US Public Health Profiles Library
1.0.0 - STU1 United States of America flag

This page is part of the US Public Health Profiles Library (v1.0.0: STU 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Profiles: Content

The set of Profiles: Content is composed of profiles defining what data is exchanged about health encounters, clinical findings, clinical history, and related concepts.

US Public Health Characteristics of Home Environment

This Observation profile represents characteristics of the patient’s home environment.

US Public Health Composition

This Composition profile represents a public health composition.

US Public Health Condition Encounter Diagnosis

This Condition profile represents an encounter diagnosis for a public health event.

US Public Health Condition Problems and Health Concerns

This Condition profile represents a sign, symptom, or diagnosis for a problem or health concern related to a public health event.

US Public Health Disability Status

This Observation profile represents the Disability Element defined in the Office of the Assistant Secretary for Planning and Evaluation (ASPE) webpage HHS Implementation Guidance on Data Collection Standards for Race, Ethnicity, Sex, Primary Language, and Disability Status.

US Public Health Emergency Outbreak Information

This Observation profile represents information that is required during a public health emergency/outbreak. This information can be highly variable, so a generic structure has been chosen to represent it.

US Public Health Encounter

This Encounter profile represents the encounter related to a public health event

US Public Health Exposure Contact Information

This Observation profile represents potential patient exposure and contact information.

US Public Health Is Postpartum

This Observation profile represents whether or not the patient is postpartum.

US Public Health Laboratory Result Observation Profile

This Observation profile represents laboratory result observations related to a public health event.

US Public Health MedicationAdministration

This MedicationAdministration profile represents the event of a patient consuming or otherwise being administered a medication.

US Public Health PlanDefinition

This PlanDefinition profile describes the US Public Health PlanDefinition.

US Public Health Pregnancy Outcome Observation

This Observation profile represents a result of the pregnancy such as live birth, still birth, miscarriage, etc.

US Public Health Pregnancy Status Observation

This Observation profile represents current and/or prior pregnancy statuses and their date ranges, enabling investigators to determine if a patient was pregnant, possibly pregnant, not pregnant or whether the pregnancy status was unknown during a particular date range.

US Public Health Transportation Details

This Observation profile represents transportation details such as the type of transport (plane, train, ship, etc.) along with any associated information (e.g. name of cruise ship, flight number, airport, seat number, cabin number, etc.).

US Public Health Travel History

This Observation profile represents a patient’s travel history.

Profiles: Content - Entities

The set of Profiles: Content - Entities is composed of profiles defining what data is exchanged about entities such as people, places, and organizations.

US Public Health Location

This Location profile represents the location/facility in which care was provided.

US Public Health Organization

This Organization profile represents an organization involved in public health.

US Public Health Patient

This Patient profile represents a US Public Health Patient.

US Public Health PractitionerRole

This PractitionerRole profile represents the roles and organizations of the practitioner.

US Public Health Survey Practitioner Group

This Group profile represents survey participant groups, research groups, etc.

Profiles: Content - Extensions

The set of Profiles: Content - Extension is composed of Extensions defining what data about entities is exchanged.

US Public Health Address Extension

This Extension profile represents where the patient traveled to or visited as an address e.g.: country, state, city, street address (if applicable).

US Public Health Date Determined Extension

This Extension profile represents the date a status or observation was determined (date of determination).

US Public Health Date Recorded Extension

This Extension profile represents the date a status or observation was recorded (recorded date).

US Public Health Determination of Reportability Extension

This Extension profile represents the determination of reportability. Reportability is “the quality or state of being reportable or not”. Reportability does not equate to the patient having a condition or meeting a case definition (definitively being a case).

US Public Health Determination of Reportability Reason Extension

This Extension profile represents the reason for the determination of reportability.

US Public Health Determination of Reportability Rule Extension

This Extension profile represents a rule that led to the determination of reportability.

US Public Health Information Recipient Extension

This Extension profile represents an intended recipient of a US Public Health Composition.

US Public Health Initiation Reason Extension

This Extension profile contains an explanation for the manual or alternate initiation of the public health report.

US Public Health Initiation Type Extension

This Extension profile represents whether the report was either manually initiated or alternately initiated by the provider.

US Public Health Receiver Address Extension

This Extension profile indicates the endpoint address where the report is to be sent.

US Public Health Therapeutic Medication Response Extension

This Extension profile represents a therapeutic response (as opposed to an undesired reaction) to the administration of a medication.

