator
• modifier
• chain

The US Core AllergyIntolerance Profile inherits from the FHIR AllergyIntolerance resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the AllergyIntolerance resource to record, search, and fetch allergies/adverse reactions associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Average Blood Pressure Profile inherits from the Observation resource; refer to it for scope and usage definitions. This profile sets minimum expectations for recording, searching, and fetching average diastolic and systolic blood pressure observations with standard LOINC codes and UCUM units of measure. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core BMI Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search, and fetch Body Mass Index (BMI) observations with a standard LOINC codes and UCUM units of measure. It specifies which additional core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

US Core Blood Pressure Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search, and fetch diastolic and systolic blood pressure observations with standard LOINC codes and UCUM units of measure. It specifies which additional core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Body Height Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search, and fetch body height observations with a standard LOINC code and UCUM units of measure. It specifies which additional core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Body Temperature Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search, and fetch body temperature observations with a standard LOINC code and UCUM units of measure. It specifies which additional core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Body Weight Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search, and fetch body weight observations with a standard LOINC code and UCUM units of measure. It specifies which additional core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Care Experience Preference Profile inherits from the FHIR Observation resource; refer to This profile provides guidance on how to record a care experience preference expressed by the patient regarding their care and treatment. Examples include, but are not limited to, religious preferences, dislikes and fears, preferred place for birth, preferred pharmacy, and thoughts and feelings to be shared. This profile does not represent an actual order, but it can guide caregivers and medical personnel about what is important for the person. This profile sets minimum expectations for the Observation resource to record, search, and fetch for a patient care experience preferences. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core CarePlan Profile inherits from the FHIR CarePlan resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the CarePlan resource to record, search, and fetch assessment and plan of treatment data associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core CareTeam Profile inherits from the FHIR CareTeam resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the CareTeam resource for identifying the Care Team members associated with a patient to promote interoperability and adoption through common implementation. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Condition Encounter Diagnosis Profile inherits from the FHIR Condition resource; refer to it for scope and usage definitions. US Core version 5.0.0 split the US Core Condition Profile into this profile and the US Core Condition Problems and Health Concerns Profile. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) Encounter Diagnosis Data Element. It sets minimum expectations for the Condition resource to record, search, and fetch information about an encounter diagnosis. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Condition Problems and Health Concerns Profile inherits from the FHIR Condition resource; refer to it for scope and usage definitions. US Core version 5.0.0 split the US Core Condition Profile into this profile and the US Core Condition Encounter Diagnosis Profile. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) Problems, Health Concerns, and SDOH Problems/Health Concerns Data Elements. It sets minimum expectations for the Condition resource to record, search, and fetch information about a condition, diagnosis, or another event, situation, issue, or clinical concept documented and categorized as a problem or health concern, including information about a Social Determinants of Health related condition. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Coverage Profile inherits from the FHIR Coverage resource; refer to it for scope and usage definitions. This profile meets the requirements of the US Core Data for Interoperability (USCDI) Health Insurance Information Data Class. It sets minimum expectations for the Coverage resource to record, search, and fetch data related to an individual’s insurance coverage for health care. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core DiagnosticReport Profile for Laboratory Results Reporting inherits from the FHIR DiagnosticReport resource; refer to it for scope and usage definitions. Laboratory results are grouped and summarized using the DiagnosticReport resource, which typically references Observation resource(s). Each Observation resource represents an individual laboratory test and result value or component result values or a nested panel (such as a microbial susceptibility panel) that references other observations. Laboratory results can also be presented in report form or as free text. This profile sets minimum expectations for the DiagnosticReport resource to record, search, and fetch laboratory results associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core DiagnosticReport Profile for Report and Note Exchange inherits from the FHIR DiagnosticReport resource; refer to it for scope and usage definitions. This profile sets minimum expectations for searching and fetching Diagnostic Reports and Notes using the DiagnosticReport resource. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. Before reviewing this profile, implementers are encouraged to read the Clinical Notes Guidance to understand the overlap of the US Core DiagnosticReport Profile for Report and Note exchange and the US Core DocumentReference Profile.

The US Core DocumentReference Profile inherits from the FHIR DocumentReference resource; refer to it for scope and usage definitions. This profile sets minimum expectations for searching and fetching patient documents including Clinical Notes using the DocumentReference resource. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. Before reviewing this profile, implementers are encouraged to read the Clinical Notes Guidance to understand the overlap of the US Core DiagnosticReport Profile for Report and Note exchange and the US Core DocumentReference Profile.

The US Core Encounter Profile inherits from the FHIR Encounter resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Encounter resource to record, search, and fetch basic encounter information for an individual patient. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Goal Profile inherits from the FHIR Goal resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Goal resource to record, search, and fetch Goal information associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Head Circumference Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search, and fetch head circumference observations with a standard LOINC code and UCUM units of measure. It specifies which additional core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Heart Rate Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search, and fetch heart rate observations with a standard LOINC code and UCUM units of measure. It specifies which additional core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Immunization Profile inherits from the FHIR Immunization resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Immunization resource to record, search, and fetch immunization history associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Device Profile inherits from the FHIR Device resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) Unique Device Identifier - Implantable Data Element. It sets minimum expectations for the Device resource to record, search, and fetch UDI information associated with a patient’s implantable device(s). It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Laboratory Result Observation Profile is based upon the US Core Observation Clinical Result Profile and, along with the US Core DiagnosticReport Profile for Laboratory Results Reporting, meets the U.S. Core Data for Interoperability (USCDI) Laboratory requirements. Laboratory results are grouped and summarized using the DiagnosticReport resource, which references Observation resources. Each Observation resource represents an individual laboratory test and result value, a “nested” panel (such as a microbial susceptibility panel) that references other observations, or rarely a laboratory test with component result values. The US Core Laboratory Result Observation Profile sets minimum expectations for the Observation resource to record, search, and fetch laboratory test results associated with a patient to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.

