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

This page is part of the US Core (v6.1.0: STU6 Update) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions. Page versions: STU6.1 STU6 STU5 STU4 STU3

Table of Contents

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