US Public Health Tribal Affiliation Extension

This Extension profile represents an affiliated tribe name and whether or not the patient is an enrolled member of that tribe.

Profiles: Architecture

The set of Profiles: Architecture is composed of profiles that are related to how data is defined and exchanged. These profiles support representation and use of metadata to support consistent content lifecycle management.

US Public Health Content Bundle

This Bundle profile organizes the content of the public health message to be exchanged with a public health agency.

US Public Health Content Bundle - Eve Everywoman

US Public Health Content Bundle: Eve Everywoman example

US Public Health Document Bundle

This Bundle profile represents a public health Document Bundle. It contains a US Public Health Composition.

US Public Health Endpoint

This Endpoint profile indicates where the report is to be sent.

US Public Health Endpoint - Public Health Agency

US Public Health Endpoint: Public Health Agency example

US Public Health FHIR Query Pattern Extension

This Exension profile supports communicating the FHIR query for a given data requirement.

US Public Health MessageDefinition

This MessageDefinition profile represents the characteristics of a message that can be shared in public health.

US Public Health MessageHeader

This MessageHeader profile represents the header for transmitting content using FHIR messaging.

US Public Health Reporting Bundle

This Bundle profile is used for exchanging a public health report to be submitted to a public health agency.

US Public Health Response Bundle

This Bundle profile represents the packaging construct used for exchanging a public health response.

US Public Health Specification Bundle

This Bundle profile represent the packaging construct used for exchanging a knowledge artifact.

Profiles: Architecture - Extensions

The set of Profiles: Architecture - Extensions is composed of Extension profiles that are related to how data is defined and exchanged.

US Public Health Alternative Expression Extension

This Extension profile represents a US Public Health Alternative Expression.

US Public Health Async Indicator Extension

This Extension profile represents the expectation of whether messages resulting from the PlanDefinition are expected to be processed asynchronously.

US Public Health Data Encrypted Extension

This Exension profile indicates whether or not the data in the content bundle is encrypted.

US Public Health Data Encryption Algorithm Extension

This Extension profile represents algorithms that would be acceptable for encryption of the data prior to submitting to the data receiver.

US Public Health Expansion Parameters Extension

Thes Extension profile supports the definition of expansion parameters for the ValueSet.

US Public Health Expected Response Time Extension

This Extension profile represents the maximum time the sender has to wait to get a response, beyond which the message is assumed to have failed to reach the destination.

US Public Health Message Processing Category Extension

This Extension profile indicates how systems have to deal with messages in terms of duplicates, lack of responses.

US Public Health Named Event Type Extension

This Extension profile indicates the types of named events to subscribe to from the EHR.

US Public Health Receiver JWKS Url Extension

This Extension profile indicates the location of the public key that needs to be used for encryption when sending data to the receiver.

US Public Health Related Data Extension

The Extension profile allows indicating that an input to a parent action is an input to specific child actions. It also allows the output of one action to be identified as the input to a different action.

US Public Health Trust Service Endpoint Extension

This Extension profile represents the endpoint address which implements trust services and can be used by specific actions requiring trust services with appropriate authorities and policies.

US Public Health Usage Warning Extension

This Extension profile represents an extra warning about the correct use of the value set.

Profiles: Architecture - Terminology

The set of Profiles: Architecture - Terminolgy is composed of terminology profiles that are related to how data is defined and exchanged. These profiles support representation and use of metadata to address terminology concerns and support consistent content lifecycle management.

ValueSet Profiles

  • The US Public Health ValueSet defines minimum base conformance requirements for a ValueSet used in public health.
  • The US Public Health Triggering ValueSet defines conformance requirements for a ValueSet that is part of determination of a potentially reportable event (i.e. a "triggering" event).
  • The US Public Health Computable ValueSet defines conformance requirements for a ValueSet that includes the computable definition of that value set, but not necessarily the full expansion. A computable value set is intended for use in environments that have access to a terminology server capable of expanding the value set.
  • The US Public Health Executable ValueSet defines conformance requirements for a ValueSet that includes the complete expansion of the ValueSet, but not necessarily the computable definition. An executable value set is intended for use in environments that are not expected to have access to a terminology server capable of expanding the value set, so the expansion is communicated as part of the ValueSet. Note that a given ValueSet may conform to both the computable and executable profiles at the same time.

