This page is part of the Quality Improvement Core Framework (v5.0.0: STU5 (v5.0.0)) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

QI-Core Profiles

QI-Core Profiles

The following table lists the QI-Core profiles that are part of the IG, which USCore profile they are derived from, if any, and the underlying FHIR resources:

QI-Core Profile	USCore Profile	Base Resource
AdverseEvent
QICore AdverseEvent		AdverseEvent
AllergyIntolerance
QICore AllergyIntolerance	US Core AllergyIntolerance	AllergyIntolerance
BodyStructure
QICore BodyStructure		BodyStructure
CarePlan
QICore CarePlan	US Core CarePlan	CarePlan
CareTeam
QICore CareTeam	US Core CareTeam	CareTeam
Claim
QICore Claim		Claim
ClaimResponse
QICore ClaimResponse		Claim
Communication
QICore Communication		Communication
QICore Communication Not Done		Communication
CommunicationRequest
QICore CommunicationRequest		CommunicationRequest
Condition
QICore Condition Encounter Diagnosis	US Core Condition Encounter Diagnosis	Condition
QICore Condition Problems Health Concerns	US Core Condition Problems Health Concerns	Condition
Coverage
QICore Coverage		Coverage
Device
QICore Device		Device
	US Core Implantable Device Profile	Device
DeviceRequest
QICore Device Not Requested		DeviceRequest
QICore DeviceRequest		DeviceRequest
DeviceUseStatement
QICore DeviceUseStatement		DeviceUseStatement
DiagnositcReport
QICore DiagnosticReport Lab	US Core DiagnosticReport Lab	DiagnosticReport
QICore DiagnosticReport Note	US Core DiagnosticReport Note	DiagnosticReport
Encounter
QICore Encounter	US Core Encounter	Encounter
FamilyMemberHistory
QICore FamilyMemberHistory		FamilyMemberHistory
Flag
QICore Flag		Flag
Goal
QICore Goal	US Core Goal	Goal
ImagingStudy
QICore ImagingStudy		ImagingStudy
Immunization
QICore Immunization	US Core Immunization	Immunization
QICore Immunization Not Done	US Core Immunization	Immunization
ImmunizationEvaluation
QICore ImmunizationEvaluation		ImmunizationEvaluation
ImmunizationRecommendation
QICore ImmunizationRecommendation		ImmunizationRecommendation
Location
QICore Location	US Core Location	Location
Medication
QICore Medication	US Core Medication	Medication
MedicationAdministration
QICore MedicationAdministration		MedicationAdministration
QICore MedicationAdministration Not Done		MedicationAdministration
MedicationDispense
QICore MedicationDispense		MedicationDispense
QICore MedicationDispense Declined		MedicationDispense
MedicationRequest
QICore Medication Not Requested	US Core MedicationRequest	MedicationRequest
QICore MedicationRequest	US Core MedicationRequest	MedicationRequest
MedicationStatement
QICore MedicationStatement		MedicationStatement
NutritionOrder
QICore NutritionOrder		NutritionOrder
Observation
QICore Observation		Observation
QICore Observation Cancelled		Observation
QICore Laboratory Result Observation	US Core Laboratory Result Observation	Observation
QICore Observation Clinical Test Result	US Core Observation Clinical Test Result	Observation
QICore Observation Imaging Result	US Core Observation Imaging Result	Observation
QICore Observation Survey	US Core Observation Survey	Observation
	US Core Vital Signs	Observation
	US Core Blood Pressure	Observation
	US Core BMI	Observation
	US Core Body Height	Observation
	US Core Body Temperature	Observation
	US Core Body Weight	Observation
	US Core Head Circumference	Observation
	US Core Heart Rate	Observation
	US Core Pediatric BMI for Age Observation	Observation
	US Core Pediatric Head Occipital-frontal Circumference Percentile	Observation
	US Core Pediatric Weight for Height Observation	Observation
	US Core Pulse Oximetry	Observation
	US Core Respiratory Rate	Observation
	US Core Smoking Status	Observation
	US Core Observation Sexual Orientation	Observation
	US Core Observation Social History	Observation
	US Core Observation SDOH Assessment	Observation
Organization
QICore Organization	US Core Organization	Organization
Patient
QICore Patient	US Core Patient	Patient
Practitioner
QICore Practitioner	US Core Practitioner	Practitioner
PractitionerRole
QICore PractitionerRole	US Core PractitionerRole	PractitionerRole
Procedure
QICore Procedure	US Core Procedure	Procedure
QICore Procedure Not Done	US Core Procedure	Procedure
QuestionnaireResponse
QICore QuestionnaireResponse	US Core QuestionnaireResponse	QuestionnaireResponse
RelatedPerson
QICore RelatedPerson	US Core RelatedPerson	RelatedPerson
ServiceRequest
QICore Service Not Requested	US Core ServiceRequest	ServiceRequest
QICore ServiceRequest	US Core ServiceRequest	ServiceRequest
Specimen
QICore Specimen		Specimen
Substance
QICore Substance		Substance
Task
QICore Task		Task
QICore Task Rejected		Task

Referencing QI-Core Profiles

There are a number of QI-Core profiles inherit directly from US Core profiles, if any, or other FHIR resources (i.e. US Core Implantable Device Profile, FHIR Vital Signs, US Core Smoking Status etc.) and the underlying Reference elements can address the US Core or FHIR profiles for the items referenced. For any other references to base FHIR resources or not formally defined in a QI-Core Profile, the referenced resource SHALL be a QI-Core Profile if a QI-Core Profile exists for the resource type. For example, USCore Smoking Status references US Core Patient profile, the reference to Patient SHALL be a valid QI-Core Patient.

Note to Implementers: QI-Core profiles have been developed with the principle that if the profiles only need to provide references to QI-Core Profiles, that is insufficient to require individual QI-Core profiles for all US Core profiles. There are edge cases using this approach where the FHIR validator would not validate an assumption made by the measure author, such as that an encounter traced through an observation is a QI-Core Encounter. We think that general validation of all the resources provided to the context of a measure evaluation can address that risk without the need for deriving specific profiles that only constraint reference types. We seek feedback on this point.

This change will strengthen the requirement to use a QI-Core profile when using a base FHIR or US Core profile not formally defined in QI-Core and to use QI-Core profiles as referenced resources if a QI-Core Profile exists for that resource.

STU Note: Mappings from the QI Core Profiles to Quality Data Model have been removed from this version of the QI Core IG. The CQI Work Group is seeking implementer feedback on the value of these mappings and whether they would be useful to include in a future version of the specification. Mappings from QDM-to-QI-Core are still available on the QDM-to-QI-Core page, and the FHIR-to-QDM mappings are still available in the mappings section for each profile in the STU3.2 version of this implementation guide.