The US Core Location Profile inherits from the FHIR Location resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Location resource for recording, searching, and fetching a “physical place of available services or resources.” It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Medication Profile inherits from the FHIR Medication resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Medication resource to record, search, and fetch medications associated with a patient. When referencing a medication, the MedicationRequest resource can use a code or refer to this profile. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core MedicationDispense Profile inherits from the FHIR MedicationDispense resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the MedicationDispense resource to record, search, and fetch the state of a patients medication with regards to dispensing or other activity. (e.g., dispensed, partially dispensed, not dispensed) It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core MedicationRequest Profile inherits from the FHIR MedicationRequest resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) Medications Data Class. This profile sets minimum expectations for the MedicationRequest resource to record, search, and fetch a patient’s medication prescriptions or orders. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Observation Clinical Result Profile is based upon the core FHIR Observation Resource and, along with the US Core DiagnosticReport Profile, meets the US Core Data for Interoperability (USCDI) requirements for Diagnostic Imaging and Clinical Tests Data Classes. This profile sets minimum expectations for the Observation resource to record and search non-laboratory clinical test results (e.g., radiology and other clinical observations generated from procedures). An example would be when a gastroenterologist reports the size of a polyp observed during a colonoscopy. This profile is the basis for the US Core Laboratory Result Observation Profile, which defines additional data elements to record and search laboratory test results.

The US Core Observation Clinical Result Profile sets minimum expectations to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.

The US Core Observation Occupation Profile inherits from the FHIR Observation resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) Occupation and Occupation Industry Data Elements. It sets minimum expectations for the Observation resource to record, search, and fetch a patient’s past or present job as occupation and industry, in other words, the type of work and type of business that compensates for work or assigns work to an unpaid worker or volunteer. In the context of this profile, a job is defined as a work situation or a training or volunteer position held for a specified period. This profile specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Observation Pregnancy Intent Profile inherits from the FHIR Observation resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) Pregnancy Status Data Element. This profile sets minimum expectations for the Observation resource to record, search, and fetch the patient’s intention to become pregnant. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Pregnancy Status Observation Profile inherits from the FHIR Observation resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) Pregnancy Status Data Element. It sets minimum expectations for the Observation resource to record, search, and fetch the patient’s state or condition of being pregnant. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Observation Screening Assessment Profile inherits from the FHIR Observation resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) Health Status Assessments Data Class. It sets the minimum expectations for the Observation Resource to record, search, and fetch observations representing the questions and responses to surveys and screening and assessment tools. For example, a social history status such as education or food insecurity or an assessment of cognitive, functional, or disability status. It can represent a single response, multiple responses, and multi-select “check all that apply” type questions. This profile specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. Before reviewing this profile, implementers are encouraged to read the Screening and Assessments guidance page, which documents the process of recording responses and capturing assertions/determinations resulting from surveys and questionnaires.

The US Core Observation Sexual Orientation Profile inherits from the FHIR Observation resource; refer to refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) Sexual Orientation Data Element. It sets minimum expectations for the Observation resource to record, search, and fetch sexual orientation observations associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Organization Profile inherits from the FHIR Organization resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Organization resource to record, search, and fetch patient or provider organziation information. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Patient Profile inherits from the FHIR Patient resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) Patient Demographics/Information Data Class. It sets minimum expectations for the Patient resource to record, search, and fetch basic demographics and other administrative information about an individual patient. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Pediatric BMI for Age Observation Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search, and fetch pediatric body mass index (BMI) percentile per age and sex for youth 2-20 observations in FHIR using a standard LOINC code and UCUM units of measure. It specifies which additional core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Pediatric Head Occipital Frontal Circumference Percentile Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search, and fetch pediatric head occipital frontal circumference (OFC) percentile observations associated with a patient from birth to 37 Months of age using a standard LOINC code and UCUM units of measure. It specifies which additional core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

US Core Pediatric Weight for Height Observation Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search, and fetch pediatric weight-for-length per age and gender observations in FHIR with a standard LOINC code and UCUM units of measure. It specifies which additional core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Practitioner Profile inherits from the FHIR Practitioner resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Practitioner resource to record, search, and fetch basic demographics and administrative information about an individual practitioner. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core PractionerRole Profile inherits from the FHIR PractionerRole resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the PractitionerRole Resource to record, search, and fetch the practitioner role information. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. The requirements for the US Core Practitioner were drawn from the Argonaut Provider Directory, IHE Healthcare Provider Directory and the ONC Provider Directory Workshop.

The US Core Procedure Profile inherits from the FHIR Procedure resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) Procedures Data Class. It sets minimum expectations for the Procedure resource to record, search, and fetch procedure information associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Provenance Profile inherits from the FHIR Provenance resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Provenance resource to record, search, and fetch provenance information associated with a record. It covers the minimal (basic) information to support lineage of information. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Before reviewing this profile, implementers are encouraged to read the Basic Provenance guidance page, which documents several key use cases, specifically, the organization responsible for the most recent action on the resource.

The US Core Pulse Oximetry Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search, and pulse oximetry and inspired oxygen observations with standard LOINC codes and UCUM units of measure. It specifies which additional core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core QuestionaireResponse Profile inherits from the Structured Data Capture (SDC) Questionnaire Response Profile. This profile sets minimum expectations for the QuestionnaireResponse resource to record, search, and fetch retrieve captures the responses to form/survey and assessment tools such as the Protocol for Responding to and Assessing Patients\u2019 Assets, Risks, and Experiences (PRAPARE) Survey. It specifies which core additional elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Before reviewing this profile, implementers are encouraged to read the Screening and Assessments guidance page, which documents the process of recording responses and capturing assertions/determinations resulting from surveys and questionnaires.