    Library Profiles

  • The US Public Health Specification Library defines conformance requirements for a public health reporting program specification, typically consisting of a ValueSet library and other supporting specifications such as PlanDefinitions.
  • The US Public Health Triggering ValueSet Library defines conformance requirements for a collection of ValueSets that are all used to facilitate determination of a potentially reportable event (i.e. a "triggering" event).
  • The US Public Health Supplemental Library defines conformance requirements for the computable supplement for a public health reporting program specification, including computable routing rules that can be evaluated to help facilitate reportability determination at reporting sites, typically consisting of Clinical Quality Language (CQL) Rule libraries and additional terminiology artifacts required to evaluate those rules.
  • The US Public Health Computable Library defines conformance requirements for a Library that contains CQL text, but not necessarily the compiled Expression Logical Model (ELM) for that CQL. It is intended to be used in environments that are capable of translating CQL to the executable ELM.
  • The US Public Health Executable Library defines conformance requirements for a Library that contains compiled ELM, but not necessarily the source CQL text for that ELM. It is intended to be used in environments that are capable of executing ELM, but not necessarily of translating the source CQL. Note that a given Library may conform to both the computable and executable profiles at the same time.

US Public Health CodeSystem

This CodeSystem profile describes describes the minimum requirements for a US public health code system.

US Public Health CodeSystem Property Required Binding Extension

This Extension profile represents a reference to a ValueSet that establishes a required binding to the allowable values for a code system property.

US Public Health Computable Library

This Library profile defines the Library that contains Clinical Quality Language (CQL) text, but not necessarily the compiled Expression Logical Model (ELM) for that CQL. It is intended to be used in environments that are capable of translating CQL to the executable ELM.

US Public Health Computable ValueSet

This ValueSet profile describes the requirements for a value set that includes the computable definition of that value set, but not necessarily the full expansion. A computable value set is intended for use in environments that have access to a terminology server capable of expanding the value set.

US Public Health Executable Library

This Library profile defines the Library that contains compiled Expression Logical Model (ELM), but not necessarily the source Clinical Quality Language (CQL) text for that ELM. It is intended to be used in environments that are capable of executing ELM, but not necessarily of translating the source CQL.

US Public Health Executable ValueSet

This ValueSet profile describes the requirements for a value set containing a point-in-time expansion enumerating the codes that meet the value set intent. As new versions of the code systems used by the value set are released, the contents of this expansion will need to be updated to incorporate newly defined codes that meet the value set intent. The complete expansion of the ValueSet is included, but not necessarily the computable definition. An executable value set is intended for use in environments that are not expected to have access to a terminology server capable of expanding the value set, so the expansion is communicated as part of the ValueSet.

US Public Health Specification Library

This Library profile defines the asset-collection library for a public health reporting program specification, typically consisting of a ValueSet library and other supporting specifications such as PlanDefinitions.

US Public Health Supplemental Library

This Library profile defines the asset-collection library containing US public health supplemental assets.

US Public Health Supplemental ValueSet

This ValueSet profile describes the requirements for a value set used when determining whether an event is suspected to be reportable.

US Public Health Supplemental ValueSet Library

This Library profile defines the library that is a computable supplement for a public health reporting program specification, including computable routing rules that can be evaluated to help facilitate reportability determination at reporting sites, typically consisting of Clinical Quality Language (CQL) Rule libraries and additional terminiology artifacts required to evaluate those rules.

US Public Health Triggering ValueSet

This ValueSet profile describes the requirements for a value set that is part of determination of a potentially reportable event (i.e. a “triggering” event).

US Public Health Triggering ValueSet Library

This Library profile defines the library containing a collection of ValueSets that are used to facilitate determination of a potentially reportable event (i.e. a “triggering” event).dd

US Public Health ValueSet

This ValueSet profile describes the minimum requirements for US public health value sets.

US Public Health ValueSet Library

This Library profile defines the library containing US Public Health value sets.

Examples: Content

These are example instances of the Content profiles that show what data produced and consumed by systems conforming with the profiles in this library might look like.