The US Core RelatedPerson Profile inherits from the FHIR RelatedPerson resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the RelatedPerson resource to record, search, and fetch basic administrative information about persons with a legal or familial relationship to a patient. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Respiratory Rate Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search, and fetch respiratory rate observations with a standard LOINC code and UCUM units of measure. It specifies which additional core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core ServiceRequest Profile inherits from the FHIR ServiceRequest resource; refer to it for scope and usage definitions. This profile sets minimum expectations for recording, searching, and fetching the ServiceRequest information. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Simple Observation Profile inherits from the FHIR Observation resource; refer to it for scope and usage definitions. This US Core FHIR Profile captures any “simple” observations not covered by other US Core Observation profiles. It represents any observation not classified as vital signs, laboratory, imaging, or other specific observation types. This profile sets minimum expectations for the Observation resource to record, search, and retrieve observations such as a clinical observation or assertion about patient health status or other general observations. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Smoking Status Observation Profile inherits from the FHIR Observation resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) Smoking Status Data Element. This profile sets minimum expectations for the Observation resource to record, search, and fetch smoking status data associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Specimen Profile inherits from the FHIR Specimen resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Specimen resource to record, search, and fetch information about substances associated with a patient being sampled or tested (such as nasopharyngeal swab, whole blood, or serum). It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

The US Core Treatment Intervention Preference Profile inherits from the FHIR Observation resource; refer to it for scope and usage definitions. This profile provides guidance on how to record a treatment intervention preference expressed by the patient regarding their personal health goals, preferences, and priorities for medical treatments or interventions in the event of a future health scenario where a person is unable to make medical decisions because of a severe illness or injury. This profile does not represent an actual order, but it can guide caregivers and medical personnel about what is important for the person. This profile sets minimum expectations for the Observation resource to record, search, and fetch for patient treatment intervention preferences. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

This profile is based on the base FHIR Vital Signs Profile and defines additional constraints on the Observation resource to represent vital signs observations. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. This US Core profiles that are derived from this profile are listed below.

A code classifying the person’s sex assigned at birth as specified by the Office of the National Coordinator for Health IT (ONC). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9). After version 6.0.0, this extension is no longer a USCDI Requirement.

This email address is associated with a “Direct Secure Messaging” service. This extension can only be used on contact points where the system = ‘email’

Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the CDC ethnicity and Ethnicity Code Set Version 1.0 which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.

The location where a non-FHIR questionnaire/survey form can be found. This extension is used when the survey, form, or questionnaire which is being answered is not a FHIR Questionnaire, otherwise the canonical url for the FHIR Questionnaire is used.

This extension represents an individual’s sense of being a man, woman, boy, girl, nonbinary, or something else, ascertained by asking them what that identity is. Systems requiring multiple gender identities and associated dates SHOULD use the FHIR R5 genderIdentity extension. When future versions of US Core are based on FHIR R5, the FHIR R5 extension will supersede this extension.

An extension to communicate the US state or local jurisdiction for individual and entity identifiers. For example, a practitioner’s state or local jurisdiction for a license.

The Medication Adherence Extension is used to report whether a medication has been consumed according to instructions as reported by a patient or on behalf of the patient.

Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the CDC Race and Ethnicity Code Set Version 1.0 which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:

• American Indian or Alaska Native
• Asian
• Black or African American
• Native Hawaiian or Other Pacific Islander
• White.

The Sex Extension is used to reflect the documentation of a person’s sex. Systems choosing to record sources of information should use the Provenance resource.

USCDI includes a data element for sex, intended to support the exchange of a sex value that is not characterized as sex assigned at birth or birth sex. This Sex extension supports USCDI. Sex assigned at birth or birth sex can be recorded using the more specific US Core Birth Sex Extension. Future versions of this extension may be informed by the content of the HL7 Cross Paradigm IG: Gender Harmony - Sex and Gender Representation, which may include additional guidance on its relationship to administrative gender (Patient.gender).

This Extension profile represents a tribe or band with which a person associates and, optionally, whether they are enrolled.

This extension is only used in the US Core Implementation Guide’’s Profile StructureDefinition elements. It flags elements that are Additional USCDI Requirements for certified systems. In other words, elements that are not marked as Must Support but are required for ONC Health IT certification testing. See the Conformance page for more information.

The codes for the concepts ‘Unknown’, ‘Asked but no answer’, ‘other, and the 900+ CDC Race codes that are grouped under one of the 5 OMB race category codes.

The codes for the concepts ‘Unknown’, ‘Asked but no answer’, ‘other, and the 41 CDC ethnicity codes that are grouped under one of the 2 OMB ethnicity category codes.

This value set includes codes from BCP-47. This value set matches the ONC 2015 Edition LanguageCommunication data element value set within C-CDA to use a 2 character language code if one exists, and a 3 character code if a 2 character code does not exist. It points back to RFC 5646, however only the language codes are required, all other elements are optional.

The codes for the concepts ‘Unknown’, ‘Asked but no answer’, and the ethnicity categories - ‘Hispanic or Latino’ and ‘Not Hispanic or Latino’ - as defined by the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997.

The codes for the concepts ‘Unknown’, ‘Asked but Unknown’, ‘Other Race’* and the codes for the five race categories - ‘American Indian’ or ‘Alaska Native’, ‘Asian’, ‘Black or African American’, ‘Native Hawaiian or Other Pacific Islander’, and ‘White’ - as defined by the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997

* The use of ‘Other Race’ is discouraged for statistical analysis.

The US Core Clinical Note Type Value Set is a ‘starter set’ of types supported for fetching and storing clinical notes.

Used to classify the context of clinical result observations.

This describes the problem. Diagnosis/Problem List is broadly defined as a series of brief statements that catalog a patient’s medical, nursing, dental, social, preventative and psychiatric events and issues that are relevant to that patient’s healthcare (e.g., signs, symptoms, and defined conditions). ICD-10 is appropriate for Diagnosis information, and ICD-9 for historical information.

The US Core Diagnostic Report Category Value Set is a ‘starter set’ of categories supported for fetching and Diagnostic Reports and notes.

National Uniform Billing Committee, manual UB-04, UB form locator 17.

The US Core DocumentReferences Category Value Set is a ‘starter set’ of categories supported for fetching and storing clinical notes.

The US Core DocumentReference Type Value Set includes all LOINC values whose SCALE is “Doc” in the LOINC database and the HL7 v3 Code System NullFlavor concept ‘unknown’

The type of encounter: a specific code indicating type of service provided. This value set includes codes from SNOMED CT decending from the concept 308335008 (Patient encounter procedure (procedure)) and codes from the Current Procedure and Terminology (CPT) found in the following CPT sections:

• 99211-99499 E/M - 99500-99600 home health (mainly nonphysician, such as newborn care in home) - 99605-99607 medication management - 98966-98968 non physician telephone services (subscription to AMA Required)

Concepts from CPT and LOINC code systems that can be used to indicate the goal.

Laboratory LOINC codes: From the introduction to August 2022 LOINC Users’ guide; “The current scope of the existing laboratory portion of the LOINC database includes all observations reported by clinical laboratories, including the specialty areas: chemistry, including therapeutic drug monitoring and toxicology; hematology; serology; blood bank; microbiology; cytology; surgical pathology; and fertility.

The US Core Narrative Status Value Set limits the text status for the resource narrative.

This value set includes All LOINC codes defined as type “clinical,” therefore excluding laboratory tests, survey instruments, and claims documents. This includes observables such as vital signs, hemodynamics, intake/output, EKG, obstetric ultrasound, and cardiac echo, and includes discrete and narrative diagnostic observations and reports.

This value set includes SNOMED CT codes and the HL7 V3 code for the concept “unknown”.

This value set includes SNOMED CT codes and the HL7 V3 code for the concept “unknown”. These codes have historically been used to communicate the pregnancy status of a patient.

Code set for category codes for US Core Condition Problems and Health Concerns Profile consisting of the concepts “problem” and “health-concern”.

Concepts from CPT, SNOMED CT, HCPCS Level II Alphanumeric Codes, ICD-10-PCS,CDT and LOINC code systems that can be used to indicate the type of procedure performed.

The type of participation a provenance agent played for a given target.

Category codes used in the US Core Condition Screening Assessment Profile to help identify the type of USCDI Health Status/Assessment data class being reported.

Category codes used in the US Core Observation Screening Assessment Profile to help identify the type of USCDI Health Status/Assessment data class being reported.

A set of SNOMED CT and LOINC concepts to classify a requested service

Used to classify the context of a survey, screening or assessment for simple observations and may be used to assist with indexing and searching for appropriate instances.

Codes providing the status of an observation for smoking status. Constrained to finaland entered-in-error.

This value set includes screening and assessment panel codes in LOINC (Refer to Appendix A of LOINC Users’ Guide).

This value set defines two letter USPS alphabetic codes.

Set of codes that are needed for implementation of the US-Core CarePlan Profile. These codes are used as extensions to the FHIR ValueSet.

Category codes used across US Core Profiles and resource types. They are typically used when there is a need for categorization for searching and finding resources or workflow hints.

Set of codes that are needed for implementation of the US-Core Condition Profile. These codes are used as extensions to the FHIR and US Core value sets.

The US Core DocumentReferences Type Code System is a ‘starter set’ of categories supported for fetching and storing DocumentReference Resources.

Set of codes that are needed for implementation of the US-Core Provenance Profile. These codes are used as extensions to the FHIR value sets.

This example of a US Core Survey Observation Profile illustrates its use to directly capture individual surveys assessment items as an observations. It is not derived from a FHIR QuestionnaireResponse.

This example of a US Core Survey Observation Profile illustrates its use to directly capture surveys assessments as a panel of observations. It is not derived from a FHIR QuestionnaireResponse.

This example of a US Core Survey Observation Profile illustrates its use to directly capture individual surveys assessment items as an observations. It is not derived from a FHIR QuestionnaireResponse.

This example of a US Core Survey Observation Profile illustrates its use to directly capture individual surveys assessment items as an observations. It is not derived from a FHIR QuestionnaireResponse.

This example of a US Core Survey Observation Profile illustrates its use to directly capture individual surveys assessment items as an observations. It is not derived from a FHIR QuestionnaireResponse.

This example of a US Core Survey Observation Profile illustrates its use to directly capture individual surveys assessment items as an observations. It is not derived from a FHIR QuestionnaireResponse..

This example of a US Core Survey Observation Profile illustrates its use to directly capture individual surveys assessment items as an observations. It is not derived from a FHIR QuestionnaireResponse.

This AHC HRSN Item Example 68517-2 (How many times in the past 12 months have you had 5 or more drinks in a day (males) or 4 or more drinks in a day (females)?) is an example of the US Core Observation Screening and Assessment Profile and is referenced by the ServiceRequest for Rehab Example

Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] questionnaire example. It is based on the on US Core Screening and Assessments guidance using Questionnaire/QuestionnaireResponse resources.