US Public Health Characteristics of Home Environment - Eve Everywoman

US Public Health Characteristics of Home Environment: Eve Everywoman example

US Public Health Composition - Eve Everywoman

US Public Health Composition: Eve Everywoman example

US Public Health Condition Encounter Diagnosis - Eve Everywoman - Diabetes

US Public Health Condition Encounter Diagnosis: Eve Everywoman - Diabetes example

US Public Health Condition Problem Health Concern - Eve Everywoman - Hypertension

US Public Health Condition Problem Health Concern: Eve Everywoman - Hypertension example

US Public Health Disability Status - Eve Everywoman

US Public Health Disability Status: Eve Everywoman example

US Public Health Emergency Outbreak Information - Eve Everywoman

US Public Health Emergency Outbreak Information: Eve Everywoman example

US Public Health Encounter - Eve Everywoman

US Public Health Encounter: Eve Everywoman example

US Public Health Endpoint - Salem Medical Center

US Public Health Endpoint: Salem Medical Center example

US Public Health Endpoint - YMCA

US Public Health Endpoint: YMCA example

US Public Health Exposure Contact Information - Football Game

US Public Health Exposure Contact Information: Football Game example

US Public Health Is Postpartum - Eve Everywoman

US Public Health Is Postpartum: Eve Everywoman example

US Public Health Laboratory Result - Eve Everywoman - Lymphocytes

US Public Health Laboratory Result: Eve Everywoman - Lymphocytes example

US Public Health Laboratory Result - Eve Everywoman - Pertussis

US Public Health Laboratory Result: Eve Everywoman - Pertussis example

US Public Health MedicationAdministration - Eve Everywoman - Azithromycin

US Public Health MedicationAdministration: Eve Everywoman Azithromycin example

US Public Health MedicationAdministration - Eve Everywoman - Naloxone

US Public Health MedicationAdministration: Eve Everywoman - Naloxone example

US Public Health PlanDefinition - NamedEvent

US Public Health PlanDefinition: NamedEvent example

US Public Health PlanDefinition - Workflow Definition

US Public Health PlanDefinition: Workflow Definition example

US Public Health Pregnancy Outcome - Eve Everywoman

US Public Health Pregnancy Outcome: Eve Everywoman example

US Public Health Pregnancy Status - Eve Everywoman

US Public Health Pregnancy Status: Eve Everywoman example

US Public Health Reportability Information Observation - Condition Reportable

US Public Health Reportability Information Observation: Condition Reportable example

US Public Health Transportation Details - Eve Everywoman

US Public Health Transportation Details: Eve Everywoman example

US Public Health Travel History - Eve Everywoman 1999

US Public Health Travel History: Eve Everywoman 1999 example

US Public Health Travel History - Eve Everywoman 201610

US Public Health Travel History: Eve Everywoman 201610 example

US Public Health Travel History - Eve Everywoman 201801

US Public Health Travel History: Eve Everywoman 201801 example

Examples: Content - Entities

These are example instances of the Content: Entities profiles that show what data produced and consumed by systems conforming with the profiles in this library might look like.

Device - Software YMCA

Device: Software YMCA example

US Core Location - City Football Stadium

US Core Location: City Football Stadium example

US Core Practitioner - Henry Seven

US Core Practitioner: Henry Seven example

US Public Health Location - Clinic Bldg A, Salem Medical Center

US Public Health Location: Clinic Bldg A, Salem Medical Center example

US Public Health Organization - Acme Labs

US Public Health Organization: Acme Labs example

US Public Health Organization - Health Authority West

US Public Health Organization: Health Authority West example

US Public Health Organization - Salem Medical Center

US Public Health Organization: Salem Medical Center example

US Public Health Organization - YMCA

US Public Health Organization: YMCA example

US Public Health Patient - Eve Everywoman

US Public Health Patient: Eve Everywoman example

US Public Health PractitionerRole - Henry Seven

US Public Health PractitionerRole: Henry Seven example

US Public Health Survey Practitioner Group - Practitioner in Survey

US Public Health Survey Practitioner Group: Practitioner in Survey example

Examples: Architecture

These are example instances of the Architecture profiles that show what data produced and consumed by systems conforming with the profiles in this library might look like.

US Public Health Document Bundle - Eve Everywoman

US Public Health Document Bundle: Eve Everywoman example

US Public Health MessageDefinition - Cancer Report

US Public Health MessageDefinition: Cancer Report example

US Public Health MessageHeader - Cancer Report

US Public Health MessageHeader: Cancer Report example

US Public Health MessageHeader - Case Report

US Public Health MessageHeader: Case Report example

US Public Health PlanDefinition - Alternative Expression

US Public Health PlanDefinition: Alternative Expression example

US Public Health Reporting Bundle - Eve Everywoman

US Public Health Reporting Bundle: Eve Everywoman example

US Public Health Response Bundle - Eve Everywoman

US Public Health Response Bundle: Eve Everywoman example

US Public Health Specification Bundle - Cancer Reporting

US Public Health Specification Bundle: Cancer Reporting example

Examples: Terminology

These are example instances of the Terminologies profiles that show what data produced and consumed by systems conforming with the profiles in this library might look like.