This is the LHC Form Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] QuestionnaireResponse example. It is based on the on US Core Screening and Assessments guidance using Questionnaire/QuestionnaireResponse resources.

This is an alcohol-use-status example for the Simple Observation Profile. It is based on the on US Core Screening and Assessments guidance using Simple Observations.

This is an Alcoholic Drinks Per Day example for the Simple Observation Profile. It is based on the on US Core Screening and Assessments guidance using Simple Observations.

This is a allergyintolerance example for the US Core AllergyIntolerance Profile.

This is a allergyintolerance example for the US Core AllergyIntolerance Profile representing a non-pharmacologic substance (latex) that the patient is allergic to.

This is a allergyintolerance provenance example for the Bundle Profile.

This is an At home in vitro test example for the US Core Observation Lab Profile, with a coded result value.

This is a Audit-C Item Example 68517-2 (How many times in the past year have you have X or more drinks in a day?) for the US Core Observation Screening Assessment Profile

This is a Audit-C Item Example 68519-8 (How many standard drinks containing alcohol do you have on a typical day?) for the US Core Observation Screening Assessment Profile

This is a Audit-C Item Example 68520-6 (How often do you have 6 or more drinks on 1 occasion?) for the US Core Observation Screening Assessment Profile

This is a Audit-C Item Example 75626-2 (Total score [AUDIT-C]) for the US Core Observation Screening Assessment Profile

This is a Audit-C Panel Example 72109-2 (Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]) for the US Core Observation Screening Assessment Profile

This is an average blood pressure example for the US Core Average Blood Pressure Profile.

This is a BMI example for the Vitalsigns Profile.

This is a bp data absent example for the Vitalsigns Profile showing how to reprsesent blood pressure with a missing diastolic measurement.

This is a blood pressure example for the Vitalsigns Profile.

This is a CBC example for the US Core DiagnosticReport Lab Profile.

This is a Capillary refill Time Nail Bed Example for the Clinical Test Result Observation Profile.

This is an care experience preference example for the Care Experience Profile. It is based on the US Core Simple Observation Profile.

This is a careteam example for the US Core CareTeam Profile.

This is an example Media xray image that is reference by the US Core DiagnosticReport Note Profile.

This example for the US Core Smokingstatus Profile shows a Quantitative result.

This is a colonoscopy example for the US Core CarePlan Profile.

This example of a US Core Condition Problems and Health Concerns Profile illustrates its use to capture information about a patient’s active duodenal ulcer with a category of ‘problem-list-item’.

This is a coverage example for the US Core Coverage Profile.

This is a DXA Bone density quantitative measurement panel report example for the US Core DiagnosticReport Note Profile.

This is a DXA Femur-L ArMass BMD Example for the Imaging Result Observation Profile.

This is a DXA Femur-L T-score BMD Example for the Clinical Test Result Observation Profile.

This is a DXA Femur-L Z-score BMD Example for the Imaging Result Observation Profile.

This is a DXA Hip-L ArMass BMD Example for the Imaging Result Observation Profile.

This is a DXA Hip-L T-score BMD Example for the Imaging Result Observation Profile.

This is a DXA Hip-L Z-score BMD Example for the Imaging Result Observation Profile.

This is a deceased patient example for the US Core Patient Profile.

This is a Device defib example for the US Core Implantable Device Profile.

This is a Device knee example for the US Core Implantable Device Profile.

This is a DiagnosticReport cardiology report example for the US Core DiagnosticReport Note Profile.

This is a DiagnosticReport chest xray report example for the US Core DiagnosticReport Note Profile.

This is a discharge summary example for the US Core DocumentReference. It is used in the Write Note Example.

This bundle is a the response to a $docref operation and contains an example US Core DocumentReference. It is used in Example 1: Request the latest CCD.

This bundle is a the response to a $docref operation and contains an examples of US Core DocumentReference. It is used in Example 2: Request Procedure Notes and Discharge Summaries for 2019.

This is an example Media image that is reference by the US Core DiagnosticReport Note Profile.

This is a EKG impression Example for the Clinical Test Result Observation Profile.

This is a EKG lead Example for the Clinical Test Result Observation Profile.

This is a encounter 1 example for the US Core Encounter Profile.

This is a encounter 1036 example for the Encounter Profile.

This is a patient delivery encounter example for the Encounter Profile.

This example of a US Core Condition Encounter Diagnosis Profile illustrates its use to capture information about a patient’s encounter diagnosis.

This example of a US Core Condition Encounter Diagnosis Profile illustrates its use to capture information about a patient’s encounter diagnosis.

This is a episode summary example for the US Core DocumentReference Profile.

This is a erythrocytes example for the US Core Observation Lab Profile and CBC example for the US Core DiagnosticReport Lab Profile.

This is a Evs Item Example 68516-4 (On those days that you engage in moderate to strenuous exercise, how many minutes, on average, do you exercise?) for the US Core Observation Screening Assessment Profile

This is a Evs Item Example 89555-7 (How many D per W did you engage in moderate to strenuous physical activity in the last 30D) for the US Core Observation Screening Assessment Profile

This is a Evs Panel Example 89574-8 (Exercise Vital Sign (EVS)) for the US Core Observation Screening Assessment Profile

This is an minutes exercise per day example for the Simple Observation Profile. It is based on the on US Core Screening and Assessments guidance using Simple Observations.

This is a days exercise per week example for the Simple Observation Profile. It is based on the on US Core Screening and Assessments guidance using Simple Observations.

This is the LHC Form Exercise Vital Sign (EVS) Questionnaire Example. It is based on the on US Core Screening and Assessments guidance using Questionnaire/QuestionnaireResponse resources.

This is the LHC Form Exercise Vital Sign (EVS) QuestionnaireResponse Example. It is based on the on US Core Screening and Assessments guidance using Questionnaire/QuestionnaireResponse resources.

This is a goal 1 example for the US Core Goal Profile and demonstrates use free text for Goal.description.

This is a goal 2 example for the US Core Goal Profile and demonstrates use of a code for Goal.description.

This is a HL7East example for the US Core Location Profile.

This is a head circumference example for the US Core Head Circumference Profile.

This example of a US Core Condition Problems and Health Concerns Profile illustrates its use to capture information about a patient’s health concern.

This is a heart rate example for the Vitalsigns Profile.

This is a Heart rate rhythm Example for the Clinical Test Result Observation Profile.

This is a height example for the Vitalsigns Profile.

This is a hematocrit example for the US Core Observation Lab Profile and CBC example for the US Core DiagnosticReport Lab Profile.

This is a hemoglobin example for the US Core Observation Lab Profile and CBC example for the US Core DiagnosticReport Lab Profile.

This is a serum specimen example for the US Core Specimen Profile. It demonstrates the use of the USCDI requirements for specimen condition and body source site.

This is an example hospital location for the US Core Location Profile.

This is a Hvs Item Example 88122-7 ((I/We) worried whether (my/our) food would run out before (I/we) got money to buy more.) for the US Core Observation Screening Assessment Profile

This is a Hvs Item Example 88123-5 (The food that (I/we) bought just didn’t last, and (I/we) didn’t have money to get more.) for the US Core Observation Screening Assessment Profile

This is a Hvs Item Example 88124-3 (Food insecurity risk) for the US Core Observation Screening Assessment Profile

This is a Hvs Panel Example 88121-9 (Hunger Vital Sign [HVS]) for the US Core Observation Screening Assessment Profile

This is a imm 1 example for the US Core Immunization Profile.

This is a Jugular vein distension Example for the Clinical Test Result Observation Profile.

This is a length example for the Vitalsigns Profile which shows how body length (typically used for infants) is represented using 8306-3 -Body height - lying as an additional observation code.

This is a Leukocytes example for the US Core Observation Lab Profile and CBC example for the US Core DiagnosticReport Lab Profile.

This is a MCH example for the US Core Observation Lab Profile. It is also used in the CBC example for the US Core DiagnosticReport Lab Profile.

This is a MCHC example for the US Core Observation Lab Profile. It is also used in the CBC example for the US Core DiagnosticReport Lab Profile.

This is a MCV example for the US Core Observation Lab Profile. It is also used in the CBC example for the US Core DiagnosticReport Lab Profile.

This is a dispense example for the US Core MedicationDispense Profile.

This is an prescribed oral solution example for the US Core MedicationRequest Profile. It represents the medication and reason using codes.

This is an prescribed oral solution example for the US Core MedicationRequest Profile. It represents the medication as a contained Medication resource.

This is an prescribed oral solution example for the US Core MedicationRequest Profile. It represents the medication and reason as reference Medication and Condition resources.

This is a “self-prescribed” tylenol example for the MedicationRequest Profile.

This is a metabolic panel example for the US Core DiagnosticReport Lab Profile.

This is an example to demonstrate the using ‘unknown’ from the DataAbsentReason Code System when data is missing for a CareTeam resource where the mandatory CareTeam.participant.role value is unknown.

This is a OFC percentile example for the Head Occipital Frontal Circumference Percentile Profile.

This is a observation satO2 fiO2 example for the US Core Pulse Oximetry Profile representing a spO2 value with a for a patient on 6 l/min of O2 suppplemental oxygen.

This example of the US Core Observation Occupation Profile documents a nursing assistant’s work type.

This example of the US Core Observation Occupation Profile represents a situation where the occupation is known, but the industry is not.

This example of the US Core Observation Occupation Profile represents a situation where the industry is known, but the occupation is not.

This is a organization 2 example for the US Core Organization Profile.

This is an example laboratory example using the US Core Organization Profile.

This is an example payer using the US Core Organization Profile.

This is an example managing organization using the US Core Organization Profile.

This is a typical oxygen saturation example for the US Core Pulse Oximetry Profile on room air where no oxygen concentration is recorded.

This is a P-R interval {EKG lead} Example for the Clinical Test Result Observation Profile.

This is a PHQ9 Item Example 44250-9 (Little interest or pleasure in doing things in last 2 weeks) for the US Core Observation Screening Assessment Profile

This is a PHQ9 Item Example 44251-7 (Poor appetite or overeating) for the US Core Observation Screening Assessment Profile

This is a PHQ9 Item Example 44252-5 (Trouble concentrating on things, such as reading the newspaper or watching television) for the US Core Observation Screening Assessment Profile

This is a PHQ9 Item Example 44253-3 (Moving or speaking so slowly that other people could have noticed. Or the opposite-being so fidgety or restless that you have been moving around a lot more than usual) for the US Core Observation Screening Assessment Profile

This is a PHQ9 Item Example 44254-1 (Feeling tired or having little energy) for the US Core Observation Screening Assessment Profile

This is a PHQ9 Item Example 44255-8 (Feeling down, depressed, or hopeless in last 2 weeks) for the US Core Observation Screening Assessment Profile

This is a PHQ9 Item Example 44258-2 (Feeling bad about yourself-or that you are a failure or have let yourself or your family down) for the US Core Observation Screening Assessment Profile

This is a PHQ9 Item Example 44259-0 (Trouble falling or staying asleep, or sleeping too much) for the US Core Observation Screening Assessment Profile

This is a PHQ9 Item Example 44260-8 (Thoughts that you would be better off dead, or of hurting yourself in some way) for the US Core Observation Screening Assessment Profile

This is a PHQ9 Item Example 44261-6 (Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]) for the US Core Observation Screening Assessment Profile

This is a PHQ9 Item Example 69722-7 (How difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?) for the US Core Observation Screening Assessment Profile

This is a PHQ9 Panel Example 44249-1 (PHQ-9 quick depression assessment panel [Reported.PHQ]) for the US Core Observation Screening Assessment Profile

This is a Prapare Panel Example 93043-8 (Personal characteristics) for the US Core Observation Screening Assessment Profile

This is a patient child example for the US Core Patient Profile.