US Public Health CodeSystem - Endpoint Connection Type Example

This code system contains codes that identify the HL7 FHIR File type.

US Public Health CodeSystem - Jurisdiction Types Example

This example code system describes the possible types of jurisdictions that require public health reporting.

US Public Health CodeSystem Jurisdictions Example

This code system describes example jurisdictions.

US Public Health Executable Library - Rule Filters - Chlamydia Example

US Public Health Executable Library example: Rule Filters - Chlamydia

US Public Health Triggering ValueSet Library Example

US Public Health Triggering ValueSet Library example

US Public Health ValueSet - Chlamydia Example

This example set of values contains laboratory observation test names that represent Chlamydia tests.

US Public Health ValueSet - Computable Example

ACME Codes for Cholesterol: Plasma only

US Public Health ValueSet Executable - Chlamydia Example

This example set of values contains laboratory observations test names that represent that the patient may have the potentially reportable condition of Chlamydia regardless of the clinical presentation of the condition

US Public Health ValueSet Library Example

US Public Health ValueSet Library example containing a Chlamydia value set

US Public Health ValueSet Library Expansion Parameters - Chlamydia Example

US Public Health ValueSet Library Expansion Parameters example containing a Chlamydia value set and demonstrating expansion parameter

US Public Health VaueSet - Supplemental Example

This valueset is a valueset created for the purposes of demonstrating, by example, the US Public Health Supplemental ValueSet profile.

US Public Health VaueSet - Triggering Chlamydia Example

This example set of values contains laboratory observations test names that represent that the patient may have the potentially reportable condition of Chlamydia regardless of the clinical presentation of the condition.

us-ph-supplemental-library-example

Description of library

Code Systems

These are CodeSystems defined in this profiles library.

US Public Health CodeSystem - Message Types

The US Public Health Message Types CodeSystem contains codes for currently identified use cases for identifying types of messages being exchanged. As further use cases are identified, codes may be added to the code system.

US Public Health CodeSystem - PlanDefinition Actions

The US Public Health PlanDefinition Actions CodeSystem contains codes for currently identified use cases for identifying actions in PlanDefinition.

US Public Health CodeSystem - Report Initiation Type Codes

Thsis CodeSystem contains codes for currently identified use cases for identifying how the message was initiated.

US Public Health CodeSystem - Trigger Definition Named Events

The US Public Health TriggerDefinition NamedEvents CodeSystem contains codes for currently identified use cases for identifying named events to subscribe to in clinical workflows.

US Public Health CodeSystem - Usage Context

This code system contains codes that identify the use context of a ValueSet or Library.

US Public Health CodeSystem - Usage Context Type

This code system contains codes that identify the use context type of a ValueSet or Library.

US Public Health CodeSystem for ValueSet Use Context

The US Public Health UseContext CodeSystem contains codes for currently identified use cases for representing the use context of a ValueSet.

Value Sets

These are ValueSets defined in this profiles library.

US Public Health ValueSet - Message Significance Category

The impact of the content of a message.

US Public Health ValueSet - Report Initiation Type

The US Public Health Message Types Value Set contains codes for currently identified use cases to indicate how a messages was initiated within the health care organization.

US Public Health ValueSet Priority

This value set contains codes representing release priority for ValueSets.

US Public Health VaueSet - Message Types

The US Public Health Message Types Value Set contains codes for currently identified use cases for uniquely identifying messages in MessageHeader instances contained within a reporting bundle.

US Public Health VaueSet - PlanDefinition Action

The US Public Health PlanDefinition Action Value Set contains codes for currently identified use cases for uniquely identifying actions in PlanDefinition instances.

US Public Health VaueSet - Pregnancy Status

This value set contains codes representing pregnancy statuses.

US Public Health VaueSet - TriggerDefinition NamedEvent

The US Public Health TriggerDefinition NamedEvent Value Set contains codes for currently identified use cases for identifying named events uniquely in TriggerDefinition instances contained within a PlanDefinition.

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

us-ph-specification-library-example

Description of library

us-ph-supplemental-valueset-library-example

Description of library

Other

These are resources that are used within this implementation guide that do not fit into one of the other categories.

Parameters - SNOMED US Version

Parameters - SNOMED US Version