This is a patient example for the US Core Patient Profile.

This is a patient infant example for the US Core Patient Profile.

This is a patient niece example for the US Core RelatedPerson Profile Profile.

This is a pediatric BMI example for the Pediatric BMI For Age Profile.

This is a pediatric wt example for the Pediatric Weight For Height Profile.

This is a Platelets example for the US Core Observation Lab Profile and CBC example for the US Core DiagnosticReport Lab Profile.

This is a practitioner 1 example for the US Core Practitioner Profile.

This is a practitioner 2 example for the US Core Practitioner Profile.

This is a pharmacist example using the US Core Practitioner Profile.

This is a PractitionerRole_Practitioner_Endpoint_Bundle_Example example for the Bundle Profile.

This is a Prapare Item Example 54899-0 (Preferred language) for the US Core Observation Screening Assessment Profile

This is a Prapare Item Example 56051-6 (Do you consider yourself Hispanic/Latino?) for the US Core Observation Screening Assessment Profile

This is a Prapare Item Example 56799-0 (Address) for the US Core Observation Screening Assessment Profile

This is a Prapare Item Example 63512-8 (How many people are living or staying at this address?) for the US Core Observation Screening Assessment Profile

This is a Prapare Item Example 63586-2 (What was your best estimate of the total income of all family members from all sources, before taxes, in last year?) for the US Core Observation Screening Assessment Profile

This is a Prapare Item Example 67875-5 (Employment status current) for the US Core Observation Screening Assessment Profile

This is a Prapare Item Example 71802-3 (Housing status) for the US Core Observation Screening Assessment Profile

This is a Prapare Item Example 76437-3 (Primary insurance) for the US Core Observation Screening Assessment Profile

This is a Prapare Item Example 76501-6 (Within the last year, have you been afraid of your partner or ex-partner?) for the US Core Observation Screening Assessment Profile

This is a Prapare Item Example 82589-3 (Highest level of educ) for the US Core Observation Screening Assessment Profile

This is a Prapare Item Example 93026-3 (Do you feel physically and emotionally safe where you currently live?) for the US Core Observation Screening Assessment Profile

This is a Prapare Item Example 93027-1 (Are you a refugee?) for the US Core Observation Screening Assessment Profile

This is a Prapare Item Example 93028-9 (In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?) for the US Core Observation Screening Assessment Profile

This is a Prapare Item Example 93029-7 (How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?) for the US Core Observation Screening Assessment Profile

This is a Prapare Item Example 93030-5 (Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living?) for the US Core Observation Screening Assessment Profile

This is a Prapare Item Example 93033-9 (Are you worried about losing your housing?) for the US Core Observation Screening Assessment Profile

This is a Prapare Item Example 93034-7 (Have you been discharged from the armed forces of the United States?) for the US Core Observation Screening Assessment Profile

This is a Prapare Item Example 93035-4 (At any point in the past 2 years, has season or migrant farm work been your or your family’s main source of income?) for the US Core Observation Screening Assessment Profile

This is a Prapare Item Example 93038-8 (Stress is when someone feels tense, nervous, anxious or can’t sleep at night because their mind is troubled. How stressed are you?) for the US Core Observation Screening Assessment Profile

This is a Prapare Multiselect-Item Example 32624-9-Answer0 (Race) for the US Core Observation Screening Assessment Profile

This is a Prapare Multiselect-Item Example 32624-9-Answer1 (Race) for the US Core Observation Screening Assessment Profile

This is a Prapare Multiselect-Item Example 93031-3-Answer0 (In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?) for the US Core Observation Screening Assessment Profile

This is a Prapare Multiselect-Item Example 93031-3-Answer1 (In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?) for the US Core Observation Screening Assessment Profile

This is a Prapare Panel Example 93025-5 (Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences [PRAPARE]) for the US Core Observation Screening Assessment Profile

This is a Prapare Panel Example 93039-6 (Optional additional questions) for the US Core Observation Screening Assessment Profile

This is a Prapare Panel Example 93040-4 (Social and emotional health) for the US Core Observation Screening Assessment Profile

This is a Prapare Panel Example 93041-2 (Money and resources) for the US Core Observation Screening Assessment Profile

This is a Prapare Panel Example 93042-0 (Family and home) for the US Core Observation Screening Assessment Profile

This is a pregnancy intent example for the US Core Observation Pregnancy Intent Profile.

This is a pregnancy status example for the US Core Observation Pregnancy Status Profile.

This US Core Procedure Profile is an example of an Defibrillator implant Procedure. In this example, the reason for a referral is communicated through `Procedure.code’.

This is a Pulse intensity Palpation Example for the Clinical Test Result Observation Profile.

This is a Q-T interval {EKG lead} Example for the Clinical Test Result Observation Profile.

This is a QRS dur {EKG lead} Example for the Clinical Test Result Observation Profile.

An example of an SDC Questionnaire that represents the Hunger Vital Sign Example questionnaire defined in LOINC (code 88121-9). The example is generated using the LHC-Forms SDC Questionnaire App.

An example of a SDC Questionnaire that represents the Hunger Vital Sign Example questionnaire defined in LOINC (code 44249-1). This example is generated using the LHC-Forms SDC Questionnaire App.

An example of an SDC Questionnaire that represents the Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences [PRAPARE] questionnaire defined in LOINC (code 93025-5). This example is generated using the LHC-Forms SDC Questionnaire App.

This example of a US Core QuestionnaireResponse references a non-FHIR survey instrument (in this case a pdf) instead of a FHIR Questionnaire.

An example of a US Core QuestionnaireResponse that represents questions and selected answers from the Hunger Vital Sign Example questionnaire defined in LOINC (code 88122-7). This example is generated using the LHC-Forms SDC Questionnaire App.

An example of a US Core QuestionnaireResponse that represents questions and selected answers from the The Patient Health Questionnaire (PHQ-9) questionnaire defined in LOINC (code 44249-1). The example is generated using the LHC-Forms SDC Questionnaire App.

This is the QuestionnaireResponse example that is referenced by the US Core Observation Screening Assessment Profile PRAPARE examples. This example is generated using the LHC-Forms SDC Questionnaire App.

This is a rehab example for the US Core Procedure Profile.

This is a respiratory rate example for the Vitalsigns Profile.

This example of a US Core Condition Problems and Health Concerns Profile illustrates its use to capture information about a patient’s SDOH Problem/Health Concern.

This is a saint luke w endpoint example for the US Core Organization Profile.

This is a BUN example for the US Core Observation Lab Profile.

This is a serum CO2 example for the US Core Observation Lab Profile.

This is a serum calcium example for the US Core Observation Lab Profile.

This is a serum chloride example for the US Core Observation Lab Profile.

This is a serum creatinine example for the US Core Observation Lab Profile.

This is a serum glucose example for the US Core Observation Lab Profile.

This is a serum potassium example for the US Core Observation Lab Profile.

This is a serum sodium example for the US Core Observation Lab Profile.

This is a serum specimen example for the US Core Specimen Profile.

This is a serum total bilirubin example for the US Core Observation Lab Profile.

This is a service request example for the US Core ServiceRequest Profile Profile.

This is an example requesting alcohol rehab sessions for a patient using the US Core ServiceRequest Profile Profile.

This is an sexual orientation example for the US Core Observation Sexual Orientation Profile.

This US Core Simple Observation Profile is a cognitive status determination which is not based on any formal assessment tool or survey. (This example is adapted from the PACIO Cognitive Status Implementation Guide ver 1.0.0.)

This US Core Simple Observation Profile is a degree of depression severity determination which is based on the results of a PHQ-9 (Patient Health Questionnaire-9) screening.

This US Core Simple Observation Profile is a functional status determination which is not based on any formal assessment tool or survey.

This US Core Simple Observation Profile is a SDOH determination which is not based on any formal assessment tool or survey.

This example for the US Core Smokingstatus Profile shows a coded result.

This is an Substance-use-status example for the Simple Observation Profile. It is based on the on US Core Screening and Assessments guidance using Simple Observations.

This is a Taps Item Example 75889-6 (How often have you had four or more drinks in one day during the past year [Reported]) for the US Core Observation Screening Assessment Profile

This is a Taps Item Example 88037-7 (How often have you had five or more drinks in one day during the past year [Reported]) for the US Core Observation Screening Assessment Profile

This is a Taps Item Example 96842-0 (How often have you used any tobacco product in past 12 months) for the US Core Observation Screening Assessment Profile

This is a Taps Item Example 96843-8 (How often have you used illegal or recreational drugs in past 12 months) for the US Core Observation Screening Assessment Profile

This is a Taps Item Example 96844-6 (How often have you used any prescription medications just for the feeling, more than prescribed or that were not prescribed for you in past 12 months [TAPS]) for the US Core Observation Screening Assessment Profile

This is a Taps Panel Example 96841-2 (Tobacco, Alcohol, Prescription medications, and other Substance use screen [TAPS]) for the US Core Observation Screening Assessment Profile

This is a provenance example for the US Core Provenance Profile to demonstrate how Provenance can be used to document the source of individual elements such as Race and Ethnicity (R/E), gender identity.

This is a patient example for the US Core Patient Profile to demonstrate how Provenance can be used to document the source of individual elements such as Race and Ethnicity (R/E), gender identity.

This is a temperature example for the Vitalsigns Profile.

Tobacco, Alcohol, Prescription medications, and other Substance use screen [TAPS] questionnaire example. It is based on the on US Core Screening and Assessments guidance using Questionnaire/QuestionnaireResponse resources.

This is the LHC Form Tobacco, Alcohol, Prescription medications, and other Substance use screen [TAPS] QuestionnaireResponse example. It is based on the on US Core Screening and Assessments guidance using Questionnaire/QuestionnaireResponse resources.

This is an intervention preference example for the Treatment Intervention Profile. It is based on the US Core Simple Observation Profile.

This is a UDI 1 example for the US Core Implantable Device Profile.

This is a urobilinogen example for the US Core Observation Lab Profile.

This is a uscore med1 example for the US Core Medication Profile.

This is a uscore med2 example for the US Core Medication Profile.

This is a weight example for the Vitalsigns Profile.

This example of a US Core Observation Clinical Result Profile illustrates its use to capture information about a patient’s radiology study findings.

This example of a US Core Observation Clinical Result Profile illustrates its use to capture information about a patient’s radiology study impression.